When a person turns to a dentist for help, he naturally wants not only to cure a tooth, but also to make sure that he never hurts anymore. However, the realities of life sometimes make their own adjustments here and create obstacles to this: some people, after filling a tooth, feel that it suddenly starts to hurt for some strange reason. It would seem that the doctor did everything as expected: he sealed the canals and (or) put a seal, but the tooth still hurts under it.
It is necessary to understand that the impact on the tooth enamel and dentin's drill and, moreover, the cleaning and filling of the canals is a kind of small surgical operation to remove infected and necrotic tissues. It is quite natural after it is the presence of minor pain - for the period of recovery of the body.
Doctors have certain criteriaaccording to which pain after filling can be considered either as a normal condition or, on the contrary, as a kind of deviation from the norm. This takes into account the dynamics of pain, its nature, the level of treatment, the presence of errors and complications during it, and other factors.
Let's try to figure out why a tooth may hurt after filling, in which cases you can not worry about it, and in which you should be suspicious, and immediately contact your doctor for advice ...
Why a tooth can ache under the filling
Pain in a filled tooth can be observed in the following typical cases:
- after treatment of caries (under permanent filling);
- after canal treatment (under temporary or permanent filling).
First, we consider in detail why after treatment of caries and staging of a seal pain can be felt.
Dentist therapists are always optimistic for the most part, as they strive to preserve the sore tooth “alive” for any kind of caries, that is, without pulp removal ("Nerve") of the channels. However, in some cases, at the stage of diagnosis and treatment, errors occur, which are more associated with the tactics and approach of the doctor.
The most common errors that provoke pain in a sealed tooth are the following:
- Incorrectly diagnosed. This mistake is the absolute fault of the doctor. Deep caries and chronic pulpitis similar in symptoms and some external signs, so the dentist has a huge responsibility - not to confuse one with another. If an error does occur, and the filling is superimposed in chronic pulpitis (as well as in other forms pulpitis and periodontitis), then after its installation the tooth can hurt “long and hard”. Without canal treatment in this case, the sealed tooth will not stop hurting, and moreover, every day the pain of patience is the risk of losing the tooth forever.
- Overheating of the tooth. This problem is still relevant in many clinics (especially in the budget), when air-water cooling of the treated area is not used, or it functions in a volume that does not meet modern requirements for tooth preparation during caries. Overheating of solid tissue with a drill leads to burns and pulp necrosis, which causes severe pain under the fixed filling. In other words, violation of the caries treatment protocol leads to the fact that pulp inflammation leads to new diseases - pulpitis or periodontitis.
- Inflated by bite filling. In some cases, the sealed tooth hurts when biting. The fact is that caries treatment is most often carried out under anesthesia, therefore, it is difficult to determine the height of the occlusion. The patient cannot say for sure whether the filling is hindering him or not, as this is hampered by severe numbness in the mouth (sometimes not only the bad tooth is felt badly, but even those adjacent to it). If a filled tooth hurts precisely when pressed, there is a feeling that the filling is too high, and you want to “push it” on the bite, you should immediately contact your dentist.
On a note
There is a popular opinion among the people that the bothersome filling will “get used to it”. In fact, this is a false and dangerous notion, since an overestimated filling not only causes pain in the sealed tooth, but also provokes injury to the surrounding root tissue, which leads to the risk of traumatic periodontitis (inflammation of the surrounding root tissue), and this already carries the threat of tooth loss.
- Polymerization stress.Modern light-cured composites (light fillings) have a negative property - to cause the so-called polymerization stress, or shrinkage of the fillings, because of which the tooth begins to hurt some time after filling. During the curing of the material with a special lamp, it loses in volume and causes stress on the walls of the tooth, which are superimposed on the dentist. The more a layer of filling was made, the more severe this stress will be in most cases. As a result, non-observance of the technology of working with light fillings leads to the fact that after filling the tooth sometimes hurts a lot, and the pain can be either short-term (up to 1-2 weeks) or not at all.
Cause of pain after canal filling
The pain after the filling of the tooth canals does not always occur in all clinical cases. Some dentists are of the opinion that, normally, after filling the canals in the tooth, there should be no pain at all. At the same time, individual practitioners believethat, nevertheless, short-term painful sensations in the tooth without a “nerve” are within the permissible norm, even if the work in the canals was carried out according to the treatment protocol and without errors.
So, what kind of toothache can there be after filling the canals?
- Pain when biting on a sealed tooth. After the dentist has put a temporary filling on a tooth, after a few hours or the next day, pain may occur when pressing on it. Many patients note that pressing a filled tooth is especially painful during a meal. If no errors were made during the treatment of the canals of the tooth, then the cause of such pain is the reaction of the tissues surrounding the root of the tooth to the “nerve” removal, processing, expansion of the canals and the introduction of filling material into them. Usually, a filled tooth hurts no more than 5-7 days, sometimes up to 2-3 weeks. It depends on the material used for sealing the channels and the individual response of the body in response to the “stimulus”. In any case, a tooth normally treated in the canals should have a positive dynamic: the pain should gradually subside until it disappears completely.
- Aching pain after treatment.After the canals are sealed, sometimes there is a aching toothache under the filling immediately after anesthesia. As a rule, its duration is no more than 1-2 hours. If the aching pain does not pass for a long time, and especially if its intensity increases every day, then you should immediately contact your dentist for clarification.
Does it hurt to fill a tooth?
Tooth filling during caries can be carried out without anesthesia, if during its processing no sensitivity occurs. If a good “freezing” (anesthesia) is made, then the pain does not occur at any stage of the treatment. In the treatment of canals, with rare exceptions, anesthesia is always required, which makes the treatment painless.
We can not say about the options for complications that occur during and after canal treatment. Sometimes a toothache after their filling can be a direct consequence of certain errors on the part of the doctor.
The most common medical errors that occur during the treatment of channels:
- Filling of the channel with the removal of material beyond the root. This error leads to long-lasting pain when pressing on the tooth, despite the properly installed seal.
- Filling of the canal is not to the top (apex).The channel should normally be sealed to the full working length. If this does not happen, then it is empty at a certain site. Nature does not tolerate emptiness, so microbes accumulate in the non-sealed area, which further provoke inflammation at the root. In some people, immediately or after some time, there is either a aching pain under the filling, or a sealed tooth hurts when pressed on it. In this case, retreatment and channel resection is required.
- Break off the tool in the channel. In this case, the complication arises because a piece of a dental instrument with an infection source — an inflamed “nerve” or bacteria not washed out of the channel — is left in the canal. In the future, this often leads to pain after filling the tooth canals - immediately or after several weeks (sometimes years).
- Poorly processed feeds. Due to lack of professionalism or the complexity of the canal structure, the dentist can sometimes not properly clean them. And any area left unattended inside the root is the risk that the tooth will hurt under the filling. Often, the transition of infection to the surrounding root tissue leads to a struggle to re-save the tooth in the future.
How at home to relieve pain after tooth filling
If, after cleaning the canals and setting the fillings, you have a toothache (post-filling pain), then there are several approaches to eliminating unpleasant sensations.
Generally speaking, if the dentist did not make any mistakes, then there is no need to assign rinses, but some experts recommend that you relieve the pain with warm rinses with soda and salt.
On a note
Salt and soda have been known for a long time in traditional medicine as a means of getting rid of many pains. The mechanism of their action is due to the fact that they have anti-inflammatory and antiseptic effects. It is widely known that salt is able to actively “pull over” pus, which, for example, together with soda is used as a solution for rinsing an open channel in the purulent form of periodontitis of a tooth.
So what to do if there is a toothache under the filling? If the tooth hurts under a temporary or permanent filling, you can start a warm rinse with soda and salt, and preferably as soon as possible. At the same time, it is necessary to warm the tooth from the inside, but in no case should it be outside (no need to press the cheek against the radiator).
For the procedure, you need to make a little more than warm (as far as your mouth tolerates), rinse solution, adding a teaspoon of soda and a teaspoon of salt to a glass of water. Rinse should be 4-5 times for an hour until the complete disappearance of pain.
From the experience of the dentist
In some cases, 2-3 drops of 5% iodine tincture can be added to a solution of soda and salt. However, it is worth remembering that for some people iodine preparations are contraindicated due to individual intolerance or problems with the thyroid gland.
If you have a first-aid kit on hand, then you can look for drugs of general anesthetic action, such as: Ketorol, Baralgin, Nise, Ketanov, MIG 200.
When you need the help of a dentist
As noted above, sometimes after canal treatment and filling, serious complications arise, which can further lead to pain in a filled tooth.
Crucial here is the timely referral to a specialist for advice. This is especially important if after the filling of the canals the gums start to hurt and swell up.
In order to understand the essence of the problem, the dentist will definitely clarify the diagnosis with which the first treatment was made.If you put a filling during caries, and the tooth then hurts for a long time, the dentist will examine the installed filling, palpation of the gums, percussion of the tooth (tapping), make EDI to clarify the viability of the pulp and X-ray diagnosis. If inflammation of the “nerve” or, even worse, inflammation at the root is confirmed, in order for the tooth not to hurt under the filling, the doctor will perform extract all pulp from canals and fill them in their entire length.
If the “dead” tooth hurts after filling the canals, the dentist will definitely take an x-ray. If errors are detected in the treatment carried out, the tooth will be broken. In rare cases, when it is impossible to overfill a tooth, the doctor will suggest removing it, and in its place put either an implant with a crown, or make a “bridge” with an artificial tooth.
Question to the dentist: “Immediately, as soon as I had a filling, the tooth began to hurt badly, why?”
If a tooth was placed on the tooth about caries, then the pain after its loss is due to the fact that a large area of sensitive and unprotected tissues opens up for the stimuli. Often the filling takes off because the tooth was prepared poorly: carious tissues were not removed,therefore, tooth decay continued under the filling.
Interesting video about the possible causes of pain in the tooth under the seal
And this is how the treatment of deep caries looks like under a microscope; all stages are well traced.
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First of all, we note that the price for the treatment of pulpitis of a three-channel tooth really depends on the number of these root canals in it ...
thank you very much for the information
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The tooth was previously treated for chronic periodontitis, a year ago. Now again ill, what to do?
Need to remove a tooth. I had such a case. I have deleted.
Hello! Tell me, please, how to be? Before treatment, the teeth did not hurt. After replacing the old (cement) fillings with light-cured fillings, the teeth became very sore. Even the one who had a nerve removed a long time ago (they didn’t touch him). There is no way. I suffer pain for three weeks. I will go to the dentist in another three. By the way, after the treatment of teeth began tonsillitis. Infection? What to say to the dentist? Is this all a warranty case? Since I already took 20,000 to the clinic, and instead of treatment, I had sores.
I have a toothache that has been under a filling with a nerve for a year, why does it hurt? And about my tooth, my gum hurts ... Even tooth drops don't help me.
Aah, and my gum hurts (((
Consult a doctor
I have the same problem, and none of the doctors will even understand the picture. But today I made the decision myself - and I will remove it, tired of this aching pain.
If all the treatment is done correctly, but the tooth hurts after filling the canals, it means that a residual infectious reaction has occurred in the apical root region.
If, after filling with pressure, a tooth aches, this may be associated with the treatment of periodontitis, which appears as a result of running pulpitis. The cause of periodontitis can also be the incorrect installation of a filling in the root canals in the treatment of pulpitis.
And what to do with this residual reaction? It looks like I have this situation. The doctor said that the tooth was sealed correctly, but the picture shows a slight inflammation at the root. Therefore, the tooth aches a bit, and what to do now?
Hello! In fact, there are two approaches with the inflammatory process at the top. Anti-inflammatory treatment is most often carried out (pastes based on calcium hydroxide or other drugs are injected into the canal) in order to first eliminate this nidus, and only then put a filling.It takes from 1-2 months to 1-2 years, depending on the severity (area) of the destruction of the bone beams near the top of the root.
Now there is an approach which consists in the fact that with small inflammations on the root, the dentist is able to immediately seal the canal and not use the tools that are put for a long time. However, the choice of this method imposes great responsibility on the physician for the ideal intracanal treatment, which can hardly be less than 1-1.5 hours in duration, usually takes place using a microscope, using hypochlorite activation in the channels using ultrasound - all this leaves no chance of microbial flora remain in the extra tubules, or inside the walls of the channels. In theory, the same methods should be followed by the dentist in the first treatment option (using pastes). Be that as it may, a number of specialists believe that the second approach also leads to success: inflammation is radically declining, since there is no feeding source of infection.
In your case, it is not yet possible to say for sure: is it standard post-filling pain or a consequence of abandoned infection.I do not know whether you put pasta to remove inflammation, but I think not. I suspect that there is still an infectious process, but final conclusions cannot be made without careful information gathering (survey), examination in the oral cavity, image analysis, etc. Thus, you need to appear as an independent doctor for an expert assessment of your clinical case (I think that you will definitely be recommended to take a picture to check the work of the previous doctor). Thanks for asking.
There was a hole in the tooth, but the tooth was not sick. Seven years have passed, and I have put a seal. It took somewhere more than a year, the tooth hurts, why, what to do? Please tell me.
A little vodka with garlic, vodka must spit it out! Lie down the sick side to the pillow, about 15 minutes four times a day.
If a tooth hurts after canal filling, the recovery process will take a little longer - up to 3-4 weeks. It is important to note that every day the condition of the person should improve until the pain subsides.
I put a seal about a month ago, but when pressed, the tooth hurts and its gums are swollen. Tell me why and what to do?
Hello! They sealed my lateral tooth, a little sore and pulsed, and the gums next to it. But today, a bag of watery-bloody and swelling appeared, pulsing pain - what is it?
Hello Yulia! Unfortunately, you did not provide X-rays, which could confirm or refute some suspicions: complications during canal treatment and (or) treatment of a tooth with an inflammatory process near the root apex (roots). In this case, you can just talk about the exacerbation, that is, the occurrence of serous-purulent or purulent process, which causes pulsating pain with symptoms in the gum area. Most likely, this is brewing fistulous course, which is not in this context, a normal phenomenon. It is recommended to urgently seek help from your attending (or other) dentist to diagnose the problem and make an urgent decision, as the saving fistulous course may not be formed, and the person will take a non-symmetrical form with the subsequent spread of the infection further. Depending on your capabilities (level of the clinic, doctor, severity of the condition of the tooth, financial opportunities, etc.), either urgently heal the tooth, or also urgently remove it.To suffer pain and do nothing with an active infectious process in the tooth-toothed area is just as stupid as to wait for appendicitis to "go away."
Hello. Tell me please. I put a seal. As anesthesia began to descend, a tooth began to ache. It has been 6 hours after the filling, now the tooth hurts when the jaw is closed.
Hello! This is the result of either minor technical violations or gross. Let me explain: if there was a place where the dentin was being dried out, the enamel was etched too long under the light seal, the strip under the seal was illiterately installed, or the unlined restoration technology was broken, then the pain should decrease or completely disappear within 3-7 days. In the event that the tooth was overheated, the enamel was strongly ground near the filling, microcracks appeared near the filling, a strong vibration of the tip damaged the neurovascular bundle in the tooth, bite pain can be only a bell of future serious problems inside the canals. That is, blunders can lead to pulpitis (periodontitis) and root canal treatment.Since air-water cooling is currently used in the work of a doctor, the risk of overheating a tooth is not so big now. Therefore, we hope that you have the usual post-filling pain on the background of some technological inaccuracies or some kind of “adaptation”: forgive me the professors-theorists who believe that everything that “hurts” after the treatment of the tooth is the result of errors or inaccuracies of the doctor, and the patient himself (his tooth individually) is not enough here, which depends. If pain during biting within 2-3 days does not pass, you can get advice from your doctor.
Hello ... My tooth began to ache, went to the clinic, they said that it was necessary to treat. For two or three days I went constantly, put arsenic, then they said that they would put a seal. The nerves were removed (the attending physician showed and said that it was a nerve), put a seal and made a “build-up” outside ... After 2 years, the tooth began to ache, sometimes there are pains from which I just sob. For 2-3 weeks I can not get rid of the pain, what to do? To remove a tooth or re-cure?
Hello, Zarina! Sorry, you did not provide any snapshotswhich can somehow clarify the situation of possible complications during treatment and show the state of the circumarous part of the tooth roots. It is the X-ray picture that can give the answer: to preserve or remove a tooth, although in any case, your attending physician will also decide according to intraoral data how to do better for your own good.
I can not say that there is a statistics when a patient confuses a treated tooth with an untreated one. For example, you treated the canals of the sixth tooth, and in the fifth there was a carious stain or already “softening” of the enamel (some kind of caries). Of course, in two years hidden caries can reach the “nerve” and cause severe pain, which (for some reason often) radiates to innocent neighboring “dead” (or even “living”) teeth. Of course, you decide that your problem is the same tooth that was treated a couple of years ago.
In my practice, I conduct a thorough diagnosis. Sometimes in 30-40% of cases, you can understand right in the chair (without a snapshot) that it’s not at all the fault that the “barrel is rolled” on. For example, a patient often complains of pain from a cold one, which 100% excludes a “dead” tooth (with a “nerve” removed).There are still some features of complaints that help to understand: the tooth or not. You did not write the specifics of your pain, but focused only on the acute form (or exacerbation). This does not allow to give an exact answer to your question.
Hello, after sealing the canal on the left side, after 3 days numbness began in the chin, after a few days the numbness began to subside, but did not end. All three weeks before the doctor’s visit, the tooth ached and it was painful to open the mouth, as if something was pulling from the tooth. Yesterday, the doctor prescribed me physiotherapy. Tell me, please, what is it with a tooth and is it possible to attend physiotherapy?
Hello, Yana! I think you had a complication during the treatment against the background of excessive canal processing or (more likely) - the release of a small amount of filling material beyond the root. If in this clinic this condition is considered to be within the normal range and physiotherapy is prescribed, then most likely, such a traumatic approach to the treatment of canals is considered the norm.
Ideally, after proper treatment in all protocols, the tooth should not hurt at all.The absence of pain after canal treatment is the norm.
If you attach the pictures after the treatment, I can tell you closer to the truth if there is something serious about the tooth. And about visiting physiotherapy is difficult to say. To understand the causes of complications, and then adjust the tactics of your doctor.
Hello! I went to a private clinic with a bad tooth, the dentist said that deep caries ... They cleaned, put a seal, paid a rather large amount for it! But the tooth continued to hurt. I came back to this clinic, they said that pulpitis and the nerve should be removed. Tell me, is it considered a mistake by a doctor that I had a bad tooth filled up without removing a nerve from the beginning ?! They didn't even do an x-ray.
Hello Anna! I did not think that this would ever happen, but you asked the most difficult question from an ethical point of view. If you respond to it without paying attention to a number of moral nuances, then it is generally not difficult to do. The fact is that x-rays do not always help to distinguish deep caries from pulpitis in a “calm” form.
The fact that your doctor regretted the “nerve” is a normal phenomenon, given the fact that the main symptoms were precisely for such actions.Unfortunately, in many clinics there is no EDI device to establish exactly: caries or pulpitis in the tooth. However, for a number of points in 70-80% of cases, it is possible to determine by which strategy to carry out the treatment without this apparatus.
I want to digress a little from the topic and say that I watched many patients' opinions on the net and in their practice, like: “Imagine, Mash, came to the dentist, nothing hurt at all, but for some reason he“ lifted ”all the“ nerves ” and now all my life I will walk with a “dead” tooth - already and I’m afraid to go again with a hole in the tooth, suddenly again it’s the same ”.
Now tell me, Anna, is it a mistake of the doctor to “remove the nerve” when nothing hurts and doesn’t hurt ”?
Money, Anna, here often play the last role. However, I can not focus on your suspicions in terms of the financial side of the issue. If this happens in the practice of a normal doctor, he simply does not take money, and the patient pays only for trifles (for example, anesthesia, “cleaning” the channels at an agreed price, etc.). A normal doctor will do everything for you to see his concern for you and honesty regarding the management of your tooth. What can you do if he misses something.
Want to know the options for the appearance of your problems - please:
1. Initially, you already had pulpitis in the tooth;
2. The tooth is overheated during treatment (vibration of the tip also affects);
3. The pulp was opened;
4. The material had a toxic effect;
5. Aggressive drug treatment of the cavity bottom;
6. Poorly treated infection from the bottom of the cavity.
In principle, all these points can be attributed to the doctor's mistake, but the doctor is definitely not a robot with a given program that does not make mistakes, especially in such a delicate matter. In the West, as in some Russian clinics, there has long been a tacit tradition to avoid the concept of “Deep caries”, and to treat pulpitis immediately, avoiding a possible conflict situation with the patient. If the doctor did you right away, there would be no conflict.
If your dentist will not reapply money for a filling, which he will have to re-install after the canal treatment, then the doctor, for good reasons, simply wanted to save your nerves in the tooth, for which, personally, thanks to me (as a colleague), thank you errors in diagnosis and (or) technical imperfections during treatment (not only the hands, but also the equipment affects), not a single doctor is insured. Here it remains only to "understand and forgive."
Good day! Tell me please. During pregnancy I put fillings on several teeth, the nerves were not removed. Six months passed, one tooth began to ache. When I eat, there is a sharp pain, it gives to the head. The seal is in place. It is very difficult to get to the dentist, a few weeks to wait. Besides, I have a breastfed baby (4 months), is it safe for me to treat this tooth now? What medicine is used for anesthesia?
Hello Margot! The fact that you have the only dentist who is difficult to get to is a big minus. From personal experience: I am often jarred by the statements of my patients that the tooth is brought to near removal only because I was on vacation. In general, it goes without saying, the doctor is guilty of complications due to “not getting to him” ...
I think my answer will be simple: it is not safe to leave a focus of infection in the body, especially since the first bells (symptoms) require you to be prudent. The bell can be set in the coming days or weeks, but it will be too late.
It is recommended to ask the doctor to carry out treatment with modern import articain anesthetics.Quote from the instructions to Artikuinu: "During lactation, there is no need to interrupt breastfeeding, since clinically significant concentrations of Artikain are not detected in breast milk." Dentists work with nursing mothers without restrictions, as with ordinary people. Moreover, the untimely cured tooth is not immune from the development of a purulent process.
Thank you very much!
Hello, my husband decided to treat his teeth, all that need it. The situation on the last tooth: not sick, but it was evident that in need of treatment (one of the root). First, we set a temporary one for a week to see if it would hurt and whether it was worth getting into the nerves and canals. The tooth reacted to the cold and hot, so the doctor decided to clean and seal the canals just in case. Three weeks passed, the husband complains every day that the tooth hurts terribly, the reaction to the cold and hot. The doctor said that this is the norm, a month this can be. I can’t explain to my husband why after treatment a tooth hurts that I hadn’t bothered before. Is a month really the norm? And one more question interests. Should clinics have X-ray imaging?
Has found, that did:
1. Infiltration anesthesia
2. Sealing with a three-channel gutta-percha pin
3. Radiovisiography
4. Restoration of the tooth crown without pin more than 1 \ 2
5. Machine drug treatment of one channel
6. Ceram X mono
Hello Irina! "Dead" tooth will never exactly react to cold. If your spouse has a reaction to this irritant, then it is worth looking for some kind of “alive” tooth that has not yet been cured. Most likely, you are not talking about something: for example, the fact that your spouse on the eve (a couple of days or weeks before nerve removal) put a seal or fillings with an average and (or) deep caries, and only then switched to the treatment of molar canals . Just the same I dare to suggest that I made a mistake with the choice of the causative tooth. Therefore, your spouse's reaction to cold and hot, at least from another tooth, as a maximum - the result of errors in the treatment of caries of some teeth the day before.
So it is strange that for a doctor the reaction to the cold from a dead tooth is the norm. The month that has passed after the treatment has nothing to do with it. The clinics are not required to issue medical records, which includes x-rays.However, these documents appear on the court necessarily, if there are controversial issues and the reasons for the trial.
Good afternoon, if I did not finish it, then through ignorance. Now on the schema I looked on the Internet - she complains about the 6th tooth. On the same day, the doctor first cured 7, but there he quickly managed, the caries, he said, was not deep and immediately put up a permanent seal. Then he took the 6 - wrote about him above. I have found the diagnosis for a 6th tooth: treatment of pulpitis 3k / 16. That is, 7 can hurt? When I called the doctor a week ago, he told us that this is the norm, and you may not arrive earlier than a month from this date, only you will spend time, I will not do anything now.
Hello Irina. I perfectly understood that in the 16th tooth 3 channels were treated, that is, the tooth is “dead”. Acute pains to the cold may well be “given” by a tooth just treated for caries. This is not the norm - exactly.
If in my practice this happens sometimes, then I do not allow tolerating in this context: I am looking for a causal tooth (if with a filling, then with a filling) and I am treating it intracanal. It goes without saying that it is not always possible to foresee everything, and it is extremely important to help a person.Moreover, I am not sure that your spouse is ready for a month to wait for the pain from cold and hot. Changes may occur in the pulp of a living tooth, leading to inflammation of the "nerve" if technical errors were made during the treatment of tooth caries.
In general, you should look for a causative tooth, heal the canals of the causative tooth, or limit the filling (to reinstall the filling), and then life will return to its normal course. That the doctor in the context of your complaints makes you suffer is a matter of concern.
Good day! Tell me what this problem is about. After treatment of caries in three teeth, for a month the specific place of each filling hurts with a light touch of something hard. Even when I brush my teeth, I feel these places by brushing over them. After the occurrence of such a problem, the doctor put more fillings on the first tooth, but the pain returned again, and also appeared on subsequent fillings.
Hello Maxim! Violation of the technique of setting the seal. I am sure that you put a light-cured material, which in this regard is capricious. Most often, such pain causes overdried dentin or bottom tearing of fillings.I will not drive your brain into our jungle, but I will only say that the light filling requires 100% compliance with the technique. Out of the goodness of your soul, your doctor tried to correct the situation, but approached her again from the standpoint of trial and error.
Many colleagues believe that such problems disappear without treatment in a couple of weeks or months. It turns out that it is worth waiting for the weather by the sea and there is no porridge for how long?
Ideally, you should contact the clinic where there is an EDI device and evaluate the condition of the dental pulp. This will show whether the doctor did not make mistakes that affect the life of the "nerve". If the excitability is reduced, then your problem will be solved once and for all only by the correct treatment of the canals of the tooth.
If EDI is normal, then it will be important for each tooth to be properly treated: not to impose a new portion of the filling, but to remove the old one and, observing every little thing of technology, restore the anatomical and functional parameters of each of your teeth. This is the only way to achieve a promising result.
About the variant with the formulation of a different material on your tooth - I am silent, since this is too primitive a measure, although sometimes it leads to a normal result.After all, the meaning of such seals is that they do not “tear off” and do not require strictness in the protocol. I do not think that you need cement or some kind of chemical composite so much, although this only becomes clear after a closer look at the clinical situation.
Good day! Tell me, please: they were treating shallow caries, they put a filling, the tooth was not sick for a week, chewed on it, drank cold / hot - no pain. BUT! A week later, he started to get sick, it is ONLY when I chew on him, he does not react to hot / cold. It lasts about a week and a half, because of what it can be and what will you advise?
Hello, Bogdan! I recommend to contact the clinic where there is EDI (electrical donation of the tooth). The fact is that the tooth under the filling (if the problem is with its setting) begins to hurt when you "press" almost immediately after the treatment.
If this happened after a week, then there is a risk of inflammation of the “nerve” against the background of overheating of the tooth during treatment. There are many more doctor's mistakes that could lead to this trouble, which is why it is so important to determine the state of health of the pulp by EDI.If EDI is the norm, then boldly reinstall the seal (if the same doctors have it, then under warranty): this is about refilling or changing the seal. If EDI is more than 20-30 μA, then we are talking about the inflammatory process in the canals and we will have to first treat the canals.
If you don’t find a clinic where EDI is available, then doctors may simply suggest to immediately treat the canals of the tooth, which will lead to success (the pain will stop), but the tooth will already be "dead." Make an informed decision - and be healthy!
Good Several teeth started to hurt at once on the top right. Among them, the 6th was treated 1.5 years ago, with cleaning the canals and installing a photopolymer filling, 7th 2.5 years as with a temporary filling on the treated canals. A few days ago in the junction between 6-7 a hole was formed, which was not there before. The pain is dull, but severe. Sometimes it seems that the bottom row gives. Gives back the cheek. When the tongue touches the cheek at the level of the junction of the 5th and 6th teeth, the pain is punctate and increases in the cheek. When pressing on the 4-5th-6th teeth with the lower teeth, pain also arises in them.
While the holidays, there is no way to get to the doctor. Tell me, what exactly can cause such pain in (or very close) “dead” teeth?
Hello, Ivan! The dentist will first have to check the 5 tooth for possible latent caries. If he has nothing to do with, then there will be an analysis of the situation with the carious cavity, which is “at the junction of dead teeth,” or rather, on a 6 or 7 tooth. A diagnostic snapshot will be taken to find out which tooth is in the acute phase. That is, the "dead" teeth can hurt for various reasons. Most often the result of this is a violation of the tightness of the seal. I don’t understand why you didn’t put a permanent filling on the 7th tooth, because it almost always leads to aggravation. If you close your eyes to this fact, then the carious cavity formed in the near-gingival zone of one of the dead teeth cannot go anywhere. It is quite possible that its depth already “borders” with the treated canals, and the infection from the oral cavity easily penetrates the tooth: the depressurization of the tooth occurs slowly but surely, followed by purulent manifestation. The fact that the body is capable of stopping this process for the time being can be called some “luck”, since in some cases the result of the work of an infection in a dead tooth is flux on the floor of the face. The earlier you go to the doctor and determine the exact cause of the pain (the tooth, first of all,patient), the better the prognosis will be and less risk to the body.
Hello. 8 months ago, I put a seal. Now the tooth is sore. I turned to the doctor, the doctor took a picture and said that the canals were clean. He said that I had an infection and prescribed antibiotics. For two days I took antibiotics, the pain did not subside. I took anesthetic ibuprofen. The tooth does not pass. It hurts, tugs.
Hello! I think that you should go to another doctor for an independent analysis of the situation. It is quite possible that the doctor is not interested in this treatment for some reason, so the prescriptions are not about eliminating the cause (searching and treating the diseased tooth), but about the routine treatment of the “effect”. Usually, this only drives the infectious process into a chronic one: nothing hurts, and the tooth inside is “rotting”. I am sure that you will find a doctor who can identify the causative tooth and carry out its full treatment. Wish you luck!
Hello! I broke away a piece of the upper chewing tooth, but did not hurt, did not bother. While I was able to get to the doctor (about three weeks after cleavage), I slowly started to hurt, sometimes I was screaming, but I didn’t worry much.At the first admission, the doctor expanded this hole for me, put something like arsenic (a less toxic version) and temporarily sealed it. A day later, this temporary filling was opened to me and the remnants of the medicine were removed. And for a week I went with this hole, nothing disturbed me, there was no pain. A week later, I came to the next appointment, where I had already cleaned the canals, removed my nerve and put a temporary seal back on it, told to come back every other day. But the question is: when they cleaned the canals for me (after putting in anesthesia), she climbed somewhere with her thin instrument (types of needle) and hurt. When I grimaced, she began to brush there even more intensely, thereby intensifying the pain. That is, the tooth began to hurt already in the chair, and now it does not cease. Is this normal? The doctor said that it was post-filling pain and should go through a couple of days. Should I wait? Or is it better to go to another more competent doctor? How many treated teeth, so that immediately in the chair the tooth began to ache and ache after the treatment - this is the first time.
And another question on the temporary filling: can a tooth ache if the temporary filling is incorrectly set? Type to go beyond the roots of the tooth, skip the air and so on? Or is it not a problem?will it be removed in a couple of days and in its place they will still be given a permanent one? The main thing that the constant was set correctly?
Hello! Rate more than 70-80% of the correctness of the doctor's work can be on the picture. Of course, this diagnosis is carried out by the doctor on the spot, and the images are most often not handed out, as they are considered part of the documentation. The fact is that your individual anesthesia did not work 100%, so you felt pain. Sometimes pain occurs only when a treatment error occurs in the canals (perforations), but most often this, as I have already said, is the error of “freezing”.
Post-filling pain response is not the norm, but it does not affect the prospect of preserving a tooth if the result of treatment is shown as channels that were well treated in the pictures. Of course, a snapshot is not 100% control, but something close to it. Usually such pains disappear in 3-5 days, but, depending on the technique of work and material, they can last up to 7-10 days. Their intensity should be less every day - this is a positive trend.
As for the temporary fillings: of course, there are risks of its violation, which is why the doctor records for the next appointment in the near future: in 2-5 days.Sometimes this period increases, but everything really depends on the choice of material for temporary fillings, since there are quite a few materials capable of withstanding even ordinary chewing loads for a short time (1-2 weeks). Now, dental researchers believe that it is best to put a permanent instead of a temporary seal, which is cheaper, and after a few days to replace it with a new one. However, such reinsurance (as if something did not work out) only expensive clinics can afford. That is, these experts believe (probably not unreasonably) that even if there are risks of accidental infection of the channels through a temporary seal, equal to 2-3% in the shortest possible time, then this is a reason to do hermetically immediately.
Goodnight! On April 4, a shallow caries of 27 teeth was treated, and anesthesia was not even done. The very next day, my tooth began to ache and react to the cold-hot one. She went to the doctor (who was treating), he says that caries is shallow, nothing can be there, and that now the body is getting used to it. A few days later I started having a tingling in my ear, which is still going on, and at the same time gives me a little 27, 26 and 25 teeth.Already on the cold and hot does not respond. The picture is all right, from the side of Laura, too, everything is in order.
A week ago, a wisdom tooth on top of a 27 tooth was removed, as another dentist supposed, but a tingling in the ear remains.
Tell me please, what can it be and what should I treat in my situation? Perhaps you should change the seal on the 27 tooth? Will not be worse from this? Could there really be such a long addiction? Thank you in advance.
Hello Daria! After installing a seal, the reaction to the cold is usually caused by grinding the enamel near the contact of the material with the tissues of the teeth. The more polished the tooth, the stronger the pain. Often the pain is caused by the conductivity of the material, but more often by ordinary violations of the technology when sealing with light-cured materials. You also installed a light seal?
As for the pain reaction from the ear: in general, the pain in the ear is almost always caused by irradiation from the lower teeth. And you write that you were treated with 27 tooth: this is the 7th upper tooth on the left. I think it is advisable to search on the same side the lower tooth with a hidden carious cavity.Additionally, a snapshot, a test for temperature irritants (cold), as well as measurement of indications on the device EDI helps. The latter is not in all dentistry, but the search for the lower tooth “due to earaches” is well worth making.
Svyatoslav Gennadyevich, good afternoon!
Yes, I installed a light seal. I went to check my teeth for EDI, the upper 27, 26, as well as the lower ones. Indicators were similar to healthy teeth, that is, the nerve was not inflamed. They took a snapshot, and everything is fine. And the ear tingles and sometimes pains the 27th tooth and gum over it. The doctor offered to wait another week and redo the seal. But how can installing a seal give such reactions and will it not be harmful for the tooth to disturb him again? Everything is very strange, but it all started the day after the installation of the seal.
This time they told me that they would redo it only with anesthesia, never treated caries like that.
Hello Daria! In general, all this is strange: if the human factor did not play a role, and you really do not have inflammation in the pulp in either the lower or upper teeth, then you get the feeling that you only need to check the ear itself. In theory, the filling itself cannot give irradiation to the ear.About the fact that it was painful to press the installed seal - I heard about the reaction to the cold near it, too, but the irradiation is something new for me. With healthy pulp conditions. Not sure that ordinary tinkering can bring success.
In general, I treat caries in 70-80% of cases under anesthesia. Almost 100% of patients ask, because it is comfortable.
In principle, your case is already difficult to disassemble it in absentia and advise something in absentia. Sometimes it happens in my practice that it takes only an hour to search for a causal tooth. I think that perhaps we are missing some important diagnostic point. Or does the ear hurt yourself? ..
Hello. After filling the canals, 16th tooth, a tumor appeared on the cheek, the tooth hurts with a throbbing pain, especially at night. Pills almost do not help. The tooth was also sick before the filling, I told the doctor about it, but they told me that there was no other way out and they sealed it. I do not know what to do, but I have no strength to endure.
Hello! There are only two options: either try to re-cure the tooth again, but by another method (no matter which doctor), or remove and not suffer. On the last - it can be difficult to decide.To know what mistakes were made during your treatment, to see a picture with the treated channels. Most often, the tooth continues to be in aggravation due to insufficient canal treatment or formed complications: perforation of the root, bottom, tool breakage, etc. I do not think that it is worth enduring and swallowing pills. This does not always have an effect, but if it does, it is almost always temporary - until the next accumulation of a new portion of the "infection" in the channels and beyond.
Hello, Svyatoslav Gennadyevich! They cleaned the canals and installed a temporary filling - the tooth did not hurt, even when the anesthesia was gone. A day later they put a permanent filling - there was no pain. But a day later he began to get sick, more responsive to pressing. The doctor opened the seal, looked again and cleaned the canals, put in a temporary seal, which I removed every other day. The tooth continues to "whine" and responds to pressing. Tumors of the gums and other things not. Yesterday, we washed the tooth again and put another temporary filling. The tooth has been hurting for a week now, but I feel a little less from yesterday evening. I would like to ask how long a tooth can hurt and what is the possible cause of pain?
Hello! I think that many questions would disappear by themselves if you provided a snapshot (can be in the form of a link). I will analyze it and possibly identify inaccuracies in the work of a doctor.
As for why there are pains when “biting”, then there are a lot of options: from the doctor's excessive zeal in relation to superhuman work, to removing the filling material behind the root tip. It is clear that pain when pressed is also from breaking off tools in the canal, and from root perforation, and from throwing "sawdust" from the dirty walls of the channels beyond the apical opening.
The most common case is post-filling pain on the background of fresh filling with minor or gross errors. To understand what you have will help 70-80% percent of the tooth image.
Thank you very much! I'll try to make a link to the picture.
Hello. The pain is unbearable 2 months after the treatment of the anterior lower tooth. Immediately after treatment, nothing hurt. The nerve is preserved, the tooth is alive, although the light-cured filling was installed on it for the second time (the first one fell out).Over the past month, this tooth has been sore for the second time, and from it the whole jaw (according to sensations). I noticed a tendency: my legs were frozen - recently treated teeth ached. Last time, Ketorol was saved (the tooth was sick for 3 days), then it stopped. Now again I suffer the same pain for the third day, Ketorol helps for 1 hour. What could it be? And what to do? The gums are not swollen and not red, but there is a feeling that even the chin hurts.
Hello! The pain of spontaneous, that is, without external stimulus refers already to the destruction of the pulp inside the channel. I think that the factor about which you write (“legs are frozen”) is only a provocation of the inflammatory process in the canal: from the sleeper to the active process. That is, you have an aggravation ...
But a specific diagnosis will be made only by a doctor: periodontitis or pulpitis. In the picture it is sometimes difficult to do this, but the fact that it is necessary to treat the canal of a given tooth is 100%. However, I can not say that the dentist should carefully examine the remaining teeth so that an error does not occur. Suddenly there is another tooth that gives spontaneous pain.This intracanal treatment will help relieve you of pain and prevent tooth extraction in the future. Consult your dentist for treatment of the canal of the causative tooth so that the effects of decay inside the pulp canal do not lead to swelling or "flux", as it is commonly called. One seal here is definitely not enough. Health to you!
Hello, she treated periodontitis. The next day, the tooth was both sore and sore, painful to bite. Is this the norm and how much more can it hurt?
Hello! The treatment of periodontitis in many clinical situations can be unpredictable regarding subjective sensations. Despite this, a number of reputable dentists say that with ideal canal treatment, even with periodontitis, one can achieve 100% comfort for the patient. It is clear that in ordinary life, treatment is often accompanied by a number of nuances-errors that give such pain, although this may not affect the final result and long-term perspective. For a more critical and detailed analysis of you do not have enough control picture.It will help to identify possible errors and predict the fate of further treatment of the tooth.
Good day! Tell me, please, what to do ... There was a hole in the tooth (6 lower, if I understand the location correctly). There was no particular pain, but because of the fear of dentists, she reached out to severe pain. I went to paid dentistry. Diagnosis: pulpitis three-channel tooth, it seems, something like that. The tooth is destroyed by about 30-40%. They cleaned the canals (as I understood), put a temporary seal, they said to come in a week. So, they propose to put the crown. It is expensive. I asked about the seal. They said that you can put a seal, but it will fall out in 3 months. Since there are a lot of comments about the clinic that are “diluted with money,” I would like to know the opinion of other dentists on this issue. And another question ... The whole procedure with cleaning the channels and installing a temporary seal was performed the day before yesterday. After the anesthesia was gone, the gum started to hurt badly, from the injection, as I understand it. But today a tooth that was treated was very sick. The nature of the pain is mostly aching, sometimes it tingles, sometimes it pulsates and with pressure it hurts just unbearably. To the doctor only on Tuesday.Or is it still worth sounding the alarm and running to the doctor as soon as possible? Thank you very much in advance.
Hello, Elena! I think that you are faced with the problem of post-filling pain after treatment of the canals of the tooth. This, of course, is a complication, but it does not often affect the prospect of tooth preservation. Rather, the inner feelings of a person and the comfort of his existence. Of course, there are cases when serious errors of the doctor lead to such pains, but everything can be monitored by the tooth image: if the channels in the picture are treated qualitatively, then the problems will pass within 5-12 days.
As for the crown, I can say so. Not seeing the degree of destruction of the tooth, I can not tell you how the proposal of doctors is appropriate. However, I can comment on what usually happens in practice. If the tooth becomes "dead", then the power of its remaining walls does not occur. The result of a simple filling (without a crown) often becomes a breakaway or breakdown of the wall under the gum with an occasional one-time load on a dead tooth. With a correctly made crown, the tooth is secure in this respect, since its walls become a monolith for the load.That is, to break this design is much more difficult.
Even the restoration of the tooth on the principle of "pin + filling" does not save 100% of the tooth wall from future chips. Of course, with chipped teeth, it is possible to re-overlie a tooth and prolong its service life, but a tooth that has been restored on the same principle (without a tab + crown) is doomed in the coming years 40-50% to removal. Since it is “falling apart”, it is thorough, and these additions-modifications only create imaginary well-being, turning all this “business” into roots.
Of course, people who are not from a good life are ready to restore the same tooth over and over again (as far as is enough), ignoring the indications for orthopedic structures (tabs, crowns). That is why it is difficult for me to unequivocally recommend something (or not to recommend it) in this situation, without seeing you, your tooth with your own eyes and without communicating for 5-15 minutes to form a complete picture. But I am sure that you will make the right decision. If you need to understand what is done with the channels of the tooth (one way or another), you can send a snapshot of the tooth to the post office. I will be glad to help you in full.
Hello)) Tell me, please, a tooth ache after setting the medication for a temporary filling, pulpit was found.The doctor said that he would come in a week, and I worry, why does it hurt, and as if still close by the tooth, do not touch it at all? Thank ))
Hello! I think that you have been given a pulpite paste that does not contain arsenic. Similar, as their patients affectionately call “drugs,” after a short time, they can begin to behave like “poisons”. Of course, these are travel agents, which, in theory, can be set for up to 1-2 weeks. However, ideally, in each individual case, it is impossible to install a paste on an exposed “nerve” for all doctors. Many dentists generally do without such preparation of a multi-root tooth for endodontic treatment.
If a doctor treats pulpitis with exactly the method you used, then you should be prepared for the tooth to “ripen” extremely quickly. That is, pain when pressed on it may well spread to the adjacent teeth, as in the maxillofacial region there are many interrelations. My suggestion to you is extremely simple: you should immediately contact a dentist-therapist for a full treatment of the canal teeth.They (channels) are already ready for this, and there is no sense in tormenting a tooth and “cooking it in its own juice” at all.
Here's a snapshot [link is available only to a doctor]
In the red circle, I highlighted a tooth. A tooth without nerves, canals were treated, about 7 months ago. When chewing bread and with cold or hot tooth reacts. I will not say that there is severe pain, but still there are sensations. Feelings do not increase. That is, already about a month they are the same. I may well live with it, but I care about the development. Will the deterioration begin within a year?
Hello! I think that in such a situation a thorough examination in the oral cavity can help. The cold pulpy tooth never reacts. That is, you should look for the problem tooth next to it: check the reaction to the temperature of the neighboring teeth. Next is the percussion of the teeth: it is important to note that the tooth that has already been treated 7 months ago may react with “tapping”.
The search for hidden caries on adjacent teeth is an important diagnostic point. I am more than sure that this is exactly about caries on some of the teeth, besides that which is currently “dead” (about which you are writing).
The last question can not be answered due to the fact that we do not know the size of the carious cavity and the actual dynamics of the carious process. In any case, to predict the timing of the transition of caries into its complications is almost impossible, because everything is individual.
I studied the shot of the pulped tooth in detail, but it does not give all the answers to the questions, but only an approximate presentation about the filling of canals. There was a suspicion that some channels were not sealed up to physiological narrowing. To concretize this fact and search for an additional channel (which could not be detected), it is necessary to make an aiming shot of this particular tooth. This will be an enlarged version where you can see everything. The best option may be pictures on a viziograph in different projections. However, “film” contact radiography may be appropriate.
For a long time, I was worried about the ingress of food debris between the bottom 8 and 7. There was always a subsequent pain, after the flossing it passed. Last month the pain did not pass. I turned to the dentist. After knocking on the teeth, he said that he could not determine which tooth aches, gave 3 days time, removing the gap between the teeth.The pain remained, but aching, and again it is not clear where. Having prescribed a medicine to remove a nerve, putting a temporary filling in both teeth at once under anesthesia, he said to come in two weeks, and if he would be ill, then earlier. They ached all the time, but tolerated, and I came again. He sealed 6 channels, one channel only with paste without a pin, did not get, he diagnosed: three root pulpit. I sent it to a picture, said that everything is just fine, but if I knew that I had such bad channels, I would not have taken it. One of the seven at forty-five degrees goes under the eight. In one channel in the eight in general, the pin could not get, narrowly and twisted. In the end, everything is fine, as he said. And the channels were sealed, and immediately put a permanent seal on two teeth. But the next day, night and daytime aching pains with pressure when shooting started, when these two tapped on the teeth, long-suffering. The third night on the tempalgin. It becomes a little easier for a while if you rinse with warm salt water. Relief, as they say you, there is no gradual. What to do?
There is a picture, but how to provide it? You can remove the phone?
Hello! I think that you are faced, at least, with pronounced post-filling pain. Two three-channel teeth are treated simultaneously, and one of them, the wisdom tooth, is an exclusive case. It is clear that a doctor could do anything there, all the more so as he did not talk so clearly with you. I think that the main reason for such a violent reaction is the traumatic treatment of the canals of the tooth (teeth) and, possibly, the removal of the filling material beyond the root.
Check the pictures would not hurt. Make a photo on the phone, in principle, it is possible. Send photo snapshots through feedback on the site for detailed analysis.
Hello, Svyatoslav Gennadyevich. Please advise how to be. On the front lower teeth, light fillings are installed along the inner edge, in order to hide the gap between the teeth. That is, there was no caries on these teeth, they were simply ground and installed fillings. Before installation, dental plaque was removed. On one of the teeth, the seal fell out twice, and under the guarantee once I restored it, the second time I had to pay again. And now, in fact, the problem: sometimes the tooth is sore, after more than one month, staggers.Even the numb chin. No flux. The pain is aching, worse at night. Can I ask the doctor to reinstall the seal on this tooth under warranty so that my nerve can be removed? Or would it be better in this case to immediately install a crown on it? Sorry, if I ask stupid things, I know that you cannot save money on your teeth, but at the present time I am constrained in money, so I ask for advice. To endure these pains is no longer strength, they repeat regularly, once or even two a month, and it is not one day that hurts. I can’t even suggest what these pains are about, but it can hurt from three days to a week, then disappears, as it never happened.
Hello, Elena! I think that, judging by the symptoms, you have come to the fact that the pulp gradually dies in the canal or canals (as there are often 2 canals in the front lower teeth). It is hoped that the pulp is in the “intermediate” stage and there is still time before the apparent purulent process. Therefore, it is worthwhile to hurry to de-pulp the tooth, or to treat it as periodontitis, that is, a tooth with a dead pulp.
I think that this is the result of overheating of the tooth during its preparation under the filling. This is most often the cause.Proving that the doctor is to blame is rather complicated. I can say that when I started my work, I often faced the fact that I could not find a compromise with my manager in private dentistry. Personally, I wanted to put a filling free of charge, and to take money only for the treatment of the channel, as an additional and forced service, but my manager thought that the consumption of material is an important criterion, and the tooth began to ache is not yet known for what reasons.
I don’t even know what to advise you on a budget: I don’t think that putting pressure on a doctor’s conscience will bring results, and legally proving one’s case is costly and often ineffective. I do not think that in my personal example, doctors can work, but it’s worth a try: to clarify this nuance in the clinic where you did, and only then think about where to urgently treat the canal to prevent complications.
Continuing to the above ... After three days of pain, there was an abscess on the gum under a loose tooth. There are no options, running to the doctor. They took a picture, and I, as a person who does not understand, was told that the pulp had rotted in both teeth and that the suppuration had begun on the roots.Drilled holes in both teeth, opened the channels and while left so, until the gums heal. To the question of why the pulp “rotted” on healthy teeth, I never got an answer ... Alas. It remains only to hope that I will not lose these teeth completely after the treatment.
Hello! I have the following question. Appealed about the formation of a small hole in the extreme upper tooth, while there was no pain in this tooth or in any other - neither when chewing solid food, nor from warm or cold exposure, in general no pain. I just put a seal. Starting from the day the fillings started, severe pains started, which lasted for 2 weeks at first, without ceasing, then completely disappeared for a week, then reappeared. These pains began to be given to the neighboring two teeth, on which old fillings were installed. Changed old fillings on these neighboring teeth with new ones (with treatment and canal filling) - nothing has changed. X-ray images after all these manipulations with three teeth showed that the canals were sealed correctly - namely: there is no removal of the filling material beyond the root, the canal is sealed to the entire working length, a piece of dental instrument was not there.Seals on these three teeth were set photopolymer - the same material - filtek. When installing the seals of the same material on the teeth, on the other hand, no problems were caused. I went around two dozen doctors, all on examinations and X-rays answered that the problem is not in the teeth. The problem lasts two years. New pictures and examinations of dentists showed nothing again. They advised me to contact Laura and the neuropathologist. ENT took x-rays of the maxillary sinuses, CT scan of the head, examinations - and did not find anything related to the ENT organs, despite the fact that apart from the pain in the teeth, there was pain in the ear, in the neck, there was infiltration. Nevrepotogi also found nothing. For the third year I have been walking in a circle - for dentists, Lauram and neuropathologists who cannot make a diagnosis, not even any assumptions. Your heart is fine. For two years, the pain lasted for a month, then disappeared for three months completely, then for two weeks, and again disappeared for various long periods. There were no teeth injuries. None of the dentists found: caries, flux, pulpitis, enamel cracks, gum inflammation, teeth cracks, temporomandibular joint syndrome, exposure of sensitive dentin to the tooth neck,dental fistula, increased sensitivity of exposed roots, gums dropping, bite filling is not overvalued, there is no wisdom tooth (the last one not removed) even in the panoramic picture. Question: what could it be?
Hello! If the pain radiates to the ear, then you should look for the lower tooth. It is the lower teeth that give such irradiation. If the search for a causal tooth does not bring the proper result, then emphasis should be placed on neuritis or trigeminal neuralgia. You have already casually mentioned that you turned to a neurologist. I think the reason is more in the lower tooth. It remains the most difficult - to understand what kind of tooth can go out to the aggravation periodically. Diagnostics - this is the most difficult thing, not only in dentistry, therefore, only after careful examination and study of the situation, you can find out something. The Internet in this matter is not a rescue of the situation, since the task you set is not the easiest.
I had a tooth made 2 weeks ago: the nerve was not removed, arguing that the bottom of the tooth is good. During tooth brushing the sensitivity was on the wall of the tooth. Now, after 2 weeks, a tooth aches badly.It feels as if the floor of the jaw hurts, the 2nd day on painkillers. Tell me why and what to do?
Hello! You are hinting at the fact that they could have made any complication in this tooth during a complex intracanal treatment. Normally, there should be no increase in pain, moreover, the pain when biting on a tooth, on the contrary, during this time completely disappears. That is, according to the description you have an exacerbation of the chronic process, which is extremely reminiscent of a complication during the treatment of canals. I am sure that you should take a snapshot of the tooth and contact with an independent dental expert for details. The snapshot will answer a series of questions about this issue.
Hello! After installing the light seal, a sharp sharp pain arises when pressing on it. Tell me, please, what could be the matter?
Hello! I think that you may have post-filling sensitivity against the background of the mistakes of the doctor. They can be small or more serious - overheating of the tooth and excessive vibration of the tip (working with a faulty tip, old bur, etc.).In the latter case, the "nerve" of the tooth may suffer so that it is necessary to treat the canals of the tooth. Most often, pain when pressing on the seal occurs due to dried dentin during work, incorrect laying of the seal under the filling, excessive time of tooth “etching”, etc. Almost always such small miss give the body the opportunity to correct the situation within 3-10 days. Most reputable experts recommend waiting for about 1-2 weeks, and then contact your doctor to replace the filling, but without any violations of the technology. If spontaneous, aching or sharp, nocturnal or throbbing pains are added to the pain when pressed, then a complication after treatment definitely appears - only intracanal therapy will help.
Many thanks for the consultation!
Hello! 3 days ago, the canals were treated, already treated 4th dead tooth. They sealed the canals, after the treatment they took another picture, and finished with the filling. Tooth aches, in the evening, with pressure, mostly, and a little after. With what it can be connected? I called the doctor, she said that for a week or two the tooth could hurt.Dizziness appeared this morning, can it be related to the tooth? I'm worried.
Hello Anna! I do not think that dizziness is somehow related to treatment. Moreover, it has been 3 days since the moment of intracanal therapy. Regarding post-filling pains: this is undoubtedly a complication against the background of processing and sealing the canals. Reputable doctors believe that this result of minor and (sometimes) major mistakes of the doctor during work does not allow calling it the norm. However, in Russia, it is worthwhile to get used to the idea that for the “beauty” of the picture, doctors sometimes neglect the comfort of patients. Apparently, they are simply taught by bitter experience and offensive statements from colleagues, who can find fault with even insignificant errors after sealing. That is why this effort results in the fact that the tooth is forced to adapt for 2-3 weeks to the traumatic work done and excessive filling of the canals (often over the top of the root). If you provide a snapshot, I will tell you more precisely where the doctor made mistakes, but almost sure (taking into account your doctor’s confidence in his work) that only post-filling pain is taking place against the background ... The rest is from the picture.
Dear Svyatoslav Gennadievich! This is again Natalia with a problem that lasts for the third year. When the dentists were looking for the cause of my problems, they examined all the teeth, without exception (at the top, bottom, right, left). I know that the causes of trigeminal neuralgia can be hypothermia, injury, and, for example, allergy to filling material and other problems associated with teeth. In this case, neurologists recommend eliminating the root cause. If a filling material has been removed outside the root or an allergy, then such teeth should be recaptured. Of all the dentists, not one proposed to redo anything, since all the teeth were identified as healthy. And just to touch them did not advise. If you can, please tell me the following. Could one of the causes of trigeminal neuralgia cause excessive pressure from a photopolymer seal (placed on the lateral surface of the tooth) on any nerve (which may have been pinched by this seal)? And, excuse me, for two and a half years, other consequences, if they were caused by that long-term treatment, would have manifested themselves long ago, but even today, dentists say that all teeth are healthy.And forgive me, I don’t have a choice to look for the cause myself, since not a single clinic that collected consultation on my problem could find anything (including doctors from the department of maxillofacial surgery at the regional hospital).
And one more question: even if it was a lower tooth, after two and a half years it could be found, if only for any consequences (for example, caries, flux, etc.)? Respectfully!
Hello Natalia! I think that because of the pressure of the filling, neuralgia would hardly have occurred. As for the sick tooth: he would, of course, have proved himself in 2.5 years. The bottom line is that it is impossible to diagnose in absentia in such a complex case as you (you have to be realistic). I need an inspection of the oral cavity, percussion of teeth, palpation of the gums in the area where there may be a causative tooth, analysis of images, etc. In my practice, it was so that I dealt with patients several times to diagnose the problem for about 1-1.5 hours. This is only a search for a tooth and the definition of a causal relationship. This is, of course, morally and for the patient, who cannot be helped by anything, and for the doctors, who do not see the reason, and you will not be fed up with the assumptions alone.It is a pity that the consultation of doctors makes a gesture: I don’t think that you worked with doctors who, by their qualifications, are below my level. Sometimes it is extremely difficult for me 1-2 times a year to deal with the absence of a clear cause of the disease. Detailed descriptions + inspection + images + EDI help to find a tooth, but in my practice there were also fiasco. I do not know why it is so arranged in certain people that the doctor cannot understand the cause of the pain: there are no suspicious teeth, neurologists do not find it in their unit, and who is mistaken, who is deceiving and confused in his “testimony”? Pain is a subjective thing. Sometimes it happens that a badly treated tooth a long time ago (5–20 years ago) gives such “malicious” periodical aching pains that even while we knock on our teeth, nothing is found, and sometimes images do not diagnose anything obvious. Just in some of the channels of the tooth there are voids that, due to infection, provoke painful sensations. I work like this: first I seek hidden caries in a living tooth, then I examine the “dead” for any violations + give hints of irradiation and pain from irritants (cold, hot, etc.), if any. Honestly, your problem is definitely not the subject of correspondence discussion.So what could, and the rest - only hope for a doctor who will catch hold of something specific in his search.
Hello, 3 days ago they put a filling (they filled the canals), before that they put arsenic for 7 days. Now the tooth hurts when biting, very painful. Then it subsides, but the aching pain remains. Tell me, please, what to do? Is it dangerous?
Hello! I think that you were given an anti-muscular paste for 7 days. Arsenic paste is placed for no more than 48 hours, but modern dentists hardly use it because of multifactorial harm. To understand why post-filling pain, as a complication after canal treatment, gives you such vivid symptoms, it is important to analyze the images of the tooth. You can provide me with pictures, and with almost 100% accuracy I’ll tell you where the “legs grow” from. Thanks for asking.
Hello, Svyatoslav Gennadyevich! Thank you for your comprehensive answers and helpful tips. I want to hear your opinion again. In the process of periodontitis treatment on a single-channel tooth, the canal first remained open for several days, then with medication under a temporary filling.Now the canal is sealed with paste that went beyond the root (as seen in the photo), also under a temporary filling. The tooth (or gum under it) constantly aches, pain tolerable, but not passing. The next reception after 3 days. I was warned that it could ache a bit, advised to rinse with soda (which, by the way, does not bring relief). If the pain before the reception subsides, then I fill up this tooth with a permanent filling. Very interested in the question: the paste, which went beyond the root when filling the canal, may further lead to some consequences? And is she the cause of today's pain? Thanks in advance for the answer.
Hello, Elena! I think that the reason for your pain in the traumatic processing of the channel and the removal of material for the top of the root. This is, of course, a complication, but many people can tolerate such an attitude of doctors to work. That is, the material removed after some time ceases to be perceived by the body as foreign, but not everyone is so lucky. First, in 3-5% of people, the pain can remain for a lifetime with a certain periodicity. Secondly, it takes about 2-3 weeks or more to wait for the restoration of the normal tooth sensation.This is the result of a number of errors during intracanal treatment. According to your description, the work is carried out by several routine methods. These rinses for a few days, again, soda "to relieve possible pain," the continuing sharp pains suggest that the doctor has become a bit too wise. However, it is important to find out more precisely: take a picture and submit it for analysis (you can link), then I will tell you more precisely on your question.
Good afternoon, I woke up on Saturday morning with a swollen face, about 25 teeth on top of my gums ached terribly, there were ulcers in the hard palate and on the lip near the teeth. The pulpitis was treated at precisely this 25 at the end of April. She came to the dentistry, my doctor was not, sent to the one who was. She looked, took a volumetric picture with the sinuses (I do not remember what they are called). From the pictures everything is fine, the doctor did not understand that with me, and just in case, I cut the gum in the lip area above the tooth, supposedly there was a flux, because of which I had swollen. I prescribed antibiotics, horse dose, salt rinse + soda, nise and kestin. By Monday, everything remained as it was ... I went to my doctor, she looked at the pictures,and then to my sky and immediately said: this is just herpes ... But because of the prescribed wrong treatment, he was in a terrible state: salt was eroding everything around the rinse, antibiotics did not help, well, etc. I suffered so much all weekend.
The question is as follows:
1) Is this herpes associated with the fact that pulp has been treated on this tooth, around which it is localized? I attach a photo, one was made on Saturday, another on Monday [... only the doctor sees the links ...]
2) From an ethical point of view - the doctor who cut my gum and prescribed such aggravating treatment, can it work with patients ?! Since, they say, looking at my sky, - even a first-year student at a medical institute understood what was the matter. Okay, my case is not so dangerous, on the one hand, but on the other hand, someone with something more serious will come to her ... And it’s unclear how this will end.
Hello! Although I have not been a student for almost 10 years now, I cannot guess the erosions and ulcers on the mucous membranes alone. Even if it seems that it is herpes (the key word - “it seems”). However, I had a suspicion that you had one unrevealed and unsolved problem that gave rise to less dangerous, but unpleasant moments, which you emphasize.That is, the dentist was unable to identify the tooth from which the "flux" arose, and the picture was considered biased: either the tooth was treated poorly, or there is another nearby problem tooth. The meaning that I want to convey to you is as follows: a chain of incorrect tactics of doctors could generate new problems. It is possible that lesions on the mucous membrane are all secondary (the same herpes occurs when immunity is weakened, and the body’s immune resources can be depleted in the presence of an inflammatory process). It makes sense to assess the presence of a problem tooth, which generates the inflammatory process on the gum in the form of edema, or, as you say, “tumor” (it is better to contact an independent dentist in another clinic). Health and good luck to you!
Hello! Treated caries, put a light filling. A week later, the tooth begins to hurt a little, every day the pain becomes stronger. It hurts when pressed, taking cold and hot food, the rest of the time the pain is not strong, whining character. What to do?
Hello! I think there may be several options: either the initial diagnosis was not caries at all, but the pulpitis already beginning,or during treatment, the tooth overheated, and after the filling of the “nerve” inside, the initial stages of inflammation pass. To confirm this assumption, EDI should be done. This diagnosis helps to determine the excitability of the pulp, its state of health and further tactics. If the pulp is healthy (which is less likely according to your description), then the dentist can only confine himself to redoing the filling, and during inflammation the device will show that the filling should be removed and the canals treated faster, followed by tooth filling.
Hello! A little more than 2 weeks ago, the doctor decided to remove my nerve on the 6-ke at the bottom right, put some paste on the basis of arsenic and told me to come in about 10 days. As a result, she got an appointment only after 2 weeks, the doctor tried to find a nerve for a long time, looked at the picture and said that the channels were thin, like hairs, and even the needle wouldn’t climb. I put some more medicine for a couple of days to expand the canals and said that if it didn’t work and that the nerves were removed, then the channels would be sealed. Is it possible to do that? After all, the dead nerve will probably decompose or something, and then in general it is necessary to remove a tooth?
Hello! I think that you, Victoria, are planning to “formalinate” a tooth if the channels are not successfully unsealed. That is, apply resorcin-formalin mixture-paste according to the Evdokimov scheme. If details are interesting - I can throw off the information on this technique. Now all over the world, except for Russia and a number of countries, this method is prohibited, so in one degree or another it can be harmful and entail risks. Since prohibitions take root poorly in Russia, the method is widely spread, especially in small towns and villages. With such failures in the canals - this is the first way to save the tooth as simple as possible, for a long time, but anyhow. That is, the result is a chronic focus of infection at the apex of the roots, which can “shoot out” after a couple of years, or maybe 10-15-20. That is, the answer to your question: it is possible, but not very useful. It would be correct to go to the clinic, where there is a microscope + ultrasonic activation when the channels are expanded. That is, these “hairs” can be expanded skillfully and can be passed along the entire length - too. Another question is whether you are ready for the financial side of the issue, because the treatment of canals with a microscope is at least 2-3 times more expensive than classical canal therapy. Good luck and health!
Thank you very much for the informative answer. I couldn’t remove my nerve, so they just put a seal. I will go now to the paid clinic to heal to the end, since I really do not want to lose the tooth.
Two teeth were filled, and they began to react to cold and sweet. He turned to the same doctor, told what and how. The doctor looked, did not see anything, they say everything is fine. Then he took a piece that figikachit air, and began to blow channels. And just in such channels when purging I felt pain.
The doctor said that the fillings are sitting as it should, only the material itself passes somewhere cold and sweet and replaced me with other material for free. And after that, everything became gorgeous. So it goes.
Hello. I went to the dentist, as a quarter of the upper distant tooth collapsed. I have a nerve removed. Then they shoved something into it several times, according to sensations — like a needle or a wand. Constantly did not fit in depth. As a result, she inserted and said to close the jaws and squeeze strongly. Oh yeah, cement was used as a filling. After the anesthesia had passed, the tooth began to slowly ache. The first 10 hours is still normal.But the next day I started to get sick very badly when I was taking it, and just with the slight closing of the jaws. The pain is similar to the loss of the same, only milk tooth. So I want to shake it and pull it out. But now the pain, as for me, is stronger, since it is deeper in the gum.
Hello! Judging by the description, you are faced with a complication after the treatment of the canals of the tooth. The severity of complications is difficult to assess without additional research. If you send a snapshot of the tooth (you can by mail, or specify as a link), then you can estimate the quality of the doctor’s work in the canals by about 70-80%. I am sure that there will surely be something for which you can cling, according to your symptoms. Pain after canal treatment is not the norm, although many dentists believe that a post-filling tooth reaction (pain when biting) up to 7-14 days is not a reason for panic, since excessive “care” about a tooth and its canals falls under the category of passing situations. Not sure if you should wait more than 5-7 days after canal treatment - it is important to know in advance what has been done with the tooth. Good luck to you!
Hello. I treated my teeth (one root and one front), the doctor put me medicine and sealed it.Everything was normal at first, only the front teeth (I filled them) react to cold and hot. I thought that if they put a medicine, it means that the seal is temporary and you need to come then put a permanent one? However, the doctor did not set the time and date to come and put a constant. And already for two nights, as soon as I go to bed, my teeth begin to ache, in which the medicine lies. The pain is unbearable, it passes to the adjacent teeth, as if numb, but if you touch it, it hurts a lot. Painkiller does not help. It is impossible neither to eat nor brush your teeth. I thought the medicine usually kills the pulp. But why the pain appeared only after a decent time?
Hello! Here are two working options:
1. Either the doctor made a mistake with the tooth and set the devitalizing agent as a “medicine” (to kill the “nerve”) on the wrong tooth. If this paste were on the tooth that is required, then the pain from the cold would not be immediately.
2. This option is the most plausible: you were treated deep caries in two stages. At the first stage, the doctor treated the carious cavity and installed a calcium hydroxide-based preparation on its bottom.Whether the original diagnosis was no longer “caries”, or the modes and techniques of air-water cooling of the tooth were violated, but so it was pulpitis - an inflammatory process of the pulp (“nerve”) of the tooth. It is against this background that the tooth hurts badly.
Now you decide: to refuse the services of a given doctor, or to offer him to find the causative tooth and treat its channels as expected. Good luck and health!
Hello. Six months ago, pulpitis was treated in the lower tooth, now there is pain. It hurts for 2 weeks. But for some reason, it is not only this tooth that hurts, but also the front upper one on the same side, the nerve is also removed there, the gums are not swollen. The doctor said that everything in the picture is good and all the channels are sealed perfectly. Painkillers do not really help, the doctor also prescribed lincomycin and sent to the physiotherapist. The pain was what it is. Tell me, please, what can it be? The pain is terrible, I don’t know how to cope with it.
Hello! I think that you should go to another dentist and examine in detail your clinical situation in the chair. Search for a causal tooth is still worth it.The pain from it can radiate along the trigeminal nerve to any tooth and even to the ear, back of the head, temple, eyebrow, etc. It is important to study the nature of pain, periodicity, the external condition of the teeth, the presence of carious lesions and hidden cavities (in the spaces between the teeth at the contact points). Sometimes it helps to assess the reaction of teeth to cold + selective images of teeth that cause suspicion. Physiotherapy does not bring relief, since the true cause was not found. Urgently consult a qualified dentist.
Hello. 2 weeks ago I treated the pulpitis of the eight on the left, with canal filling (after the manipulations were done, the doctor did not do an X-ray). During the treatment and for a week after the tooth did not bother at all, 3 days ago I woke up with swelling of my face to the left, after a couple of hours the swelling was asleep and I felt a hot face on the same side. The tooth itself does not hurt. My doctor is on vacation until next week, I worry a lot if something serious can happen during this time, or should I run to another doctor?
Hello! It is worth thinking about the exacerbation of chronic periodontitis, which, perhaps, even comes with a complication in the form of periostitis. You shouldn’t joke with this: go see a doctor immediately.Do not rush to remove the treated wisdom tooth, trust the doctor. It is important to diagnose and clarify the exact cause of the purulent process, sometimes it happens that the causative tooth is not at all cured, but a “new” one, which has long been destroyed by caries. If it is confirmed that the problem is with the treated eighth, it is more expedient to remove the tooth, otherwise it is only for the dentist who will take you to emergency care.
Hello, Doctor. 5 months ago, a tooth ached, turned to his dentist, he said that it was periodontitis and said that it is necessary to treat the canals. I put the medicine, but the pain was unbearable, and they opened and treated me for a new one, put the medicine, and after a couple of days, the pain was unbearable. I turned to another doctor: I opened a temporary filling and left it open for a couple of days with medicine. Then I turned again to another doctor, and he delivered medicine to me and I went with him for a month. Then he cleaned it for me, did everything under a microscope, put the pins ... And everything seemed to be fine, but after 3 months I feel pain when pressed ...
Hello! Before you “throw sneakers” at the last doctor, you should check the neighbors with the treated tooth for hidden caries. This is a normal practice, even if you are confident in your subjective feelings. Further, you can send a snapshot of the treated tooth under a microscope for analysis by post, I will tell you the possible reasons for it in it (if any). After filling the canals, the material could slightly go beyond the root. A moment of hitting a hard tooth on something hard could lead to the return of post-filling pain. It's like a micro injury. Often happens at night with a strong grip. It usually takes 2-5 days. In general, it is worth checking the picture, and then search for nearby teeth for hidden caries. Thanks for asking.
Hello. A month ago, she treated chronic deep caries - they changed old fillings (3) and put one new one, all on the left side. Before the treatment, the teeth did not bother ... At first, they sealed the top 7-ku - after filling the tooth ached and reacted to everything (hot, cool, pressure - in general, it was impossible to chew). The dentist covered it with fluoride and said that it would pass.In a week we fill three more teeth, below - 8, 7 and 6-ku. The upper one continues to hurt ... Anesthesia has passed, now I have all my teeth aching, but it is tolerable, I did not take painkillers. A week later, I felt pain in the back of my head, which then intensified for 10 days the intensity, duration, and spread to the cheek and temple (the neuropathologist said that it was neuritis of the trigeminal nerve, prescribed anti-epileptic drugs). Teeth continue to hurt! They weakly ache during the day, then stronger, then weaker. For the night and a week and a half I have been drinking anesthetic to fall asleep (pain is stronger at night), they even react strongly to water at room temperature.
Did EDI: LOWER TEETH: 4-25, 5-25, 6-250, 7-250, 8-35. TOP: 4-250, 5-175, 6-250, 7-170 (they checked my norm on an intact tooth - 12). X-ray without features, but my dentist wants to open the bottom 6 and 7! Tell me, how likely is it that my suffering is a dentist's mistake? When I asked about the burn of the pulp, she replied that this was not the case in her practice, and “if you still trust me, I’m waiting for you on Tuesday” (now she is ill). I really do not want to "kill" my teeth! They were normal! Should the dentist give me a discount on the manipulations that are waiting for me? Thank you, I hope for a quick response.
I will add: the doctor claims that the problem is unequivocally with the lower teeth, and in the upper - radiating pain.
I’ll also add: cooling the instruments with the doctor with air — when I asked why they were so cold, the doctor answered, “This is air, I don’t like water when it cools” ... Ie drilled all the time and only occasionally rinsed with water to wash off the dust. Lord, I have that, 3-4 teeth are killed right away ?!
Hello! When I worked without water cooling many years ago, I had to treat the tooth canals of every 4-5 treated caries. The risks of overheating teeth without water are large, the standards of modern treatment of “living” teeth are only with water and nothing else. I am almost sure that the overheating of the lower tooth was, you were misled about the neuritis. I think this is the self-confidence of the dentist, and more than sure that periodically she “overheats” her teeth. Perhaps due to accuracy - not so often. Now we need to find out exactly what kind of tooth overheated and treat it in the canals, until the nerve collapsed and turned into a "pus." I do not think that you have overheated 3-4 teeth, only 1.
I did not understand the EDI data that you provided.I know the metric, where 2-6 μA is the norm. With deep caries can be up to 12 μA. Anything greater than 20 μA is pulpitis, about 70-80 μA is pulp gangrene, and for 100 μA, periodontitis.
Look carefully, do not treat two teeth at once, let the doctor find exactly the causal one, with EDI or when diagnosing in the oral cavity, but two teeth cannot immediately react.
Proving a doctor’s mistake in court is difficult. The fact is that it documented that everything exactly was fixed correctly, and you signed the consent to the treatment, where such nuances are discussed.
Thanks for answering. The torment continues. About EDI - I have written in the measurement. Where there is 250 - there is no sensitivity at all (EDI was told that the teeth are “dead”, or the innervation is radiating so). I also read somewhere that with a trigeminal neuritis such a picture can be ... Complete confusion (the neuropathologist wrote in the diagnosis not neuritis, but neuropathy, said that they often go to them after dentists, and this is because of nerve irritation, something like that ). The dentist does not want to kill the nerve now and says, perhaps, the teeth “overestimate” - two times with an interval of 3 days they did undermining, then an application of fluoride varnish.It also says that it does not look like a pulpitis, otherwise I would not sit so quietly in the chair (when she taps on the teeth). When filing an unpleasant pain in all teeth, but especially in the top seven (the doctor says, this is a sign that the pulp is alive). At the moment, the teeth themselves do not hurt, but when I ate a watermelon (at room temperature), they began to whine (especially the upper one) - and they ached back and forth in the temple for about 20 minutes. I can only chew on something dense with them, it happens especially painful point on the border of the top 7 and 6, when this place on a solid piece of food gets. The last two nights do not hurt the teeth, but the whining of the head, the temple, under the cheekbone on the left (in the daytime it is not or there is very little - I do not drink painkillers during the day). I also noticed that the temporomandibular joint began to crackle more strongly on the left after filing - I don’t know if it plays a role, but I’ve already read a lot about bites and the like. Do you still need to go to an osteopath? The madhouse is just ... The dentist wants to remove the filling from the bottom seven (he thinks that the problem is in it, because on the X-ray his pulp sticks out with one “horn” close to the surface of the filling) - and make another lining of calcium thicker.Nerve to kill is not in a hurry - he says it is never too late ... And if you tap, then this tooth is just the least sensitive (and also to temperatures). Could the problem still be in the top seven?
When the top seven were washed down, she began to whine so much that her teeth were numb and it was even difficult for me to chew on the copy paper so that I could see more places ... The lower ones reacted less.
Hello! I think that you need to de-pulp the top seven, since there is supposedly a problem in it - pulpit. But to decide all the same to the attending physician. Since I understand that you have a difficult situation, an extremely individual approach is needed in order not to be mistaken, not to “nadepull” the carriage and a small cart. In my practice, long ago there were rare situations where, because of the doubts and perseverance of the patient, it was necessary to reach the causal tooth through the depulpation of its neighbors. By the way, these teeth are in many ways even better (for almost 10 years) than those that have not been treated at all. This is the question: "Isn't it harmful to make a tooth dead?" It depends on how enthusiastically and soul everything is done.
However, I do not suggest that you try to make mistakes and draw the doctor into this ungrateful work, but it’s still extremely important to look for a pulp tooth. Almost 100% sure that this pulpitis of the tooth. Perhaps it makes sense to try changing the doctor. I do not think that in the whole city there will be a couple of good diagnosticians.
Yesterday we finally got to the top 7 and depulped it. Put a temporary seal. The doctor said that, apparently, pulpitis was provoked by “dentikli” and pulled out a small “fragment” from the pulp (well, dentikli was so dentikli, I had so much trouble with this pain for six months that I already do not care about the cause) ... it does not shoot, there is no pain in the back of the head as it was, but the gingiva medially from the neighboring 6-ki was slightly swollen, as well as on the border of 7 and 6 - this place ached at night. And when I ponimayla on him, I began to whine even more - with irradiation to the temple and behind the ear. I drank a pill ... The edge of the gum medially from 6-ki (6-ka is not filled and “healthy”) has a dark red thin rim. Tell me, what kind of complication can it be? Does it make sense to make a CT scan of these two teeth, so as not to miss any problem? This same 6-ka hurts when biting ...
Hello! Tell me what it can be and what to do? 6 years ago, in the upper 5th tooth on the right, nerves were removed, the canals were sealed and since then it was painful to knock and press the tooth, more from the side of the cheek. I went to the doctor with this problem twice, in the picture all the channels were made as it should. And that was the end of it. It was recommended to put crowns on this tooth and on the next 6. The question worries very much whether under the crown 5 the tooth will react as well as it does now? And, maybe, at first, it is better to do something with a tooth so that this would not happen under the crown? And what can you do if everything in the picture is good?
Hello! I think that the reason for the installation of crowns was a wide gap between the teeth, where food is constantly being driven, causing injury to the gingival papilla. An injured gum can provoke pain when “tapping” on a tooth. If this was not the case, then I would like to take a look at the “good shot” to answer a number of your questions. You can send a picture of a snapshot of 5 teeth to the mail (see Feedback).
So far, without answering, I answer your main question: if the tooth hurts when biting due to the treated canals or the inflammatory process outside the root, then everything will continue under the crown, there will be pain.
If the picture is really “all is well”, then it will definitely not be possible to do without in-person consultation. Almost always, a visual inspection allows you to establish a causal relationship. This cannot be done via the Internet, except for diagnostic image analysis.
Hello! After installing the seal (second molar) 1.5 years have passed. The tooth never bothered. There was a nagging pain when biting, and seemingly, as well as if you hold the tongue on the surface of the tooth, the seal is loosely attached to the wall of the tooth. There is no pain when it comes in from hot or cold, or in the case of a pounding tooth. Unfortunately, I do not remember whether the nerve was removed ...
Hello! This information is not enough to make a diagnosis, but the fact that the tooth is worth retracting is for sure. If there is a violation of the fit of the seal, then it must be re-supplied with high quality. However, it is necessary to take a picture of the tooth before the final filling, as you can skip the inflammatory process at the root, or pulpitis (if the tooth is “alive”). Health to you!
Good health to all)) There are no special questions yet, but there is paranoia that does not let me go. I decided here for company with a friend (she is a frequent visitor at the dentist) to check her dental composition, which did not bother me all my adult life (at the moment I am 28). After the examination, I was drawn the following situation: removal of all 4 "eights" (third molars), filling 15, 16, 47, 46, 45, 37, 36. At the moment, 28 molars were removed (like, all without complications) and put 4 seals on 15, 16 and 47, 46, if I do not confuse anything. A day has passed since the filling, while nothing bothers, but paranoia does not give rest: after reading many comments on the Internet, many people start having problems with their teeth after filling ((Plus, anxiety adds the fact that I live abroad, and between I and the doctor have a certain language barrier ... I think we should go for a check to another clinic, see what they say.
And, yes, the question is: did it have to first remove all eights, and then seal it? Or you can, as they do to me now? (to me in the clinic, as I understood them, they said that first the fillings would be, then the eights would be deleted).Thanks for the answers and for your attention) All health)
P.S Probably, I was mistaken that after a check at this clinic I did not immediately turn to another for a control check, I just believed my friend - she has been treated at this clinic for a year now and the reviews are quite good.
Hello! Since I did not stand behind the doctor’s back, I cannot categorically say whether it was necessary to remove all wisdom teeth and treat the teeth listed by you. The fact that many clinics wind up services for the sake of getting benefits is the place to be everywhere: in Russia and abroad. Let's hope that the testimony to the listed works were.
Regarding the “removal-treatment” sequence, the doctor here proceeds from many practical considerations. Personally, before prosthetics (especially urgent), I try to first remove the teeth, and while the holes are healing, I can treat the remaining teeth, which will be made crowns. On the other hand, if there is no urgency, then you can first cure everything, and in the end (“for sweet”) leave the removal of teeth.
Good day. In April of this year, put a crown on one tooth,I still feel nagging pain and discomfort! After a month, she turned to a doctor who put on a crown, he looked, blew air and said that everything was fine, there were no complications. But the pain still does not pass! Tell me, what is the reason? And what to do? Thank you in advance.
Hello! I recommend you take a snapshot of the tooth to eliminate the complication after its treatment. I am sure that prior to the setting of the crown, a preliminary preparation of the tooth for prosthetics was carried out. It is possible that the tooth canals were treated - then they should be checked to exclude possible complications after the treatment.
Good evening. Crowns are advised not to put because of the large gap between the teeth, on the contrary, they are very closely spaced. Just at 6, the wall broke off from the side of the cheek and there is a huge seal, it does not look very nice. And at the 5th wall in place, but the filling is also full-length and on the wall from the same side there are cracks in the enamel. There is no picture, it was an orthopantomogram, it remained with the doctor. I wanted to do the usual X-ray of the upper jaw elsewhere, but I didn’t have a direction, and they also said that it does not make sense to have an X-ray, since it is still better seen on the orthopantomogram.In general, something had been said about the papilla there a long time ago, but I am not sure that it is in this 5th tooth, and the food constantly falls into the gum area between the teeth. Crowns already set. Now it is not painful to knock on the tooth from the side of the cheek, but from above, when the hard gets on the tooth and when the tooth on the lower tooth falls, it hurts. I will wait a bit and go to the doctor again ((I just can’t imagine what can now be done with this 5 tooth.
Hello! Again, I insist on clarifying everything in the image of even this single tooth. I am sure that the picture will be seen, which led to painful sensations. Although you still have to decide: you can wait simply, but only if there were no complications during the treatment of canals in the 5th tooth. Otherwise, there will be a surprise for the future. Not the fact that after 1-2 years, but certainly not at the most opportune moment.
Hello, after the treatment of pulpitis 2.5 weeks passed. At first there was a very strong pain, it was impossible to even touch the tooth, the submandibular lymph node inflamed, the temperature rose 37.2. The doctor during the examination put an antibiotic in the gum and prescribed an antibiotic to drink 3 days, Nise. The picture, she said, is good, but I did not see it.Now pain when biting, when tapping and constant aching pain, gives pain under the jaw in the lymph node. The doctor says that this is residual pain, you need to rinse with soda. I went to another clinic for a consultation, where they took a panoramic picture, it turned out that there was a slight removal of material beyond the root tip and one channel was “loosely” sealed. The doctor said that the material will resolve, but the channel offered to redo them. But I did pay so much for this tooth, can I expect that the doctor who treated me will alter his mistake? It hurts constantly, the quality of life has noticeably deteriorated, help, what should I do?
Hello! The fact of complications after treatment takes place, the doctors of another clinic clearly described to you the problem, immediately stated two errors. It is difficult to say which of them is more likely to provoke the symptoms described by you. You can count on the fact that you can correct errors. Often the clinic does not want to enter into a judicial conflict with the patient and spoil the reputation. If you are denied free retreatment, or everything goes wrong, then you have the right to collect the necessary evidence of poor treatment or to conduct an independent examination.Although at the moment it is extremely difficult to prove the existence of objective errors, especially in those cases when you sign an agreement that you agree with possible situations when the difficulties may not depend on the doctor during and (or) after treatment of the tooth canals.
The practice of medical lawyers shows that it is more difficult to win money, although you have every right to do so. Try first in a good way: delicately and politely, and then we'll see.
Hello! I treated the lower seven, using the resorcin-formalin method, the tooth is now dead. Only one channel is cleaned to the end, the remaining 2 are impassable - if I am not mistaken, the doctor said that they were calcined, they are not visible on the X-ray and there is no way to go through them. Tell me, what are the consequences for the tooth with such channels?
Hello! The consequences can be very different, depending on the quality of the mummification and the honesty of the doctor regarding the verdict that “the channels are calcined”. If the technique is carried out correctly with such channels, the tooth will stand without the development of the inflammatory process on the roots for more than 10-20 years.If errors have occurred, the tooth can become a source of chronic infection: a limited focus will develop at the root for a long time. Sometimes even now I meet patients with resorcinated teeth treated more than 20 years ago. “Cysts growing” is not in fashion now and is not approved by modern dentists, even if the teeth in the pink state can stand until their removal for more than 20 years.
In general, this method is budgetary, on the verge of a foul, as an extreme measure, when there is almost nothing at hand. Many dentists (especially budget ones) praise her for efficiency in many ways. In fact, a good saving of time, when an aggressive paste can itself, to one degree or another, deal with microbes and dirt in poorly or untreated channels and turn its contents into a “mummy”.
But in the future, if you need a tooth to heal, put a crown, and even more so - delete, a lot of "flattering" reviews can be heard from the doctors, who will get this tooth. The point here is no longer in the canals, and even not in the fact that the tooth managed to stand up to the problem situation for 20-30 years, but in its fragility due to the resorcin-formalin mixture and adhesion to the alveoli of the bone.It goes without saying that to re-prepare the channels in order to cure the source of inflammation at the root will be extremely problematic, although the technologies are not standing still. It is possible that after some time, resorcin-formalin teeth will no longer be a household name for dentists. But so far the technique itself is officially banned in most developed countries of the world, except for Russia and a number of other states - supporters of such preservation of teeth (not from a good life).
Thanks for the informative answer. When I was in the dentist’s chair, I couldn’t think about such consequences. I have all my teeth alive, and this is the first dead tooth. The doctor said that there is no other method for such channels (a doctor at a private clinic). I also have the top six for cold and hot does not react, for tapping, too, but there is a filling and under it a tooth has darkened strongly. I plan to treat, but having made a double x-ray, it became clear that there are the same impassable channels, they are not there at all. Apparently, this tooth is waiting for the same fate with formalin, or are there any other methods of treating such a complex tooth?
Hello Maria! There are, but they are not low cost, more expensive than conventional methods, especially resorcinol-formalin. Treatment of tooth canals under a microscope + use of ultrasonic tips and gels (solutions) for the passage and expansion of narrow channels. Typically, these activities allow even a complex system of narrow canals to be treated, to “dislodge” calcification sites and fully seal them. Sometimes it happens that the channels are not so narrow, and the doctor, due to the lack of experience with such channels, will step into them and can no longer get the full length. Then the microscope also helps. Many experts advise the treatment of tooth canals under a microscope - as one of the best ways out of the situation. If it is already impossible in this way (which is rare), then mummification. This is the last thing, since the mummifying method is outdated and controversial.
Hello, I have 4 months of pregnancy, yesterday treated a tooth, put fillings. I was sick a little yesterday, I suffer all day today - when I eat, it hurts, and when I touch it, it hurts too. The doctor said supposedly pass, is this normal?
Hello! Unfortunately, I don’t know all the nuances of the treatment: were the canals treated, or were they just fillings, like with caries, was air-water cooling applied, anesthesia, are there any other symptoms besides these?
If you coordinate the treatment with your doctor, then it is advisable not to panic, but to see the tooth in dynamics. Due to the lack of information it is difficult for me to say how much. The only right direction in this monitoring is the importance of reducing the symptoms (declining), and not increasing with each passing day. If the dynamics is clearly alarming - urgently to the dentist for the correction of treatment. The rest I can say only after your additions for a clinical case.
Good evening. I decided not to go yet. And what a "surprise" can be at the most inopportune moment? It's just that everything is so beautiful there now and even barely hurts. And I’m even uncomfortable, they’ll think that I’m kuku, because I’ve asked about the fifth tooth five times about the doctor who was treating and the one who set the crown. And they believe that the pictures are all right. However, during the installation of the crowns, the doctor said that in this fifth tooth the pin was not very secure,but somehow I didn’t clarify what was there and how, because by that time I was already tired and thought all the time that the remnants of my teeth would not fall apart completely, and I didn’t care. And now there is definitely better than it was without crowns, and on sensations and externally (apparently just unearthly beauty). I will probably wait for a "surprise". If I go now, they will accept me for a madman. Because in order to feel the suspicious sensations in the tooth, it is necessary either to move the lower jaw somehow so that it falls on the fifth tooth, or to press the gum very hard.
Hello, Karina! By "surprise" I meant the inflammatory process at the root, which can occur on the background of errors or errors in the channels. If the dentist tells you that everything is fine - I am still ready to check this fact. However, I have no right to insist on anything - your business. As for excessive suspicion, it is your right to check all stages of treatment, whether the doctor likes it or not. Good thing you got better. I am glad that I can help at least something. Health to you!
Hello, Doctor! Explain, please, such a situation. Treated 7 lower right tooth, caries, the nerves were not removed, did not do anesthesia.Immediately after that, a 6 tooth was removed next (of course, with anesthesia). Almost a week has passed, and the 7th tooth hurts when pressing on it. He began to get sick immediately after the treatment, the pain, it seems, does not increase, but it does not decrease as though. Tell me, how long can this go on and can it be because a tooth was extracted next day? Also on this day, one more tooth was treated on the opposite side, also without anesthesia and nerve removal. He's normal, no problem.
Hello! Almost always after the removal of a tooth due to trauma to the surrounding gums, the neighboring teeth react to varying degrees when they bite. Usually it takes 2-3 weeks, but sometimes (depending on the complexity of the removal) is delayed up to 1-1.5 months.
It goes without saying that there could be a reason connected with the violation of the formulation of the seal itself. What you are comparing with the opposite side is logical. Without anesthesia, treatment is most often more controlled and there are significantly fewer risks that something bad will happen. Although sometimes there are cases that the dentin is still overdried, and the filling begins to interact with the tooth tissues in this way - with post-filling pain.
Let us try to abstract away from this thought and wait another 1 week.It is important that your dynamics go down, even if you do not get rid of the pain at once. This will allow to think about the prospect of its complete disappearance. Thank!
Hello. Two months ago, my nerve was removed and the canals were filled, the tooth began to whine, I was told - post-sealing, but it still screamed. They took a picture, the doctor said that everything is normal and can not understand what is happening. They opened my tooth again, set up a temporary building, but it aches again. The doctor said it might not be right next to the tooth. But he is excellent and without a seal, and I feel that this is exactly this dead whining, I knock on it and understand that this is it. I don’t know what to do, I drink painkillers and I understand that it is harmful to drink them every day. Three days later, again to the doctor, worried what she would do if she was lost and she did not understand what was happening to him. But I'm afraid not to touch the living good.
Hello! You correctly describe the situation: it is difficult for both you and the doctor who is confident in his work, but does not understand the cause of the pain. Unfortunately, such a case like yours is not uncommon.Personally, I had to re-dent a lot of teeth from those doctors who do not know how to technically correctly seal the tooth canals, do not wash the canals properly, do not know that in some groups of teeth there are often additional canals, they use aggressive materials (allergenic) and mistakenly remove them beyond the root. All this and much more often affects the patient's well-being after canal treatment. At best, these are post-sealing pains, which can pass in 2-3 months, and they can - and not pass. At worst - a constant aching pain in the tooth, discomfort, etc. become human companions every day.
Without knowing the capabilities of your doctor (his experience, level of preparation, equipment of the cabinet, the possibility of consultation, etc.), it is difficult for me to judge how objectively the doctor tells you about your situation. I know a lot of stories when a consultation with 3-5 dentists did not give a positive result, but more often (in 70-80% of cases) another independent dentist still has a “cant” created by a previous doctor, or actually shows up adjacent tooth that requires primary treatment.Accordingly, you need to find a professional doctor, a higher level than your doctor, in order to have accurate information. It is necessary to take pictures there in order to evaluate the treatment of the doctor in different projections and to identify (or not identify) errors. You can try 2-3 face-to-face consultations to collect opinions and compare them. Thanks for asking.
Hello. After sealing the canal of the front tooth in a month, there were discomfort when you press a tooth. Do not pass within a month. The picture is all good, consulted with another doctor. Physiotherapy did not help. Can the pain go away if it is allergic to filling material? Or is it the start of inflammation? And whether it is necessary to perelezhivat? The pain is on par. Thank.
Hello! Here you need to check the image of the tooth and the tooth itself comprehensively. Let me explain what to look for:
1. Is there an inflammatory process at the top of the root - in this case, pain may well arise;
2. Whether the filling material is removed for the top of the tooth root;
3. What material was used for sealing.
I think that after analyzing a snapshot with a high probability, you will still have to treat a tooth, but you need to eliminate any repetition of errors. There are many nuances, I would like to see a snapshot of the tooth: if you have it, you can send it to the site’s mail (see section “Feedback”).
After the nerve was removed, a filling was placed on the top 6, an hour later I began to feel that something was interfering with the inside of the tooth and the aching pain began. This is normal?
Hello! After canal filling, there is often aching pain (post-filling reaction against the background of traumatic manipulations in the canals, as well as errors in their filling). This usually does not lead to long-term consequences for the preservation of the tooth, but this is only if there were no following complications during the treatment: leaving a piece of the instrument in the canal, removing the material beyond the root tip, creating a false channel, not passing the canal and some others. what is normal or not depends on the result of the treatment: the “beauty of the image” and the exclusion of serious errors in the treatment made by the dentist, which X-rays may not catch.Thanks for asking.
After a couple of days everything went away! Now there is no pain at all. Thanks for the answer.
Hello! I have such a problem: when I removed 8, a doctor blew me half of a 7, healthy, live tooth. Before the pulp, it shone through. Next, I was sealed the next day. X-rays did not. Now is the third day of filling, the tooth is very sore - at night and during the day. I do not know what to do, what is dangerous?
Hello! When removing a wisdom tooth, the doctor made the most serious mistakes, relying on the seventh tooth, or causing a direct injury to him. To cause similar damage to a living tooth, you need to apply tremendous force. As a result, one problem gave rise to another, but, again, as it seems to me, due to the lack of professionalism of the dentist.
After filling the canals, the tooth should not hurt "day and night." I think that it can also be a question of poor-quality wisdom tooth extraction: it is worth checking the hole with the help of a snapshot, at the same time in the picture you can analyze the seventh tooth. Moreover, your task is not only to find a problem with or without a snapshot (better with confirmation of the snapshot), but, above all, to search for a competent dentist.There is a feeling that you are not among the best specialists.
Good day! Such a question - there were pains in the left sinus of the nose, a sense of smell and taste of some kind of rot. ENT previously (without a CT scan of the sinuses) puts suspicion on a polyp or cyst. But the point is that it all started right after the treatment of pulpitis on the upper tooth, just on the left side. Could this be due to improper tooth treatment? And what would you advise in this situation? Thank you in advance!
Hello! To be more precise, it is important to have a snapshot of the treated canals of the tooth. If the image of the tooth is all right, then this relationship can be eliminated. In any case, this is a rare situation, I think that the connection between the treatment of canals and pain in the sinus may not be confirmed. Take a snapshot and send to the mail of the site (see. "Feedback"). After analysis, you can make some conclusions.
Good day! I decided to put a seal on the top four, there was a small hole that I did not feel myself - the doctor suggested what should be done. Prior to this, the tooth never bothered or reacted to hot or cold.As a result, the dentist drilled out my whole tooth, removed my nerves and sealed two channels, put a temporary filling. She said to come in a week and that she could be ill for several days. Immediately after the treatment, severe pain appeared, now the 2nd day - the pain does not go away, my head hurts and the entire right half of the face, I can hardly sleep, a small lump appeared on the gum (the lump itself does not hurt to touch). With what it can be connected? The husband says that antibiotics are needed urgently.
Hello! As for your possible claims that the whole tooth was drilled: I am sure that the dentist did not leave carious tissues even within the border with pulp (“nerve”), made the inner walls of the tooth clean, and eventually had to remove the “nerves” from two channels 4 th tooth. As for severe pain after canal treatment, which is not stopped by analgesics and is even accompanied by a “bump” on the gum - I can say that the quality of canal treatment has most likely suffered here. Without a snapshot of the tooth is difficult to assess how serious it is. In addition, an allergic reaction is possible to the filling material taken out of the root.In general, the search for a possible error at the stages of treatment (if the pain does not subside) should begin with a snapshot of the tooth.
Hello, the tooth was sick 2 days terribly, went to the hospital, put a permanent seal. The pain does not pass, it is impossible to endure, what to do?
Hello! Urgently contact the same or another specialist for the diagnosis and correction of treatment. According to your data, you can assume anything: either a seal was put out when pulpitis started, when the channels should have been treated first, or it was a post-filling pain, when the technique of filling the seal was broken (the dentine was overdried, the enamel etching time was increased when the light seal was set, debonding and .d.)
Again, maybe the canals were still treated to you, since “the tooth was sick for two terrible days,” and you don’t write to me about it? Then the reasons may be even more diverse. Detailed descriptions could give me more opportunities for preliminary diagnostics, but for now - hurry to the doctor for timely help!
Hello, two large fillings on the bottom six and seven fell out.They took pictures, and it was decided to remove the nerves at all. They removed the nerve on the seven and laid the medicine on the seven. The next day, the six began to respond to the hotter, two days later, the six came to heal, an x-ray showed that 4 roots and one curve, 45 degrees. During treatment, it turned out that it was this curved root that was still alive; there was pain when it was removed. Three days have passed, and the tooth reacts to hot, the pain feels the same as when putting the medicine in it.
Do you think these symptoms may result from an incompletely removed nerve and should I run urgently to the hospital?
Hello! A hot reaction is often a symptom of periodontitis. I think that technically there could be difficulties in the treatment of a 4-channel tooth, especially with a curved canal. This can be identified by a snapshot, but conditionally: there will be an unsealed channel in the picture, and the fact of the infectious process will manifest itself in the future (in 5-12 months), when bone loss occurs around the root. A doctor, entering a poorly traveled canal, can understand that closer to the top of the root is determined exudate and an unpleasant putrefactive smell.
Running now to the hospital is, at a minimum, to understand what is going wrong (diagnostics), and then it becomes clear how serious it is and how to treat it.
Complete the tooth, treat the canals, fill them and control the image. If there is a desire - send a snapshot for analysis (to the mail of the site). Thank.
Good day! I have periodontitis 7 teeth. The nerves were removed, for the first time they put a temporary filling for 10 days with medicine. During this period, I blew, and my tooth ached, after I warmed up - everything went away. At the reception, the doctor said that the root of the tooth was inflamed, and again put a temporary filling, for 13 days. Before going to the doctor, on the 12th day, my tooth began to ache (either there is no pain, then “tyknet” from time to time). At the reception, the doctor told her everything. He sealed my channels and took a picture. He said that he would get a little bit of a tooth, that there is a small infection, it is likely that the body will cope with it and the tooth will serve for a long time. Tell me, please, how much will the tooth ache? How can the body help fight this infection? And what if it does not stop to hurt, after what time to see a doctor?
Hello! The possibilities for the treatment of periodontitis are currently wide: there are conservative and conservative surgical methods. Your doctor chose the conservative option. I am sure that his tactics should be useful, and about recommendations (antibiotics, sulfonamides, antihistamines, rinses, etc.) - this is decided only by the attending physician, individually. If you wish, you can provide a snapshot (via the mail of the site): I will analyze it and comment on the work of the dentist in the channels.
As for pain, they should not be very strong and their intensity should decline every day. If there is no such dynamics during the week, it is useful to consult with your doctor again.
Good day! Periodontitis of the upper 6-ki. The doctor removed the nerves, cleaned the canals, put down the medicine and put in a temporary filling. A week later, she removed the seal, sealed the canals (in my opinion, even with something hot, soldered) and again put a temporary seal, but from another, softer (crumbling) material. She said that it is still necessary to be like a week, and then without anesthesia, it will be necessary to put the main filling.The fact is that currently the tooth aches a bit and there is pain when pressing on it too.
There is also the problem that the last temporary filling was put not only on the aching tooth, but also captured a healthy one, and also (as I suspect) the gap between them. In this regard, there is a terrible constraint of other teeth, up to the front, as if all 8 teeth are very strongly pressed to each other. The doctor says that this is normal and you need to suffer discomfort for a week. But on the first day I feel how all these teeth “beat with a pulse.” Should it be so in reality?
Thank you for your reply.
Hello! Temporary bandage imposed on the gum - it is harmful if it is not the case when the "temporary building" in combination is also a remedy (impose on the gum). In principle, even if this is so, then your complaints are enough to remove a piece of temporary fillings that clamp the gingival papilla. That is why I propose to start with the fact that after all to clean (at the doctor's) the gap between the teeth, so that the gum feels comfortable.
If you send a snapshot of the tooth to the mail of the site, then perhapsI could comment on the pain situation while biting. I am almost sure that there is a slight removal of material beyond the apex of the tooth root. Thanks for asking.
Hello! A few months ago I went to private dentistry, the doctor put me a few fillings with a difference of a month (pieces 6). When they put fillings, they said nothing about the channels. I only know that caries often turned out to be deeper than the doctor suggested. A week after installing the last fillings (6 and 7 teeth on the bottom left, as far as I understood), they began to react to cold and hot. It became painful to chew. Suddenly, pain was added on the other side - 6, 7 from the bottom right (there are also new fillings). As a result, I could not bite hard at all. After I went to the doctor, it turned out that it hurts me when dental instruments are scraped in the teeth (sorry, I don’t know how to explain this correctly). The doctor suggested that he excessively sawed his teeth, and I have problems with dentin. He sawed them a little and put small fillings directly on top of those already delivered. It was very painful, although it seemed that only the tooth surface was drilled.But the pain in a week did not pass, but on the one hand - even intensified.
I went to the same clinic to another doctor, under warranty. He completely replaced my fillings with 6 and 7 teeth on the bottom right. Again, when drilling was very painful (but not when drilled from above). On the other hand, the doctor did not change the fillings, as he said that he had to wait until the pain passed away where he had completely replaced the fillings. And she didn’t completely go away (a week passed). It has become much better, but there are discomfort when chewing. If something small and hard to bite with your teeth - a sharp pain. Moreover, recently, when biting, I felt pain on the upper tooth, where the filling from the first doctor was (considering that I had to chew only with my front teeth before, I think the pain could have occurred there a long time ago).
What the second doctor advises is to be like a laser procedure to reduce tooth sensitivity. Tell me, please, does this make sense? Or do you need to run to other doctors and redo all fillings?
An x-ray was done to me by both doctors, according to them, everything is fine on it. EDI is not done in our city, but I can pass in the next, I often go there. Now the pain is tolerable, it is rather an unpleasant feeling when chewing,but I am afraid that in the end it may lead to sad consequences. I would be very grateful for your advice.
Hello! I think that the direction of your thoughts is correct: it is worth making EDI of the treated teeth in order to clarify the condition of the pulp. If the teeth, for example, overheated during the treatment of deep caries, the device will show pulpitis, and the treatment should be carried out as a complication of caries. Sometimes it happens that after errors in treatment, the tooth does not hurt sharply, but then everything smoothly, in a matter of weeks or months, flows into periodontitis - inflammation at the root of the tooth. I would not want you to be with such an important diagnosis. This is especially important because they carried out the treatment of deep caries of a large number of teeth. Now, to understand without EDI, where to start, in order not to break wood, it is difficult.
In principle, if the device shows the state of the norm in all treated teeth, then it is necessary to focus on replacing fillings, since post-filling sensitivity is often the result of a violation of the technique of working with light-cured composites. A number of expert doctors argue that with a similar sensitivity of the individual order,but with full compliance with the treatment protocols, we can expect an independent passage of pain for no more than 7-14 days. Opinions on this issue are different: pain when biting can actually go away on their own, and the dynamics are such that it becomes more comfortable to chew every week. But this is on condition that they did not “touch” the pulp during treatment.
Bottom line: since a lot of time has passed, I recommend checking the pulp on the treated teeth using EDI, and then planning the retreatment of one or another tooth.
Hello! With the 25th tooth, the crown was removed and a metal insert was placed, after which periodically a feeling of bursting and burning appeared in the gum. In the picture - the channels are closed to the end, only suggested that perhaps the tab is too big for this tooth. In the sixth tooth on the lower gum is also a tab, but it does not bother. The doctor insists on putting crowns. Tell me what to do? I'm afraid that nothing will change.
Hello! You need a snapshot of the treated tooth to analyze possible errors of the doctor (you can send by mail or give a link).I do not rely on the opinion of the doctors who carried out the treatment, and always check. Only by eliminating possible errors in the treatment of canals, one can think of the problem directly with the insert in the tooth. I am sure that before the crown it is necessary to establish the exact cause and carry out a correction, because otherwise everything can be aggravated with the crown.
Hello. A month ago, I was treated at the top left 5th tooth and at the bottom left 6. From above, the tooth began to hurt the next day. Reacting to cold / hot and bite. Now heals gradually, the pain is weaker and weaker. I can chew, but it's hard though. Is this normal?
2 weeks after the treatment, I went for a second dose already to treat the bottom 6. Again, the next day I began to be ill, reacting the same way. But it hurts in the area around the filling, around the edges, the pain does not go away with time, reacts strongly to cold and pressing. Before the treatment, a piece of filling broke there, the tooth was rather sore, it could not chew. And it is in the place where the fragment has broken away that now it hurts. What to do with it? Can it pass and heal with time?
Hello! It makes sense to wait for some time, watching the dynamics. If the doctor did not make serious mistakes during the treatment of caries, then the pain will disappear in about 2 weeks. It is possible to talk about post-filling sensitivity only when the pain does not worsen with time and other symptoms do not join (acute pain, spontaneous, etc.). So the answer to your question is more specific: the pain can pass on its own if the doctor did not make serious mistakes during the treatment (did not overheat the tooth, did not open the pulp chamber, etc.).
Terms are strictly individual. Some experts believe that it is possible to wait a month until the post-filling sensitivity is completely completed (pain during “biting”), although it usually takes two weeks. As for the reaction to the cold: it may be the result of grinding enamel. If it was not critical, then this reaction is also temporary, but with a more serious and rude intervention in the enamel tissue, the problem may not go away at all until the seal “covers” this area of the exposed tooth structure.
Good afternoon, can I ask you a question? I'm pregnant, 20 weeks.My teeth ached terribly, went to the doctor, he removed his nerves, cleaned him of caries, put temporary fillings in the canals and on the upper part of the tooth. He quit, said to come in a couple of days. I went to another doctor, he filled one tooth with a permanent filling, and left the second one - he said to wait a little more, since he was sick when pressed. If not pass, then clean the channels. So the question is: I found the number of the doctor, he said that he put temporary fillings in the channels, and I had already filled them with a light seal, what should I do? Remove, clean the channels and put the permanent channels, or so go? This tooth does not hurt. What could be the consequences of wearing temporary fillings in the channel?
Hello! Only negative consequences: this is due to the fact that the tooth should not remain with empty canals - undertreated. It is necessary to check: what was the impact (and whether it was) in the canals of both teeth. While taking pictures is not recommended - doctors keep medical records, and records allow you to restore the picture of what is happening a day ago, a month, a year, 5 years, etc. If the doctor did not keep a card or wrote there not what is needed, then this will complicate the situation: you cannot take a picture,the cards are not documented, no one knows exactly what is delivered to the canals, and it is even difficult to say whether one of the teeth in the canals was precisely treated?
As for the consequences: if the canals remain undertreated, then after a certain time the tooth will, at best, begin to react when “biting”, at worst, an exacerbation of chronic periodontitis will occur.
Hello. 2 years ago I treated the lateral lower tooth (the nerve was torn out, the canal was closed and a filling was placed). A couple of days ago I started to hurt badly with pressure, and the gum hurts. There is an aching wisdom tooth nearby - can this pain give away from a wisdom tooth to a dead tooth?
Hello! Can. It is necessary to check both teeth for the presence of an inflammatory process at the root (either we can talk about the difficulty of eruption of a wisdom tooth, or its pulpitis - it is not quite clear what you meant when talking about a “sick” wisdom tooth). After examination, the doctor will issue a verdict and determine the exact cause of the pain. It is difficult to say something else about the information provided, the only thing is I suppose that in order to clarify, you may need a snapshot of the roots in the area of the previously treated tooth.(sometimes inflammation develops on the roots of endodontically poorly treated teeth). Successful treatment!
Good day! A year ago I was treated with 3 teeth (23 - canine, 24 and 25). 24 and 25 with pins, and the canine - just caries, even the channels did not touch. Before the new year it became painful to press on the canine and a ripple appeared. In the new year itself, the ripple intensified so much that I did not sleep all night. It was impossible to touch a tooth. After a couple of days, the pain was completely gone. Today, again, throbbing and whining slightly. Pressing hurts. What could it be? I cannot go to the doctor yet, I have no one to leave the child with. Thanks in advance for the answer!
Hello! It is more likely that you have one of the forms of periodontitis, which occurred against the background of errors in treatment or diagnosis. Perhaps the doctor did not notice the beginning pulpitis or for some reason incorrectly carried out the treatment. It is important to start the canal treatment to save the tooth. Fangs, as single-channel teeth with a wide channel, are a good choice for therapy even with complex forms of periodontitis. Hurry up, but this form often turns into periostitis ("flux").
Hello. More than 10 years ago, they did resection of 6-root roots (top left). A fistula immediately formed, and it has lived with him all this time. 2 months ago, a tooth ached, opened the seals, cleaned the canals. Were treated channels for two months, three times laid the medicine. The tooth could not stand, the walls of the tooth broke. Yesterday, the canals were sealed and sent to put the crown, as the tooth is destroyed. The bottom line: today, the tooth began to ache and a fistula appeared again.
Hello! The appearance of a fistula is a negative trend, as it is considered an exacerbation of a purulent inflammatory process. To carry out prosthetics (to put a crown) in such a situation in general is impossible - it makes no sense to wall up a deliberately "purulent" tooth. Judging by your description, this tooth cannot be saved. If everything you wrote is true, and you performed a resection of the roots of such a complex tooth, then everything goes closer to removal. The last word, of course, for the doctor.
Do not under any circumstances prosthetic the undertreated tooth. Thanks for asking.
Good day. Tell me, please, began to treat the top five, it was under the filling and it was painful to chew on it. The doctor opened, cleared, put a temporary seal. Chewing has become even more painful. Came again.Opened, the nerve was removed, the channels were cleared, sealed. Again, a temporary set. And again it is painful to put pressure on the tooth, I cannot eat from this side at all. After 3 days I go to the reception. But I'm already scared - will not it really pass? The picture was taken, it seems, everything is fine, the doctor said.
Hello! After canal treatment, the tooth can react when biting on average from 2 to 7 days. It depends on what material they put, how traumatic the canal was with tools and medicines, and also if there were any mistakes in filling. Severe prolonged pain occurs when removing material for the top of the root. This is, in fact, a complication, but in fact many of these teeth safely stand for years without consequences, although at the stage of treatment and after it (up to a month or more) it can be uncomfortable to chew. Therefore, I believe that the ideal option is to treat the tooth according to the protocol, without fanaticism.
Well, in your case: it would be nice to look at the cause of post-filling pains - it is possible that everything is not so bad (if you wish, you can send a picture to the site’s mail, I will comment on it).
Hello! I had a lower tooth (deep caries), I went to the doctor, she gave me arsenic. A day later she came, she began to clean - it hurt, the doctor said that the nerve had not completely died, it was necessary again to arsenic. And so three times, deeper and deeper, she put this arsenic to me. In the end, she removed all the nerves to me, cleaned everything and put a permanent filling. BUT after a permanent filling, I can not hurt a tooth, it is only on the other side. There is no pain until you click on this tooth. I contacted the doctor, she said that it was normal - it was supposedly a seal that settles in the canals and therefore it hurts when biting ... She said that it would pass with time! But after reading the comments above, that every day the pain should subside, I can say that it does not subside with me, but it hurts even more when I touch this tooth with a filling. The right side of the jaw already hurts, it even hurts to touch the face (cheeks) on the right side! Already in the ear gives. Tell me it will pass? Or all the same to see a doctor again? I have no strength to endure!
Hello! The fact that there were such problems with anesthesia (we will not make out how much the dentist’s fault was here) may indicate that the quality of the canal treatment was probably not carried out at the highest level.The most objective moment of diagnosis in your clinical case could be a snapshot of the tooth with the treated channels. If there is something suspicious in the picture, then I will tell you "from where the legs grow." In the event that the image does not show errors in the treatment, then there is the likelihood of a missing additional channel in the tooth or overlapping channels in the medial root. While it is important to take a picture that can be done in any clinic or hospital where there is a dental X-ray machine. Referral to a free diagnosis should be taken from any dentist at the point of attachment of your policy, in extreme cases, from the attending dentist (this is not forbidden). Private clinics will gladly give you a tooth x-ray, but for a fee. You can send a photo of the picture through the mail of the site (indicated in the section “Feedback”): I will comment on it in more detail. For now, only guesses: the canal (channels) was not found, the canal (channels) was not passed, the canal (channels) was not sealed or the tooth wall was perforated, a periodontal chemical burn, the creation of a false channel, etc.
If the dentist is not critical, “sinned” in the channels, then the pain should go away on their own.Judging by your subjective data, it does not seem that the dynamics are positive. In principle, the doctor who carried out the treatment can be contacted again, but I have a suspicion that it will be difficult for him to work with you for some reason, and I am not sure that he will be able to save the situation, although anything is possible.
Hello, I was treated with pulpitis on the 6th tooth from the bottom a week ago. At first, the doctor thought that there was deep caries, then she discovered pulpitis (although the tooth did not hurt before and did not bother me). First they put "arsenic" for 2 days, then they cleaned 3 channels, took a picture, sealed the channels, put a pin and put a light seal on it. Since then, the tooth aches a bit when biting, but it feels like it hurts only on one side! When I try to chew on it, there is aching pain and a feeling of bursting in the tooth, as if the tooth is pressing on the gum from this side. When pressing the upper teeth on the lower, when chewing, this pain and pressure responds. The pain is not strong, but this arching feeling is strange.
Hello! Considering that the work on sealing the canals of the tooth and on setting the permanent fillings were not carried out in one day,post-filling pains on the background of serious (or not) errors in the treatment of canals, such as:
1. Excessive removal of filling material for the apex of the tooth root;
2. Traumatic passage (expansion) of the canals with endodontic instruments;
3. Creating a false channel in the tooth;
4. Failure of the channel (s) along the anatomical “curvature”;
5. Casting infected sawdust (shavings) over the top of the root;
6. Break off the tool in the channel;
7. Periodontal burn with coarse jet medical treatment of canals.
Or others. As you can see, the options can be mass.
By themselves, post-sealing pains (when biting on a tooth) can be the result of several small defects and errors, as well as one serious violation. Something more definite can be said only after a careful study of the tooth image. If you have it, you can send it to the site’s mail, I will comment.
One thing I can say for sure: even with gross mistakes of the dentist during the canal treatment, post-filling pain can go from 3-5 days to 3-6 months. But here the severity of these errors will directly affect the prospect of the existence of a tooth (up to a possible tooth extraction already within 2-3 years).
Good evening.Her husband was sealed with a tooth, at first he went with arsenic for a week, then all the channels were sealed up, an x-ray was done - the doctor said that everything was fine. But he has such pains that he gives to the head and head, to tears, in general, does not want to live. 2 days have passed, but the pain does not stop. What could it be? And what can you drink from it? He cannot live without Ketorol. Thank.
Hello! I think that your husband went for a week with an armpitless paste, but these are nuances. If he didn’t have an improvement at the treatment stage, then the probability that the doctor could mistakenly put the paste into another tooth decayed by caries, and not the one that gave sharp pain, should not be excluded. If after setting the paste there was an improvement (even for a while), then the increase in pain after filling the canals may indicate gross errors at the stages of endodontic treatment. There may be the removal of a large amount of material beyond the root apex, and the passage of the channel, and the breaking off of the tool in the channel, and the perforation of the wall of the tooth, etc. There are many options.
If there is a snapshot of the tooth - you can send it to the mail of the site, I will comment on it in more detail.But it is better not to delay time - run to the doctor for an on-site reception (to another, not to the one that treated), in order to find the true cause of the problem and immediately take up its elimination.
Hello! Today, the dentist has put a permanent filling, everything is fine, the tooth does not hurt, but came home and saw relief on the tooth, it feels quite strongly. Please advise what could be the problem? Bad polishing? And what to do in this case?
I forgot to clarify the relief on the outer wall of the tooth.
Hello! I think that the dentist badly sanded and polished the grooves and pits that he modeled during the process of filling the tooth. Generally speaking, not all patients like the shape of the grooves - it looks, perhaps beautiful, but the language is unusual. The problem is sometimes solved by perfect polishing with special heads, discs, or by reducing the relief, especially on large molars, where, in principle, these “arts” do not play much importance. So you can turn to the same dentist and try to find a compromise option: either perfect polishing or reduction of relief - all at your request, since this is, in principle, a matter of 5-7 minutes.
Good day! About two years ago I had my nerves removed from the bottom left. The pictures were taken, like, everything is fine. A year ago, my teeth ached. I went to the doctor, took pictures, they say there is nothing there. Now they are sick again. Three days already hurt. When I eat, react to hot-cold. What could it be?
P.S. Now pregnant.
Hello! With 100% accuracy on the cold, the pulpless teeth do not react (without a “nerve”), which means that you will have to look for problem teeth adjacent to the teeth you have cured. If you have a reaction only to cold and hot, the doctor will need to look for the place of destruction of the "living" tooth. This is done simply: a stream of water is supplied to the area where pain is about to be. If you react, then the tooth is selected, in which the nerve was not removed, it looks in which place it has a carious cavity. If after such a diagnosis you still have doubts, then, in theory, a snapshot to help, but you are not recommended to take pictures once again. With a late term on a visiograph, it is possible, but not all doctors decide, fearing then (if anything) accusations against themselves, no matter what are baseless.
If you have spontaneous pain, acute, night, and everything in this spirit, then there is an option to try to diagnose EDI in the clinic, where it is used. Now clinics can have electronic apex locators, without which adequate work of a dentist is impossible, with integrated EDI. EDI (electrical donation) will show in which tooth the infectious process begins - without the use of X-rays, which is contraindicated to you.
So, answering your last question: it can be either caries or pulpitis. In the extreme case, the “dead” tooth from among the treated ones reacts to the hot (without the “nerve”), but to the cold one it’s definitely still “alive”, with caries or pulpitis.
Hello. There was a big caries, they said they would delete. She came again after 3 months, said that you can try to treat. They put arsenic, took place 2 weeks. She came to the doctor - she said that there was pus and bleeding, she again put arsenic. A week passed, then they said that cleanly, the tooth was sealed. Everything was fine, but after 3 days, a throbbing pain began. It hurts day and night, sometimes stops, but after an hour again. The gums are swollen. It lasts 3 days. What's happening? I do not understand.
Hello! Judging by your description, it is difficult to call the tactics of a dentist correct: first, “arsenic” is not currently used because of its harmful effects. Secondly, in case of a purulent process, arsenic paste is never put, as it is not only meaningless, but also extremely dangerous: an active infection is sealed with a potent drug. It is because of the wrong treatment that you most likely had an exacerbation of purulent periodontitis. I recommend to go to another doctor (or urgently to a surgeon to remove a tooth).
It is not excluded that the attending physician undertook to heal a deliberately hopeless tooth, or could spoil a complex, but completely preserved tooth. Anyway, everything went wrong, as we would like, and urgent measures should be taken.
Good day. Tell me, please, began to treat the six at the top, the doctor found only 2 channels - says that it is a rarity. Therefore, I sealed only 2 channels and put a temporary seal, said that if there was a reaction to a cold or hot one, then there would be another channel.4 days have passed, the tooth does not react to cold and hot, but it just hurts from any touch. I was told that it was post-sealing pain. Can the absence of pain in the cold guarantee that there are only two channels, or after filling, can it appear?
Hello! The absence of pain in the cold cannot guarantee that the channels were nevertheless 2, since the coronal part of the pulp is damaged, and when part of the “nerve” is left in the non-found channel, it begins to die, ceasing to give a reaction to the cold. After the removal of the pulp from the coronal part, the tooth ceases to be “alive” (with rare exceptions, when this stage is part of one rare method of preserving or preserving the pulp). When the pulp in the canal is left hot, the tooth may react, as the pulp begins to die and swell, and the heat intensifies the edema with the corresponding sensations (but there may be no reaction to the hot - all individually).
Pain when touching the tooth is really similar to the post-filling reaction. The severity of this complication depends on exactly where the doctor screwed up.If the canal treatment is traumatic, or the material is slightly out of the root, then it may not affect the prospect of tooth preservation at all, but if serious errors occur (an unidentified canal, breakage of the instrument in the canal, wall perforation, etc.), the risk of losing the tooth the near future is great.
If we are talking about the sixth tooth, I note that according to modern statistics, in more than 80% of cases, in the sixth teeth there are four channels and a little less - three. Rarely comes across five channels. Moreover, we are not talking about branches, which can be 15-20 pieces each and which are found in the treatment of tooth channels under a microscope. So, I am afraid that the doctor almost certainly did not find all the channels (it is possible that there are even 2 not found channels, and not 1).
So, answering your last question - the lack of reaction to the cold does not guarantee that the doctor did not make mistakes in the endodontic treatment of the tooth. If possible, contact another dentist (if you have the means, where the canals are treated under a microscope).
Hello! Tell me please. Recently treated a tooth. Diagnosed: pulpitis. Removed the nerve. Sealed up.But only a week later began to whine and throb and ache when pressed. On the cold does not respond. What do you advise? Thank.
Hello! I will advise the following: take a picture or snapshots of the tooth in different projections so that the treatment can be seen and consult a dentist (better to another). Or send a snapshot to the mail of the site, and I will comment on it in a response letter.
For now, I will suggest two options:
1. Incorrectly treated tooth (channels not passed, channel not found, perforation, removal of material beyond the tip, etc.);
2. A tooth is not correctly defined (the wrong tooth was treated, or there is another tooth that has just started to hurt).
In principle, the clarification of the root cause is extremely important, as this will determine the subsequent treatment. I think that with a probability of more than 80% we are talking about an incorrectly treated tooth.
Hello! The front tooth healed me, it broke off: 4 channels, the nerves were already removed, a pin was inserted, a restoration. The tooth did not get sick right after the treatment, but fell ill after 2 days at night, and it has been going on for 4 days already. Every day, everything is stronger, it hurts to touch even the tongue, not like chewing.Desna also hurts, when you press it hurts too. For one day they put medicine and a temporary filling during the treatment. Probably, we must go to the same doctor that he treated the tooth, but I no longer trust this doctor - no matter how I did it. What could it be?
Hello! First, in the front upper tooth, in almost 100% of cases, there is only one canal, and in the lower front tooth there is only one or two canals. Speech about the four channels can not be. This is for reference only.
Unfortunately, I do not know in what form and with what diagnosis you went to the doctor, and also I don’t know the treatment tactics and many of those moments that would allow me to say: “Yes, the doctor nakosyachil”. Now one thing is clear: to consult a doctor if your symptoms are urgent.
About the choice of a doctor - if you do not trust your doctor, then go to another. The best option is to get a consultation in 2-3 clinics and compare them. Fortunately, consultations in many clinics today are free or minimal.
Hello. I had a toothache, seven, reacted to the cold. I was treated with a chip on the tooth, sealed. But the tooth continued to react to water even at room temperature, and then began to ache with pressure. They put arsenic, it became better.After removal of arsenic (I deleted it myself on a day off), pain reappeared when pressed. Yesterday the nerve was removed, the canals were sealed, a temporary filling was put. During treatment without anesthesia, nothing hurt. I drink nayz 2 times. When biting, it hurts again. What to do? Rinse is not appointed, I myself am afraid to rinse.
Hello Olga! It is a pity that arsenic paste is still used in your area. It is recognized as unsafe for pulp devitalization, since in many cases it causes periodontal irritation and worsens the prognosis even with good treatment and canal filling.
Pain when biting on a tooth can talk about many things: for example, poorly treated canals, perforation of the root of a tooth, removal of material beyond the root, a periodontal burn with an antiseptic, a purulent exacerbation during root canal therapy during periodontitis or other treatments.
This is the little that can lead to pain. Some options are not critical (for example, the removal of material beyond the root tip), and some - significantly reduce the lifetime of the tooth in the future (perforations, purulent exacerbations due to poorly flushed canal).So if the pain does not go away in the next couple of days, diagnostics is necessary: you need to take a snapshot of the tooth and get a snapshot analysis from a doctor. If there are errors in treatment, they will be found with a high probability, and it will become clear where to go next. And just by rinsing nothing in this context can be done.
Thank you very much for your answer. The picture was taken, the channels are very narrow and crooked, but well sealed. I went to another doctor for a consultation. Arsenic, because allergic to painkillers. I carry only ultracain, and then I scratch it, so they numb a little. If you don’t touch a tooth, it doesn’t hurt, when pressed, it also doesn’t hurt, but after a meal it aches for a long time. It is a pity tooth, the last and from this party only.
Good evening. There is a hole in the upper left tooth, 7, and he was previously sealed, but the seal fell out, 50% of the tooth was left. When a piece of food gets into the hole, there is a very sharp, unbearable pain, tears from the eyes. What to do? Clean the channels? And close the seal, or is it better to put the crown? What will be better to keep?
Hello! Absolutely exactly what should be treated channels: remove the "nerve", process and seal high-quality. It is no longer possible to save the pulp, or there are serious risks that without root canal treatment, a tooth will soon give the same pain or even more.
As for the last question, it's harder. The fact is that the dentist solves this issue individually. Of course, it is more rational and more reliable to save a tooth with a loss of 50% or more of the crown part as a tab + crown. About the seal, even speech does not go in this context. But prosthetics with inserts and crowns is one of the most expensive options for tooth restoration. The fact is that the treatment of canals in such cases costs about 6-10 thousand rubles, plus separately the stump tab (about 3-8 thousand) and plus a crown (depending on the material, from 3 to 12 thousand rubles) .
Such a complex treatment can cost an average of 20-30 thousand rubles. If we confine ourselves to filling, then there will be a budget, but there is a great risk that the filling and the walls of the tooth will sprinkle in the coming years - especially when the thin native wall of the tooth breaks under the “gum”. In many cases it is very painful, the tooth is difficult to restore, and it happens that such destruction involves the further removal of the tooth remains.
A slightly more expensive, but to some extent even more promising option is the restoration of the tooth crown using a light-cured material and a pin (titanium or fiberglass). The pin is placed in the channel and is a kind of reinforcement for the tooth being restored. However, often the walls of the tooth also break off in the coming years, and the stump (pin + filling) remains. And yet, even such restorations in many clinical cases cannot be made with an exact reconstitution of the (primordial) tooth shape on the bite, therefore a 100% return of the lost function to this tooth does not occur (it simply exists in the dentition and partly performs chewing function and sometimes it is completely turned off from the chewing process).
Therefore, if the tooth loses the crown part in a volume of more than 50%, the best option is prosthetics by the inset and crown created by the dental technician on the bite: it is expensive and angry, but it will last for more than 10 years.
Hello! There was pulpit, a piece of tooth fell off. I went to the dentist, he put a seal, after a while it fell out. She came back to the dentist and said that there was pain at the top of the diseased tooth (this is the fourth tooth on top). He sent a picture, then said that everything was fine and put the seal on again.Exactly a month later she fell out again, but now there was pus, obvious when pressed. What to do? Tell me please.
Hello! If you describe everything correctly, then the doctor’s tactics are in many ways incorrect. I think that there are certain reasons for this (the doctor does not work that way from a good life), but it will be no easier for you.
Now essentially. First, it is worthwhile to find a specialist who will undertake such a difficult job as remaking the treatment for a previous doctor. It is important to start the treatment of periodontitis in the acute phase (or aggravations) as early as possible in order to save the tooth. The upper teeth (especially the fourth ones) are somewhat easier to keep than the lower ones, but it all depends on what exactly the doctor did wrong at the stage of treatment.
First, a snapshot of this tooth is taken, the cause is determined, the root tip is analyzed (inflammatory process). Then the material (if any) is removed from the channel, it is carefully processed and sealed (temporary or immediately by a constant obturation composition). About the need for "cuts" in the transitional fold of the gums - this is decided by the doctor on the spot (according to indications).
If you do not have the opportunity to treat a tooth for some reason, or 2-3 doctors insist on removing it, then it is worth removing the tooth immediately, as the continued presence of purulent tooth creates serious infectious risks, up to spilled edema and the prospect of being maxillary. - facial surgery or intensive care unit.
Good day! I really need your advice, dear Svyatoslav Gennadyevich! The front tooth was depulped more than a year ago, but after three months it began to react during the meal, with light pressure with the hand. I opened it again (although the picture was good, there were no granulomas), I had a temporary filling for about 4 months. It was sanitized twice, then the canal was re-sealed. For some time, the tooth podnyval, then, like, calmed down. But once I get cold, wet my feet, he begins to react to the touch of a hand, as if “ache”. All the time I rinse with salt, grass. Made 3 sessions of laser. What could it be, everything is really bad, right? I have a picture - as they say, everything is in order (I just don’t know how to attach it here), and this inflammation in the bone ...
Hello! There are two possible options:
1. Either the picture is not so good as it seemed to the doctors;
2. Or there is a problematic nearby tooth, the pain from which radiates to the next.
The first option is more common, but 2 is also not uncommon. Therefore, you can say for sure only after a careful analysis of the image. You can send it to the mail of the site (see on the page "Feedback"), I will comment on it.
Still I can not say that in one projection everything is not always well visualized, sometimes it is necessary to twist the channels from different angles to find the cause of the problem.
The fact that you have some kind of post-filling pain (relatively speaking) is not the norm, you should definitely look for the cause, examine the "dead" tooth and determine with the neighboring ones. The best diagnostics is a simultaneous investigation both in the oral cavity and in the image. I can advise on the photo, but a more effective option is an on-site consultation with an experienced dentist in the clinic with normal equipment.
Hello, tell me, please, what can be. In early April, he treated a tooth in paid dentistry.The dentist immediately said that there was a problem tooth (6 on the lower jaw on the left). Take a picture. He said that when opening and cleaning the channels of the type was pus. Bone tissue is weak or damaged, I don’t remember already now ... He made it to me for the 4th time only. Before that, he put the medicine and cleaned the channels with a temporary filling. Nearby 7 was also sealed six months ago, treated in another dentistry, and also cured. If the 7-ku was cured and I forgot about her (everything is fine), then the 6-ka suddenly fell ill for some reason almost in 1.5 months. The pain is teething, as it was before, that is, similar to that when a nerve hurts.
A dentist who was treating a 6-ku asked me if the dentist took a picture. If so, he could see that the 6-ka will soon be felt and problematic. I sit on ketorol and temppalgin. Well, the first week there was a slight pain, well, that is understandable - after the filling and treatment. But then everything was fine. Then I went to the country to plant potatoes. And closer to the night he began to whine with me. And sick suddenly. I began to sin that maybe from the stove from the heat. Or sweet ate. Well, I ate hotter, of course. But I had no problems with him before, I don’t know. As luck would not have handy pills.Rescued with salt and soda solution in warm water. And he noticed that it helps when he went outside to smoke - that is, on the cool and cold air, he calms down. I got up, walk - fine. Only lay down - again increasing pain, which even in the gums gives. That is, as if the gum aches a bit, but there is no swelling. It feels like gums, but it hurts a lot. In general, I did not really sleep, I went to the city at 6 in the morning by car for pills. Just fell on the weekend, today is Monday, all by appointment.
Need to go to dentistry, or should it be, will the pain disappear over time?
In general, the dentist who treated 7 did not take the picture. Both 6-ku and 7-ku were treated as if they had pulpitis.
Update as of May 24 ,.17. In general, I went - it turned out that the radiating pain of 4-ki (small molar 1) from the left upper jaw gave up to 6-ku (large molar tooth 2) of the lower jaw. In my practice and life is the first time. A small chip in the tooth is almost invisible to the eye and did not feel it with the tongue. Treatment: nerve removed and channels cleaned. Temporary filling, naturally. But the most interesting thing is, as it were, for the time being, and 6 is getting sick after the anesthesia passed yesterday from the top four.And a painful 4-ka, as it turned out. And I have always heard from dentists that the pier on the lower jaw is always more painful when the teeth hurt (I would not say that). The tooth even now when pressed hurts when you touch or eat. Anyway, no matter how hard I try, it turns out that you press him, you want it or not. Maybe, just as long as the medicine under the temporary filling works this way, I don’t know.
Hello! Such an irradiation of pain is possible, on this occasion there are even such lines:
... From the lower teeth the pain is directed into the ear:
In the back of the head, in the temple, in the upper tooth gives.
From the top on them - such is unlucky -
In the cheekbone and in the eyebrow, it does not give sleep ...
Irradiation of pain most often goes on one side, but there are even more interesting cases when one pulpit, for example, the upper left wisdom tooth, gives a feeling of pain to all the jaw teeth, that is, it “shoots” everywhere and everywhere.
Glad you found a problem tooth. More than once I have come across cases when a pulpit tooth gives sensations in already treated teeth. This greatly complicates the work of a doctor in finding the cause of the problem.
The fact that when you press a tooth hurts - in general, it can mean anything.But for now there are no reasons for panic: post-filling pain after canal treatment is not terrible, if the pictures show that everything is done in the canals with high quality. Most often, the pain disappears in 3-5 days, depending on the material used and the nature of the treatment errors. If these errors are not critical, then everything passes without consequences for the tooth in the long term.
I think that while the irradiation still remains in the residual version, therefore, the lower 6 tooth hurts. But this fact should be checked in dynamics: it is worth watching a little bit so that everything becomes clear.
Hello. Tell me, please, what can it be. 2 weeks ago I treated the upper left 2 and 3 teeth. They removed the nerves, sealed the canals, put temporary fillings. A week ago, the aching pains began, which are not relieved by painkillers, are only dulled. There is no acute pain. Especially for some reason, whining when moving and walking. There is a feeling of tightness in the area of a healthy unit. The unit does not hurt, but also starts to whine. Unfortunately, I can’t provide the picture, but according to the dentist, everything is fine on it. I just do not even know what this is about, because the pain did not begin immediately after the treatment.
Hello! It would not hurt your comment on the exact cause of depulpation of 2 and 3 teeth - was there any symptoms typical of pulpitis, or were the channels treated for prosthetics? Basically, a snapshot could shed light on the causal relationship to your pain. I think that it is worth checking not only the treated teeth for errors in the treatment of canals, but also neighboring ones in order to reveal possible hidden carious cavities. Just because the pain does not occur. It is not excluded that pain radiates altogether from another area (it happens even from the opposite jaw). Finding the cause, that is, diagnostics is often the most difficult stage in the work of the dentist, but it is important not to break the firewood. It makes sense to turn to a different (disinterested) dentist with the picture, as long as your doctor says that the pictures are fine. Sometimes the doctor who performed the treatment is not able to objectively evaluate its results.
Hello. Treated a tooth a year and a half ago, anterior 2. There was a blow to it, they said that the ligaments had allegedly torn and the nerve had to be removed. The tooth ached very much.The nerve was removed, but a month after the treatment the tooth, exactly when you press it, aches a bit, the pain is not severe. Saved year and a half to this day. I went to take a picture - they said that everything is well done. Changed the seal, but the pain does not disappear. Where can I send a picture? The site does not have such a function to attach a snapshot.
Hello! You can send a snapshot to the site’s mail in the “Feedback” section. If we are talking about the front upper tooth (most likely), then the treatment of pulpitis in it is technically not difficult, so you should look for the cause of damage (maybe microdamage) from the impact of either the root or periodontium, although the latter should have 3 months to regenerate. I think that somewhere there is a microtrauma of the root wall or something like a subluxation of the tooth.
I can not deny the possibility of removing the filling material beyond the root. Even despite the fact that the doctor considers the picture exemplary.
Good day. Treated a tooth in 2010 (treated 3 channels, upper left 7th tooth, pulpitis). A seal was installed, there was never any pain or problems after treatment.
Last week, for no reason, the tooth began to hurt a bit when pressed and began to react to hot things.Today we took a picture - everything is in order, the channels are completely sealed, there is no inflammation. The doctor is very surprised, offers only to overfill the channels, if the pain does not pass. When tapping on the walls of the tooth, all sides are sensitive, the next six are fine, there is no pain, the walls are not sensitive.
I remembered - a couple of months ago there was a similar situation with the same tooth - the pain was about a week and gradually disappeared completely. Now it is repeated, but so far it does not pass, the intensity has slightly decreased. I can not understand - what a miracle with a dead tooth after 6 years and how to choose a treatment? I don’t want to spend huge amounts of money on re-curing channels, if in the end it turns out that it’s in vain, the channels will turn out to be normally done. Have you ever practiced this?
I think, maybe it's in the filling - the other 3 teeth (six) are also with treated canals, but they are under the tabs - they cost almost 9 years. The doctor is the same, in the picture she does not see the difference between all the treated teeth ...
Hello! Sometimes such cases do occur with “dead” teeth, when the image is all right, and the tooth hurts during percussion and from hot.I think that the material in the channels or the channel was loose to some extent loosely or even loosely, but now there is a depressurization of the channel or channels. When the gutta-percha in them begins to "hang out", the tooth begins to hurt exactly according to the principle that you describe. In the most extreme cases, all this then leads to purulent edema and severe pain, which can follow without timely treatment.
I agree with you that it is important not to make a mistake here: several times to check that it is the indicated tooth that reacts to percussion, and the neighboring teeth do not have hidden caries and are insensitive.
In my practice, such strange "dead" teeth are found - during retreatment when opening access to the channels there are all signs of unfixing, although formally, everything in the picture is very beautiful.
Hello, I healed a tooth two weeks ago. It was pulpit. They cleaned the two channels not painfully, and the third began to clean - and the pain was as if a nerve was alive there. I told the doctor about it, they anesthetized, cleaned, the tooth was sealed. And I can not eat on that side. Even soft food. It hurts, it hurts to touch.Could it be that the tooth is not 3, but 4 channels? I took a picture, but I can not understand what is there. The tooth was treated in another city, and where the picture was taken, they said to go for an explanation to the one who treated.
Hello! There may be four channels in a tooth, especially if it is the 6th upper tooth (often) or the lower one. From the 1st to the 5th teeth do not have 4 channels, in the 7th and 8th - sometimes. You did not indicate which tooth was treated.
As for the fact that you did not want to diagnose the cause of pain professionally, I can say: motivation can be anything, to the extent that the doctor has done something, but they simply do not want to put it in a bad light (unethical). Or they don’t want to redo his work - it can be difficult and in many ways problematic.
You can send a snapshot via the mail of the site (the address is indicated in the section “Feedback”), and I will comment on the response letter. In some cases, a good view of the channels requires images from different projections (angles), that is, from different angles. But sometimes mistakes can be seen in one targeted shot.
Guessing about the causes of pain without a careful study of the pictures, perhaps it makes no sense, since everything is possible here,anything (from removing the material beyond the root of the tooth to the perforation of its walls, breaking off the instrument in the canal or not finding the fourth canal on which you focus).
Tell me, please, today I made a tooth, put in a seal. After the discharge of anesthesia, the tooth became very sick, I have been suffering for a whole day. Pregnant 9 weeks. I drank pills for pain, but nothing helps. Help what to do? Until tomorrow, I do not tolerate.
Hello! To help, it is important to know the cause of the pain, and it’s not even clear from the question why you were given a filling: whether caries was treated, or its complications (pulpitis, periodontitis). Anyway, it is necessary to urgently consult a doctor for emergency help in order to lead the tooth to a different diagnosis (most likely, pulpitis). Otherwise, if there was a tooth filling after the canal treatment, the described symptoms indicate the development of a complication or medical errors made during the treatment. So urgent to the dentist.
Hello, Svyatoslav Gennadyevich! I was 5 days ago installed a seal on the lower last tooth on the right. The doctor removed the old filling, and put a new one. Tooth is alive.The first day the tooth ached, now it just reacts to cold and hot. But the problem is that the upper lip began to twitch, now for 5 days, and on the one hand - to the right. What is it?
Hello! The idea that the problems with lip twitching are the result of any errors or complications in the treatment of the tooth is questionable. Rather, we can assume the option of stress on the background of treatment, but no more, that is, we are talking about the neurological nature of the problem. Accordingly, I recommend that you consult a neurologist for an early clarification of the situation.
Hello, dear Svyatoslav Gennadievich. My situation is not from the "simple". Half a year ago, they put me a seal on 36 tooth (I don't really understand the numbers, but it was written in the map that way). After about 2 weeks, he became very ill, and I went to the clinic with "acute pain." I removed the filling, removed the nerve and put a temporary one, saying that in two weeks I would come up and put a permanent one.
I didn’t have to go to the doctor at that time, and then somehow I forgot about this tooth. In general, this was the case with this temporary filling for about 5 months.
One day, this tooth started whining again.I went to the clinic - they said that the seal had “resolved”, so he fell ill. They removed the remnants of the temporary fillings, cleaned the channels once more, and set the temporary ones again.
So, I have a question for you. When they put a temporary filling for the first time, the tooth passed almost the next day. Now the tooth with a temporary filling does not pass the second day, it aches, it also hurts when biting. The pain is also given to the nearby teeth, the jaw also hurts, and not under the tooth itself, but under the teeth, into which the pain from this tooth gives.
I was told that if it would hurt for 2-3 days, this is normal, but it scares me that the first time the pain has passed the next day, but now the tooth aches constantly, it hurts to eat, at night the pain is getting worse.
Tell me, please, what can it be? Is this normal? Waiting for your reply. Thank!
Hello! First, you behaved very carelessly, not putting a permanent seal in the near future after the canal treatment. I would not advise to go with a temporary filling even for more than 7 days, since the canals are re-infected from the oral cavity, and the work of the doctor turns down the drain.That is, the first time you were treated with pulpitis, everything went as calmly as possible, but when you violated the treatment regimen, you turned it into an exacerbation of periodontitis after 5 months of walking with a depressurized temporary dressing. It is not surprising that the process of tooth over-treatment is not simple, as you and the doctor would like. Of course, much depends on the professionalism and tactics of the attending physician, who took up the difficult and not always rewarding work (in some cases the tooth cannot be saved, it has to be removed, and the patient may think that the doctor did not cope or screwed up something ).
2 years ago I had a toothache - the upper left, in front of a wisdom tooth. They made a small hole, put arsenic. Nothing hurt, then told to come in a month to remove arsenic. As a result, arsenic was removed, nothing was done. Like, it did not hurt, but after that it began to hurt again. I went to the same dentist, he made a hole in the tooth, did nothing more, and told me to rinse with chamomile and soda. A week later I came, they put me a seal for 2 months.
I do not know why, then I come, and there I am not on the list at the reception.The tooth did not hurt, over time the filling fell out and I went to another doctor. He gave me 2 times the medicine (not arsenic), he temporarily sealed for 10 and 11 days. Then they said that everything was clean and put a permanent seal. And they said he could get sick, but this reaction is normal, it should be on a permanent filling. On day 1, nothing hurt, on 2 I started to hurt with pressure, on day 3 I started to itch under the tooth. Don't even know how to scratch. Then he began to whine more nearby. For 5 days, a tooth aches with pressure, the pain subsided a bit + my cheek swelled, although I did everything without anesthesia.
Hello! In my opinion, in your case, on the part of the doctor, you can observe a typical example of a routine intake - in other words, the treatment is directed not at the result, but at what is mechanically done and released until the next admission. Often the logical outcome of such a "treatment" is the extraction of a tooth. If you go to another doctor in time, who treats at the stage of pulpitis without “arsenic” and performs endodontics in one visit, and in the next puts a filling, then the tooth can be efficiently and fully preserved without unnecessary troubles and nerve winding.
Now you are dealing with an exacerbation of periodontitis, which is fraught with negative consequences. It will probably be difficult to correct the situation, but it’s worth a try: I recommend finding a clinic where doctors perform endodontics using a microscope and ultrasound processing of channels using sodium hypochlorite - this may give a chance for the complete destruction of the infection in the canal system. However, if the previous doctor made serious mistakes, it may not be so easy to save a tooth.
Svyatoslav Gennadievich, hello! Please help me figure it out. On July 11, 2017, I was installed on the tooth in connection with the detection of caries, which did not bother me (previously sealed). I had to make 2 injections, because after the first one it was still painful to “drill”. The doctor said that this is possible because we drill deep enough. After the anesthesia had passed, it was painful to chew on this tooth. The doctor said that this is normal, but if the pain does not go away within 2 weeks, we will remove the nerves. I did not take a picture. More than a month has now passed, I have long been able to chew on this soft tooth, but if it is hard to chew something, it still hurts. In a quiet state, the tooth does not bother.Question: what to do in order not to just remove nerves at once (suddenly you can do without it)? Wait? Maybe it will be final? X-ray, EDI? Help me please. Thank you very much! Sincerely, Elena.
Hello! It would be great to make EDI, since you will immediately know whether the pulp is healthy or not. But this diagnosis is not available in all clinics. However, EDI is the most ideal option in your case.
I understand that the trend is positive, because chewing every week becomes more tolerable. Therefore, I think that after all we are talking about drying the dentin or the bottom separation of the photopolymer from the dentin, which sometimes gives a painful reaction until the dentin recovers at the border with the filling, or rather, until its thin structures adapt to this situation. .
Regarding the question of the feasibility of waiting: I advise you to wait, if you really can not find a clinic with EDI. If a sharp pain occurs, then naturally you will deliberately go to treat pulpitis.
Svyatoslav Gennadievich.I had my nerve removed and I was busy picking up the canals for a long time, then they put in a temporary filling with medicine. After that, I got to the doctor only a month later, all this time there was pain when pressing on the tooth, and a hole in the gum appeared nearby. Despite the pain when chewing, they put a light seal on me and let me go, saying that everything would heal. Already a month I can not chew on this side, tooth 7. I went to another doctor, said it was because of inflammation and pits in the gums, healed. Here is a story. The pictures are perfect, but even when brushing, this tooth reacts like a bare nerve. Could this be due to inflammation and how to treat it? Thank.
Hello! The situation is difficult, without inspection in the chair and analyzing the image here it is difficult to say something definite. It is possible that the second doctor does not see errors in the treatment of canals, although they exist. It is also useful to carefully analyze the condition of the neighboring teeth, and check their reaction. If there is any problem from the side of the gum, then it is also important to emphasize this.
If nothing is done, then if there is a serious reason, it can lead to a dangerous purulent process.Therefore, I recommend as soon as possible to contact another 1-2 doctors in a clinic high enough to clarify the situation.
I treat a tooth, put arsenic. Two days later, they said to come - she went, cleaned, put a seal. Prior to this, during treatment, the tooth sometimes ached. But after the filling, the pain increased, giving to the ear and to the head. I went to the doctor, took a picture - it seems everything is fine. The doctor looked and the tooth itself. He said that everything is fine, but why the tooth ache was not understood. I went home, drank anesthetic. The tooth did not hurt. And now (in the evening) again whines. What to do?
Write a claim for a refund if you are not sure of the doctor. Unfortunately, nowadays, there is a lot of “manual * opykh” and nobody wants to redo anything (standard excuses: nothing, but everything seems to be normal, you come up with something, etc.). And if they do it, it’s like a huge favor. It is better to pick up the money and carefully look for a specialist in rework.
Svyatoslav Gennadievich, help, please. I got a seal, and after 1 year the tooth began to ache. What is it?
Hello! Here are two options.The most likely, taking into account your question, is pulpitis, as a complication of caries or of a traumatic treatment that was performed a year ago. That is, either caries are “not cleaned”, or - the doctor overheated a tooth during its preparation. Overheating of the tooth, taking into account the past year, is a little less likely, but it happens that the acute form does not immediately appear after the wrong treatment, and already a sick tooth “freezes” waiting for the exacerbation of pulpitis or even acute or chronic periodontitis (inflammation at the root I also cannot exclude, since you did not specify the nature of the pain, the presence of temperature, and the condition in the oral cavity: is there swelling of the gums, pain when pressing on the tooth, etc.).
The second option: if you were treated channels a year ago, then it is an exacerbation. Most likely, also against the background of the wrong treatment. In addition, there are such situations (and not rarely) that the patient confuses pain in an untreated tooth with the one that was treated. That is, simply mistaken with a tooth. That is why, according to the principle of “trust, but verify,” each dentist determines individually: whether that tooth hurts, which the patient points to. So for an accurate answer to your question requires careful diagnosis.
I had a hole in my tooth. I tried to sleep, but nothing worked. Mom gave a pill, I do not remember which one. The doctor takes only from February. It's one in the morning, I woke up, my tooth still hurts. What should I do, please tell me? All this time he hurts, I cry from this pain.
Hello! While you wait for a doctor who accepts only 10-12 days, you can bring the tooth to removal. The fact is that, against the background of the transition of pulpitis to periodontitis, a purulent infection can be activated - in this case, the deterioration of general health may suggest emergency tooth extraction, and its treatment.
Urgently run to another doctor, not waiting for 10 days. Otherwise, there will be a high probability of negative consequences.
Hello! I took treatment with canal filling. Now, when they put a permanent filling, I began to feel a nagging pain when biting, although when there was treatment, I did not experience pain under a temporary filling in several stages of canal treatment. Is this a normal reaction?
Hello! Post-filling pain associated with canal treatment occurs more often on day 2 after treatment, so it is not surprising that you did not experience discomfort during manipulations. As for the fact of the appearance of these symptoms, I can say that most often they do not indicate a doctor’s mistakes, although small errors could well have been made at the endodontic stage. As a rule, pain subsides already within 7-10 days.
If, after all, significant errors were made by the doctor, the pain can last for a long time, sometimes for months. The presence of errors can be checked only with the help of a snapshot from different angles.
08/30/17 a tooth was sealed (photopolymer, 2 at the top left). 02/09/18 the same tooth began to twitch, and then let go, then again. Such sensations lasted three days. 02/12/18 twitch stopped, but became inflamed, it was even impossible to touch him with his tongue. What to do? Can a solution of soda with salt help? Or will not pass, go to the doctor? Answer please.
Hello Larisa. Most likely, after installing the seal, your nerve inflamed.After 3 days, the infection moved to the root canal and farther to its tip, so it became painful to touch the tooth to the tongue. In such a situation, an urgent need to consult a doctor is likely to require removal of the filling and further treatment of the canals of the tooth. Do not pull with it.
Hello! Today I put a seal. Earlier, more precisely 5 years ago, this tooth was sealed to me. Now it hurts terribly, intolerable. What to do?
Hello, Kalia. If the pain does not go away or even increases, becomes paroxysmal, then it is most likely pulpitis, which could occur due to the doctor’s fault if the rules of preparation of the cavity in the tooth were violated and its filling was broken. I recommend to urgently consult a doctor to assess the condition of the tooth, and it is useful to check it even if the pain passes suddenly (when the pulpitis “nerve” inside the tooth dies completely, the pain passes, but then the neurovascular bundle gradually decomposes, producing pus - with treatment in this situation is better not to delay).
Hey. Put a seal after the removal of four-channel pulpitis. When lightly pressed, the tooth hurts, on top of the gums there is a hole.I went to the same doctor - they made an x-ray, they said that the tooth should not hurt. What should I do?
Hello, Alexander! After the treatment of pulpitis, the so-called post-filling pain is really often observed (after the hermetic closure of the tooth canals and the filling). The causes of this pain can be very different (from a dozen) - from excessive removal of filling material beyond the root of the tooth to an allergic reaction to the material itself. On average, pain may be present from a week to two months. If there is no positive dynamics, I recommend to unseal the tooth (open) and treat it again.
As for the "hole" on the gum - during inflammatory processes inside and on the roots of the tooth, a fistulous passage is possible, through which the pus leaves the zone of inflammation into the oral cavity. It would be useful to have a CT scan (computed tomography) for a more detailed determination of the cause of the problem.
I sealed the lower 7 and 8 teeth. Already the second day of pain and a little swollen. The pain does not subside. What to do?
Hello, Galina! You did not write whether the dental canal was treated before installing the fillings. Usually, long-term post-filling pains are characteristic of endodontic treatment - pain usually passes in about a week, but in rare cases, against the background of treatment errors, it can persist for months.
If during the week there is no positive dynamics (the pain will not gradually decrease), we recommend that you contact your doctor to clarify the situation. Sometimes, for example, it simply requires adjustment of fillings on the bite. However, there may be more significant problems (there are a lot of options, at least a dozen, and here we need a full-fledged diagnosis).
Hello! I treat periodontitis 2 teeth (4, 5) for about six months. In the 1st clinic they said that it was pulpitis and caries, they put fillings and gave money. And the pain was terrible - as it turned out, they still crushed the gum with a filling, and a pressure sore appeared there. Then a friend sent me to a doctor, to whom, it seems, we all strive to get there, which takes even the most difficult cases. Although my case he did not call very difficult. But heals six months. There is a dynamic, but is it normal? Infinite washes, preparations with iodine and calcium.
X-ray is fine: the channels are filled with the paste to the end, there is no inflammation (I saw it myself, I am a doctor, but not a dentist). Tried to seal - after terrible pain arises. As he explained: it will hurt or burst, the paste hardens. But it was unbearable, at night I woke up, hardly thinking, found Ketorol. Then she could not stand it, asked to remove the paste and put the soft material back on.
Month 2 has passed. Now is another attempt. It seems that the tooth did not hurt at all. But again the same thing ((the 3rd day I live only on tablets and it hurts to bite. I don’t know what to do. Maybe I need to remove a tooth? This doctor insists that everything will be cured, it’s not necessary to remove, and long rinsing is good. Just in case: he especially does not take money for washing, it is not the case when they want to lure the money.
Hello, Lily. If the canals are well processed, flushed and there is no inflammation in the picture, you still need to try to fill the canals with a permanent material - gutta-percha pins. Pain for about a week after a filling is normal. Within a few days, it usually passes.Do not hurry to remove the tooth, but for a long time it does not make sense to go with a temporary medicine either. Since your problem has not been solved in half a year, and there are no positive changes, I would recommend to consult at least another 1-2 specialists. Different people have different experiences and there may be completely different approaches to the same problem.