Treatment of the canal of the tooth is a high-tech manipulation, requiring from the dentist not only relevant theoretical knowledge, but also developed skills of applying special methods and tools specific to endodontic therapy. Simply put, this procedure is complex and involves many possible medical errors.
Unfortunately, there are often situations where after removal of the nerve (pulp) and after cleaning the canals, the tooth continues to hurt. Sometimes the pain is so strong and not long lasting that a person has to take pain pills for several days.
And here it is necessary to figure out: why does a “dead” tooth even hurt at all? After all, after cleaning the canals in it, it would seem there are no nerves anymore? reception
Generally speaking, all the pain that occurs after processing and correcting the canals, dentists call "post-filling pain." Moreover, some doctors believe that such pain is a 100% complication, even if the X-ray image shows that the channels are sealed without errors. Other dentists hold pains. in the tooth after nerve removal, cleaning and high-quality canal filling is a condition within the normal range, but only if the pain persists for no more than 5-7 days.
On a note
Post-filling pain after canal cleaning can be both constant and occurring only when biting or pressing on a tooth, which makes food very difficult. Most often, pain occurs spontaneously a few hours after the treatment procedure and is constant.
It is permissible to maintain minor painful sensations up to 2-3 weeks, if their intensity is characterized by a gradual decrease with each week. But a sharp increase in pain a few days after treatment requires urgent diagnosis and, possibly, re-treatment and cleaning of the channels.
But what should a person do if the tooth continues to ache long after the removal of the nerve and the canal treatment? Well, in this situation, you need to urgently sign up for a second appointment with a doctor to assess the feasibility of re-treatment.
Firstly, in such cases, pain is often an indicator of complications in the tooth caused by errors made by the doctor during treatment. Secondly, one should know the “enemy” (complication) in the face in order to be able to correct the situation in time and save the tooth from removal. Inactivity is not allowed here.
So, let's understand in order, why the tooth can continue to hurt after removal of the nerve and canal cleaning ...
Filling material is bred at the top of the tooth root
Among all the complications that arise after cleaning and sealing the canals, the removal of the filling material beyond the root is perhaps one of the first places, even despite the accuracy control systems available in dentistry for this procedure. Almost every dentist with experience of more than 10 years has been confronted with such situations at least a hundred times when, after removal of the nerve and removal of the filling material beyond the root apex, the patient's tooth began to hurt badly already on the day of treatment.
To diagnose such a complication is possible only after studying the X-ray image or the visiograph data on a computer. But the panoramic X-ray of both jaws does not always allow a detailed examination of the apex of the roots of the treated teeth and the identification of the problem.
When removing the filling material beyond the root, the tooth can ache for a very long time - up to 5-6 months. It all depends on how much material is released into the surrounding soft tissues, what kind of material it is, and also what level of body reactivity a person has (after all, a filling material is a foreign body to which an immune response occurs, the severity of which will be different for different people) .
It is interesting
In 1935, the dentist A.A. Anischenko suggested a method for filling the tooth canals with phosphate-cement, and he suggested that the best way to restore the destroyed bone around the root with periodontitis is to bring the material out of the root to this pathological focus. Modern dentists consider such a method of treatment to be a mockery of the patient, since even if positive results are achieved due to the strong sealing of the canal inside and outside the cement plug, in which bacteria cannot reproduce, nevertheless,immediately after the completion of the anesthesia, the person will experience hellish pains. They may be even stronger than before the treatment of the tooth.
A solution of phosphoric acid, which is part of the phosphate-cement, has a strong irritant effect, and the very solid cement mass itself is a foreign conglomerate that never “resolves” outside the root. For unknown reasons, in the conditions of the terrible Soviet dentistry, this method has been used for more than 30 years!
Currently, cements are extremely rarely used to treat canals, and the removal of any filling material beyond the root tip is considered a complication. Due to the progress of scientific progress, dentists began to use gutta-percha pins and the Termafil system for obturation (filling) channels and their branches.
With an incorrectly determined working length of the tooth, the absence of an apical stop, an incorrect fit of the gutta-percha pin in size, the material is removed into the surrounding tissue root. At the same time on the X-ray photograph it is possible to observe how a white strip of filling material passes inside the root, reaches its top and continues further.Even a person who is not quite advanced in matters of dentistry can easily diagnose a doctor's mistake when the gutta-percha pin continues beyond the root by 4-5 millimeters and even more.
It’s not worth waiting for the pain to pass. Sadly, but sometimes the most effective solution is to contact another doctor if the dentist who allowed the material to be removed outside the root did not correct the situation and is not going to correct it, telling you that everything is normal and the pain will sooner or later herself.
Modern filling materials are most often removed without problems, provided that the clinic is normally equipped. As soon as the excess material is removed and the tooth is properly filled, the pain will disappear immediately or within 2-3 days.
It is interesting
Phonophoresis with hydrocortisone, a helium-neon laser, fluctuating currents, microwave and UHF are sometimes used as physiotherapeutic methods for relieving pain in the tooth after nerve removal and canal cleaning. These methods are suitable, as with the "classic" post-filling pain, and as an additional therapy for pain syndrome after eliminating the effects of various complications.
Incorrectly sealed channel
If, when removing the filling material for the root tip, the tooth begins to hurt within the next time, then if the canal or canals are insufficiently filled, it may not respond at all. As a rule, when a tooth does not hurt in such a situation, an effect of imaginary well-being is created. And the question here is how much he can not get sick after such a bad treatment.
Dentist comment
In my dental practice, I have repeatedly come across dental retreatment, which sometimes were not completely sealed inside the canals, or the filling material was simply “smeared” on their walls over a period of limitation from 5-6 months to 7-8 years or more. If the patient himself came for help, then the complaints were approximately as follows:
“So many months (years) ago I treated (cured) a tooth, and, being dead, did not hurt (or hardly bothered), until the other day there was a strong spontaneous pain, especially when pressing on the treated tooth while chewing hard food ... "
In many such clinical cases, due to the proliferation of bacteria in empty or half-empty canals, certain changes in the bone tissue near the top of the problemroot: from a slight dilution of the bone tissue to the formation of a granuloma or even a cyst.
Vyacheslav, dentist-therapist, Samara
The sooner the root filling is removed and the tooth is re-cured, the faster the pain will pass (if any), and the conditions for the growth and multiplication of infection in the canals with a transition to the near-root region will not arise.
Break off the tool in the channel
If for the first time a dentist encounters such a complication as breaking off an instrument in a canal, then in most cases a panic arises at the doctor (a psychological moment is triggered - after all, this is a medical mistake). However, this, although not the most frequent, but, nevertheless, it is possible to correct a quite ordinary working mistake, taking into account modern technologies and methods, and save the tooth.
If during cleaning of the canal a part of the endodontic instrument broke in it, then if it is left in the canal, the tooth will start to hurt either immediately or after a while. This is due to the fact that a piece of tool stuck in the canal does not give the doctor access to the root apex, because of which there remains a part of the nerve or an infection that has not been washed out, which necessarily begins to multiply, and can lead to very big problems in the future.
Breaking off the instrument most often occurs through the fault of the doctor, and here the following reasons are possible:
- excessive pressure is applied to the sharp instrument;
- violated the technique of using the tool;
- gel lubricants are not used to prevent channel “jamming”;
- old needles are repeatedly used to clean and expand channels (for example and files), which have gone through the processing steps many times and are no longer suitable.
Even in narrow and strongly curved canals, it is possible to work neatly and correctly, without leading to a tool break.
To avoid possible future complications, carry out the immediate removal of debris using various methods. For example, currently the ultrasonic method of “knocking out” a fragment is actively used. Another method of extraction is the passage of the channel next to a piece of stuck tool, expansion, washing, capture and subsequent extraction.
If it is impossible to extract, conservative surgical methods can be used, when the passage of the canal is sealed with cement, and the part where the debris is located is resected (the top of the tooth root is cut down).
The impregnation method of eliminating complications still remains a doubtful method, when a powerful antiseptic mixture (most often resorcin-formalin) is poured into the canal over a piece of instrument and a seal is put. Usually, after some time, such patients again turn to the dentist with a question - they say that they removed the nerve in the tooth, but it still hurts. The indicated method with the use of resorcin-formalin paste does not always give the result, it is much more reliable to remove a broken instrument from the canal.
Tooth root perforation
A crude but well-understood analogy of this terrible term is “a hole in the root.” Generally speaking, the statistics on the number of perforations made in the roots of the teeth of patients in modern clinics only increases every year. This is due to the fact that more and more dentists are switching from the routine treatment of dental canals by hand to machine techniques, when instead of the usual intra-canal instruments for the passage, expansion and cleaning of canals, endodontic tips are used, which rotate the working part of the instrument under the control of a special device.
Due to the lack of experience of the doctor, either a quickly rotating tool can become jammed, or simply a rough passage through the channel, resulting in perforation of its wall. An incorrectly chosen set of tools also sometimes leads to the passage of the channel not along its real curvature, but directly, that is, into the wall with access to the soft tissue surrounding the root.
If the perforation is done after removal of the nerve and the initial cleaning of the canal with hand tools, then there is a strong bleeding from the tooth and pain (although anesthesia smoothes it or almost completely blocks it). If this complication is ignored, when filling the canal in the usual way, the filling material most often gets out of the root in the place where there is a “hole” in its wall.
The result of this in almost 100% of cases is acute pain that occurs immediately after undergoing anesthesia. A tooth after nerve removal with such a complication can get very sick for 2-3 weeks and even more.
From the observations of the dentist
At the time of root perforation, most patients feel a “prick” even with strong anesthesia, after which the pain may not occur until the doctor again leaves the root wall.Usually, literate patients describe this moment as if the “instrument went into the gum,” and further pain after the “freeze” is easily attributed to this mistake of the doctor.
So that a strong toothache in a cured dead tooth with a “perforated” root does not become a nightmare, and also to prevent suppuration around the root, it is important to detect the error in time and eliminate it.
For a favorable outcome from the dentist, it is required to go through all the channels in the tooth, clean them from pulp residues and infections, without affecting the false course in the root wall. Root perforations need to be closed with calcium-containing material (for closing such perforations, ProRoot MTA material has proven itself well, for example).
Allergy to filling material
Cases of allergy to various materials and substances are almost the “classics of the genre” today, and filling materials for filling the channels are no exception. When they are introduced into the dental canal to a person prone to allergies, severe pain may occur in the tissues surrounding the tooth, which sometimes are not even stopped by painkillers.
In these cases, in response to the material in the canal of the tooth (and especially when it goes beyond the root), an allergic reaction occurs.The local manifestation of allergies is swelling of the gums, severe pain in the dead tooth, sometimes swelling of the lips and cheeks.
Local swelling of the gums may not subside for more than a week, and the pain is greatly aggravated by pressing on the tooth, as a result of which the patient cannot fully feed. Sometimes the dentist, confronted with this complication, cannot understand anything: while working with the channels, there were no problems, the channels were sealed perfectly, and the patient with the nerve removed continued to hurt the patient, and every day more.
Patients themselves often ask the doctor to urgently remove a bad tooth so that it does not torture them. Of course, a dentist therapist who is confident in his abilities usually does not agree with this, but unknowingly often chooses the same filling material when healings a tooth, from which the tooth continues to ache.
Only the replacement of the filling material with an alternative, having a qualitatively different composition, allows you to eliminate all the phenomena of allergy and the associated strong toothache.
Interesting video about the possible causes of pain in a dead tooth under the filling
Removing a fragment of a broken instrument from the canal
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 b ...
Often, after the treatment of pulpitis, patients are surprised to find that the tooth continues to hurt - it hurts to press, bite, l ...
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 ...
Hello! A couple of weeks ago I turned to the dentist with pain in 2 teeth, one of them was treated, the filling just fell, and in the second tooth I cleared the canal of nerves and sealed with a temporary filling. As she left, she didn’t notice anything like that ... By the evening the pain started, as if she didn’t go anywhere.I went back to the doctor the next day. She said come in a week. I came up in a week and a half. The pain did not subside ... She told me to rinse my mouth, my gums were sore. I do not want to return to it, but I have already given the money! How to be, tell me? Under my crown, besides, the beginning still hurt ((
Good day. I am writing you 10/31/15, the last visit to the dentist with the resultant filling was on the 28th of the same month. For three days I can not eat or sleep. The effect of painkillers is rapidly falling, and the pain is getting worse. Together with the tooth, from which the nerve was removed, pain is observed in a number of neighboring ones, in the ear on the same side, and half of the head on that side. Even a light touch of the teeth of the upper jaw causes incredible pain, sometimes causing me to panic. Even movements in space and temperature drops cause pain. Arsenic was removed, without anesthesia, in free dentistry. But in the pictures it was clear that the channels were sealed up normally. The most pleasant thing now would be to find out in some way about the normality and duration of these unbearable pains.The information in the article is even more than exhaustive, but still. It seems that everything is normal, not an allergy, not a medical mistake ... But, nevertheless, the pain has a growing character. The doctor said that this hell will last around 2 months, which I fear will lead to my death, because there is no more urine to endure, and if the pain does not subside, but will only intensify at the usual pace, then my death will be very fast. Help with advice or some more extensive information, if there is such an opportunity.
Hello, Sophia! Of course, it would be nice to see the pictures - at least in order to understand whether “the channels are really sealed up normally”. The growing nature of pain that “shoots” in the ear and causes unbearable suffering every day is not the best option for the continuation of a normal life, as you have to regularly take painkillers, and a long course of medications are certain risks. There are two assumptions regarding your problem. The first one concerns coarse filling, when the introduced material irritates the apex of the tooth roots.Such materials are even in extrabudgetary dentistry: beautiful in the pictures, but, brought to the end of the root in the picture, they are considered derived. Understand the fact that the exit hole from the root often does not coincide with the radiological apex, therefore for such a coarse “cement-like” material derived, the supra-articular tissues take a long time to adapt. This can be indicated by the advice of your doctor: to wait “in the region of 2 months”. There is a second assumption that there is still a bad tooth. While you suffer pains when biting in a treated tooth, there is not a sick tooth found right away, although this version is less likely, and for a budgetary institution it takes place because of the haste of the doctors. If the pain actually provokes the material, then to alleviate the symptoms and even reduce traumatic inflammation, you can try physiotherapy, such as: ultrasound therapy, microwaves, electrophoresis of analgesics, laser.
It is advisable to consult the physician’s physiotherapy room on the expediency of a particular procedure for you personally. It is possible that in your city there are such services that can ease your situation.However, it would be advisable to see the pictures to another dentist, for the objectivity of opinion.
I had the same situation. The doctor also could not say anything. Everything hurt, and wildly, what was on the right side of the head: all the teeth, ear, head, muscles. Osteopath brought back to life. I don’t remember exactly what I had, but at that moment I didn’t have any understanding, but one visit to a competent osteopath brought me back to life. It seems that it was either a pinched nerve, or something else from a long open mouth.
I had something similar, I will tell you right away that you can make mistakes in a particular tooth. When such pains occur, it seems to you that this is this tooth, and the reason is in a completely different tooth. When I came to the dentist, I really couldn’t tell where it hurt, everything hurt me, and it all gave in my ear. The doctor took pictures of almost all the teeth on the other side of the ear, and looked until she was convinced where the cause of the pain was! And she still correctly identified the problem tooth, but was not 100% sure! It’s just already: well, let's check this one, although the seal is whole and there are no signs of caries at all, and an infection started inside the tooth, which gave to the ear, the pains of hell.Look for the cause, before you do something, take pictures on all your teeth from the side where it hurts!
Good day. I was pulped more than 2 years ago, the lower left 6-ku. The tooth continues to hurt sometimes, but I always thought it was something like “phantom pains” (as the dentist told me). And now a week the tooth hurts almost without ceasing. I drink analgesic (I have removed the top 8s, I still drink from this). I think - can go remove it or repair it? ((Or is it still the norm?
Hello! Unfortunately, without a diagnostic picture of the “lower left 6-ki”, it is impossible to say exactly what mistake was made in the treatment of canals. However, if your dentist believes that there are no signs in his field of vision that can accurately tell the cause of the pain, then you should carefully consider the adjacent teeth, and even the condition of the teeth in the upper jaw. Often the symptoms of "acute" pain appear from teeth that have not yet been treated in the canals, but extend to the fullest. If tooth extraction occurs, severe pain may occur for 3-4 days due to alveolitis - “suppuration” of the hole, and pain radiates (“gives back”) to the same lower 6-ku.Bottom line: without detailed diagnostics, neither the lower left 6-ku nor the “repair” can be deleted. I wish you health and a quick solution!
Good evening! A week ago, was removed 8-ka. Three days after the removal of 8-ki, I decided to treat 7-ku, because she was sensitive at the meal. They cleaned the channels, closed with calcium. For three days the tooth ached, to death, the pain passed into the ear, into the temple, into the throat. Today, calcium was removed, a tooth was opened, and pictures were taken. Bottom line: the channels are clean, everything is fine, but the doctor cannot understand why the tooth aches. Especially severe pain when pressing on the tooth, as well as when you touch the tool to the top. I have not slept 4 nights already, drink nise. I also have a congenital heart defect, I feel how it began to hurt. Today, the doctor prescribed the antibiotic Azitral, but it did not get any easier. Tell me, what's next my actions? The tooth is open, rinsing in the form of soda with salt is appointed. Thanks for the advice.
Hello! Unfortunately, without a diagnostic snapshot of the 7th tooth, it is impossible to say anything about possible errors in its treatment or even the prospect of its intracanal treatment.If you are talking about the 7th tooth, which was located next to the extracted tooth, then we can assume alveolitis - purulent inflammation of the tooth hole, which, in terms of symptoms, extends even to normal teeth. In other words, after a tooth is removed (immediately or after some time), the adjacent teeth can be extremely sensitive, but this does not mean that their treatment is urgently needed. Most often it is important to take care of the successful healing of the hole. Honestly speaking, not seeing pictures of your tooth and hardly guessing the tactics of your doctor, the actions regarding the sequence seem to be dubious: administering calcium hydroxide to the canal of the tooth - followed by rinsing open channels with soda and salt, which is considered even "harmful" events now , as the infection again gets into channels. Your actions are simple: consult about the hole of the extracted tooth at the dentist-surgeon, take pictures of the 7th tooth and find a good dentist-therapist to form a different opinion and position on endodontic canal treatment in your case. I wish you to quickly deal with the problem. Sorry for the long answer.
Hello! My situation is the same! Removed the lower right 8, diagnosed pulpitis of the next 7. Immediately after the termination of the anesthesia, the right half of the jaw ached. A week later she came for treatment. 7. Depulpated, filled with calcium, put a temporary filling. On the same day we flew to the sea. Today is 3 days after treatment, and the pain does not subside. I'm on GW, Ibuprofen, the effect is weak. I suffer very much.
The problem is 1 to 1, like yours.
I treated my teeth recently, in 2 we removed the nerve, cleaned the canals. They did everything well, in a paid company, with a proven doctor. There are teeth side by side, lower side. The next day, the front lower teeth began to whine. For two days this ((Help, what can it be? ((When the lower jaw is pushed forward, something unpleasantly pulls from those teeth.
Hello Camila! Without images of the treated teeth, it is difficult to judge the quality of their intracanal treatment. However, just because the lower front teeth will not whine. Most often, it is worth looking for any one problem tooth that has not yet been treated by you in the canals, since due to it, the pain can "give up" to adjacent teeth.You also did not indicate the nature of the nagging pain: from irritants (which ones?), Whether they are independent or when “biting” on the tooth? Please write more symptoms taking into account my criteria, otherwise the diagnosis will not be accurate.
Hello! I removed the nerve in the 8th tooth, cleared the canals. The next day, I began to hurt this tooth and other teeth. What could it be?
Hello, Eliza! Most often, the pain occurs against the background of the post-filling reaction of the treated tooth. This norm cannot be called, however, in most cases it does not affect the prospect of preserving a tooth. If you have pain when you “press” on a tooth (teeth), then within a few days they should gradually pass completely. However, it is worth remembering that the symptoms (or their absence) may not always be an indicator of the quality of the doctor’s work in the canals, especially the 8th tooth, which is so difficult to treat. It is important to analyze the images of the tooth and a detailed study of the quality of passage and filling (filling) channels. His future depends on it for many years.
Good afternoon, what to do already - I do not know. My torment began 20 days ago, the seven broke, and the next day a sharp pain began. In budgetary regional dentistry, pulpitis 6 and 7 were placed from the bottom left, they opened and placed arsenic. The next day, the pain only intensified and the gums around my teeth turned gray. On the same day, she again turned to the regional polyclinic, where another doctor had already made another diagnosis: arsenic necrosis of the gums. Arsenic was removed, I was washed with antidotes, my nerves were removed, an antibiotic was put in and a temporary filling was put. A week later, they sealed up the canals and put fillings under anesthesia. The pain appeared as soon as the anesthesia passed. Every day it hurts more and more (the pain is permanent, the seven hurts the most, but it also radiates to the ear and the entire lower jaw. There is no way - pain intensifies with pressure. They did an x-ray, everything seems to be fine, the doctor says it will pass.
Hello! Unfortunately, you are faced with a situation where one mistake led to a chain of certain failures in the treatment of a tooth. The fact is that in itself the arsenic method of pulp devitalization todayis regarded as doubtful in terms of the prospects for the preservation of the tooth (especially harming the tissues surrounding its root), especially when this paste is placed close to the gum. That is why it can have a negative effect on the surrounding tooth tissue. However, even in such a situation, it is possible to conduct a full-fledged intra-channel treatment and save the situation. In your case for some reason this did not happen. Perhaps, a complete cleaning of the canal system from the pulp and (or) the microbial factor was not made, or there was an excessive filling of the canals / not bringing the material to the physiological root constriction. There are other complications that may lead to your complaints. In any case, post-sealing pains are not in themselves the norm, but in practice, even if they do arise, they certainly should not increase with each day, but with exactly the opposite. Here, the advice is very simple: to apply with pictures of the treated canals of the tooth to another 1-2 doctors to clarify all the details, since in 80-90% of cases in the pictures you can see the cause of the deterioration after endodontic treatment.
Hello, yesterday I had a nerve removed, everything was fine. The doctor said that he could ache a little, whine a tooth. He said that in this case you can drink the Tempalgin pill. I drank, does not help. More sore spots injections. Help me answer. I beg.
Hello, Anastasia! In fact, the injection site of anesthetic can cause some discomfort, since it is still an artificial injury to the "gums" in order to eliminate any pain during the treatment of the canals of the tooth. The more the doctor makes "injections", the greater the likelihood of pain, which normally pass in 1-2, maximum - 3 days. After the canal treatment, according to the properly conducted treatment protocol, the tooth should not hurt. However, in practice it turns out that during the processing of channels there may be certain difficulties that the doctor cannot cope with for several reasons: lack of experience, knowledge of generally accepted methods, materials, time, etc. Sometimes even serious errors can occur that the doctor either copes with or does not. As a result, on the very first day after treatment, pains of a different nature arise, which sometimes are not even stopped by painkillers.However, if the canals are filled up according to all the rules in the tooth image, then this is not a reason for excitement: the painful sensations smoothly disappear within 2-3 days, and the pain during bite on the treated tooth completely disappears in 5-10 days. Be healthy!
Hello, a week ago I encountered such a problem: I was at the dentist, in a tooth where a nerve had been removed before, the canal was not completely sealed, and I was redone all over again. Anesthesia was not done. When the dentist inserted the needle into the canal, there was a feeling that the needle had fallen into the gums (previously felt this) with sharp pain giving into the ear. After the procedure was completed, a chin, a lip and a few lower teeth (and treated the lower left 7-ku) were numbed. A day later, numbness did not pass, and a week later, too. The doctor says that this can not be. The tooth aches a bit when biting, but the lip, chin and lower 1, 2 and 3 teeth, which remain dull, bring more severe discomfort. Even under the tongue, on this side, the gland swelled, and under the jaw, pain, as with a bruise. Please tell me what it can be, and what to do?
Hello Victoria! Unfortunately, you did not provide photographs of the treated teeth for examination, and they almost always help to determine the main cause of the suffering.I am sure that the feeling of “hitting the needle in the gum” is nothing more than the exit of a tool beyond the apex of the root. Most likely, the scenario was as follows: during the processing of the channels, the root opening of the root was unnecessarily expanded and the filling material was removed. Sometimes it takes quite a bit to cause pain, as evidenced by the unique (for your situation) close location of the mandibular canal to the roots of the treated tooth. Maybe that's why the doctor is perplexed. There are more rare cases where numbness arises due to the antiseptic jetting of the canals under high pressure. Thus, the trauma of the surrounding tooth tissues occurs. An even more incidental moment: if the doctor, for example, has forgotten that the picture may be all good, and the sealer (paste, as an addition to gutta-percha pins) is really out of the limits, but not the contrast ratio. That is, the doctor analyzes only the pins that are visible to the eye, and the additional material, which is displayed by mistake in excess, is not displayed.
Under certain working conditions in a number of dentists, this is possible. On the removal of material beyond the root can speak and pain "when biting" on the tooth, especiallythat this doctor reworked because of the mistake of another doctor (not sealed canal) and tried (maybe even with excessive enthusiasm) to do the work many times better in terms of the X-ray “picture” - the picture.
As for the pain under the jaw and the sensation of a “tumor”, this is of great concern, since in the process of over-treatment of the tooth they often deal with an infection that was left to empty canals. With some nuances, the quietest tooth can respond to exacerbation treatment. In other words, he stood a tooth and silently "rotted" inside, the dentist processed the canals, sealed them (maybe, somewhere, and broke the protocol moments of treatment), and throwing the infection out of the root caused an accumulation of purulent exudate under the gum. That is, this moment should be excluded. Here either edema due to infection, or in response to processing and filling material, as a form of an “allergic reaction” with the production of certain substances that provoke such symptoms.
It is important to consult with regard to pictures and complaints at the time of contacting an outside doctor and to know his opinion.
Hello.The nerve was removed on the last chewing tooth and sealed. 2 days was discomfort, came to the reception, filed on top! After a month and a half, the discomfort appeared again, with each passing day. Revealed, re-cleaned. He cut the ototetrin and rinsed the opened tooth with soda and salt, as the doctor said. They took a picture, they said that everything is fine. And the tooth hurts more and more. Gives to the temple and ear. At the re-admission prescribed cygran and low + rinse. Said, if after 5 days does not pass, then the removal. How to save a tooth? Thank!
Hello! If you correctly wrote about the fact that it was the “nerve that was removed,” then definitely six weeks after filling the tooth canals, a complication arose in it - an exacerbation of the “inflammatory process at the root”, roughly speaking. The reason for this was the mistakes made in the process of tooth treatment (if at the beginning of its treatment there was a “nerve”). The rest that happened to you is the desire of the dentists to get rid of you, as from a complex client. Antibiotic + rinses with painkillers, and even for 5 days with the expectation to remove a tooth or not to remove - this is only a sentence to the tooth.Of course, the body against the background of antibiotics can cope with the exacerbation, driving the process into a deeply chronic one (“it will stop hurting”). But do you know how many infections from the oral cavity during this time will penetrate the canals of the tooth? It turns out that even if the pain passes, there is still nothing good with the closed filling of the tooth without adequate canal treatment (maybe even with treatment with temporary pastes with calcium hydroxide) and the subsequent protocol filling of the entire canal system of the tooth. It is only a matter of time.
If you have the last tooth that the dentist treated, is the wisdom tooth (the eighth), then you should not hold on to it, if there is a real threat of the spread of purulent infection and (or) there is really impossible to treat the tooth conservatively. Remove the wisdom tooth without a doubt with this option.
If you meant the last tooth - the seventh (“seven”), then it is worth fighting for it, but it is best in another clinic. However, there is a high probability that the correction of errors that doctors will reveal may cost you dearly from the financial side.
Yesterday they removed the nerve, put a temporary filling.Today I can not eat, gets a tooth on a tooth when chewing, there is a strong pain. After removal of the nerve, the doctor took a picture, said that the canal was sealed well. Tell me, should there be such a pain or not?
Hello, Ludmila! In this case we are talking about post-filling pain. It is officially recognized that this is a complication. It often occurs on the background of a traumatic treatment of the tooth canals. There are many factors of violations: from excessive processing of channels (the output of tools beyond the root) and violation of the technique of its expansion to the release of a small amount of material beyond the root. Of course, it all depends on what the channel was sealed with. Some seals (that is, additional “ingredients” to the solid material that are displayed in the photograph) may extend beyond the root, but it is not visible on the x-ray, as it is not X-ray contrast. However, in practice, in 80-90% of cases, post-filling pain does not lead to negative consequences. Exceptions are cases when the image of a channel that has not been covered or not sealed is superimposed on the image: the main channels are excellent, and the additional channels are not found.If you do not have this case, then the pain "when biting" go away without treatment in 6-7 days. However, in the practice of the doctor, everything happens individually: sometimes a dentist can mark the duration of pain up to 10-15 days. The only criterion in terms of a symptom is a decrease in sensitivity every day. That is, 1-3 days the pain can be significant, but then it is easier and easier to press on the tooth every day. If you have no desire to expect and now comfort is required, then in a number of medical institutions, physiotherapy (UHF, UHF, etc.) has been established for such cases.
Hello! Just over a year ago, 2 pulpal last teeth were treated in the lower jaw, they were cleaning, filling the canals and finally, the light filling. And now, when eating and drinking tea, the pain begins a few days, then it subsides, and so on every time. What to do?
Hello! I have such a problem, the tooth goes on hot. The dentist treated, depulped, cleaned the canals, sealed, and he entered and entered. It is simply impossible to tolerate. The pictures are good, the doctor checked for years.What could it be?
Hello, Catherine! Since you did not provide the pictures, you will have to tell you two main versions that are most common. The first version concerns the directly depulped tooth that you have been treated by a proven doctor. It so happens that patients (and even doctors) are not very lucky with the pictures. In other words, it is impossible to consider the treated channels in different projections. If you have treated the upper sixth tooth, for example, then not all doctors can often find an additional fourth channel (and also the fifth channel happens occasionally). If the doctor was treating with the preliminary devitalization of the “nerve”, that is, he put the paste (arsenic or boneless), then most often the unnoticed channels do not manifest themselves for many years. But if immediately at the first visit I spent the treatment of the canals, then the responsibility is huge: an additional canal can be narrow, but it requires attention. It goes without saying that the “nerve” dies within a short time in it, but the channel is empty, and the reaction to the hot is just an indicator of such situations.
Bottom line: you should take pictures in different projections.The visiograph, which transfers the image to a computer and can increase it with a change in contrast, can help.
As for the second version ... It so happens that a neighboring tooth begins to react to the hotter. I am sure that you know exactly where the pain comes from, but you should pay attention to the diagnosis and examine the adjacent teeth in detail in the pictures. If, especially, near your (say, approximately), perhaps 1 or 2 "dead" teeth are located by the problem tooth, then you will have to think and analyze.
Hello. 2 days ago, the tooth began to react to cold and hot. After it is impossible to touch him. Tooth previously treated. Normal caries without interfering with the root. I went to the dentist, cleaned the root and put the medicine and temporary filling. In the morning, the upper lip slightly swollen. The dentist removed the medicine, leaving the tooth open. The tooth still hurts when pressed ... What to do? Tooth upper, 8-ka. Even when I cleaned the root a second time, there was a pain of a whining character. Now I rinse the second day: soda, salt.
Hello Yulia! Unfortunately, there is a problem with the doctor with the quality cleaning of the canal and (or) its antiseptic treatment.I can’t say for sure if this is related to the qualifications of a doctor or a “complicated tooth”, but in any case, what you are doing at home right now is simply delaying a wisdom tooth for a while.
Upper wisdom teeth often have to be removed even completely intact, if they “do not stand exactly”, “interfere with the patient”, “stagger” or simply “at the request of the patient”. In principle, the 8 upper teeth often “do not stand very well”, and they also come in handy for prosthetics with bridges in 15-30% of cases.
I think that it’s best for you and the doctor not to pull off the tooth extraction, otherwise the purulent infection will spread to the subperiosteum, and it will be harder to do anesthesia (it hurts) and get its good effect. Moreover, in a normal situation, the upper wisdom teeth are removed in almost 95-100% of cases quickly and without pain. Only rarely come across the upper 8 teeth with curved roots.
If you or your doctor think that the wisdom tooth is fundamentally preserved, then contact another dentist who has extensive experience in preserving complex upper eighth teeth. In this situation, your health care provider shows signs that he does not knowwhat to do next: you are afraid to offer you a qualitatively new solution to the problem.
Make the right decision - and be healthy!
Hello! Yesterday the canal was sealed (tooth - odnnerka), the medicine was preliminarily placed under a temporary filling. Nothing hurt, did not bother, during the filling it was a little painful, then not much pain began, after a few hours. For the past day worried nagging pain, not strong. It also hurts the gums, approximately in the area of the root end, but only when pressed. After the filling, an x-ray was done, they said, everything is in order. Tell me, what can it be?
Hello Margarita! If we are really talking about a single-channel tooth (“odnderke”), then with a high degree of probability you have post-filling pain in the background of a traumatic endodontic treatment. Post-filling pain is, of course, a complication, but it passes most often without additional manipulations. The duration of the pain is usually about 5-7 days, but often the pain "during biting" goes away in a couple of days. The aching pain the next day sometimes takes place, but it is most likely tied to the fact that you bite the treated tooth.The main thing - that every day the pain subsided, and you will come to the classic version of the painless existence of a "dead" tooth. Otherwise, you will need to go to the dentist and, possibly, repost the canal of the tooth.
Thank you very much for the answer!
Hello. A week ago, I treated the tooth, first removed the nerve, then cleaned the canals. The tooth was treated in three steps, everything was fine, but the code was put on a permanent filling, then the tooth began to ache when pressed and chewed. And it seems that the gums and a little ear ache, and the tooth hurts, even the code you brush your teeth. This goes on for 3 days. What to do?
Hello, Alla! If more than 7-10 days have passed, and the pain during chewing is getting stronger, then this is a deviation from the norm. Some doctors believe that the pain will still pass in a couple of weeks or months. Most likely, it will be like this, but after all, put the doctor himself in the patient's place: would he have tolerated the impossibility of normal chewing for more than 3-5 days?
In order to help you in any way with advice, I propose the following solutions to the problem:
1. Consult with another (third-party) dentist about the X-ray of a tooth (or even information from the disk about the treated canals of the tooth) and make sure that everything is done correctly: without errors and complications;
2. If everything is done correctly, it is advisable to carefully look at your filling in the bite: it is possible that there is an overestimate. In extreme cases, you can even slightly remove it in height. Doctors may not agree with me, because the tooth is less involved in chewing, that is, its function is ignored, but then, perhaps, you will begin to live a full life.
Hello! Help me to understand. The tooth was without caries, two years ago there was a small hole that was healed without removing the nerve. Four days ago I began to react to the touch. I went to the dentist, the tooth was opened, the nerve was removed, the tooth was cleaned, and a temporary filling was placed. In the morning the lip swelled. Tooth upper front big, I do not understand the rooms. Seals removed, cleaned. I rinse soda. Every day I go to the canal cleaning. When cleaning, as the doctor says, the root is clean, but the pain does not go away. It also hurts to bite food. On Monday there will be 5 days.What should I do? When manipulating, I feel something, that is, above the tooth in the gum. I do not want to lose the front tooth.
+ to comment. Dentist pierced the tip of the root. As said - for the outflow of pus. The swelling is slightly gone, but the feeling of distention is present. Although there is no pus when cleaning. I'm confused.
Hello Yulia! I think that when the doctor came across your front tooth (as I understood it), the purulent stage was already underway, and the dentist could not eliminate the microbial flora using the available means and the applied technique, which provoked the pus. Therefore, everything worsened, and the doctor had no choice but to open the canal and prescribe rinsing. It is impossible to leave a tooth open for a long time, and indeed, now the tactics of treatment of a closed tooth are more correct + an incision along the transition fold. In principle, the ideal treatment of the canal of the anterior tooth involves treatment without an incision.
“Feeling of bursting” is not considered the norm. I am sure that your tooth is “not comfortable” in this phase of treatment. In order not to lose the front tooth, it is important that the doctor had a competent approach and the necessary materials.I cannot write here what is right and what is wrong, but according to your descriptions there are doubts about the prospect of such treatment. It is too close to the cheap routine management of the tooth. Even if success will be, then not earlier than in a couple of months, and even then you risk simply translating the infectious process into a chronic and asymptomatic. This means that the aggravation may occur again in six months or a year.
Hello! On March 10, he performed an operation on 1.2 upper left teeth, removed a cyst and the tops of the roots of the teeth. Before the operation, the channels were repaired and both teeth were cleaned during the day; everything was fine in the picture. Sawed antibiotics and calcium, the stitches were removed on March 17. And since yesterday, one tooth (odnordka) hurts when pressed. What can it be, please tell me, I really want to save the tooth, but I’m still afraid to go for surgery again ...
Hello! Most likely, we are talking about a banal load: you just stopped being afraid to press a tooth, and the tissues around the roots have not recovered yet. Maybe you didn’t even notice how the incisor was loaded, but you noticed a tissue reaction when the tooth was moving.However, it would be best to consult with your doctor about further tactics. I do not think that your concerns about re-operation are justified, in any case - the last word only for your dentist.
Hello! A week ago I went to the dentist about caries 7, put arsenic, after 2 days he was removed, told to come in a week. Yesterday, they began to remove the nerve with lidocaine, it was possible to remove only from channel 1, the doctor said that she could not get into the second channel and put the medicine to expand the canals under a temporary filling. In the evening, after defrosting, the tooth began to ache, drank analginum. Pain when pressed, and if touched. Today, the pain intensified, drank nimesil. The seal should be removed tomorrow. Is pain in a dead tooth the norm?
Hello Olga! Pain in a dead tooth is not the norm, but the result of a complication during treatment. A complication is a channel skip. By the way, according to statistics, in the 7th lower tooth there are often 3 channels, and in rare cases there may be 4 channels, two channels and even one.If your doctor knows for sure or according to certain signs that there is another channel in the tooth, then this incomplete treatment + the remaining “nerve” decomposing in the channel gives pain.
Your logic is quite clear: an arsenic “nerve” was killed, and the tooth stops responding. But it happens not at all. Of course, there are people who themselves remove a temporary bandage with a paste that kills the nerve, and can grow a “cyst” on a tooth for months without pain. Infection that remains in the leaked channels is a trigger for symptoms. Even if the doctor removed the “nerve”, but didn’t wash the canal well and (or) left it empty (without material), many people have unpleasant symptoms. It may not even be a strong pain, but it is impossible to chew comfortably with a treated tooth.
It would be good if you, nevertheless, find channels, wash them according to the protocol and fill them. Otherwise, the tooth will become a source of infection, and sooner or later - a candidate for removal.
Hello, tell me, there was a strong pain of a small molar at the bottom, which is next to a large molar.On March 4, they drilled the arsenic at the reception, put the arsenic on the 6th and prescribed it for March 15, but the tooth began to ache, and went to a paid appointment with another doctor. They removed the nerve, put a temporary filling, after the snapshot, the doctor said that they “re-sealed”, that is, the small tail sticks out too much from the root of the tooth (I read this when the excess material got the wrong place). As soon as they put a permanent filling, the best and most expensive, the tooth began to ache, a week passed, it is impossible to touch, it hurts at night, gives everywhere to the left, in the ear, the head. Today, the doctor said that if she fails, then to the surgeon, because pity, they did everything well ... Appointed UHF and Amossin. What to do, from the tooth of the wall of one no longer left almost after arsenic and drilling, filling all increased, but you need to clean the canal with a new one? I do not want to cut. Under the cheek felt tightness, pain. Thanks in advance.
Hello Olga! Unfortunately, not all people can get lucky with regard to excessive canal filling. The fact is that there is a set of filling materials for channels, which go in addition to the pins (the “tail” of which you saw), which either create an open form of complication, or over time a person adapts to them.
So you read that removing material is a complication. However, the doctors of the clinic hoped that you belong to 60-70% of people who have more pain and will stop. It really can be, but it is pure water - an unwillingness to correct a mistake. UHF, Amosin and others - this is just a poultice. Someone will help, having won a little time for the organism to become addicted to a foreign body, and for someone (as you) to wait for the weather by the sea is not at all tolerable.
I would recommend not only to remove the material (all) from the channel and beyond, but also to put a calcium hydroxide-based preparation (paste) into the channel. It is required to overfill your tooth according to the diagnosis “Chronic fibrous periodontitis”, since you are not lucky twice: the first time when you were “tipped” by arsenic, and the second time you made a mistake, taking aggressive material (for you first of all) .
Good day! I ask for advice. Throughout the month, with some frequency, the first front upper tooth reacted to the cold one. I turned to the dentist, to ordinary dentistry (this was my mistake), the tooth was opened, the nerve was removed immediately and the canal was immediately filled (they were filled with tubes, I don’t know how to call it), and a usual “light filling” was inserted into the tooth. In the morning there was a strong swelling of the lips and a fistula opened right above the tooth.She turned to the dentist again, took a picture, the canal was sealed well, there was a slight release of filling material in the root apex (the tip passing into the tooth itself). Prescribed an antibiotic, an antihistamine drug and a salt rinse. Through this fistula for 3 days, a filling material was released bit by bit, there was no pus discharge. The tooth began to hurt on the third day when tapping, on the fifth day (today) there was already a constant aching pain + pain when tapping the tooth. The pain is exacerbated by the temperature drop (cold air outside). The gums have a slight swelling, the fistula begins to tighten. But the pain is constant, then aching, then pulsating. Immediately after warming with salt rinsing, the pain subsides, but after 15–20 minutes it appears again. It feels like a neighboring tooth is starting to hurt. When pressing under the nose, I also feel pain. Tell me, please, further treatment options for this tooth. Thank you in advance.
Hello Yulia! If you really had a “nerve” removed from the upper front tooth, and there was nothing interesting in the picture except for removing the material, then I dare to suggest that there was a traumatic treatment of the apex of the root.Could repeatedly go beyond the root "needle" of large diameter and overexpand the outlet. During this process + drug treatment there could be a casting of the contents of the channel and sawdust beyond the root.
As a result, the infection joined the traumatic factor. I have an assumption that it could not do without damage to the canal wall. Since it is very strange that in a short time a fistula was formed, which is characteristic of chronic granulating periodontitis or its aggravation. That is, the doctor could not immediately find the channel and make a “false” hole in the direction of the gums, although for now this is only an assumption.
100% sure that the source of the problem is the error (or errors) of treatment, although the central incisor is the easiest to treat. Of course, it is difficult to offer options for help without knowing completely, which led to such serious consequences due to the ordinary "nerve removal with simple pulpitis."
From my point of view, the tactics should be as follows:
1. Call the other clinic and identify the true causes of the complication (errors that may be hidden by the doctor);
2. Based on this, it is best to treat with materials based on calcium hydroxide,initially re-doing the feed well. This is a temporary paste that can be put for a period of 1-2 weeks to several months;
3. If a “hole” is found in the root wall, then there is material for the treatment of perforations, which almost always allows to solve the problem;
4. In the extreme case, a conservative surgical approach may be needed: resection of the root apex.
Please do not bring yourself to this state and as soon as possible find the cause of the mistakes made during the treatment and correct them.
Hello, probably ask a stupid question. Today they removed the nerve and put a temporary filling, the doctor said that after the anesthesia was finished, there would be pain. But the anesthesia is gone, but there is no pain, I don’t know if this is normal or not?
Hello Maria! The question is quite natural. The absence of pain after canal treatment (if everything is done correctly) is an indicator of the norm. However, there is the concept of individual sensitivity, which can be from any factors. Moreover, this will not always lead to problems with the treated tooth in the future.For example, such factors can be active drug treatment of the canal with antiseptic output beyond the root tip, exit of needles during the passage and expansion of canals, etc.
If nothing aggressive has happened, and the material in the channel has not gone beyond the top of the root and does not irritate the surrounding root tissue, then naturally there will be no pain after filling the channels.
I think that your treating doctor has cases when post-filling pains take place, therefore, so that there are no customer disturbances, the doctor “scares” in advance about possible pains that usually disappear within 2-5 days. However, if there is no pain, it means that there are no problems (provided that the channel is “stuffed” with what it needs, and according to the rules).
Hello. Three weeks ago, I went to a doctor about a granuloma, which I discovered on the basis of K.T. on a long-treated tooth. The doctor cleared the canals of the old fillings and put the medical paste. I suggested at the same time to treat the neighboring living tooth (it did not bother me), saying that there was already a bad filling. The tooth (5 on top) was depulped, it turned out that the channel forks there. In the process did 3 pictures.When the branch was found at the root, I felt a sharp pain, like a puncture. The doctor said that the channel was far away. A toothpaste was put on the tooth. During the week, teeth ached when biting. On my next visit, I had the canals washed on two teeth. On the tooth, which is with granuloma, put a paste with a light filling (as temporary). They undermined it, told to rinse out their mouth, and remembered that they had not yet put a temporary seal on the neighboring one, the tooth was open. Completed. In the evening, this tooth began to ache, pulsate, especially at night. Now he was sick intensely, not only when biting. Eight days passed, the situation improved slightly, but the tooth aches when brushing the teeth and palpation of the sky, at night, too, aches. The doctor said to come for a seal when the tooth settles down. What should I do?
Hello Olga! Judging by your story - you no longer trust your doctor? In fact, there was an ambivalent feeling. On the one hand, the status of the clinic is felt (expensive temporary light-cured fillings that are important for tightness, 3 pictures in the process of treatment, they honestly said that they went beyond the top of the root).On the other hand, 3 shots per 5 tooth - this could be the result of what went wrong. Moreover, if you are sure that at the beginning the tooth was “alive”, then after its depulpation you do not put “medical” pastes into the canals in the norm.
Most likely, some complication arose, and this diagnosis was led on the principle of complex treatment of a tooth with a granuloma. Unfortunately, I do not know what your doctor is hiding about the 5th tooth, but if you subjectively feel the pain in it still after 8 days - obviously something is wrong.
Particularly embarrassed is the fact that the doctor said "come ... when the tooth calms down." And do not calm down - so do not even come. The hint is about understandable. I do not think that you will succeed in proving something to the doctor, since you have already signed a paper-consent to the fact that "you will not blame anyone for anything." My point of view is to try to contact your doctor first - there will be signs of refusing to continue treatment - change the doctor.
Hello, Svyatoslav Gennadyevich! I already wrote to you on March 25th. Unfortunately, my story continues. According to your advice, she went to another clinic. Painful 5 opened, put the antibiotic, the pain began to subside.They took pictures, found inflammation on 6 and 5 teeth. A week later, a temporary filling was removed from the 6th tooth, there was a smell, a fracture was found. I wonder why not seen in the pictures? Tooth removed. The month treated the resulting inflammation by 5. Prepare for prosthetics with a cult inset, but are not yet fixing it. And I really care about the question, what's with my 5 tooth? The intensity of sensation does not change in any direction. Moderate discomfort when biting, but he was taken out of the bite area. Soreness when touching, especially from the junction to the 4th tooth. The pictures were taken many times, the inflammation around the tooth has passed, it remains in place removed 6. Tell me, please, what is going on, I am afraid of losing this tooth too.
Hello Olga! It is good that experienced doctors decided on your difficult clinical situation and started moving towards positive dynamics. As I understand it, now there are no severe pains that bothered you and prevented you from sleeping and living normally. Now we are talking about pain when biting on a tooth, which has been going on for about a month. I think that we should analyze the situation from all sides and not panic.First, after the removal of a tooth, almost always the teeth adjacent to it react when biting: at first these can be severe pains that frighten many, and then the degree of pain decreases significantly. They are completely eliminated as the wound heals. If it was a question of a difficult removal, then the healing of the hole may end in 2-4 months, but this does not mean that it will take so long to wait until the end of your sensations on the “5 tooth”. There is still a possibility that in the clinic where they made you a tooth, they do not like “half measures”, that is, they processed and sealed the channels with materials that give beautiful (exponential) results in pictures, but leave long post-filling pains (this is just when biting "). This is not the norm, of course, but it practically does not affect the prospect of tooth preservation: the canals are ideally cleaned and sealed (sometimes even “too”). I gave only 2 common options that occur with such manifestations. In the picture of the 5th tooth, I would tell you much more precisely. If you have pain when biting your tooth become less by the day, then you are close to victory (if the pictures are super).In general terms, comparing the past situation and this one, I do not see anything out of the ordinary, but with the amendment that you send a snapshot for analysis. Health to you!
Hello! Please help. 3 days ago, a tooth was treated, a nerve was removed, a filling was placed, before that I went with medicine and a temporary filling for 10 days, everything was fine. Now, for the 3rd day, the tooth pulsates or adjacent ones, the gum, cheek hurts, gives to the temple, ear, while biting, the pain is insignificant. I am pregnant, at 27 weeks, I drink painkillers, I rinse. It feels like the injection site still hurts. 2nd night I wake up and drink pills. It seems not swollen, but terrible pain, it is impossible to endure. The doctor is young and very rough, I really hope that all this is due to her rudeness. X-rays did not do, to alter the tooth for me - anguish, I do not know what to do! Again, go to the doctor or wait?
Hello Dinah! If you want to hear from me that the neighboring with the treated tooth is to blame, then I will say that 99% is not. In such crazy coincidences, I do not believe.
If you hope that the pain will pass by itself - there is a chance, but the risks that it will repeat with even greater force in a week-month-year are also 99%.
The fact is that by all indications you have a complication after the treatment of the canals of the tooth. It is highly likely that the “nerve” that is not yet removed is still alive for some reason in the not found canal, or periodontitis begins amid also poorly performed cleaning of the canal (s).
You write that the doctor is “young” and already “rough.” Remember, as in S.Esenin's poem:
"... coarse joy is given,
Gentle sadness is given ... "
This is me to the fact that in your position it is extremely important to bring the matter to its logical conclusion, that is, to eliminate the inflammatory (infectious) focus. To achieve this, you can save a tooth. Otherwise, if you do not want to be treated - remove it: so at least you will save yourself and the child from unnecessary infection and the option to be with a swollen cheek in the hospital.
If you want to save a tooth - go to another doctor. You are afraid to change anything or you don’t want to be taken anywhere because of the inability to make an x-ray and diagnose where a young doctor has “nakosyachil” - remove a tooth.
I do not want to frighten in advance, but “waiting is like death”, especially for your case when you are responsible not only for your health!
If you have more questions, I’ll be happy to answer them,but in the concept of not going to the doctor and “still waiting” - from a professional and from a human point of view I do not participate.
3 years ago a nerve was removed in the lower molar (7) tooth, the canals were cleaned and sealed. And now he began to ache while chewing and pressing him. What could it be?
Hello Olga! There are several options for complications after the treatment of delayed-type channels. The most frequent is the development of periodontitis on the background of irregularities in the treatment of canals and (or) filling. The snapshot should show the “emptying” of the bone tissue around the root. The size and shape of the pain may not affect.
A rarer version of the statistics is to unlock the channels for 3 years. What do I mean: if the channels were not sealed tightly and (or) not to the end (to the top), then the liquid material (paste) for 3 years simply “washed” out of it, and the solid (gutta-percha pins) just “hang out” in him.
The tooth in most people reacts to the emptiness in the canals. It is only a matter of time. At the same time, there may be no changes in the picture, but some deviations of the “pattern” are often already encountered.
It is necessary: to establish the cause of pain with the dentist by taking a snapshot of the “lower 7 tooth” and then, according to the diagnosis, to repair the periodontitis or its aggravation by the method available in this clinic (recommended by the standards of treatment). There are many options for correct treatment at the moment, but I will emphasize on “washing” the channels, which should last for at least an hour in these teeth so that there will be no recurrence in the distant future.
“It’s not by chance that many leading dentists adhere to the following principle in their work: it doesn’t play a significant role, the channel will be sealed, it’s important how well prepared it is.” (Quote from the Seal 911).
Naturally, the density and depth of filling are taken into account, since the pains from the "emptiness" also with a certain frequency, but arise.
Help, doctor! The very last tooth in the lower jaw on the left was 24 years under the crown. We decided to make it a supporting tooth for the bridge, (prosthetics) for 4 teeth. Take off and put the crown back on each visit to the doctor. We found two canals in it, killed 2 nerves, first made a temporary filling (all the doctors did), yesterday the other doctor continued - I made a permanent filling of the canals and put the crown back on the tooth.And he also wildly pressed his finger on this tooth, then he made an x-ray - 2 channels are clearly visible (white), and above the channels, above, just a lot of white. It seems to me that he just filled it with a lot of extra, directly pressed it, and also, showing me the picture, was happy - how good and a lot of material.
Immediately in the evening, the disintegration began under the crown in this dead tooth. She worked in the second shift, ibuprofen saw at work. In the tooth under the crown, the pain spreads to the gums and cheek. The night was tormented - the feeling of distention, the feeling that the tooth had become just huge, and I would soon be back at work. There are no more teeth in this corner of the mouth, it is at the bottom left. There is only one desire - to run to the doctor and ask him to wrest. But how is it - the tooth under the crown, and the nerves in the canals are killed, but such a pain! Help, how to save a tooth?
I have nowhere to go here: the doctors are Germans, since I am in Germany, I speak German badly. Why is he so sorry for the tooth? After that, a tooth with dead nerves began to ache.
Hello Natalia! You have directly told a story since the Second World War: the torture of the Gestapo. But seriously, the German dentistry is “by rumors” always considered one of the best, but I didn’t think that there was a division of labor there: one doctor performs temporary fillings,the other is permanent. And to ask from whom? )
Despite the fact that you described “torture” in an extremely picturesque way, where you put your finger on the crown, I am sure that the cause of the pain is not at all that you “squeezed the root into the jaw” (this is difficult to achieve). But the fact that beyond the bounds of the root a lot of material has come out - this is what you wonderfully illustrate. Even the symptoms correspond to the exit of the material beyond the tip. I am afraid that your doctors tend to do so often, if they have a smile of joy from the "deed". Most likely, they dealt with a wisdom tooth (once two channels), and in them it is extremely difficult to “fill” the correct material (as expected).
Since not fully filled canals are considered to be an arch-mistake in the circles of dentists, the lesser of two evils choose the lesser: that is, they “push” only for the Rg-image, sometimes forgetting about the client's well-being.
The most difficult question is “why did he complain about a tooth?”. I think in fact you want to know what to do? I can definitely say that the teeth with the bred material can adapt up to 1-2 months. In my practice, I do not try to bring out a lot of material, but limit myself to the zone of the physiological apex of the root.In any case, small post-sealing pains sometimes occur up to 3-5 days.
I can say that tooth extraction is an extreme measure. Properly cured tooth for a comfortable state - ideal. Further advice may affect the already fragile interethnic relations, tolerance and all the rest. I think if you are “our” person, then my lines of thought are understood.
It seems that during those days I felt better, and today I got sick again, decided - went, sores appeared on the gums, they said, dental herpes. Yes, my immunity is lowered, but there is no virus in the blood, I tend to what the doctor brought - here it is our free medicine, well, what to do, I will be treated - Valtrex wrote out. Thanks for the consultation.
Hello! For three days the left half of my jaw ached for me, then for two days the pain concentrated on the sixth and seventh tooth. I am in the seventh week of pregnancy, one doctor offered to be patient, but since I could not eat and sleep, I was forced to go to the doctor again, my ear already hurt, my jaw opened with difficulty, and a throbbing pain in my temple.Yesterday, the doctor opened the sixth tooth, he was blocked two years ago, and sent home to rinse. Today, the second tooth was opened, both teeth were treated with anesthesia, according to the doctor’s safety. The canals were cleaned, the medicine was put in and the temporary filling was closed for a week. Time to night, and my left ear hurts more and more and starts to knock at the temple again. The teeth and jaw hardly hurt, only at the injection site. How can I relieve earache safely for me? Do you think the treatment is correct, provided that X-rays cannot be done?
Hello, Tamara! Treatment without pictures - definitely goes according to the “as lucky” principle. I read a lot of literature on this subject and studied from the point of view of bare physics. From the point of view of medical logic, in the first half of pregnancy they try not to do the pictures according to the principle “as if something did not work out, and then the child’s mother will sue the court”.
From the point of view of common sense, 2-3 hours behind an old (not LCD) monitor or TV are equivalent to about 1 image on a radiovisiograph (the device is so modern, with a sensor for taking a picture of a tooth to a computer). 2-3 hour flight by plane is equivalent to about 10-15 shots on the visiograph.
The visiograph differs favorably from film X-ray in that it is 10 times less than the radiation dose.Studies have shown that an adult (not pregnant) can be done per year in a safe for the body dose of about 500 images on the visiograph. Unfortunately, not all doctors are ready to conduct a viziographic research of the canals important for the correct treatment of a tooth, because then you will get tired of proving that you are not single-handed.
Relieve earache can only be understood with what diagnoses in the 6th and 7th tooth the doctor has to deal with, and properly conduct canal treatment. Perfectly processed and sealed provide further comfort. If the computer image shows that one of the teeth has a problem beyond the possibilities of treatment, then it would be advisable to remove one tooth and finish the treatment of the other.
Treatment without a snapshot on a viziograph only drives the infection at best into a chronic (dormant) form. While your attending physicians are faint-hearted, you are disentangling the results. Yes, I see that the teeth are simply tortured according to the “as lucky” principle, but in some ways I can understand my colleagues and sympathize with their choice in favor of such routine production.
As for the temporary relief of pain, I am not sure that there is an anesthetic medicine that is absolutely safe for a pregnant woman, especially at a short time.I can say in advance that I often faced situations that pregnant women hoping for something (miracle) to eat painkillers in batches, causing chemical harm to the child and themselves, being afraid of the doctor, pain, X-rays and so on. Fear has big eyes.
I think that I have prioritized the priorities, and only a specialist with a capital letter who will not be afraid to take responsibility for each safe image on the visiograph and correctly directed treatment based on it will provide you real assistance. Otherwise, there are high risks to remove these teeth in order in the institution where you are currently undergoing therapy.
Consult, please. I went to the doctor with pain in the tooth, which had previously been treated with canal filling. On the gum next to the tooth "fistula". The doctor initially decided to unseal and clean the canals. During the two receptions and attempts to pass the channels, only one of the three was completely able to pass. At the same time during the second reception failed to pass a single millimeter of channels. The situation with a bad tooth is not much changed. Fistula remained, the pain a little bit away. The doctor suggests removing a tooth. I'd like to leave a tooth.Can I do something? Are there often insurmountable difficulties in re-cleaning the canals, or should I go to another doctor?
Hello, Alexander! In my practice, re-channeling of channels for other doctors is not common, as in duty of service you have to work on the OMS reception in the state health unit, and for such time-consuming affairs there are private structures that have ultrasound in the arsenal of drugs to “dissolve” the materials in the channel And so on.
In terms of the capacity of your doctor and the level of equipment in his office, he offered you a fair and correct proposal in this context: to remove a tooth, since the fistula without adequate passage and sealing of all channels does not disappear, and the infection is not for the good of the body. An alternative for you may be the suggestion you made to “go to another doctor”. I think that in the clinic with good equipment and a professional approach in this area, they will cope with the “impassable” channels.
The only thing you risk in this case is to pay for the “sample” of the unsealing and not get the result.This is common in clinics, when any money, for example, from 2-3 to 5-10 thousand rubles, is still taken for the “attempts”, depending on the number of “attempts” and the equipment and materials used. Naturally, an excellent result of treatment can be very expensive, since doctors take a FOREIGN AND COMPLEX case initially.
By the way, you would have had the pain without even trying to treat it, since the fistula tends to swell (then the pain worries) and to “empty” (then the pain passes along with the released pus).
And finally, my aphorism, which should help you: There are no real impassable channels - there is “impassable” poverty in Dentistry and (or) an irresistible lack of time, experience and professionalism of a doctor combined. ”
Good day. Three days ago, they cleaned the canal 8 of the tooth on the right side of the lower jaw, so they cleaned it out, so that a swelling around the lymph nodes has formed (it feels as if a channel has pierced through me). How to be in this situation? That is how it should be? The swelling is the most alarming because it hangs below the jaw ((
Hello, Ruslan! Extremely ambiguous described picture of your symptoms. It doesn’t matter what determines “swelling”: lymph node or purulent infiltrate. In any case, it seems that this is a purulent complication after the canal treatment. The lack of success in treating the lower wisdom tooth is a reason to remove it as soon as possible.
The current trend, according to the correct data management of the teeth, is to remove the problematic eighth tooth immediately in order to avoid the spread of infection deep in the jaw spaces, up to serious complications that, if it is running, threaten life. I would advise in such a situation to apply to the maxillofacial surgical department of dentistry and to remove a tooth, regardless of who is to blame for the complication that occurred: a doctor, or the structure of the tooth came across this and / or diagnosis. This is an emergency help - you will not be 100% denied.
Hello! On March 30, they put arsenic in my tooth, closed the temporary filling, told to come on April 8, or, if it is sick, come earlier. 4 days the tooth did not disturb and was not ill. Today (April 4) I fell sharply ill; after 3 hours I was sitting in a chair with my doctor. She opened the filling, removed the nerve, cleaned the canals, as I understood.Then she pawned something again, if I'm not mistaken, calcium (?), Closed the temporary filling. She said to come on April 8, or again, if they are in pain.
So, what is the point: the pains that I felt today and feel now (after all the manipulations) of one strange character. The tooth itself does not hurt, if you press it with your finger, it also does not hurt, if you close your teeth with force, it also does not hurt. Only occasionally (!) In case of weak jaw contact, sharp shooting pain passes immediately and the tooth no longer bothers until the next “attack” of such pain. What is it? "Attacks" about once per hour, sometimes stronger, sometimes weaker, more often - less. Please tell me what it can be? I have this for the first time and it scares me very much. Thank.
Hello, Catherine! The case, to say the least, is interesting. If “the words of the author are written correctly”, then the arsenic was laid for too long - hence the pain on day 5, although it is put only for 48 hours. As a result, when arsenic was set, pulpitis was in the tooth, and the doctor artificially created medical periodontitis. That is, instead of treating and finally filling the canals, he is now putting a calcium drug aimed at eliminating the complication.Against this background, naturally, post-filling pains may disturb the first time, although formally this is only temporary material in the channel. It can also be a similar reaction.
The fact that the tooth reacts like this is yours - I think that this is a purely individual response. In my practice, it was precisely such cases that were not identified, but over many years of experience, which was not heard otherwise: they wake up at night during grinding of teeth and knock on the tooth with a fork - it hurts and the feeling of “material” in the tooth, discomfort during a conversation etc. You can list for a long time, since there are a lot of subjective moments and nuances in each. Let us dwell on the fact that in your case it is necessary to emphasize in general the tactics of the doctor and clarify the situation with the image of the tooth. After all, it is always worth initially to know - by what diagnosis are we treating something?
Hello. I am 21 years old. Such a problem: she went to the clinic (paid) with acute pain and flux. The surgeon opened the flux, cleaned everything, left a rubber band. But before that, she sent a therapist to treat one of the two teeth above the flux. He was successfully depulped, the medicine and temporary filling were put. The second tooth is indicated for removal.I took a course of antibiotics Augmentin, polished with chloroxydine. And, it seems, everything is fine, the incision was delayed, the teeth in that place did not hurt. And the doctors took care of the rest of the teeth. As they said, the teeth are on the verge of a foul, circular caries, gingivitis and everything against the background of my diseases (pyelonephritis, hemoturia, rheumatoid arthritis, vasculitis).
Outlined a treatment plan: sweep through the entire cavity of the mouth, remove unnecessary, heal what can be saved and put the crowns, and make gingivectomy. And now the teeth have been treated from canine to canine, I'm going to an orthopedist today and ... The light presentation began. A couple of days from the night in the area of those two teeth again, sharp pain, giving to the neck and ear. On the left between the jaw and the neck, the lymph nodes are inflamed, fever is felt. From 37 to 37.8. One of the “suspected” teeth has collapsed, it will be removed when the surgeon returns from vacation, and they said that he is not in danger so far (this tooth was treated terribly at a free clinic, and the seal fell out). The healed tooth was opened again, cleaned, even without anesthesia, a picture was taken - everything is in order. Again a temporary seal. Only the therapist noticed that the edema in the place inside was going badly.They told me to smear with metrogyl or cholisal, and rinse with miramistin, and, of course, brush my teeth with a brush of medium hardness, without fear of bleeding gums. Perform every prescription. But the pain in that place does not pass. The rest of the cured teeth do not hurt, but in that place there is some kind of horror, it is impossible to sleep. There is only a panoramic picture taken in the first treatment with the flux. And what happens there in general, I do not understand. I do not want re-flux. Tell me please.
Hello Maria! Thank you for the detailed case history. In fact, I don’t have to advise much. You already indirectly prompted the answer. With a high degree of probability of pain and other symptoms, a “suspected” tooth is given that is going to be removed. It is strange that there is no surgeon who should instantly solve the problem: you cannot cure, doctors, remove as it should be. Why not pull? At least 10 teeth next to the treatment - it still will not give the result, while the tooth continues to “rot at the root”, requiring immediate removal.
Of course, after removal, there may also be symptoms in the first days, but this is at least some movement in the right direction.I think that there is no point in “steaming” for sure. I am talking about healing, retreatment, baths, rinses, etc. It is possible to rinse it sometimes, if the cause of the disease is eliminated.
Hello! Ill lower seven. The doctor put the armpitless pasta for 4 days. The first two days the tooth calmed down and did not hurt, on the third it became painful to bite a little, and on the fourth it could not bite at all. Came on the appointed day. They began to clean the channels. When cleaning one of them, I felt severe pain. The feeling was that the nerve was alive. Anesthesia was given intracanal injection. From the pain of a little spark from the eyes did not fall down. They said. that the channels were cleared, but then the pain only increased. They did not fill them, laid calcium and put a temporary seal. They said to come in a week, the tooth should calm down. The next two days she lived on the nurofene, as her ear, temple, and under the jaw ached. Within a week, the pain almost disappeared. She came to the sealing channels. Again the pain when the canals were cleaned, somewhere at the end of the canal. I do not know, all or one (only three were). Sealed, took a picture. True sealing was very strange.Almost the entire tooth was sealed with some substance that was melted with a special soldering iron, and a light filling above it. As a result, the next day I woke up with a feeling that I could not fully close my jaws, the tooth seemed to rise, it was painful to bite on the tooth. The second day is even more painful. Gives in the ear, temple, under the jaw. Please advise what to do? While I can tolerate, I wait, maybe it will resolve. And what is the cause of pain after applying the paste, as well as after the removal of the nerves?
Hello Marina! Unfortunately, it happens that during the treatment of the channels there may be pain during their passage. I think that here it is necessary to sin for insufficient anesthesia. About the reasons now I can not spread, but the fact that with insufficient anesthesia pain most often refers to the traumatic passage of the channels - this is a fact. That is, you just felt the exit of "needles", antiseptic beyond the root.
Quite right, you wrote that at the “end of the canal”, this is almost 100% not a problem with the removal of the nerve, but of course, you suffered from inadequate analgesia and a violation of the canal treatment technique.I can not say that this is a gross violation, but normally everything should be painless and without a traumatic going beyond the root. Here my task is to say how it should be, and not how often it happens in practice in clinics of absolutely different levels: from budgetary hospitals to expensive dentistry.
About the "soldering iron." I think that you were sealed with a modern method with the help of heated gutta-percha. In one day, it is not recommended to put a seal immediately after sealing the canals, but this is the place to be in Russia. Mistakes were definitely made. The only question is: are they coarse or without consequences from the point of view of tooth conservation? Here, without a picture, I cannot tell you in absentia what happened after filling the canals, but formally, we can say that your intended complication is post-filling pain in the background ... There is still a mystery (without a picture). Strengthening pain every day is not very good, since it should be the opposite: from severe pain to easing every day and full passage for 5-10 days.
No doctor is immune from mistakes, but the patient still suffers. Your right is to consult a doctor and put all the points about the correctness of your treatment.Especially if you paid a lot of money, signed the document and received certain guarantees.
Hello. A very bad tooth - the bottom six, there was a seal. Took a picture, the doctor opened the seal, said that the nerves rotted. I cleaned the canals, the tooth did not hurt after that. Four days passed, today the canals were cleaned again (they made an injection). After the anesthesia has ended, the tooth ached even more, the pain does not go away, I don’t know what to do ... The canals have not been filled yet, the doctor said they need to be cleaned and cleaned.
Good day! 6 days ago, a nerve in the tooth was removed. The channels were sealed, the filling was set - in general, everything is standard. But now for 6 days the pain in the tooth worries, and the pain appears only when pressed, but acute (I cannot chew on the side of the treated tooth). I noticed that when pressing, neighboring teeth now also hurt. With what it can be connected? Thank.
Hello Maxim! With a high degree of probability, you are faced with a complication after treatment - post-filling pain.On the background of what they are happening - the question is extremely difficult. Without a picture, you can only say approximately.
If serious errors were not made, such as: breaking off the tool in the canal, removing the material beyond the root or not bringing it to the physiological narrowing of the root, root perforation, creating a false channel, not finding a channel or channels, etc., then 3-7 days everything will be fine. Post-filling pains last for a long time against the background of a rough treatment: the release of aggressive antiseptic and “needles” behind the root tip during canal treatment, the use of irritating materials for canal filling, etc.
In the picture, this may be all very well, but the pain bothers you for a long time: there are cases that up to 2-3 weeks and even 1 month. To tolerate, waiting for the sea weather, or to deal with the cause of the problem - your own business. I just outlined some aspects and made a bit of emphasis.
Hello, 04/04/16 turned into a free clinic, periodically disturbed upper left 7 and 8. There was pain somewhere between these teeth, only when chewing solid food. Outwardly, both teeth were intact. In the picture at 7, they found a large cavity.The doctor opened the cavity, put arsenic and temporary filling for three days. All weekend I suffered with pulsating pain, there was a feeling that I felt a cotton fleece with arsenic under pressure on a tooth, my cheek was swollen. Saw ketorol. On Monday she turned to paid dentistry with complaints, explained everything. The doctor opened the temporary filling, began to expand, ream the tooth. I felt pain, they said that the nerves were not killed. Under the ultrasine nerves were removed, three channels were cleaned and a picture was taken (she said that she overdid it, but did not explain what). I sealed the canals, put a light seal on top. On the next 8 I found caries shallow, on the side from 7, I put a small filling there.
So, why the prehistory: anesthesia after 4 hours somewhere has passed, there was a terrible pain. The entire upper jaw on the left hurts, the feeling of pulsation, pressure on the treated tooth, the jaw to close painfully. He also began to hurt the lower 7 tooth under the upper treated one. Drank ketorol - does not help. What should I do? This is the norm, you need to wait three days or take pictures again? When pressing on the top 6, 7, 8, it is the very much treated dead 7 that hurts. At 6 there is also a big seal, already three times.
Hello Maria! I think that, most likely, we are talking about a complication, which the doctor casually mentioned - “overdone”. Most likely, a lot of material is derived for the root tip, and the more aggressive the material, the sharper the pain after treatment. Many doctors after the canal treatment immediately put a permanent seal on this day. Most of the specialists, who are well-versed in the nuances of endodontics, are not sure that this has a positive effect on the tooth.
You now have post-sealing pain on the background of the material removed from the top. It is possible that there is generally a whole “pea” of cement-like mass outside the root. The fact that neighboring and even lower teeth began to react when biting only confirms that this is a serious result of a bad mistake.
8 tooth also could affect. There, nevertheless, a “nerve” was left, and who knows, it is possible that the tooth also overheated during the treatment of a small cavity. Of course, this is less likely. Most signs indicate all the same to the removal of a significant amount of material for the tip.
Personally, my advice is to get an objective assessment from an independent (third-party) doctor about the image and condition 6, 7,8 teeth, but better: maximum emphasis on 7 teeth. I do not think that he was completely “ruined”, but still unpleasant.
Good morning! Help advice. 4 days ago, first cleaned the canals of the 8th tooth. Then they would have discovered the broken instrument in one of the channels. Since it was painful when cleaning one channel. The doctor decided to remove the tooth. After removal, the ear immediately fell ill. All the teeth on this side whine. Painkillers do not last long. Maybe your ear blew? Can I use phyto-candles for tooth treatment? The doctor said that in the bath can not wash and warm. And the pain in the ear does not pass.
Help, toothache, went to the doctor, cleaned the canals, removed the nerves. Three days the tooth aches periodically, not only when biting. When you knock on the tooth, it is very painful, the pain is dull, but long. What to do?
I have the same story, if you find out the solution to the problem, write me back. Please, a tooth ache.
Hello. I have this situation. I turned to the local dentist (during pregnancy) so that a tooth broke off, 6 from the bottom left, and sometimes there were some pains ... The doctor in my story made a diagnosis: pulpitis.I opened the sealed tooth, said that the tooth was bleeding and could not do anything with it, put the medicine and sent it home. A week later, she removed the temporary filling and sent it to rinse ... A week later, I began to clean the canals, but it was very painful for me (anesthesia in the form of Lidocaine, 1 cube, did not help). She again put some medicine, closed the temporary filling and sent it home without recording, because like a lot of clients ... I came in 1.5 weeks with very strong pain (I couldn’t even squeeze my jaws), she again put some medicine and sent her home. The tooth was sick immediately after leaving the office, I suffered 4 days (2 days off). The left eye, ear, was twitching, it was impossible to press on the tooth.
Then she turned to a paid dentist with a recommendation. They took a picture, it turned out that I cleared 1 channel out of three and left a needle in the channel, besides, I had the whole gum sore from the action of the drugs. The dentist cleaned the remaining canals, without touching the canal with a foreign object, put a medicine, a temporary filling. The tooth stopped hurting. At the next reception I was sealed channels and put a temporary seal. The tooth also did not hurt.A few days later I was given some kind of temporary “Japanese” seal and sent home until May to restore the gums, since the gum was torn to the bone and a passage formed between the tooth and the gum. The tooth fell ill the first night. I again went to the doctor, opened part of the gums between the 6th and 7th teeth and was prescribed to apply solcoseryl ... In the evening, my tooth ached again, so much so that I can neither eat, sleep, nor jaw, squeeze, twitches the eye and ear again, and painkiller does not help at all ... Maybe it torments me with a canal with a needle? What to do? Maybe advise any clinic? I no longer have the strength to endure, I have been suffering for 2 months, constantly on painkillers and in addition to everything pregnant. Thanks in advance for your advice.
Hello Anna! In fact, I cannot advise the clinic only because almost 100% do not live or work in the city where you are faced with a problem. Therefore, I do not know which clinic in this territorial unit is able to save your tooth.
Here we are talking about the salvation of the tooth, as a series of mistakes (and even serious ones) led to complications. They do not allow you to sleep and live comfortably.Without removal of a fragment of the tool it is impossible to overcome the problem. Not sure that the tooth is the only problem. You should refer to the sites of clinics in your city to try to ream this tooth. What you need to re-do is 100% understandable, since a paid dentist made your life easier for a short time. Treatment for the principle of "dead poultice" - is the approach of the tooth to the removal. Quickly find a clinic that correctly assesses the situation and offers options for saving the tooth. Otherwise, after weighing all the pros and cons, remove it in order to avoid a more serious purulent spread (spreading) of the infection, and then prosthetics.
I hope that this advice will help you in the current difficult situation.
Hello doctor, please help in further actions: 4 days ago I felt pain in 6th tooth, it was sealed, there was a black spot on the side and I had it sensitive. Immediately I turned to my dentist, took a panoramic picture and a blackout was detected on this tooth. The doctor said that these are bacteria on the roots and that they need a long treatment. Opened the seal, cleaned, laid the medicine and put a temporary seal.He said that, in principle, I can walk with her, but not all the time. I received the following entry for the treatment of canals only after 2.5 months. But after the anesthesia was over, I felt a aching pain in the tooth. But the pain under the jaw is more troubling, also the jaw itches and there is discomfort when swallowing. The next day, I went to the doctor again, opened and cleaned the medicine, and prescribed antibiotics. But the pain did not stop and at the weekend I had to go to another doctor: he removed the seal, put the medicine and closed it with a cotton swab, refused to remove it. I live in Germany. Thank you very much.
Hello, Alexandra! Normally, acute pain should not be at the stage of treatment, since the implementation of all its protocols allows for the elimination of the provoking infectious agent, and also reduces the response of the inflammatory focus outside the channel. I think that at the stage of treatment errors occurred that led to problems with the prospect of intracanal treatment. The question of the expediency of further “torturing” a tooth and you, including, if technologically and professionally a doctor simply does not cope with a therapeutic task, has hung up.
I would like to see a snapshot before the treatment and at its stage, since this would allow a little to lift the veil of secrets of complications during treatment and generally recognize the principle of therapy. At once I will say that modern dentistry adheres to the principle: wash channels according to protocols for about 1.5-2 hours. I will not name the scheme, since it will be an advertisement for drugs, but excluding an infection is the main problem for a number of dentists who give up and cannot save a tooth. When the canals are all found, passed, washed with ultrasound, expanded and sealed with a calcium hydroxide-based preparation, then a person normally should not feel acute pain, maximum discomfort within 1-2 hours after therapy. Subsequently, the drug is changed in 1-2 weeks (2-3 months) with monitoring of the effect on the extra-articular region.
I do not know what diagnosis you had initially, but the fact that you are stuck in the routine of medical work and, not less likely, in a series of mistakes is a fact. I would like to wish you patience and the opportunity to find a doctor who will break this chain of unsuccessful channel therapy. Is it really a myth that Germany is a trendsetter, a country of dentistry and innovations in this field?
If you have a problem with a plan other than finding a good doctor, then remove the tooth from harm's way, because, as I understand it, this is the sixth lower tooth, and the lower jaw is the most insidious in terms of the risks of “leaving” the infection deep into the jaw with serious complications.
I sincerely wish you good luck!
Hello! A year ago I was treated with a tooth, a six. They removed all the nerves, took a picture, there was a discharge under the root, they put the medicine, it seemed, it helped. Then, when the canals were sealed, a little of the filling material went beyond the top. Now the jaw has begun to hurt in the area. Teeth do not react to cold and hot, gums are normal. Pain can arise and disappear for no reason. It may not hurt for several days, then comes back again. I went to my doctor, she checked, she said, you need to be patient, probably she was cold ... Now the pain passes to the upper jaw, then to the other side, gives to the temples. What could it be? Inflammation of the trigeminal nerve (you never know)? Cyst? (Previously there was no incisor, perhaps, as a predisposition ...) Or, perhaps because of the release of a filling material for the tip of the inflammation? (Although the year did not bother, and it turned out there a little bit). I hope for your help 🙂
Hello! You should carefully check the adjacent teeth for the presence of a cavity and inflammation of the "nerve". By eliminating this factor, you can further investigate the possible causes of your treated tooth. In theory, a sharp pain in a treated tooth has other supporting symptoms: pain during percussion (tapping on the tooth), pain during palpation of the gums, etc. You should carefully examine the tooth in the mouth, take a picture, analyze it. You did not provide X-ray data.
Still, still untreated teeth often “give up” to the treated ones, especially with errors in the canal, although a number of doctors do not consider the withdrawal of the material to be a serious complication, which may be of some concern in the future. Send pictures and photos of the tooth in the mouth - we will understand, once the doctor tells you to wait until the "aggravation passes" ...
Good day. I was diagnosed last Friday - pulpitis of 27 teeth.
1. At 12:00 put the nerve killer. The tooth was sick for another 12 hours, then stopped.
2. A day later the canals were cleaned, 3 of them, some medicines were inserted into them and a temporary filling was installed.
3. For 3 days, the tooth almost did not bother, the gums ache from injections.On the 4th day there was pain. It is painful to touch the tooth. If yesterday it was painful to touch the whole tooth - today pains are only from the inside and the filling. All the teeth on this side of the jaw also began to ache. Then all at once - then in turn. No gum tumors, no temperature. The doctor went on vacation until May 16. Having said that if there are severe pains, come to an appointment with another specialist.
Hello! To understand what could have happened on the 4th day after the canal treatment, you should analyze the snapshot data. If the channels are sealed correctly in the picture, then the work of the doctor should be analyzed. With serious errors of the doctor, everything will be in the picture, in full view. Usually pain when biting on a tooth can appear on day 2 after canal treatment. The 4th day is just some kind of slow reaction, which leads to bad thoughts. If the doctor warned that there could be severe pain, this also suggests similar considerations. Anyway, your situation will be analyzed by another doctor. I think that he will have to fight for your tooth, if my suspicions are confirmed.
Hello, I am 14 years old, I am writing, 2 days after visiting the dentist. My doctor cured 3 channels, very well. The picture said that it was also good, I filled it with a regular filling, I did not insert the pin, I do not know why. So, everything was fine, but 3 hours after the doctor the filling began to whine! I can not bite, eat, touch - it hurts. Tell me what to do? Quickly, please, it is very painful and sorry for the money paid for the tooth!
Forgot to say that in the treatment of canals the doctor hooked on the gum and tore her, it can affect tooth ache? The pain is formed when I press on the filling, but the tooth itself does not hurt.
Hello! You are experiencing post-sealing pain that many patients have. However, for most people, they disappear within a few days, or there is a persistent tendency to reduce pain when biting every day that has passed after sealing. It's too early to talk about losing money.
Most often, such a reaction occurs on the background of medical errors of the doctor and excessive exit of the needles outside the channel. Such injuries are not the norm.but, in general, they do not harm the future existence of a tooth if other errors are not made: breaking the tool in the canal, moving the filling material out of the root or strong “underwatering”, forgotten the canal, etc.
Provide snapshots for a full analysis of the situation and specify: did you immediately get a permanent seal, or is the temporary seal still worth it?
There is a permanent filling, and the doctor did not give the pictures, but the tooth ached and I forgot to ask.
Hello Dmitry! If this problem continues to torment you, you can do the following: take a new snapshot of the tooth in another private clinic and get advice from an independent expert on the spot. After a full-time clarification of the dentist, you can provide pictures here on the website, and I will try to assess the quality of the processing and filling of the channels in the near future. If you have two expert analyzes in your hands, you can act in the right way: either calmly wait for the passage of post-filling pains, or go to the clinic for reablation of the tooth canals under warranty.After all, a dentist who has a good reputation will always satisfy the client’s requirement for a job well done. Moreover, you paid precisely for this N-th sum.
Hello! My tooth ached with pressure, after which the doctor removed 3 nerves and put a temporary filling. The tooth began to react strongly to the cold and hot. The doctor looked, took a picture: the channels were sealed, the gums were clean. Again a temporary seal. I now reacted to cold water (my teeth never ached like this, the pain is very strong) ... What can be?
Hello! If your words were recorded correctly, and the doctor did pass the canals, then almost 100% of this tooth will never react to cold. Even a mediocre canal treatment further excludes pain in the cold (maybe hot).
Therefore, for me in practice this is a good diagnostic sign: you should look carefully for a causative tooth, that is, the very tooth that reacts to a cold one. I send water from the dental unit to the area of a possible diseased tooth. If you choose between a “dead” tooth and a “live” tooth, then, accordingly, it is easier to find out simple: the tooth that has not yet been cured in the canals reacts to the cold one.
In your case, I would simply direct the water towards the sealed tooth: if the pain appeared, then you should carefully examine the coronal parts adjacent to the “dead” tooth for the presence of hidden caries or cervical defects. I think that in case of difficulty it is possible to take a picture of a diagnostic group of teeth. I hope that your doctor will focus on finding just such a tooth. Do not tolerate the pain - contact your dentist immediately! Health to you!
Thank!
Hello, I had a nerve removed half a year ago and everything was cleaned there, a cotton wool with iodine and something else was put in my tooth (there is no allergy to iodine), and a temporary filling on top. I don't really like hospitals and doctors, because treated a tooth for almost a month. I didn’t come to them the next day, everything was fine and the tooth didn’t ache and it didn’t hurt, there are always fluxes constantly, for half a year it is already the 4th or 3rd, and sometimes the tooth just gets in the way. Tell me, is it possible to still have time to go to the hospital, and that all fluxes appear and appear. I will say that the flux is not very large, so medium. Because of what they appear, if the tooth is closed with cotton?
Hello, Valery! It's simple: you have violated the stages of treatment, so the tooth is periodically in the acute stage, that is, the newly forming purulent process - the "flux". The point is that the tactics of treatment of your tooth did not imply a pass for some (even short) time, since it was a question of reliable hermetic sealing of the tooth. A temporary filling with cotton gives such an effect for an extremely short time (and this is not a fact). In the coming days, hundreds of thousands of microbes penetrate from the oral cavity through microcracks and obvious blemishes in contact between the filling and the walls of the tooth, which resume all the processes that existed before the treatment, sometimes with double-triple strength. The size of the "flux" affects only your comfortable or not very digestible existence. As for the prospect of tooth preservation: only a careful analysis of the situation and the right tactic to save the tooth during this complication will prompt. In a number of dental clinics, after analyzing the clinical situation at this particular moment in time, a decision may be made to remove a tooth. However, it is not uncommon for a tooth to be saved at the cost of many hours of repeated retreatment and large financialcosts. In any case, the last word on your doctor and your consent to this or that intervention. Do not postpone solving the problem on the back burner, as otherwise there may be serious risks to health and life in general.
Hello! I have such a problem: after cleaning the canals and removing the nerves CANALS were not filled, the doctor said to rinse the tooth with soda for 5 days and come to the reception (it was 6 days ago). The tooth began to hurt on day 1 after brushing and it hurts very much when pressed, at night it feels like it is pulsing and shooting in the ear. I am afraid to go to the reception because it hurts. And the doctor said to come when the tooth stops hurting. Can it hurt so long after cleaning the canals?
Hello, Anastasia! In general, the technique of rinsing teeth with soda and salt with open channels is not welcomed by most experts. And you illustrate it with your clinical case. First, open channels are not a panacea for pain, as the infection continues to circulate from the mouth into the channels and back.Secondly, the channels almost always start to get clogged with food and become not only a “garbage dump”, but also there is a risk of repeated “hermeticity”. Simply put, the doctor unsealed the channels, making them convenient for rinsing, and after the first meal, cucumbers and tomatoes clog the channels, as before. Thirdly, for many people empty canals do not cause complete comfort: yes, there may be an acute phase with tearing and throbbing pains passing away, but certain pains are still present. Hence the conclusion: you will have to keep the tooth in the spirit of new traditions and treatment protocols - without open channels, but with full medical and mechanical treatment of the channels for more than 1 hour with modern preparations, followed by hermetic closure of the channels with materials (it is possible that they are temporary). Unfortunately, often such a competent and professional treatment costs considerable financial costs. If there are no such opportunities, then there is no sense in “driving” the infection with open or not so channels further and waiting for possible complications from the tooth - go and remove the tooth (the decision is sad, but at least some help to the body).
Hello. I have such a problem.Removed the nerves in the upper tooth, next to the eye. At first, the doctor said that he could not get a nerve, then after the next time he said that he had removed it. Put a temporary seal. At first, he was sick with pressure. Then the pain, as such, is gone. But I am very worried about the swollen gums, in which blood is collected. I've been going with this for a month now. I visited the doctor twice, doing the cleaning. The seal is not opened. Said it happens. Said another walk two weeks. Very afraid to lose a healthy tooth. It does not get worse, but it does not pass. Advise what to do? Thank.
Hello! I think that during the treatment, an exacerbation arose due to the inadequate processing of the canals. However, it is advisable to confirm this fact with a snapshot of the tooth. "Tumor" of the gums, especially since more than a month is not the norm. I think, in order not to lose a tooth, you should contact another dentist with a snapshot to analyze the results of treatment and plan a possible retreatment. If you provide a snapshot of me for analysis, I can give you a preliminary conclusion, but you can lose valuable time.
Good day! I began to ache a tooth under the seal (10 years stood). The dentist sent for an x-ray, then removed the nerve, cleaned the canals, installed the pin and made an extension. Within 3-4 days, severe pains did not stop, only painkillers saved. After the next X-ray, nothing “terrible” was found, although the cheek swelling appeared small. A gum incision was made, the so-called "scratch", with the installation of drainage rubber band. At the opening of the pus, as expected, was not there. The day was rinsed with all that they could, was prescribed the antibiotic Lincomycin. After removing the rubber band, the pain does not stop, pain (dull and throbbing) cannot be tolerated without painkillers. Please tell me if the dentist did the right thing by installing the pin and the seal immediately after the deputation in one visit and how long can painful sensations last?
Hello! Not properly! Although I have repeatedly heard from my colleagues that a number of dentists continue (and successfully) to put the restoration pins in the newly sealed canal.Researchers on this issue are inclined to believe that most of the filling methods are incompatible with this policy and often lead to complications. Familiar with the authoritative opinion of a professor of dentistry and a doctor of science, who is 100% sure that the tooth should be “built up” only in the next visit. However, after filling the canals, temporary restoration without a pin should be made with inexpensive materials in order to be permanently replaced in a few days.
Edema from the gum could be triggered by an infectious exacerbation around the root, and something like an allergic reaction. The reaction of the tissues surrounding the tooth to the intervention of this kind could well lead to a problem + the combination of such factors with simultaneous restoration and possible pushing of the “foreign body” beyond the root.
Of course, the tooth needed rest after the first visit, but not restoration work. However, it is more than confident that the dentist has been practicing this policy for a long time, therefore he is too self-confident. If the picture is really as beautiful as it is presented, then it is quite possible that the doctor actually struggles with traumatic and allergic edema.There is also the likelihood of an infectious reflux beyond the root during channel processing, and there can be a beautiful “picture” in the picture. If the material is taken out of the top, then the pain can be quite long: up to 1-2 months. I recommend to take a picture and get advice on a snapshot from an independent dental expert.
Hello, 2 days ago the nerve of the upper six was removed and sealed. Two days didn’t hurt much, but today the pain became a little stronger and the tooth began to react to the cold. What could it be?
Hello Jess! It is highly likely that your other tooth reacts to a cold one. The fact is that the tooth, in which even at the very least the “nerve” was removed, does not react to the cold one. Only an absolutely “live” tooth can react to the cold. The fact that you had a treated tooth — most likely it was about post-filling pain. I recommend that you urgently go to the dentist and take a picture of the tooth to clarify the diagnosis and control the quality of treatment of canals.
Hello. In February, I had a nerve removed under anesthesia in a healthy tooth, 3-ka.For prosthetic ceramics were planned. The doctor additionally installed the pin. In March, the tooth began to ache. I went to another doctor. Removed the pin, the entire filling material. Left open a tooth, ordered to rinse with salt and soda. It became even worse, the tooth hurts, as if it is stealing. Now 2 days I go to the laser. Not any easier. Tell me what to do? Thank you in advance.
Hello! I think, that speech about incorrectly carried out treatment of the channel 3 teeth. If I correctly understood that you are writing about canine. This is a single-channel tooth, so making something bad in it is difficult. Sometimes, after all, there are complications that lead to consequences like yours. It is a pity that you have not saved the pictures after the first canal treatment. Now pictures can only help identify the state around the root of the tooth. Physical procedures are good only with adequate treatment of the channel. Therefore, it is important to take care of a properly processed channel with a medical filling material.
The open method of treatment of the canal of the tooth is now criticized by the majority of dentists, as an infection from the oral cavity again pollutes it.I think that you should refuse such a routine treatment and turn to a dentist who has methods of treating the channels with hypochlorite with ultrasound activation followed by calcium hydroxide preparations. So you save your tooth. Do not forget that it is important to identify possible complications: root perforation, over-expansion of the root apex, etc.
Hello! In December 2015, my teeth ached. The pain "walked" in all the teeth, face and head. There was a high sensitivity for hot (week), then for cold (another week). The dentist said that the teeth were open and prescribed Metrogil. The pain subsided. In February 2016, the bottom 7 tooth broke off and the top 8 left. At the reception could not, t, k. I had a bad cold and the whole March. But there was no pain. By mid-April, 8-ku was deleted. After the May holidays I went to treat 7-ku, but instead, the doctor healed the top 6-ku, and on 7-ku she put arsenic for two days. Arsenic was removed in time and put a temporary filling. After another 3 days, they finally began to heal. She said that everything was inflamed. They made a very painful electrophoresis, and the teeth were filled with seals.Then three days later. Put medicine and temporary filling. The next day, the canals were sealed. But during the filling (when the paste was made) there was hellish pain, even with anesthesia. I couldn't even cry in pain. The doctor was unhappy that I did not give. She said it was okay, just such sensitive teeth. Now all the left and front teeth hurt, the painkiller does not help. Herpes came out. At night there was a fever and a cold sweat. Is this all maybe my features of the body? And I have a sealed right 6-ka with a granuloma. I do not know what to do with it - to treat or delete. Thanks for the answer!
Hello Yulia! Treatment should not bring pain and suffering - in this context I recommend changing the attending physician. Of course, no new doctor will become involved with you without diagnostic images of problematic teeth. In fact, a careful analysis of the images of the teeth is needed: what has been done already, how it has been carried out, whether there are any mistakes and in which direction to go further.
Of course, stress on the background of fear of pain and so on can cause any negative reaction of the body.I am sure that you need to break the stereotypes and try to find a doctor who works more constructively and (very importantly) without pain. This is now a definite standard of quality treatment.
Hello. Tell me, please, I have such a problem: a year ago, a 5th tooth on the upper left side got sick, went to the clinic, they sealed everything up well. A couple of months pass, the next 6 fell ill, went back again, sealed up, it seems, everything is fine. After 3 months, the picture with the first tooth repeats - went, now cleaned, the canals were sealed. And after some period of repetition with the second tooth. Now, after the expiration of my time, it hurts me again 6 (pain of a whining character, reacts to cold / hot). I went to another doctor, took pictures. He says that the tooth is pulpy and there is a darkening of the maxillary sinus, sent to the ENT doctor. I took a picture of the maxillary sinuses, there is no antritis. I can not understand anything at all. Thanks in advance.
Hello! The question is difficult, so it is better to send you pictures of the teeth with the treated channels (refer to Yandex-Disk).This will provide an opportunity to assess the quality of treatment by the doctor and to understand whether there is a reason to think about inflammatory processes in the maxillary sinus.
Hello. Three days ago I treated the bottom five. The doctor sealed the canal and took a picture. On it was clearly visible that the filling material went beyond the top of the channel. The doctor said the canal is smaller than it should be. She said that the tooth will ache for three days and only when biting on it. Today I feel that the tooth aches, even without biting. What to do? Previously, it was already with another tooth. I was sick for a long time (more than half a year), I gave it to my ear, even in my throat there was a feeling of discomfort. Then gradually everything went away. Changed the doctor, and here, again! Tell me what to do, go to the doctor, or will it pass by itself?
Hello, Elena! I think that in your "places" they hold a vicious opinion: it is better to show a beautiful "picture" in the picture than to achieve a comfortable state of health with the patient. In my practice, I do not use materials for sealing, which are annoying when they are removed from the top.At the same time I spend a detailed condensation of them in the channel, that is, I condense strictly according to the protocol. Your doctors, almost 100% sure, use epoxy resins for channels: modern innovative doctors cling to their possibilities of hermeticity and creating a beautiful outline in the channels. Such drugs do not tolerate mistakes, but doctors persistently continue to push them in the direction of the apex, so that their colleagues do not “curse”. Most fear the wrath of the evil "uncle" dentist-orthopedist (who prosthetics). After all, this specialist can so critically check the work of colleagues and find fault with partially empty channels in the picture. That is why the doctors of many clinics are ready to load as much of this “beauty for the sake of the image” into the canal. Believe me, there are lots of such cases (you have to consult like this every other day). However, in my practice, pains when biting are rare, and if they happen when removing a small amount of paste (not pins!), They last no more than 5-7 days. You just fell into the clutches of the business.
Hello! Svyatoslav Gennadievich, please consult about my further actions.The problem is that two months ago I was treated tooth decay 16 teeth with nerve removal and canal cleaning. Immediately after treatment, the tooth began to ache, especially when pressed. Over time, the pain subsided, remained only when biting. When they took the picture, it turned out that the filling material (gutta-percha pin) went beyond the apex of the tooth root and, the worst thing, was in the maxillary sinus. What should I do now?!
Hello! If you have an idea about such details, then I am sure that you simply need to confirm the direction of the thoughts of my colleagues. I do not think that I will be original in this matter: the gutta-percha pin removed does not always give pain, in the end - often everything is normalized. However, no one has canceled the fact that this is a complication after intracanal treatment and it is considered as a problem for the future. The proximity of the maxillary sinus in this case definitely complicates the situation, but there is a solution. It is necessary to turn to the dentist-therapist with the pictures and determine the ability to heal this tooth. Depending on the material with which the gutta-percha pin was installed in the canal, the difficulty level of material extraction will be interpreted.With proper equipment, it is possible to do this: remove the withdrawn pin completely, medicate the canal (or canals, if there are errors in them), and then seal the canal strictly to the apex. Sometimes you have to put special temporary materials (based on calcium hydroxide) before the final canal filling. In any case, after some time it will be necessary to install the root filling. If the channel is properly sealed, there will be no cause for concern. The question of the possible infection of the maxillary sinus with the treatment carried out is solved on the spot: detailed diagnostics, questioning and competent retreatment of the main source of the problem - this is what you need at the moment.
Hello! Svetoslav Gennadievich, following your advice, I turned to another clinic (the only one technically equipped in our city). The doctor, who works with a microscope, did not stop overfing the tooth, explaining the results of the OPTG with the CT function, that there is no stomatology here, and to remove the filling material it is necessary to do endoscopic sinusotomy in Moscow.Is it possible to treat a tooth? Answer me please. I leave my email address: [... only the doctor sees the mailing address ...]
Hello! Treated 8 tooth, pulpitis, put arsenic for 2 days. Came to the reception, and one of the channels, when they insert the needle, is painful to heal. And then, after the injections, they also placed arsenic in this channel. Do you think it will help from pain and is it not scary that 2 times they put arsenic? And what is the cause of the pain even after injections in the canal? Thank you in advance!
They put arsenic for a day and said to come in the morning.
Hello, Vadim! I think that the doctor’s tactic is somewhat routine. I did not stand by the chair behind my back, but I can analyze only in general and especially from my “bell tower”.
Firstly, the doctor did a good job of taking up the wisdom tooth (8), which many dentists are now proposing to remove because of the many nuances (long to list). Secondly, re-formulation of arsenic paste is not forbidden, but this paste is now extremely not recommended even for the first time. Just by many studies, overexposed pasta worsens the condition of the periodontium around the roots of the tooth.The best option is considered to be the non-arsenic paste, although there are quite a few supporters of the first method (usually, this is the “old guard” of doctors who do not conceive their work without “arsenic”).
Thirdly, nobody canceled good anesthesia. If your doctor cannot “freeze” a tooth with high quality in order to treat the channels painlessly, then this is already a problem. If you trust your doctor, in spite of everything, then you are left to trust in his routine treatment. His prospect depends only on the further tactics of the doctor. Good luck and patience!
Hello. I had caries on a chewing tooth. He was cured with a nerve removal. Everything is standard. But about the possible pain is not warned. A week and a half has already passed since the trip to the dental clinic. The pain began to fade away. But at the moment the tooth began to hurt again and is already stronger. Chewing and touching it hurts. I would not say that the pain is terribly hellish and impossible to endure, but the discomfort is clearly causing. Please tell me what it can be? Should I go to the dentist, or just need more time to calm it down? Thanks in advance for the answer.
Hello! Usually, everything begins with a radiography of the tooth, in which “nerve removal” was performed. The fact is that such a spontaneous exacerbation (especially at such early terms) can be a consequence of the doctor's mistakes in endodontic treatment of the tooth: a channel not found, perforation of the root or bottom of the tooth, breakdown of the instrument in the channel, not a sealed canal, etc. After analyzing the snapshot conclusions. If it is impossible to find fault with the treatment in the picture, then it is important to find a really problematic tooth. It often happens that within a short time after treatment, another tooth begins to hurt, which has a deep carious cavity. She is sometimes hidden from the dentist.
Therefore, it is definitely worth going to the dentist to dot the i. It is better not to miss the problem and not to delay to serious complications. Health to you!
Hello. Tell me, please, can a bad tooth cause slight shaking of a head, something like a tremor and twitching of an eye? I have seven years of such periodic swaying, accompanied by a headache. MRI of the head and neck did.There is a small protrusion, but not so strong. Recently discovered pulpitis of the fourth upper tooth. Began his treatment.
Hello! Such cases are not recorded in dentistry. I think that you have a neurological problem, and pulpitis is a private problem that deserves attention only as an additional disease. Therefore, contact your neurologist to find the root cause.
Good day! My husband's nerve was removed 10 years ago, the canals were cleaned and a crown was installed. Recently, about 3 days ago, went to the doctor - the crown was reeling. He had previously visited doctors, he was cemented and a crown was put on again. But this time, another doctor said that his channel is not completely sealed and that everything needs to be done anew. They also said that this procedure is very complicated and it will be done by a specialist. As a result, the specialist did all the manipulations in a little less than 8 minutes, according to her husband, I polished the floor brush 2 times and sent it home. Begin to break the gum and he was prescribed pain medication. The pain did not pass, only for the duration of the anesthetic. The next day, there was a feeling of distention and a cheek began to swell ((Now he has the entire right side swam with the eye, the pain does not go away, there was a temperature.Now the cheek is hot, the temperature has subsided. The doctor could not accept yesterday and appointed for today. Is this a medical error or does it happen? Thank.
Hello! If according to your spouse's words “recorded correctly,” and the work in the channel lasted only about 8–10 minutes, then most likely it is a question of a doctor’s defect, or an error (errors). The idea is that retreatment of the canal of the tooth should take no less than 30-40 minutes with detailed treatment of the canal and leaching of infection. The fact that the problem channel was disturbed (without this it could not be) did exacerbate the chronic process. The result of this aggravation was “on the face” of your spouse. I am inclined nevertheless to the version that this is a multifactorial medical defect. Moreover, the channel almost 100% really needed professional reseal and more than I am sure even in anti-inflammatory therapy. It is best to look at the situation on the spot, but it is already scary for the outcome and the prospect of a similar approach to the treatment of such complex teeth, and retreatment of teeth with similar hidden infectious foci is an extremely ambiguous event for many dentists.
Hello. I have the following situation ... 6-7 years ago, the 5th, 6th and 7th tooth bridges were installed, if I am not mistaken. Recently, he began to stagger, went to the dentist, took a picture, a cyst showed up, said, you need to treat and re-install the bridge. Opened the sealed canals, cleaned without freezing. During the cleaning there was pain when inserting the needle (mostly at the end), the pain disappeared on the same day! The next dose was treated with medicine, put a temporary filling. Also, when working with a needle, it was painful, already stronger. The pain is terrible when working with a needle, as if it were a shock! On the same day, a tooth ached, the next one too (without interruption, only Nimesil saved). In the evening I went to the reception - they removed the filling, cleaned the canal from the medicine, washed it (they pricked it again with a needle during cleaning), they said to rinse with salt and soda. But even after that, the pain did not go away ... For several days I have not slept at night, in the afternoon pain is terribly painful, 3-5 tablets of painkillers per day. I went to another dentist today (he does not work on Saturday), took a picture, said that he felt pain when he entered the canal into the canal because he reached the nerve that runs horizontally (from which nerves to the teeth leave).And in general, this tooth must be removed, they say, thin walls, a thin bottom in order to put a crown on it.
Tell me, what nevertheless became the cause of persistent pain: the doctor's mistake when cleaning with a needle, or, maybe, what else? Thanks in advance!
Hello, Oleg! It is clear that a tooth with a cyst will never find living “nerves” - this is an axiom. Such teeth initially have either dead pulp, or were previously sealed in the canals, but poor quality. The doctor treated or refitted this tooth, but encountered a number of errors: he did not create comfortable conditions for the patient (normally everything should have happened without pain), and also allowed the release of endodontic instruments and (or) antiseptic while working beyond the root (roots). Errors at such an important stage of treatment + the inability to create the most sterile conditions in the canals led to the fact that you cannot do without painkillers. It is clear that the doctor provoked an aggravation in this tooth, but could not on its own make it so that this process did not go beyond what was permissible.
As for consulting another doctor, I can say that the accusations of the first doctorthat he could “reach the nerve that goes horizontally,” in other words, to the mandibular nerve, is not confirmed and not proven. And about the need to remove a tooth - this is a difficult question: it is required to see the situation in all senses "in person" and from all angles.
The reason for your pain is that at some point the doctor made mistakes. Perhaps the mistake is already in the fact that the readings are reduced to the extraction of the tooth, and the doctor is trying to heal, although most often such teeth can be “pulled out” at the cost of professionalism, necessary equipment and assistance from the patient.
Hello! I want to consult with you. Four days ago, the tooth was depulped, the top seven. It was done: computerized radiography, the use of antiseptics, treatment of pulpitis, root canal treatment with ultrasound, medical pad in the root canal, removal of the old filling. But a tooth hurts when you press it, or when you bite down on food. In a calm state does not hurt. I do not touch him, he is me. What can it be, and what to do so that it does not hurt? Thank.
Hello Olga! As far as I understand,you focus on the fact that you were given a completely elite treatment with all the available modern advantages of dentistry, without which it is difficult to treat a tooth, as it should be, that is, for a lifetime. Post-sealing pain that you have, should not normally be. However, most often when treated correctly from the point of view of the technique + image, such deviations disappear on their own in 5-7 days, sometimes in 10-14. To answer more accurately, you need to know at least: what the doctor did there in terms of X-rays. From here come the appointments: if everything is in order, then the doctor may prescribe physiotherapy or rinsing, otherwise, it is impossible to do without correction of the material in the channel (s).
Hello! I really hope for your advice, help, please. 10 days ago, the 4th upper tooth on the right side began to hurt, with caries. Naturally, she ran to treat. The doctor removed the nerve and left the canal open, said rinsing with salt. So I did. Yesterday came at the closing channel. By the way, after the removal of the nerve there was no pain. I sealed a tooth and, as usual, went home. But after anesthesia, terrible pain began, which I did not experience even before treatment.As a result, it inflated me from the right side into a ball. I went to the doctor again. He opened the channel and sent him home again, prescribing an antibiotic. The pain did not go away, the edema does not subside, but, on the contrary, increases. The doctor said my body was to blame. I do not think so. X-rayed: everything in the picture is clean. What do you think happens to me? Severe pain, severe swelling, twisted mouth, closed eyes. Tell me please.
And it would be seen in the picture, if there was an accumulation of pus?
Hello! Errors doctor in this context is difficult to specify. You need to know your situation in and out: from the pictures, from the standing of the general inspection and even checking the channels for the presence of complications. After all, the doctor could incorrectly process the canal, leave a piece of the instrument in the canal, it is not enough to take care of the canal with medication, not to remove the infected layer from the canal, etc.
Of course, in your story there are a lot of hints at the incompetence of the doctor on a number of issues. However, I cannot blame the doctor point by point and I have no right, not knowing your clinical situation from all sides, and according to the description one can be too biased towards the doctor and his work.
According to your story, the prospects for preserving the tooth of this doctor are small, so the situation is close to changing the doctor. Another question is whether the new doctor will correct the situation after the previous one (many do not like it). In any case, it is worthwhile to clarify the course of treatment, because not only the further life of the tooth, but also your general health depends on it.
Hello! Two days ago, the top “six” began to hurt when biting. The tooth is dead, the fifth and seventh, too, treated a couple of years ago. At night, in the "six" pain appeared without biting. The dentist opened the tooth, took pictures. According to her, the channels are healed well, there is nothing to be ill there. Sent to the ENT doctor to exclude sinusitis, said, my sinus fits close to the root. Sinusitis is not confirmed. The second day of pain is very strong, it hurts not only the tooth, but also the gum above it when pressed. Temperature 37, the face on the left is swollen, and the temple and ear ache. Very reminiscent of the state begins, if not for the pain. Tell me, please, what is it? Poorly cured channels? The tooth is unsealed.
Hello! Of course, we are talking about the exacerbation of chronic periodontitis. However, the most difficult thing here is to determine the causative tooth. I think that your doctor has encountered a diagnostic problem, which is very bad. If a tooth is defined incorrectly, then there is no point in waiting for a positive outcome. I’ll say right away that it is extremely difficult to determine whether there are errors in the treated teeth through online consultations. If you had pictures of the canals on your hands, you could say something like this, but then you would only have to handle one tooth. Only problem. Immediately two teeth in aggravation is nonsense. You need to sort things out sooner, otherwise there will be a lot of problems, even a tooth extraction (maybe even an innocent person in the inflammatory process).
Thank you very much for the answer! Yes, with the diagnosis we have difficulties. The town is small, not a single dentist has anything except X-rays. Today was again a doctor. She again, reviewing the images, confirmed that she does not see pathology from them, but may not see a possible additional channel. Still, I think the case is in the "six", because from the very beginning after the canal treatment, he was somehow alarming.There was no acute pain, but when tapping it, something was alarming, there was a sensitivity. The doctor suggested that I do a viziogram or orthopantomogram. We'll have to go to another city. Thanks again for the reply! In any case, albeit online, but the opinion of another doctor is important to me!
Hello. Two days ago I was at the dentist who cleaned the canals and returned the filling. But before that, she also cleaned them for me, put medicine and temporary filling. So, now I have a terrible pain. I can not touch my teeth to the teeth, and it feels like they hurt me and are inflamed. The pain is such that from the hopelessness crying. I no longer know what to do. Give money for such treatment in vain. I already think that an allergy to the material, or it will all pass in a week. Already I want to just remove this tooth, because such pain is unbearable to endure. But it is even more strange that the dentist said that I have milk back teeth at the age of 21, and that if they are removed, others will not grow. Tell me please, does it happen or not?
Hello! In rare cases, milk teeth do not change to permanent. This is verified through snapshots.You can make a regular (film) X-ray of the tooth, and pictures on the visiograph. A general idea of the state of the teeth gives a panoramic radiography. Everything that I have listed can either confirm the words of the doctor or refute them. About your canal treatment: a similar situation. It is possible to find out if mistakes were made during the treatment of canals only from pictures While in absentia I will say that you are faced with post-filling pains on the background ... And this is just checked by pictures.
Hello, Doctor! Your consultation is urgently needed. Tooth 37, the bottom seven, is located on the site of the eight. They removed the pulp, put the paste in the mouths of the canals, closed the temporary filling. After trying to enter the channels, but 2 channels were very painful, except for the 3rd. They put another medicine. One day, anesthesia was performed for this tooth, they began to clean the canals with files, they sealed the less painful canal with endometasone (in my opinion, it was a medial one). Other channels did not touch, only cleaned, did not begin to seal. They put the medicine back and closed it. The next day, the tooth began to whine, aching pain, sometimes it seems to me that even pulsating.When biting it hurts. Sometimes the pain subsides, sometimes more ... Anesthetics help temporarily. He came to the doctor, she removed the temporary filling and wanted to seal the canal, but he was so sick that, touching just the mouth of this canal, he caused severe pain. Not to mention the fact that when she wanted to enter it ... Pain to the brain. Under anesthesia, she did not seal and sent me again for an x-ray (this is already the 3rd). He says there is no perforation, and on August 3 he wants to seal it up, perhaps under anesthesia.
What should I do, tell me, doctor? Is it possible to seal it with such terrible pains? Will there be any pain after biting? In general, what should I do? Thank you very much in advance.
I give the last snapshot (only one canal was sealed in, the second the doctor tried to enter, but could not because of the pain, even a little material is visible in the mouth) [... the link is visible only to the doctor ...]
Hello! I think that this doctor professionally first of all suffers from high-quality anesthesia technique. The technique is complete: torusal, mandibular, infiltration, intraralgamental, intrapulparum, etc.At the proper level, combining several methods of anesthesia makes it possible to treat the channels painlessly. Painless canal treatment is the norm. According to your story, the doctor simply can not pass the channels because of the live pulp. The only way out for him in this situation is to torture a tooth with medicines and wait for the weather by the sea. I think that it’s impossible to save a tooth. The dentist cannot correctly “freeze” a tooth, he is afraid to make a complication in the form of perforations and other trifles, which personally leave a negative impression on my work, even at this stage. The only concern is that when changing the dentist, it is important to correctly explain the situation to the new doctor so that there are no conflicts.
Hello! Three days ago, the nerves of the six and seven lower right were removed and temporary fillings were placed. The teeth themselves do not hurt now, only when biting. The problem is that do not touch the very lower jaw, where these two teeth sit. So it should be? Anesthesia was done conductive. From the work carried out there were: channel expansion with nickel-titanium profiles, drug treatment of the canals, obturation of a single root canal (gutta-percha) and imposition of a temporary seal with Tsiprospad.2 times they took pictures (and it was clearly visible that the filling material was brought out from the top of the root of the tooth, and the dentist himself, as soon as I spoke about the pain that appeared in the tooth even before the temporary filling, said that the material went beyond the top of the tooth).
Hello! If you are firmly convinced that you limited yourself to conduction anesthesia, and did not add infiltration (near the roots of these teeth), then you should only think about the extracted material, there are no other guesses. If the doctor adds anesthesia near the teeth, the injection sites can be felt when touching the gums through the cheek for up to 5-10 days. Sometimes with the traumatic injection of anesthetic, this time stretches to a month. If you deny the fact of infiltration anesthesia, then you can arrange all points by consulting an independent expert. Why, in this case, it is difficult for me to help you: it is important to “touch” the jaw, the gum and carefully examine the mucosa, tooth, etc. If again this information does not give anything of value, then after analyzing the image, it will be possible to recognize only the result of one complication - the removal of the filling material over the top.This is the misfortune of many dentists, it is possible to fight this, but it is difficult. To wait when it will pass by itself, or to act, can be suggested by that doctor who did not do this work. Not always the attending physician is ready to understand the situation from and to, admitting his mistake, and willingly find a compromise.
Hello! 07/24/2016 the nerves from the seven were removed, lower right. To date, there is a permanent filling (after a temporary), the pain is not as strong as in the first 3-4 days, but the pain does not subside. We had to put the crowns at once together (on a 6-7 tooth), since large seals were already standing, the walls were thin. I am afraid, because a tooth still hurts. Did an x-ray, showed already to several dentists. Everyone says that everything is normal, that the channels are all well sealed. The only thing they say is that my pockets are too deep, that they will always create discomfort. Before that, I treated my teeth more than once, pain always passed. Please advise what to do, maybe remove a tooth? Can I somehow send you a snapshot to be able to see?
Hello! Of course, you can send a snapshot via mail in the Feedback section, or provide it as a link.I think that he will shed light on this circumstance. I do not think that you have such long post-filling pain, you should study the picture and understand the real reason. As for the periodontal pockets - I have not heard that this somehow influences fundamentally. And how old are you? Did doctors make a diagnosis like “gingivitis” or “periodontitis”?
Good day. 07/19/16 finished the treatment of the right lower sevens. They removed the nerves, sealed the canals, put a permanent filling. I saw a picture of canal filling: as the doctor said, everything is just fine ... The pain after the treatment persisted for about two weeks (at first constant, then only when pressing on the tooth). Then everything calmed down, the tooth did not bother at all. But the last three days, the pain has returned. It hurts when pressing on this tooth, as well as the aching (not sharp!) Pain of the entire lower jaw, where the tooth is. Sometimes the pain gives even in the ear. What is it? Read the previous comments and upset. Is it a complication?
Hello Anna! I want to believe that your doctor did not deceive you and treated you not only qualitatively, but found all the channels in 7 tooth.Of course, most often in the lower 7 tooth there are 3 channels, but it also happens 4. This can affect the return of pain, that is, relapse. That is why, from the point of view that the pain gives to the ear (and in the evening or at night do you have more pain?), I can suggest looking for neighboring teeth 7 or 8 or 6 as a problem. After all, there is often a hidden caries on the tooth, which later turns into pulpitis or periodontitis. The point is that you first need to make sure of the tooth (often the dentist misses the causative tooth, but treats from his point of view the problem one, which is most suitable for the symptoms). Then it turns out that there is a treated, for example, a tooth that caused acute pain, and the symptoms all go away, but the nearby, destroyed near the gum (in between) the neighboring tooth in a chronic form suddenly goes into an aggravation after a couple of weeks. We have to look for it, treat it in the canals, and the symptoms, again, disappear. Some patients in my practice, who started teeth hard, thus treated with a frequency of 2 weeks-a month: until all deep carious foci ceased after treatment of the channels to provoke pain.So you have a good tooth search, and if you want to check the channels of the treated 7, then be sure to give a link to the picture - I will look and comment. Health to you!
Good evening. Thank you for your comment. The image of the tooth after canal filling remained in the base of the clinic. I think it is my mistake that I never asked the doctor to download a picture for me on any carrier. I will do it for sure!
To date, the aching pain in the 7th dimension has been “gone” again, and the pain remains only when pressing on it. At the same time, I can’t say that the pain is getting worse in the evening.
I studied the neighboring teeth on your advice (for the time being independently and only visually). With the 8th, everything seems to be all right: the tooth has never been treated, never bothered, and, in my opinion, clean, white ... But there is a crown on the six (it is the second year, only on it, without a bridge). Maybe under the crown of the problem?
In the near future I will definitely return to the clinic. I will examine 6, 7, 8 teeth. If necessary, make new pictures. Let's see what the problem lurking ... We must "bring it to clean water!" Thanks you.
There was a hole in the tooth, he reacted to the cold, then he began to get very sick, two days in a row.Then he stopped hurting, and there was a feeling that the tooth was in the way, it was painful to press, but already on the next one. Diagnosed - periodontitis. Like, they killed the nerve, went with a temporary filling later. Then she came to fill the canals, before that she stuck needles, and in one canal it was as if she pressed this needle very hard, it was painful. She said that, probably, if there is pain, then there is no need to seal it. As a result, she filled channels with pasta, put a bandage, as she said, and now the pain is unbearable. It hurts a lot, and the pain is the same as when she shoved a needle very deeply. I suffer very much. Answer please!
Hello! Most likely, we are talking about the wrong treatment tactics. If the doctor has already encountered periodontitis, then it is important to pay great attention to the drug treatment of the canals and cleansing of the “dirty” dentin. If this is not done, or during the work of the doctor will lead to traumatic events (exit of the "needles" beyond the root, pushing the contents of the channel beyond the apex, etc.), then the tooth will hurt a lot. Sometimes these pains never go away.In fact, “dressings” is a dubious event, judging by your description. So it is better to go to another dentist, as there are concerns for the possibility of further preservation of the tooth.
Good day! Upper one was sick, she gave a week to the whole jaw, she couldn’t even understand what kind of tooth ache. Upon examination by a doctor, it turned out that a nerve had rotted in one and inflammation had gone. Diagnosed - periodontitis. The doctor cleaned the canal, left open for a few days, and appointed a rinse with soda. While the tooth was open, there was no pain and discomfort. Then I was given a temporary filling with medicine, and the next day the tooth fell ill again. I, on the advice of the doctor, opened a hole and the pain stopped for a day, and then resumed. On the 7th day of treatment, the doctor said that one should not walk so much with the open channel and sealed the canal and the tooth itself. The pictures were arranged for her, but, according to her, inflammation was evident on them. She said that I am healthy therapeutically, but the inflammation may not subside, so we must continue rinsing with soda, and if the tooth is in great pain, turn to the surgeon not so much as to make an incision to release the infection.The tooth began to hurt immediately after the filling, and the pain has not stopped for a day, even when taking Naiz, it intensifies at night, gives to the right side of the jaw, pulses. Swollen area near the nostrils, pain when pressing. I understand that these may be post-filling pains, but I am afraid to aggravate the situation and lose a tooth. How long do I have to wait before I need to see a doctor?
Hello! Just the same, you were told to make a laxative incision with a dentist-surgeon, if edema begins. The edema is already evident, that is, “on the face,” so there is no sense at all further on his “raising”
However, I personally doubt the correct tactics of your general practitioner. Apparently, a routine treatment is applied, which may not result in tooth preservation in the long run. That is, with the help of an incision and rinsing, the symptoms may disappear, but “cyto-cultivation” at the top of the root will begin and continue for years to come.
The doctor clearly did not create the conditions for stopping the multiplication of infection in the canal. The front group of the upper teeth is perfectly treated even with periodontitis: it was necessary to “lick” the canal: wash it with an antiseptic for 30-40 minutes, give it a conical shape with excision from the canal walls of the entire dirty wall.Usually endodontia of such teeth takes about an hour. I think that you have managed a short period of time and, so to speak, immured an infection. I am afraid that from this point of view the incision will give only a temporary effect.
I recommend getting a quality treatment from any other specialist (qualified), as your doctor, due to various reasons, cannot satisfy the protocol stages of periodontitis as a tooth disease, but leaves you at the same time hopeful. And you have to suffer?
Good afternoon, about August 7, the upper front tooth began to sooo sorely sore, gave away all over the right side of the jaw. Appealed to the state dentistry, the tooth was opened, the canals were cleaned (they pulled something black out of it, like a nerve), left open, told to rinse and come in three days. The pain passed, came after three days, again everything was cleaned (without anesthesia, it was already painful from time to time), after which they put some medicine and put a temporary filling. The first 2-3 days there was a slight discomfort, a feeling of distention, then everything passed and the tooth stopped responding to something, became like all other healthy people.At the doctor's appointment on 23.08, 2 days before the reception, part of the temporary filling fell off, but there was still no discomfort and pain. I went to the doctor, removed the remnants of the filling, cleaned something again (there was no pain), after which they began to close everything up, they put some strange things like wiring into the canals, maybe I don’t know light seal. In the evening of the same day, the discomfort began, the tooth began to throb and seemed to be scratching inside, and the gum near the tooth, too, when pressing on the tooth, there is pain. I went to the doctor, he said that it could be a variant of the norm and said to watch the tooth for another 5 days. And it also feels like a piece of gum above the tooth is numb, like during anesthesia. Could this be the norm? What am I supposed to do?
Hello! I think that most of the information would have given a snapshot of the tooth with the treated canal. The rest is controversial. For example, one day to seal the canal and immediately put a light seal on it is not a very good practice, especially for state dentistry. In general, the diagnosis of periodontitis does not tolerate haste, as it is important to monitor the tooth, its condition and the prospects for preservation.
Now you describe the approximate symptoms of one of two scenarios:
one.Excessive removal of filling material for the root tip;
2. Preservation of the infection in the canal due to its careless treatment, which is why the feeling of "bursting" near the root and surrounding tissues speaks only of a new exacerbation.
All this is almost 100% similar to the complication after the treatment. Its severity can be ascertained only at the reception in the dentist’s chair, or to lift the veil of secrecy of the treatment carried out using a snapshot.
Hello, three days ago they treated the lower 6, removed the nerve, cleaned the canals, sealed the light filling. Now, while biting, the top 6 hurts, although the doctor didn’t find any problems during the examination. Is it possible that these are consequences of the treatment of the lower tooth?
Hello, Vera! I, just like you, do not believe in such coincidences: it is most likely that severe post-filling pain after treatment of the canals of the lower 6 tooth simply creates such sensations: it seems that the problem is opposite to it in the upper sixth. I think it is important to understand why post-filling pain arose. If you have a snapshot on your hands, you can submit it through the site’s mail to analyze the quality of the treatment channels.If you trust your doctor, you can check the upper and lower teeth again (or you can do it at any other dentist-therapist). This is easy to do: if percussion (tapping) of the upper sixth tooth has no pain, then with a high degree of probability the problem lies only in the treated lower 6 tooth. The only thing, I repeat, is that it is important to know why this “complication” arose in it (officially considered so). Health to you!
Hello. In the 11th grade (17-18 years old), a tooth was treated, channels were removed. I'm 21 now. A week ago, began to whine strongly at night. 2 days ago I went to the doctor. 1) They took a 3D picture, twisted it, saw that one of the channels was not sealed, there was inflammation at the top of the root. 2) We started treatment, put on anesthesia, put cofferdam, cleaned the canals, used ultrasound, and more than once heard of Parkan. We took a picture in the process and continued. 3) Closed a temporary seal. In the evening - cyanotic gum, inflammation in the direction of the sky and cheeks, cheek swollen, I turned into a hamster.
Yesterday: 1) the goal is to expand the channels, to deliver medicine. 2) They put anesthesia, it was painful through these inflammations and cyanosis. Put cofferdam. 3) I didn’t feel that neither the crate nor the tooth was numb, it was painful to put the cofferdam.Anesthesia if not taken. 4) Began to treat under a microscope. There were constant sensations of “splinters”, so strong that the whole face ached and I automatically let out tears. Unbearably painful. Repeated anesthesia twice, did not help, one by one, these "tricks". Let's go to the picture again. Something was wrong, I was taken to remove the saliva, the doctor remained to look at the picture. She came in 5 minutes and said that the other doctor should see the picture. Understandably, something went wrong.
My doctor came in, said something new — I can't get to the top. That doctor sat down at the microscope and said - What are you, long ago at the tops. From her actions there were no "snipers". My doctor sat down again, pricks, pain. She used Parkan, put the "balls", closed the temporary filling. She said clench her teeth to fill the desired shape. I said - the pain is strong, I can not. She said - this is due to the expansion of the channels.
5) When he came home, she discovered that the gum was not blue, but almost black, as if it were moving away at the point of junction with the tooth, and there was generally darkness. Cheek swollen. The pain is strong, since yesterday I drank 3 sachets of nimesil and 1 tablet of ketans. I rinse my mouth with tantum verde and smear metrogil dent. HOSPITAL ADS.I just can't bite. Cyanosis was covered with gray film. Gums no longer moving away. The pain does not subside.
I have a question for you: what direct questions should I ask at the reception after 2 weeks, and is there any point in waiting for 2 weeks? I think her shoals, I do not know how to accurately express my thoughts. The doctor inspired confidence, but yesterday I doubted her and it seemed that she was nosy and it was silent. I have already paid, as a student, this amount was hard for me, almost 20 thousand rubles.
1) Did she allow tooth perforation? 2) What to do if she has multiplely gone beyond the top of the root? 3) Cyanosis is a consequence of a mechanical tram, her jamb when installing a cofferdam or a reaction to anesthesia? 4) Why didn’t she take anesthesia after 4 times, how did she stick it in several holes? 5) Is it possible to save a tooth, this is the 6th upper tooth. I need it to install braces. 6) How to double-check the loyalty of her work? And about the perforation, if you suddenly have one, and whether the top of the tooth was properly closed, nothing came out anywhere? I have the audacity to ask her any question and ask the monitor with a snapshot and see everything myself. In the pictures I understand a little, I can twist a tooth in 3D not with her hands.
Thanks in advance for the answer.I want to believe the doctor, nice and nice girl. She said that she really wants to save a tooth, because braces and a healthy smile are very important. I do not want to change it to another doctor, everyone is mistaken. Just double-check everything, ask again and help her and herself. After all, she has to learn and remember as well as she could if she was nosy. And if I'm wrong, I apologize to her already for interrogation and arrogance. Thank you in advance for your reply, I am looking forward to your reply!
Hello! When patients tell me that the tooth started to hurt only at night, and no other symptoms are called (daytime aching pain, pain when biting on a tooth while eating, etc.), the first thought is to look for a “live” tooth (which not yet treated). Again, it would be useful to clarify whether the night pains disappeared after the treatment, or did the pain become regular (day and night the feeling of distension)? It is important.
If you started to treat the wrong tooth by mistake, then the problem doubles. Not only the pulping tooth can continue to give heat, and that dead one at the retreatment stage with possible errors (perhaps even not entirely guilty) “got excited” against the background of having climbed into it, and still did something wrong.
In other words, a dead tooth accurately has a full exacerbation of chronic periodontitis.As I understand it, it goes to periostitis. Without seeing you, it is difficult to assess the severity of the situation. Would have been in the chair - maybe even would say urgently remove a tooth, so as not to raise an infection. You ask a lot of questions about the definition of "cyanosis" - what is it? Unfortunately, this requires at least a photo (if there is an opportunity, send a photo of the sore gum to the post office). And it will turn out to say only about.
About the definition of the error: you need a picture with sealed channels, or with something installed in them x-ray contrast. If something like a filling material was introduced into the channels, then it can be determined to one side by a picture on a computer or by printing.
But already in absentia I can say that the complication is obvious, since the retreatment of dead teeth should not normally be accompanied by edema, cyanosis of the gums, severe pains that are difficult to stop with analgesics. Here either a doctor’s jamb is obvious, or the infection is thrown out of the root with dirty shavings from the walls of the tooth canals (this is also a consequence of the wrong treatment tactics, violation of the protocol for maintaining these complex teeth).
There is also an assumption of a periodontal chemical burn from parkan.In general, there is a complication - this is definitely not the norm, so you may well ask your doctor. If the doctor does not want to give money for an unsuccessful treatment, then the situation can be brought to abscesses and phlegmon. I know that some doctors hope that the tooth will gradually calm down, and the problem will turn into a persistent chronic process, and when a new aggravation occurs there, that will be another story. With that, as you tell, your clinical case - waiting tactics (especially 2 weeks) - is a game of Russian roulette.
Without seeing you, I cannot encourage you at least something. Money is big for the treatment, we have for this amount the teeth of the director of large companies are being treated. In general, according to your story, it seems that there is some kind of “mouse scuffling” and mutual responsibility. I sincerely worry about your health.
Can I have your mail? I will make photos and send.
Regarding cyanosis, she went to a periodontist in another hospital, there are no pictures in her hands and he couldn’t say anything more precisely about the condition of the bone tissue in the affected area. Regarding the bruise, he believes that it is a pressure sore from a cofferdam. Now there is no bruise - there is a dark hole (hole), it will be more accurately seen in the photo. I rinse the tantum verde and lay Solkoseril.But it seems to me that this is not from a cofferdam, but from some kind of solution, because the cofferdam was changed several times, apparently it was torn and leaked a little, there was a bitterness.
Night pains have passed, now it hurts when biting and tapping. But here is the inflammation of the gums from the outside, if touched, then as if the bone. It remained so and it was so before the treatment.
Hello! Please send a photo to the mail of the site (see Feedback). About the snapshot is an important part of the diagnosis. Without this, it is impossible to determine the fate of a tooth. I think that the version about the burn remains in force, but about the correctness of the treatment of the channels - the picture can show.
Hello! In one clinic, I removed the nerves in the top six and cleared the canals to put up a bridge. After that, the tooth hurts when pressed. Turned to another clinic. They made an x-ray, cleaned the canals, laid the medicine. After 2 weeks there was no improvement, the procedure was repeated. After another 2 weeks, the doctor took an x-ray twice, said that I have periodontitis, and here it takes time for the tooth to calm down.I put a permanent filling and a temporary crown on top so that the gums would not be injured. Another week has passed, there is no improvement. The tooth aches only with pressure. There is an x-ray picture, I can send it. If I have periodontitis, then he himself definitely will not pass. What kind of doctors do we have? What am I supposed to do? Go to the clinics in the hope of finding a normal dentist?
Hello! I think that a snapshot is needed for accurate analysis - send it to the post office (see Feedback), if not difficult. For now, let me tell you about my guesswork. I am almost sure that you suffer from post-filling pains on the background of the competition: “faster, higher, stronger”. That is, doctors without injuries can no longer correct the mistakes or minor inaccuracies of their colleagues. Each new dentist wants to polish the tooth inside, so that only “streaks” remain from the walls, tends to wash the infection, but pushes an antiseptic over the top, where it creates a periodontal burn. When pressed, the tooth can hurt for up to 2-3 months, and up to 5-6 months, there may be feelings of discomfort or “not your own” tooth.
Unlike you, I want to say a little differently: “Why do we have doctors like this -Is it really impossible to redo the work of colleagues knowingly so that the tooth is not affected by the excessive diligence of the dentist, due to non-compliance with the technology of work or due to the syndrome of excellence. " Someone said: "Too good - too bad."
While it is too early to make final conclusions, it is necessary to assess the condition of the periodontium and the treated canals using a snapshot, and then think about the diagnosis.
Hello! Dear Svyatoslav Gennadyevich, I ask you to comment on the following situation: approximately two months ago the spouse treated 6 teeth at once. Although the selected specialist works in a regular clinic, I have no doubts about his competence and integrity (he used his services several times before, he was very pleased with the results after many years).
So, of all the treated teeth, only one is still concerned - the bottom right last but one. There was a big hole, a nerve was removed, a temporary filling was filled, and the rest were treated, it was treated last. As a result, they closed the seal, took a picture - the doctor liked the results. But still it hurts when biting (or if you knock on it, or from the cold), besides, it is especially disturbingthat the pain from it spreads along the jaw, as well as upwards towards the temple and into the ear. And steadily hurts ear in the morning. For half an hour somewhere. Then passes. Sometimes in the afternoon (in the evening) can be ill. The pain is quite significant can be.
I read your explanations here, it seems like removing material for the apex of the root, pressing on the nerve. But what to do is to endure and wait, or has too much time passed, and these are alarming symptoms?
And one more question - she complains about the very strong sensitivity of teeth (all in general, not only treated ones) to the cold. At the same time, it somehow links its increased intensity with treatment (sensitivity to cold intensified after treatment, as well as after several times at the dacha rinsing teeth with very cold water). He says, they say, even cool water of almost room temperature can give her pain. Even when the air draws in through his teeth, it hurts.
P.S. Thank you for so thoroughly answering questions and generally wasting your time on keeping this blog.
Hello! I hasten to analyze your situation in a medical way.Definitely, you are sinning against an innocent tooth: a tooth with healing canals will never react to cold - this is an axiom. Since your wife had pain after treatment of 6 teeth, you can safely search for a “live” tooth, in which treatment was limited to only a filling. In the treatment of caries in one of the teeth, the dentist made some mistakes (overheating of the tooth, excessive pressure during preparation, the toxic effect of the material, etc., but this, again, refers to the tooth that was left with “nerves.” there is, everything indicates that pulpitis in this tooth requires urgent treatment of the canals. The most difficult thing now is to identify the causative tooth that started pulp inflammation: all this will have to be decided on a full-time appointment in the dentist’s chair. for further action, and now you shouldn’t Find out with the search and treatment of pulpitis. I wish you good luck!
Good day! Was at the dentist, came to be removed, convinced to cure. They were engaged in cleaning the canals, they did not ask for the presence of allergies. At the moment when they began to disinfect (with sodium hypochlorite), I felt a strong burning sensation, a taste of "bleach" on my tongue.The doctor washed everything and immediately went to the reception with her. When we were at the counter, I began to feel that my cheek was heavy on the side where the tooth was being repaired. To which I was told that a small swelling is possible. I came home, began to choke, from the nose it flowed out - took antihistamines, relieved. At night, the temperature rose to 37.6. By morning I did not recognize myself in the mirror, the edema rose to the eye. She ran to the doctor, she said: no problem, we'll fix everything ... Take the money and come. Turned to another clinic - sent to the hospital for removal. After she turned to a regular dental clinic at the clinic, where they made me a gum incision, drainage. Now the situation with my face is no longer so bad, the edema subsides. The dentist from the clinic did not really explain what was happening to me, but answered that there was no pus and there was not. What, then, is swelling? And another moment. At the first admission in that private clinic, I heard the doctor talk with the assistant that they took the wrong files, it was necessary not 21, but 14. I understand that she inserted needles of the wrong sizes into the canals?
Thanks in advance, with respect Maria P.
Hello! Slow-motion allergies are only symptoms.But in fact (personal opinion) you had a complication in the background of the treatment. As an option:
1. Coarse washing of the channels with hypochlorite: throwing a large amount of antiseptic out of the channel and a periodontal chemical burn;
2. Casting the infectious contents of the canal (sawdust from the walls of the tooth, exudate) for redistribution of the root. Perhaps, there was an erroneous tactic of channel processing, the selection of tools is no less important than the observance of the technology of antiseptic (medical) treatment of channels and their filling.
If the dentist from the clinic is sure that there is no purulent exudate, then I am inclined to the version about gross violations of work with sodium hypochlorite by the jet method, its “ejection” beyond the root. Edema at the same time can be significant. It may be worth talking about the allergic component of this complication, because the body will definitely not like it if the protein-dissolving composition is injected, like a foreign agent, into tissues.
I think that already prove something will be difficult. Maybe you amuse yourself with the hope of returning the money spent in the clinic? I'm pretty sure that they protected themselves from such legal force majeure,although honest private dentistry is not always ready to sacrifice its reputation for the sake of a single scandal over a case like yours.
Tell me, please: I was at the dentist, 1 was prickly, the nerve was removed, the canal was cleaned, but not sealed. The doctor said to rinse a few days. The next day, there was a slight inflammation, a little cheek and lip. The doctor warned about the pain, but about the tumor there! The pain does not increase, the swelling on the lip is gone. Why is that? And then I'm very worried.
Hello! Tactics with the use of rinsing is somewhat outdated and is carried out most often in budget dentistry, in the absence of the opportunity to process the tooth canal for a long time so as to immediately close it. Your diagnosis, by itself, is not the simplest, the mention of the presence of a “nerve” is erroneous, since after depulping, the tooth is not left open. If the doctor left a tooth that was alive on the day of treatment, it is better to change the doctor.
It is hard for me to say if there is a prospect for such a routine method of tooth preservation, but the fact that it, even being open, still provokes the formation of edema on the face, may indicate that the doctor did it not quite open.If there was an exudate in the canal, then for its normal exit you still need a good pretreatment of the canal, expansion of the mouth, and sometimes even the apical opening. I say this in the context of this method of treatment.
If the methods of this dentist do not give a chance for the preservation of the tooth, then I recommend changing the doctor. The fact is that the front upper teeth, even during severe inflammatory processes, are the last to be removed, since the structural features of their canal and surrounding root tissues make it possible to come up with a lot of options to eliminate the infection, and with it the symptoms (pain, swelling, temperature, etc.). Health to you!
Good day. Sick upper right seven. They opened a large filling, the doctor, saying that the nerves turned white and died off, removed them. Laid some pasta and put a temporary filling. After a couple of days I opened the filling and started looking for channels. Two found, the third could not pass. Laid the substance to find the channel and put a temporary seal. The next time I processed the channels, except for one, I could not get into it. Three times I did an x-ray, but I still could not get into it.I put the thermophiles in two channels and put some more paste for the non-passed channel. Put a temporary seal. Constant, said, put in a couple of days. Now the second day, the tooth is sick for biting, there is no pain alone. What is your assessment of the situation and the adequacy of the treatment, as well as the forecast, provided that the third channel is not processed? How can you send pictures?
Hello! You can send a snapshot via the mail specified in the “Feedback” section, but as for pains while biting, you can say so. First, they can be caused by the therapy of the channels that have just been traversed against the background of minor inaccuracies when sealing with Termafil. Secondly, a channel not traversed can provoke similar symptoms, since its beginning was most likely loaded with a mummifying agent (possibly a resorcinol-formalin mixture), which has irritating aggressive properties.
The prognosis for not treating the third canal depends on the individual structure of the tooth canals. Sometimes the teeth can “forgive” any mistakes of the doctor and stand for the whole life half-treated, but more often, even if they do not make themselves felt for many years, the inflammatory process develops at the root (roots).If a tooth is 2-3 root, then the infection process is limited to the root tip, where the problem channel is located. I can say that in the seventh upper teeth sometimes there are also 4 channels, but with their “convergence” the main risk of problems for the future is small, but there is, if you skip the additional one.
Therefore, it is best to find it and go to the clinic, where there is a microscope and other equipment for professional endodontic treatment. This is definitely not a budget option, since the mistakes of previous doctors “new” dentists are punishing the ruble (patients). Here we are talking about retreatment, so doctors who undertake such difficult work are at risk in many ways.
The budget option is to leave everything as it is, but I already mentioned about possible risks for the future in the form of cysts, granulomas, fistulas, and after them possible fluxes.
Hello! Two years ago, I treated a tooth, removed a nerve, they all sealed it. After that, swelling appeared on the gum above the tooth. She was sick with pressure, but not much. And I was also worried, but not strong enough. Two years have passed, and suddenly the swelling became ill,that mom don't grieve! I can not sleep! I went to the clinic, the doctor told me that she had the same problem, that it was for the rest of her life, and the only thing that would help me was to try not to overcool, and to take painkillers and rinse with soda during severe pain. The doctor said that if I drilled a treated tooth, it would only make it worse, because the tooth was sealed qualitatively! Good Lord, have I really endured such inflammations all my life, and in my case nothing can be done? Help!
Hello! I am sure that the tooth is treated poorly. High-quality treatment does not provoke edema and pain during palpation of the gums, but what you describe precisely determines the exacerbation of chronic periodontitis, the trigger mechanism of which is microbial activity in the canal system and outside the root (s). Of course, not all channels can cause this activity. A single channel with a “cat in a bag” is enough.
I admit that according to the picture that the doctor watched, everything is visually normal. But there is a huge BUT. Often, an ordinary doctor (especially in the public sector) does not find an additional channel in the treatment of canals.For example, in 6 teeth (especially the upper ones) there is often a 4 channel (rarely - even 5 channels). A number of dentists do not even know about it. I got used to the fact that there are 3 channels, and they are not blowing. And the statistics on the 6 upper teeth, for example: 40% - three channels, and 60% - four. Some dentists have other statistics: 80% - 4 channels, and 20% - three. This I mean, that in other teeth there is often an additional canal: in the 5th upper tooth (not one, but more often two), in the seventh upper tooth (often 4), in the lower incisors (often two canals). Doctors of the old school are almost always not looking for additional channels, and in the picture the additional channels that have not been passed overlap with the treated ones - they are simply not visible. It turns out that this is a false diagnosis.
I would like to look at your usual snapshot to make sure that the dentist did not mislead about the quality of the completed canal treatment, and then (if confirmed), ask you to take pictures on the visiograph so that you can “take a picture” through the computer in 3-4 angles and determine the cause of swelling and pain is almost always found. The surest way to find out the shoals of the dentist in terms of channels is CT, but for teeth it is too financial and biting diagnosis.Although for many people it is important to know what the prospect of preserving a tooth, regardless of the price. But these are nuances.
And about the doctor's answers that she “herself suffers like that” and advises not to go into the channels, as if something did not work out - this is not a professional and too everyday approach, far from scientific medicine. Of course, if you treat as unprofessionally as the existing tooth canals of you and your doctor have been treated, then, naturally, the result will most likely be to endure severe pain and swelling. However, there are many good doctors who have the technical and professional ability to do everything qualitatively and without serious consequences. It is worth it, it goes without saying, specialists almost always work at the city level (that is, not in the villages).
Once again, it’s worthwhile to start with diagnostics - high-quality processing and sealing of the channels does not imply an aggravation. This is nonsense. You can send pictures to the post office in the “Feedback” section - I will definitely review them comprehensively and objectively (honestly) evaluate them. Thanks for asking.
Hello, 3 years ago I treated the top six, everything is OK, but he recently fell ill. Not much pain aching.We took a picture, it turned out that 3 channels were not completely filled in and there is another 4 channels. They found channel 4 in the state dentistry, cleaned it, and the other three cleaned up, laid the medicine, they said in a week to come. But the tooth both ached and it hurts, I didn’t even notice the difference before and after the treatment. The pain is the same and does not go away; I drink children’s nurofen, because I breastfeed. Why did the pain remain? The doctor said that she would not be ill.
Hello! I think that during retreatment there were errors that provoked an aggravation. In fact, intervention in the treated channels is a risky step, which often leads to this. The more professionally and effectively endodontic treatment is carried out, the lower the risks that pain will arise, and even more so - temperature, swelling, etc.
There may be many factors: either the doctor worked aggressively with the channels and antiseptics, or the infectious component was not removed from the canal system, or there was a throwing of the infection beyond the root, in the extreme case, the very “medicine” shows its side effects or you does not go. "
I do not take into account the possibility of complications in the channels, as the dentist confidently stated to you that everything is in order. I do not think that the doctor would have specifically deceived.
I can briefly say why the pain remained: violations in work with the channels. This does not mean that the pain will remain: often the aggressive actions of the doctor during the treatment of the channels are compensated, and everything becomes normal.
You do not ask, what are the prospects to save the tooth? Here, a picture with ready-made channels would help, but until then it is necessary to trust the doctor and go through the stage of anti-inflammatory treatment with the very “medicine”, although in a certain situation it would be possible for the doctor to change the clinic as well: from public to private.
Good day! The situation is about the following. A little more than a week ago there was a nagging pain in the upper left part of the jaw, which later spread to the lower one. I could not make out what it is, because the pain was not constant, was given to different zones (either to a specific tooth, then to the base of the jaw, then it ached everywhere and everything, then to a cold / hot reaction). In addition, a strange sensation appeared in the upper gum - it was not swollen, but became very sensitive. I decided to start looking for a problem with a dentist: I turned to my doctor.She found a hole between the upper 5 and 6 teeth, said that from her such walking pains can be. Were treated in 2 stages (removed the nerve, cleaned the canals, put up a temporary seal - after 2 days I installed a permanent seal). While I went with a temporary filling, the pains subsided, but when pressing / biting, they appeared again. On the day when they put a permanent filling, nothing hurt at all. They made a repeat X-ray on the basis of the work - everything is fine (my criminal eye could not make out anything, the doctor also said - everything is fine). And here the most interesting begins.
After the anesthesia came down, the tooth began to ache a bit - I wrote off the “post-sealing pains” that I know of. But by the next day there were doubts. Either the anesthesia acted for so long, or the pain became identical to the original. Again, “walking” across the entire left side of the jaw, not constant, impulsive — it doesn’t hurt anything, then it’s hard to lie down and die. It does not give into concrete teeth, but I literally feel how a healed tooth “pulses”. There is very hard - grazing / pressing a tooth brings a new "flash" of pain, although it seems to be easier compared to the first day.But all this does not look beyond “post-filling pains”, with the exception of two very embarrassing things for me: cured 5-ka (there was a hole on it, the next one was not touched) and around her teeth were numb, I feel them as something foreign. so far, anesthesia has not passed (despite the fact that everything pulsates with pain), and the gums around you also feel numb. Here is such a strange pun: the teeth and gums are numb, but at the same time they hurt and whine. Visually, the gum itself is of normal color, not inflamed. In terms of: 3 days have passed since the end of the treatment (I know that it may be too early to panic, but all the other teeth that I treated - there have never been any problems of this kind). Painkillers help in part, the difference in feelings of pain between the first and the present day - no, even more - began to give to the temple and the area around the eye. Trying to understand - is it after the treatment that such things happen, or is it something that is already going on at all? That is: is it worth a little more patience, or is it time to sound the alarm?
Hello! Apparently, you should check the adjacent upper teeth for the presence of a hidden carious cavity.It is possible that they did not find a bad tooth. The fact that this is the top one is confirmed by the irradiation to the temple and the area around the eye, so it is best to start the search from here. Take a picture should be 4, 5, 6, and maybe even 7 of the upper tooth in the area where you treated the channels. Why is a snapshot of a treated tooth also important to do? This will help to eliminate the facts of complications in the process of canal treatment. Comparison and analysis of adjacent teeth will surely shed light on the real situation. You can take pictures and send to the site’s mail (see the “Feedback” section): I’ll check it for sure. If time is running out and pain cannot be tolerated, then do not waste time, but contact another dentist or even two for a more accurate internal consultation, and when finding the causal tooth, immediately begin treatment. Health to you!
Removed the nerve of the upper left four, put a temporary seal. The tooth whined — they cleaned the canals again, put a seal again. I waited a couple of months, still the tooth aches. For three weeks now they have put a permanent filling, and the tooth aches. And on November 7th, I must go and set up a bridge, since both the five and the six have been removed. What to do?
Hello! I think that at first it is worth assessing the channels that were cured: if they are treated in good faith and without errors, then the next teeth should be evaluated further, starting with the examination and ending with percussion, mobility breakdown, etc. Although the 5th and 6th are not, but inspection of other teeth can not be excluded. Just so the tooth will not whine. If that tooth in which the canals are sealed is whining, then such a long period of time already casts doubt on the usual post-filling pains (unless, of course, a large amount of material is brought out of the root). That's why you need a snapshot. The material in the canal also affects the future of the tooth: the more aggressive it is, the higher the chances that some people will not be comfortable living with such treatment. This is not really an allergy, but something similar to this reaction. In principle, the upper 4 teeth are not difficult to treat: almost always have 2 channels, which are also often easily passable and easily filled. Bottom line: it makes sense to start exploring a snapshot of 4 teeth for a possible medical error or minor inaccuracies.
Hello, Tell me, please, what can I have.The tooth on the right, next to the canine tooth, was prepared under the crown. They sealed the channel, everything was perfect for a week. Absolutely no pain. Then did the training on the pin tab. Immediately I felt some kind of spreading, but did not attach any importance. After that, for two days, this one and the next one ached. And it hurts and bite, especially the one near the crown. In the picture before the treatment, everything was fine with this tooth. The doctor looked, replaced the temporary filling, nothing "such" does not see. I drink nayz, but all the same discomfort, especially when I eat painfully (gives as if something upwards). And somehow the top of the gum above the tooth with the crown, which is next, hurts. I'm very worried.
Hello! If everything was perfect for the first week after sealing the canal, then clearly some complication occurred during the preparation for the stump tab. Its severity without a picture is difficult to estimate. It can be anything: from overheating of the periodontal (burn) through the thin walls of the tooth root to pushing the material inside the channel beyond the root. This happens in rare cases. According to your description it is clearly similar to the fact that the work of the doctor led to an aggravation.Otherwise, you cannot call it here: you feel from the side of the gum an inflammation center at the level of the projection of the top of the root of the treated tooth onto the gum. The appearance of post-filling pains (when biting) also indicates an inflammatory process in the region of the periodontium. What exactly is wrong would suggest a “fresh” snapshot of the tooth. Thanks for asking.
Hello! I treated a tooth a couple of days ago. Front, top, looked at the numbering - in most it is registered as the 22nd. I previously had a seal in it that fell a couple of months ago and he began to whine a bit during the day. At the consultation it turned out that it was necessary to remove the nerve. Reversed, nerve removed. After removal, it was bleeding badly. The doctor, judging by her words, stopped the blood and put a temporary seal. I was initially with a fresh X-ray, the doctor made two more in the process. Put a temporary seal. Now the tooth does not hurt, but with the slightest pressure it explodes with acute pain. I was warned that this could be. Is this normal? The day after tomorrow to put a permanent filling, the doctor said that she would simply drill without anesthesia and deliver. I am very worried that everything will be of high quality and competently (
Hello! You can warn the dentist that there is post-filling pain and postpone the intake for 3-4 days later, so that there is no possible unpleasant sensation due to boron vibration during tooth preparation. As for the quality of work - it is judged on the image and the comfort of the tooth in the future. It goes without saying that pain when biting on a tooth is not the norm, but not a tragedy, if the channel is properly sealed in the picture (in this case, the pain will quickly pass by itself). Thanks for asking.
Thank you very much for the answer. I took your advice and everything is great)
Help, 2 weeks ago the 5th tooth ached. Depulpated, after the tooth did not stop hurting, the entire left half hurts: the upper and lower. Panoramic shot made, showed the second doctor - the roots are well sealed. She returned to her doctor, she removed all the filling material, cleaned everything (suddenly a reaction to the material), but the pain continues. I am a second week in ibufene, I can not drink another, feeding. Today I put arsenic just in case (although she is sure that there is nothing left). What to do? Is it possible to delete?
Hello! I have repeatedly encountered cases like yours. Without an individual inspection in order to find the cause of pain can not do. Finding the cause, when the patient is in the dentist’s chair, sometimes takes about an hour. Personally, I first try to find a possible “sick” tooth, since acute pain is most often provoked by a live tooth, rather than a pulsed one.
I do not think that the doctor could "screw up" the fifth tooth, so it is not so complicated for endodontic treatment. Moreover, the doctor is confident that the channels are sealed well. There are two options: try to find the causative tooth (this is difficult, since the hidden carious cavity can be on any tooth that has not yet been treated), or remove all materials from the 5th tooth and put Eugenol (liquid).
Too rush to remove the tooth in this situation is not worth it. In a pinch, you can contact another experienced dentist for additional (face-to-face) consultation.
Hello! 29.10 I opened the canals in the upper sixth tooth, put the medication, a temporary seal and was assigned to 7.11 canal filling. 31.10 the tooth began to be disturbed, especially when taking hot food and returning to the room from the street. The pain is dull, undulating, with the spread to the neighboring upper and even lower teeth.2.11. The pain does not diminish, but intensifies on return from the street. The pain calms down a little, after 40-50 minutes, rinsing with cold water helps. I called the doctor, she told me to drink pain pills and said that the other tooth was probably hurting, because Since that time, my nerve has been killed by the action of a medicine, although it has not yet been removed. Tell me, is it normal pain and should I look for another dentist to fill the canals? In addition, on the x-ray channels are not visible, because a tooth in the maxillary sinus. I do not even know how he will be treated ...
Hello! I think that there is the wrong tactic of the attending physician. There are several options:
1. Or the paste for improperly pulp devitalization is set incorrectly (far from the pulp, for example);
2. Either the paste is placed on the tooth, in which the pulp is already at the stage of destruction, therefore, the suppuration from this paste only increases. That is, with this diagnosis, it (the paste) generally acts negatively.
That is why I don’t see the reason in another tooth, but more like the beginning purulent process in the tooth in which the treatment is started. The rest can be clarified more specifically with the doctor in the chair.I strongly advise you to be at the dentist as soon as possible in order to prevent the "flux".
Hello. Help me please. A year ago, prosthetic teeth below: 4th (nerve removed), 5th (tab), 6th (hinged - there is no tooth under it). In September of this year, the prosthesis fell out along with the entire tab. The doctor cleaned the denture and put it back on at the same time as the tab. 3 days ago, at first, aching tolerable pain appeared, which now turned into a sharp pain when biting and severely aching afterwards. The pain subsides only after taking Ketorol, which lasts for 5-6 hours. She was at the dentist’s and prosthetist’s reception. Everything is good in the pictures, in the mouth everything looks fine, too, but the pain as it was, does not go away without pills. I suffer for 3 days. Thank you in advance.
Hello! I'm not sure that the opinion of the attending physicians in the context of your problem is the ultimate truth. It is necessary to carefully check the images of the teeth to identify possible errors in the treatment of canals, as well as the presence of an inflammatory process at the root. Inflammation at the root of a tooth can develop as a result of an overload of the prosthesis, maybe, in general, we are already talking about overestimation of the prosthetic teeth.I would like you to provide pictures of your teeth in the problem area (send to the mail specified in the section "Feedback"), and then you can draw conclusions. Thanks for asking.
Hello! A week ago, I had my nerves removed in the 6th tooth from below, they cleaned the canals and put a temporary filling. And then the tooth began to ache with pressure and even with contact. Although if I don’t touch him, he doesn’t bother me much, only slightly diminishes. The doctor ordered a salt rinse. Today was supposed to put a permanent seal, but did not, because my tooth hurts. I looked at the picture, said that the material went a bit out of the channel, but this is not scary, everything will pass in a week. Assigned BEAM 5 sessions and rinsing salt. After a week at the reception. Tell me if this is correct, because, as I understand it, the pain during pressure should subside, but it does not subside a bit. What should I do? Thank.
Hello! When removing not any material for the top of the root of the pain quickly pass. Generally speaking, according to the protocol of endodontic treatment, no material can be removed for the tip of the root, but this often happens.Only the so-called "Eugenol" pastes do not give complications (most often) when they are bred, but quietly dissolve, but with epoxies (the most popular now) everything is more complicated. These materials do not have anti-inflammatory, anesthetic and antiseptic properties, their consistency is much tougher in contrast to the materials for channels with Eugenol. Therefore, epoxy resins are regarded by the body as a foreign body sharper. However, this does not mean that you should not work with this material - it is considered the best if the doctor’s hands are sharpened for him, that is, there is an adequate level of professionalism. I think that your post-sealing reaction, which is not going to decline, is the result of such a not very successful combination (epoxy material + some inexperience of the doctor).
I would like to analyze a snapshot of the tooth and understand how bad things are in terms of this complication. I am sure that the material behind the tip "glows with its unhealthy brilliance" in the picture. If you wish, send pictures to the mail specified in the "Feedback" section. Then I can advise you more specifically what to do.
Without a snapshot, I can only assume that you should change the doctor, remove the material outside the root and seal the canals to a physiological narrowing, as it should be.
Hello! A week ago, arsenic was placed in the lower 7-ke, two days later the nerve was removed and the medicine was put in - it seems, to treat irritated gums, and a temporary filling was placed. Channels only cleaned, not sealed. For two days everything was fine, on the third day the tooth began to ache, and then a nightmare began - the entire jaw next to the tooth hurts, the chin, ear, neck. To go to the hospital only in the evening, it has never been possible before. Tell me, is it ok? What is there so sick? It looks like the gum is not swollen, it does not turn red, and even it hurts me to swallow. Thank you in advance!
Hello! The dentist could deliver the drug, which is now annoying either the gum or tooth tissue, located near the tops of the roots. If at first you had everything in order after installing arsenic paste, then the doctor was not mistaken with a bad tooth. Another question: why the treatment of the canals of the 7 tooth worsened the situation? It is clearly worth checking the quality of channel treatment, as there are some serious violations. So far I cannot say anything more about your data.
Thanks for the help!
Hello! I really need your advice! It all started 6 months ago. I went to the dentist in a private clinic for a routine examination. They said that it is necessary to change the filling in the six below right. The hole is deep, very close to the nerve, but it was decided not to remove the nerve. We changed the filling, and immediately the tooth began to ache when biting solid food, reacted a bit to cold and hot. The doctor said it would pass, but nothing passed ... The pictures were fine, I tried to eat on the left side, and so I endured half a year. A couple of weeks ago, the tooth began to ache at night and respond more strongly to temperature changes. Went to another clinic, removed the nerve. One of the three channels was heavily bloody, and the nerve was swollen. Put the medicine and a temporary filling. The tooth began to ache in the evening, whining, then jerking. Drank painkillers. In the morning, my ear and throat hurt, the lymph nodes were enlarged ... By evening, the pain had intensified again, beginning to pull and shoot. I went to the doctor. A tooth was opened and a nodule flowed out of that third channel ... The edema did not pass. Washed channels, everything is fine in the picture. The doctor said to drink Nimesil, and if it would hurt much again, then pick off the seal itself, pull out the cotton wool (empty channels) and rinse with a solution of salt, soda and iodine.The tooth has ceased to hurt completely, but exactly for a day. At night, I woke up from pain, painkillers do not help. Probably, I will open the tooth, although I really do not want to ... Tell me, is the treatment being properly treated? What am I supposed to do? Thank!
Hello! I think that you are in a series of unpleasant circumstances. First, it is possible that there was no urgent need to change the filling. Well, suppose you still need to change the filling. Further, errors were made in relation to the treatment of the tooth according to the "caries filling" principle. Maybe there was a fact of overheating of the pulp or chemical burn in violation of the technique of working with light-cured material, as a result, the pulp inside the channels suffered. Further you describe the treatment of the canals of the tooth. And apparently, after the removal of the "nerve" from the canals (pulpitis diagnosis), after the start of treatment, for some reason, periodontitis began to form. Is it a mistake during the treatment of pulpitis, or the doctor initially encountered periodontitis - in any case, there is a feeling of a too routine treatment option: for example, at the moment when you were asked to "pull out the cotton wool and rinse with soda and salt if necessary."
If in the next few days you are even more convinced of the fact that the treatment is not quite normal, then urgently change the dentist.
Dear Svyatoslav, help with the advice, here's the thing: a year ago the edge of the tooth fell off, the bottom right, the last one. He was kind of treated and put a filling, but after a while the filling fell off, and it was decided to remove the nerve with the help of arsenic. After the nerve had been removed, everything was fine, nothing disturbed, but several months passed and, after a long stay in the cold, the tooth began to hurt quite badly (I went into a warm room and started drinking tea). What can be a problem and how can a tooth be treated? I would also like to ask if this is considered a medical mistake and should the doctor who removed the nerve have to cure a tooth for free? Thank you very much!
Hello! According to your symptoms it is difficult to say something specific. As a rule, the cold doesn’t exactly hurt the tooth in which the nerve was removed, even if the canal treatment was not perfectly perfect. But this is true only in the case when it comes to the direct effect of a cold stimulus (then in almost 100% of cases a tooth that has not yet been treated in the canals) hurts.If we are talking about the fact that the tooth got sick after a “long stay in the cold”, then it is quite possible to assume that a tooth that has been treated in the canals has serious errors during the work of the dentist. That is, we can say that this is an exacerbation of chronic periodontitis. This sometimes happens.
But I repeat that the description of your symptoms is not enough to recognize the work of medical error. I would do the following: put you in a chair and in the area where the problem tooth is supposed to be, check all the neighboring ones for the presence of hidden caries, if necessary, diagnose with cold water. If there is no specifics, then I would definitely refer you to a picture of the tooth that was treated in the canals to identify a medical error (poor endodontics). After analyzing the picture, it would be possible to talk about whether the tooth should be treated or not. In principle, it is possible to immediately take a snapshot of the tooth, since the neighboring ones will be visible on it, and according to the pattern of their crown parts, one can also note the presence or absence of a carious cavity on these teeth. Only after correct diagnosis can further treatment be planned.
Hello. Help me please. A year later, I had a filling and a tooth ached. Today I went to the doctor and they cleaned the canals again, the pain was felt even through an anesthetic injection. Put a temporary seal and prescribed injections. But on the same day after visiting the dentist, I started having pains that even painkillers do not relieve. The pain, one might say, is not constant, periodic, but frequent. It would start, but after 5 minutes it will let go, and so, probably, every half an hour. Here, all night I do not sleep, because when I go to bed, the pain immediately begins. I stand, look like and, it seems, passes for a while, and then again. Write, please, with what it can be connected? Thanks in advance for your reply.
Hello! I think that in your case it is worth checking two points:
1. Possible mistakes made by the doctor at the stage of canal over-treatment;
2. Determine if there is a problem in the adjacent tooth.
In order to properly diagnose, you will need a snapshot of the treated tooth with the adjacent teeth. In addition to the picture, the signs confirming the diagnosis can be: external examination of the teeth, sensing, percussion, palpation of the gums in the projection of the tops of the roots of the teeth, etc.That is why the search for the mistakes of the dentist at the stage of treatment, or in general, of another tooth in which the inflammatory process has arisen, it is important to carry out directly at the reception. Without comprehensive diagnostic measures in your clinical case, determining the root cause of pain is problematic.
Hello, I beg you, help. I can not, I had 3 wisdom teeth removed in June, and then my right temple started to hurt - strong sharp pains. The doctors said that it would pass after a while, but the pain did not go away, but on the contrary, it intensified. They gave me an x-ray, they said that they had pulpitis, and they cleaned the canals of 1 tooth. The pain immediately went away, but after 20 days it began again, but even more. Now only I have taken 2 analgin and I am writing to you, because the doctors do not know what the reason is, but I can’t just. He says that all the nerves are removed, everything is clear, and he does not understand. A dentist, like, experienced, but does not know what to do. Severe and sharp pain, impossible to endure, where the right temple.
Hello! I think that you should take a panoramic picture, because in such a difficult situation it is impossible to guess at the coffee grounds. Alternatively, you can try to diagnose the controversial teeth on the visiograph.It is worth starting with the lower right teeth, having examined them (in the dentist’s chair) for possible hidden cavities. The fact that after the removal of the “nerve” the tooth did not hurt for 20 days indicates that there is also a high probability of another pulpit tooth. If the causative tooth is not found after a careful diagnosis of the images, the next step is to go to a neurologist (neuropathologist) to check for neuralgia or neuritis. So far I can’t say anything more on your occasion.
When a nerve was removed in the 3rd tooth, a filling material was removed at the top of the root. A month has passed, the tooth does not hurt, but pulses around the root. Treated by electrophoresis, drank the antibiotic Tsifran ST. Pulsation does not pass. Should I put a crown with a tab on this tooth? Near the tooth is good, there are no more teeth in the lower jaw. There will be a bridge. I am afraid that when this tooth is removed, the good one will also be loosened. Went to another clinic, did not treat. Is it possible to cure this tooth, or is it better to remove? Please reply.
Hello! To answer your question I need to analyze a snapshot of the root of the tooth (you can send to the mail of the site).Removing material from the root tip is a rather unpleasant complication after canal treatment, and most often a large amount of material outside the root is bad. According to the picture, it would be possible to evaluate the neighboring tooth: it can, and it is important to prepare it before prosthetics, it is possible that there is a reason for your pain in it. Therefore, I do not undertake, according to the description given, to make any predictions without a snapshot of the tooth, since the help will be useless or even harmful.
Good evening! Help to understand, please. In October, I turned to a dentist for a check - there were two teeth, 6 and 7 from the bottom right, caries, and we changed the fillings. The very next day, the 6th tooth ached, removed the filling and removed the nerves, then again the pain! They opened again, found a hidden channel, totaling 5 counted, treated (I thought that the eyes would crawl out of sensations). Well, like, did everything left open, rinsed with soda + salt + iodine. After the canals were sealed, a temporary filling was placed. And then the pain began again, she saw a painkiller, it did not help. They opened the tooth, walked for three weeks with a fleece and rinsed, stopped hurting.Well, when I came to put a permanent filling, then, in principle, everything went fine, but when the doctor rinsed with cold water, there were painful moments and quite strong, but only that. Put a seal and the time went. And after 3 weeks the pain appeared again! The doctor took a picture, said that she had a very narrow canal, tried to get the paste to the end and, like, everything was ok. Now she prescribed me to drink Nise 3 times a day for 5 days. Can you please tell me if the treatment is taking place correctly, or is it maybe the neighboring teeth hurt? I'm just going crazy from pain and pills! Thank you very much!
Hello! From the cold, even a badly treated dead tooth will not respond. There is a high probability that this is a painful reaction of the neighboring living tooth. Confused by the number of channels in the 6th lower tooth: most often there are 3 channels, a little less - four. And five or more channels (branches from the main ones) can be found with a microscope, but the method of treatment with soda, salt and iodine with open channels is not very compatible with endodontic treatment under a microscope (modern approach), in which Do not put "cotton" on the tooth.Therefore, it is somewhat doubtful with such a description of treatment that channel 5 was found. That is why I would like to analyze a snapshot of the treated tooth in order to draw further conclusions and judge possible errors in treatment and complications (the snapshot can be sent to the site’s mail). It is often possible to identify errors in a snapshot, and snapshots of a tooth in different projections (2-3) are especially useful for diagnosing.
Hello, Svyatoslav Gennadyevich. On December 29, at the top 4, the doctor cleared the canal and immediately put in a photopolymer filling. Now this tooth hurts when pressure is applied to solid food (it hurts to bite). Tell me, is this normal and how long will it hurt? Thanks for the answer.
Hello! Most dentists believe that this may be within the normal range if serious errors were not made during the treatment of tooth caries (overheating of the tooth, accidental opening of the pulp, etc.). And to immediately understand whether a mistake was made, it is usually not possible. Therefore, when it comes to post-filling sensitivity, the pain when biting should pass within 1-2 weeks.Every day the pain when biting should become less. There should be no other symptoms. If during this time it becomes worse or more serious symptoms appear, you should immediately contact your dentist.
Hello! Recently, a dead tooth fell ill (pain when tapping). In dentistry, they took a picture - it turned out that one channel was not completely sealed. Treated this tooth in 2013
He was treated again, there was a problem with only one channel - the doctor said for a long time that a liquid (?) Was coming out of it. In the end, she said that she would put a seal and finish it. A couple of days ago (a week later), the tooth started to hurt again, again if you tap the bottom. For some reason, this happens only after eating. No pictures were taken at the end of the treatment, only in the process.
Tell me, could the dentist leave the canal empty? If not, then tell me, please, the cause of the pain. Sincerely.
Hello! It is quite reasonable to assume that the dentist could not cope with this problem channel - hence the relapse. Other reasons can be clarified only with the help of a control image. If the pain did not pass, then there are certain reasons for this (and most likely, in the channels).It is worth analyzing them and already planning something on the basis of diagnostics: retreatment, or just wait for a while before passing the post-filling sensitivity.
Thank you very much!
I recently wrote about a tooth that hurt when I clicked on it. So, he was sick for 10 days, and one day he stopped hurting. But next time I will go to the dentist I went to all the time. I never had teeth after treatment (I was treated by a private dentist, whom I went to for 10 years). The last time was treated in a state clinic. They took, of course, inexpensively, but, probably, the doctor made some mistakes, since the tooth after the canal filling was ill for another 10 days. Now, thank God, nothing hurts and it doesn't hurt to bite. I did not know that it was so difficult to treat a tooth.
In early December, front teeth ached, turned to the clinic. Opened the channel, cleaned, sent to x-rays. At the reception in a week, while discharged Cyfran and rinse with soda and salt. The pain continued. A week later, they cleaned, removed the nerve, put the medicine and sent it to the x-ray again. A week later, they cleared and sealed, while the pain did not stop, the entire right side began to hurt.The treated tooth hurts terribly, especially when touched just above the tooth, it began to stagger. Hell's pain, at night I do not sleep, painkillers do not help. At the same time to my question, what should I do, the doctor answered: there is nothing to be ill with, you need to see a neuropathologist. The neuropathologist wrote out one pill to drink for 3 weeks without decoding anything.
Already the second month of these torments, what to do? Another 3 weeks to be treated, not knowing what, what and how? Tell me what to do?
Hello! According to your description, there is a concern that the doctor is working on the routine method of periodontitis, which does not guarantee the preservation of the tooth. When at the stage of treatment there are so many signs of a new and new manifestation of purulent exacerbation, there is no need to talk about the quality of work. A dentist may try to shift responsibility to another specialist, but your health is something. I am sure that it is urgent to change the doctor and get a full-time consultation from another specialist on your case: there should be all pictures of the tooth before the treatment, at the stage and after (if they were done). I think that the salvation of your tooth is no longer possible without a conservative-surgical method - resection of the root apex, but the final word is with the dentist who will "debug" the work of the previous one.It’s too early to draw conclusions, but it’s definitely not worth it to despair: anything can happen, because there are different nuances in work and sometimes you can easily get out of a difficult situation with a professional approach and knowledge of the matter.
A year ago, they put a crown on my tooth, and when I touched a tooth, I had unpleasant sensations, as if the nerve had not been removed. But the doctor looked at everything, now we are putting the medicines, but so far without any changes. What is with the tooth?
Hello! To answer your question requires at least a snapshot of the tooth (before, during and after tooth treatment). At least one of these images to understand what the diagnosis was in your clinical case. And so I can only sketch out the assumptions:
1. The doctor did not remove the “nerve”, but at the same time he prepared the living tooth so poorly under the crown that ultimately began to inflame the pulp;
2. The doctor removed the “nerve”, but poorly sealed the channels;
3. The doctor removed the "nerve" only partially and poorly processed channels;
4. The dentist could make a number of errors in the canal (breaking off the instrument, perforating the wall, creating a false channel, removing the material beyond the root tip, etc.);
five.Or a year ago the inflammatory process at the apex of the root was missed.
So, as you can see, without a snapshot there can only be assumptions. And the more pictures will be given for analysis, the more accurately I can say how bad everything is, but for now all that remains is to trust the doctor, who, as you say, “puts the medicine”.
Hello. About three weeks ago, I started treating the lower right seven. Twice they laid down the medicine - the tooth felt great. A week ago, the channels were sealed. Pain did not. They closed the temporary filling, the tooth immediately zyl. And literally after 15 minutes, I felt a numbness in my lips, which then descended on my chin. On the phone, the doctor said it's okay - everything will pass. But a day later, the lymph node began to ache under the jaw from this side, then the pain began to give to the ear and temple area, other teeth are being raised up. Today went to the doctor, took a picture. As a result: “Well, yes, the filling material went beyond the root of the tooth. But now he will never inflame you, everything is done well. Of course, you can go to another doctor and they can tell you to clean it all up, but it will be even more trauma for the nerve and I would not advise. In the meantime, drink ibuprofen, and dry heat on the jaw.When everything calms down, in a couple of weeks, come to put a permanent seal. All will pass".
To be honest, I'm already more worried that my head hurts, crushes my temples. Please advise what to do?
Hello! I think that it was not worth waiting for another answer from the doctor whose work led to a complication - removal of the filling material beyond the root, which, in turn, had negative consequences: from severe pains of an irradiating nature to numbness. There is a risk that the mandibular canal was partially sealed (part of the filling material penetrated there). Snapshots of the treated tooth would help assess the severity of the situation - you can send them to the mail of the site, I will comment. It is possible that all is not so bad.
To advise what specifically to do, you need these same pictures. If the filling material in the mandibular canal - will have to seek help in oral and maxillofacial surgery. If the material is not so much behind the tip, then perhaps only physiotherapy is needed. The final decision is for an independent dental expert.However, it is definitely not worthwhile to ask your attending dentist for advice in such a situation, since it will be difficult for him to objectively evaluate his own work.
Hello, look, please, I have a side perforation? The tooth does not hurt, but reacts to pressing, and as someone else. 12 days have passed. Thank. (The link is visible only to the doctor).
Hello, Elena! I analyzed your picture: yes, this is a perforation of the wall at the point where the coronal part goes to the root. Not the worst perforation, in fact, but the trouble is that the gutta-percha pins are “welded” decently. If you provided this snapshot as a control or, in other words, final, then the channel is still not passed: the doctor took this perforation as a channel - so it turned away from real access to the main channels.
If the channel has not passed - it is very bad, and if the pins from the perforation were not removed (it is technically easy) and the outlet was not closed with a blast, then it is terribly bad. The most likely prognosis is tooth loss due to an exacerbation of the chronic process.
If the doctor did not do anything to stop this complication after this snapshot, then the treatment can be considered unsuccessful.Even if the pain passes, then either a purulent exacerbation is not far off, or there will simply be growing a cyst on the tops of the tooth roots or in the zone of root bifurcation.
Thank. This is so for today. The doctor says that the material just got on the gum. Is it too late for me to heal, remove? Or look for another doctor to remake? 14 days have passed.
Complex issue. I don’t think that the past 14 days are strongly influenced here: another question is whether you will find a professional who will undertake this ungrateful work. Maybe it will lead to the prospect of preserving a tooth for many years, but it is a lot of work. Still, it's worth a try. In this case, you need to look for another doctor uniquely, since the previous doctor is unlikely to help you.
Your assumptions are very close to the truth. There was no way to enter the channels, there was talk about mummification (I used to do this sometimes, there were no problems), and then the result was 2 sealed channels. I went to another two doctors. One says (according to the CT scan made before the treatment) that initially it was possible not to be treated, since carious cavity went low, almost to the root, and it is already meaningless to treat. The other is taken to try. He found another one on CT, Channel 4.His very first doctor did not consider at all. The tooth has calmed down in the meantime, it does not even hurt to press. Very different opinions, I do not even know what to do.
Hello! These teeth are difficult to treat, but possible. If the doctor is really a professional, then you should trust him. This is an expensive procedure, but if you can save such a complex tooth - it will be great. I think that you should weigh the pros and cons, and then make a decision. Trying to save, of course, is preferable, but most likely, the dentist will not give a guarantee for the treatment of the mummified tooth.
Tell me, please, yesterday I was unzipped a tooth with periodontitis without anesthesia, at first the canal was a little sore, then she checked whether the canal was completely passed - one passed completely, and in the second I felt a sharp pain during the passage. The dentist said that there was pus and a fistula would soon jump out. Is such pain possible with root inflammation? Or is it still perforation? The channels were endomotor. Prescribed NSAIDs, metronidazole, amoxicillin.
Hello! Well, without anesthesia, in principle, it is painful to go through the canals, although the dentist himself decides this question: to do anesthesia or not, because the fact that there is no live pulp allows treatment without anesthesia. Pushing the tooth shavings and antiseptic during treatment closer to the root tip can even give a lot of pain. It all depends on the sensitivity. With perforation, the pain is acute and bleeding from the canal occurs. It is difficult to say so in absentia: whether it was or not. Here you can track the images, but you need diagnostic (with gutta-percha pins) or control, where there is an option to view the quality of treatment channels. If you wish, you can send them to the mail of the site, I will comment.
Good day! Help, please, no strength to endure. About 2 months ago, severe pain began, the upper jaw on the left. Especially after walking. The pain is growing unbearable. At night, dull aching. Suspected 6 or 7 teeth. Both are treated and stand very tightly, food often gets stuck between them and the gum. The doctor suggested that the case is still in the 8 tooth. I opened the filling, cleaned the canals, left it for a week with medicine and a temporary filling.In the second visit, she cleaned the canals again and again the temporary filling. In the third visit again cleaning and permanent filling. Everything became good. A week has passed since the last visit, and today, after the walk, this same 8-ka was unbearably ill. Pain, as before, after returning from cold to heat. Very strong. Do not touch the tooth, especially the chewing and internal surfaces. The matter is complicated by the fact that I am a nursing mother and limited in the use of drugs. What to do next?
Hello! Difficult question: if the pain passed for a week, then the doctor is hardly mistaken in the causal tooth and treated the wrong one. However, it is useful to analyze the quality of treatment of the channels in the image - perhaps there were mistakes. You can send this picture to the mail of the site, I will comment.
Good day! The picture was not taken. At the opening of the 8th tooth there was a putrid odor. Surely the tooth needed treatment. I will try to take a picture and send it to you.
Hello, Doctor. I have such a situation: a nerve has been removed from the tooth, the water canals are cleaned, everything is fine in the pictures. Put a temporary seal.The next day, a very strong pain in the tooth, could not sleep. Since the doctor warned that my teeth would hurt (especially since I have very narrow channels), I decided to endure. The next day, the situation did not get any better - the tooth began to hurt even more, and almost did not sleep either. In the morning I ran to the doctor. She pulled me all out of the tooth, cleared, it seems ... In general, there were some manipulations that I did not see. When she thrust a needle into one of the canals, it was given to pain, which I told her about, and in response I received "nothing, it happens." Laid up the medicine, said that if the tooth starts to hurt more, come and clean the medicine (walk for some time with an open hole in the tooth).
Bottom line: the tooth began to hurt less, I can already sleep. I also cannot eat on the side of a diseased tooth, since at once a sharp pain + to pain appeared a slight itch and pain / itch gives to the jaw (and itching - a little to the ear, if it does not seem). What is this supposed to be?
Two days have passed since the installation of the medicine.
Hello! Without a snapshot here, as they say, one can only guess at the coffee grounds. That is, as you rightly put it in the question, we can only assume:
1. Not passed all the channels of the tooth;
2The channel processing technique has been violated (roughly or slightly);
3. There was a periodontal chemical burn when working with an antiseptic (for example, hypochlorite);
4. A tool has broken off the canal;
5. With the passage of the channels occurred perforation of the wall of the tooth.
Etc.
More accurate information can be obtained from the pictures - if you wish, you can send them to the mail of the site, I will comment.
Hello! I had a nerve removed a week ago, my tooth was sealed, and a filling was placed. The doctor is very experienced, the whole family goes to him. It would seem that he cleaned all the channels to me, removed the nerve, but the tooth still hurts. After all, a week has passed, how should I be?
Hello! “It would seem that he cleaned all the channels to me well” - here you need to understand that there is no guarantee that everything worked out perfectly for the doctor in your clinical situation. What about the channel filling itself? There is a possibility that they:
1. Sealed with the removal of material for the top of the root;
2. Sealed to half or even less (and in the non-sealed part of the infection remained);
3. Sealed with material that you have an allergy or hypersensitivity.
The latter rarely happens, but causes significant problems, especially in combination with the first paragraph.
The most common problem after endodontic treatment of a tooth is the so-called post-filling pain. In half of the cases, it has no potential danger for the future, but not all patients have enough strength to endure it for 3-5 days to 2-3 months, and this is wrong.
You did not describe the nature of the pain - it remains only to guess and speculate, which I did. The best option is to send a snapshot of the tooth with sealed-in channels to the site's mail, after which it is likely that I will prompt you with sufficient accuracy what is wrong with your treatment.
Hello! 2 years ago, the doctor healed me six. In his words, the filling became very close to the nerve, but she decided not to remove them, in order to leave the tooth alive. After treatment, the tooth was sick for several months, but then the pain went away. In January of this year I went to the dentist to look for possible reasons for not passing pharyngitis. And it turned out that in this tooth under the filling there is a strong inflammation. The tooth was overcrowded already with the removal of nerves and cleaning the canals.After treatment, there was pain with pressure for 5-7 days, then passed. After 3-4 weeks, the tooth began to hurt again. Pain when pressing and staggering a tooth. What could it be? On the eve of the exacerbation, I ate coarse meat and chewed it with the effort and with this tooth in particular. Maybe I worried tooth? The treatment of the tooth was carried out under x-ray control. Thank!
Hello! This sometimes happens due to some nuances in treatment. For example, when removing even a small amount of filling material beyond the apex of the root. It does not look like a sharp periodontal trauma, since you just chewed coarse food, but there was no fact of hitting the bone or something very hard on the tooth. That is, there was no simultaneous critical load. I think that some trifles in the treatment were missed or there were some inaccuracies, so there was such a “mini-aggravation”, so to speak.
To make an informed decision regarding further action, you need a snapshot of the tooth with the treated canals. And without this, only guesses, and one cannot say for the future whether it is dangerous and how long it will last.You can send a snapshot of the mail site, I will comment.
The third upper tooth broke off after two fillings, the tooth did not hurt, but when pressed down the nose, it hurt. ENT said that the problem is dental. The dentist, taking a picture, said that the nerve had rotted. Removed the nerve without anesthesia, put the medicine. There was no pain, just continued to hurt with pressure near the nose. Five days later, the canal was sealed. When finishing the filling, when pushing the filling material, I felt pain in the apex of the tooth root. They took a picture, the tooth was completely sealed. The arrival is scheduled in five days - to put a permanent seal and a pin for the further setting of the crown. On the third day, the tooth began to ache in the apex of the root, even without pressure. That is, the pain increases. The doctor is very experienced, we have been treating her for many years, you can trust her, but putting a permanent seal and a pin on a tooth that hurts, I think, is dangerous. Please advise what to do? Thank.
Hello! Of course, it is more expedient to put a permanent filling or orthopedic constructions (tab, crown) only on a reliable tooth, or rather “calm”.The presence of negative dynamics, judging by the symptoms, requires the dentist to analyze the situation with finding out the exact causes of pain. Personally, I would check at first a snapshot of the tooth with a treated canal. If the material is not located beyond the root even in minimal amounts, then other reasons are investigated, adjacent teeth are checked for hidden carious processes, etc.
You can provide me a snapshot through the mail of the site, and I may be able to prompt more thoroughly.
Hello! A couple of years ago I treated the lower 6 tooth, the nerves were removed. A year later, the seal fell out, there was no time to go to the dentist, and as a result I spent about a year with an open tooth, but he didn’t get sick, in general, he didn’t bother. Now there is an opportunity to go to the dentist - they diagnosed chronic fibrous periodontitis. Before the start of treatment, they took a picture - they found the remainder of the instrument in channel 4, but since the channel turned out to be very narrow; The doctor said that the tooth can be saved, made filling of three channels AN plus, Adsel, 2 Seal, Guttasiler plus, Epoxydin (gutta-percha, expansion of the channels), without setting a seal.We put a temporary seal and made an appointment after 5 days. The first 2 days the tooth pulled, but tolerable, only in the evening. Painkillers did not drink, I thought it was a normal condition after anesthesia, and the tooth was injured. But on the 3rd day (today) by the evening the tooth got very sick, and I want to remove the temporary filling, because pulsation occurs, and the cheek seems to go numb. Very afraid that there will be a flux. Tomorrow I want to call the doctor to accept me earlier, I can not stand for 2 days, and I am afraid of complications. Tell me what's the matter? And how to ease the pain until the morning?
Hello! Unfortunately, modern filling materials are not a panacea, and the main role is acquired by the professional skills of the doctor. Of great importance is the quality of washing channels. The fact that there is a channel in which there is a fragment of an instrument may strengthen the negative dynamics - therefore, the pulsation and everything else. In addition, the pain can be associated not only with infection in the canals and periodontal, but also with the rough work of the doctor in those canals that turned out to go to the apex. For temporary relief of pain usually resort to receiving painkillers, if there are no contraindications.
In your case, you can either trust the doctor and wait a bit, or go directly to the clinic where you can have endodontic treatment under a microscope. It is more expensive, but more promising.
Hello, Doctor. Help, please, advice! My problem is already more than half a year ((In mid-August 2016, my teeth were filled (just caries, the canals never treated me before)) - several at once, boron without water cooling.
Immediately after the procedure, I got sick at the top left. The doctor did the filling, she said she would pass. Then she stole other fillings, then replaced them with calcium underneath them ... Then, when the floor of the skull was already aching, the neck, and even a little from the opposite side, and I had been drinking painkillers for 2 months, finally depulped 7 at the top (not without the help of this site, I asked a question about a possible causal tooth and told the doctor to remove it; in the 7th she was not sure that it was the cause, but it immediately became easier after that). It was already in early October ... Since then, I have been walking with empty channels. They deleted it alive, then they laid something down, after a few days something else, then something else after 10-14 days.Each time a temporary seal. After the third time, the breaks have increased - the doctor works for himself, often puts a record, and then cancels (it happens 2-3 times in a row). As a result, the reception fell about once a month. We washed lincomycin several times and put a turundum dipped in it under the filling.
A month ago, the final stage with the filling of channels was stipulated, but all these months I feel discomfort - I cannot chew something dense or solid (meat, apple) on this side. And the dentist says that the tooth should be calm at all, so the last time (two or two weeks ago), I perearhovalas - put some medicine, closed the temporary filling. This medicine gave unpleasant bitterness in the mouth for two days, the tooth began to ache after that time, although it had hardly been felt before. Three days ago, the pain increased sharply even more, it became painful to touch the tooth with the tongue. They took out the seal, rinsed, at night and during the meal with a cotton swab.
The doctor says: anaerobic flora. Two days went like this, today washed with lincomycin, again put a turunda with it and closed it with a temporary filling. By evening, the tooth ached terribly, right up to tears, when I accidentally knocked my teeth together.Called - the doctor: "Pick out the filling, rinse." As soon as it did, it became immediately easier. He says anaerobes, and will need to be treated for several days without sealing.
But here you read that without sealing - an atavism and harm. X-rays were done only in September - there is a periapical calm, only on one tooth below was a large carious cavity under the filling (they wanted to clean it initially, they thought it was sore) ...
P.S. Pus was not the last time he was sick and the canals were washed.
Sorry for too long a story ... I am one of those who are afraid to change something with the thought "But won't it get worse?" (I'm talking about changing the doctor). Burning pulp is already an unpleasant mistake (I try to treat my teeth in time, not leading to depulpation, and even the fact that some already had deep caries was due to the fact that my doctor often cancels the recording) - too long the pain and patience this smoothed my anger at the doctor. But here we are talking about the salvation of the tooth in general, as far as I understand? ((
Update as of March 19, 2007: I took a picture today at another clinic. They said that the periodontal gap, periodontitis was enlarged, it was necessary to treat expensively under a microscope and to wash everything out well, that they were treating me incorrectly.We must also take a three-dimensional picture, they said, before taking an endodont. I didn't take the picture, I'll go to 3D ...
Hello! All right, they told you, the doctor’s tactics are wrong - such treatment brings success in some cases, although the risk of developing chronic periodontitis (imaginary well-being) is high in the long run. What specifically is wrong:
1. Too bent the stick with rinsing open channels;
2. Flushing the channels with lincomycin (I do not think it is suitable here);
3. Suspicious drug therapy;
4. Omission (cancellation) admission and overly routine therapy;
5. It seems to me that you started to treat pulpitis, but eventually you got periodontitis (assumption).
Now I have to fix everything. Under the microscope - it is expensive, but reliable.
Thanks for the answer. Tell me more, please: in another clinic they cleared the canals, went through them with various tools (manual and some kind of quiet little boron) under the control of the apex locator, washed with hypochlorite, used cofferdam (there was nothing similar in the previous clinic, only hand tools and “ rinse-spit ”) ... But all the work was done without a microscope, under the microscope the doctor only at the end of everything, looked for 20 minutes or less,she said - yes, you have the classic three channels (to my question, and what, on CT scan this is not visible? - answered that of course not) ...
Calcium was laid, they said that we will seal the channels in two weeks. They have a temporary filling photopolymer, but in the check they just have a string “treatment under a microscope”. The price is very decent (so far only paid a third of the amount). Shouldn't all the treatment take place under a microscope? Not only the inspection-control of the channels? Or is it important only at the stage of channel filling itself? In general, I liked everything in the clinic, except for the price and a strange check. In other clinics (with a fixed hole in the tooth, it is easier to monitor prices), similar manipulations are one third less than in this clinic ... And friends say that they are paying for money. Are such staff actions deceiving?
And another thing: they offer me to seal the channels with the material “about the root”. But I read that it is used for the restoration of damaged areas. I also offer them to completely fill the channels. Is there such a method? + About the root in another (in the third) clinic offered. In this, in which the channels are washed, gutta percha.
Hello! As for CT, with its help it is quite possible to see three channels, however, the use of a microscope increases the reliability of treatment. They blow through - not a permanent material, to complete the work in the channels should be sealed with gutta-percha according to the modern method. You can choose cold, hot condensation or thermafil.
Not all stages of treatment are carried out under a microscope - I think that the microscope was more important for the doctor at the stage of filling, since the passage of the channels was not difficult.
In an expensive clinic, there may be many different and not always obviously necessary services to offer, but this does not mean that this is a hoax. Suspicions about the “divorce for money”, of course, are not baseless, but you should not despair: I am sure that the tooth will be saved. Do you now have it at the stage of periodontitis treatment with a calcium hydroxide based product?
Thank you for your attention to my problem)) Yes, calcium has now been laid with iodoform - as they said, not specifically for the entire length of the channels, but up to half of it is approximately (is this correct?). Somewhere in the temple or next to the tooth I sometimes feel some discomfort, although I have been walking with calcium for 10 days.Waiting for salary, then I will go to fill the channels.
In the clinic where they offered a rut, the doctor said that she alone filled the canals with them for the whole city (completely! Like, gutta-percha is just “rubber,” and she’s a perfect adapt to the tooth tissue). And also intimidated that then they didn’t drill out of the canals, not so much as gutta-percha - I took it and got it, then “get ready for what you can then gum inflate with your old problem, and then you have to install drainage through the gum and drink antibiotics”. I asked if maybe I shouldn’t use such material, since “with my old problem” the risk of such an outcome is increased (is that then later - to perish the periapical abscess, or to remove a tooth?). But the doctor didn’t understand my question or didn’t want to understand and began to say something completely left - so I didn’t stay there. But I did not manage to find the information to be used for the complete sealing of the channels. Maybe a super-new technology?
Hello! Usually, temporary materials for channels are put on the full length, but in your case this most likely will not affect the quality of treatment.It can be difficult to deliver this material according to all the rules, since it is difficult to control its progress.
As for “About Ruta” as a permanent material for channel obturation, I can say that this is either an “know-how” unknown to the general public, or a doctor’s amateur activity at the experimental level.
Hello again! Thanks for the informative literate answers! Today I was sealed with canals (hot gutta percha) - they didn’t use a microscope, only when the canals were washed they looked at it for about five minutes and that's it. In the check line "treatment under the microscope" with a rather big amount. As far as I understood, it was a hoax and the clinic did not have the right to take that kind of money for the usual, without a microscope, sealing of the channels? (they called by phone, asked how many channels to fill in the 27 tooth - they called the price three times smaller). I also enclose a p-snapshot - they said that everything is fine, although the snapshot is not quite from a good angle, the roots are “stretched”. Rate it, please, I am confused by a step in one of the roots [the picture was sent to the mail of the site].
I also wanted to ask how many snapshots of a tooth can be taken at what time interval? And it turns outSince autumn 2016, I have already made 5 film p-snapshots, 2 on a viziograph and 1 CT scan ... ((There is a considerable amount of radiation, I suppose. Besides, I received radioiodine less than a year ago about thyroid gland cancer.
Hello, Xenia! I think that it was not by chance that we talked about Prorut. Yes, this ledge in the channel can be created by a false channel or a more or less normally closed perforation. In any case, the dentist either faced a complication that the doctor had done before him, or he himself created it in one of three channels. The borders of the tops of the roots are not visible almost, but closer to 100%, that in general terms everything is done qualitatively and deeply, maximum - one could find fault (with good quality of the image) for the possible removal of gutta by the apex. But again, it is not visible well in the picture: the image is elongated.
Even if I tell you that you were deceived with a microscope, can you present something to this clinic? There is no clear evidence - at best, only suspicion.
Regarding the number of shots, you asked a very serious question in the context of your illness. If you didn’t add about oncology and treatment in radiology, then there are no questions: such a number of pictures from the fall is quite harmless.In a month, as far as I know from my radiologist, you can safely take up to 5 film pictures of your teeth. However, this is for classic cases. But you had such a serious treatment. From the bitter experience of my loved ones, I know that after the course of treatment, the oncologist fixes the dose the patient received. For the future: do something in the form of images and CT can only be after his consultation. The exact number of shots, CT, etc., which is not contraindicated for some time, is set by this specialist. This is very important, since only he knows the specifics of your treatment, the features of the "exposure" and the level of possible risk from other influences.
Hello. A year ago, I was treated with pulpitis in the lower 8-ke. But the canal was not completely sealed and the tooth was whining by periods all this time. I turned to another doctor, he said that there was pathogenic flora and a canal with curvature, he never got to him and eventually poured the medicine in and said to come in 2 weeks. On the 1st day, the tooth ached, and at night and on the second day it pulsed all day. I wrote to him and described all the symptoms, and the answer was that this is normal, the main thing is that there should be no swelling.The pain is very strong, it releases, the jaw does not close at all, so as not to hurt the tooth. I do not drink painkillers because there are mainly ibufen, and in contraindications there are problems with the gastrointestinal tract.
And now my temples started to hurt, then over my ear from the opposite side. In general, I do not know if it is connected with the tooth, or already on the nerves? Should I endure this pain for 2 weeks, is this a normal period? I'm ready to wrest it, so as not to bother me. I also noticed on the x-ray that a white line passed by the bottom of the canal there, which was bent. I read with you that it turns out that he fell into soft tissues.
Update as of March 28, 2007: tell me, if the doctor didn’t get and cleared the rest because of the curved root, was there any point in holding this tooth? After all, he still in the future with the slightest pain will be subject to removal? And I am even more worried about such a question. So, it will take time, will there be something to whine, you will not pay attention, and what can this lack of cleaning bring?
Hello! The wisdom teeth (the eighth) are often problematic: twisted and impassable channels with an unknown number of them.That is why unsuccessful canal therapy with severe symptoms (pain, swelling, fever, etc.) speaks in favor of wisdom tooth extraction. In more than 80-90% of cases, the patient loses nothing in terms of functionality. Eighth teeth are rarely of practical value, but they are retained whenever possible, and in some cases it is not bad, for example, for chewing, if there is an antagonist tooth. If it does not work out, they are removed so that there are no further complications, the possible consequences of which, by their significance, are not comparable with the loss of a tooth.
Moreover, it seems that periodontitis in the aggravation stage is taking place in your tooth against the background of a number of errors: including perforations. I would recommend not to torture myself further. The main thing is to find a competent dentist-surgeon or maxillofacial surgeon who can professionally remove a tooth that has complex channels: maybe, against this background, the tooth also has twisted (curved) roots. I would not want you to burn yourself on the illiterate removal of a particular wisdom tooth.
Hello. My name is Alex, I'm 34 years old. On a routine examination a month ago, the doctor did not like the small hole on the right bottom that was sealed up at 7, at the border with 6. The tooth did not hurt and did not disturb.After installing a small filling, the tooth began to be disturbed - to slightly crease, and there appeared a feeling as if the food was stuck in the area of the filling. He complained about this, the doctor even deeper drilled this hole and put a bigger seal. Feelings have not changed. After 5 days, the doctor decided to remove the nerve. The nerve was removed, the medicine was put, the feeling of easy whining did not disappear, and in addition there was pain when biting food with this tooth. Again I came to the doctor, the doctor in perplexity cleared the canal again and put down the medicine with the words that everything is fine and should not be ill. And in general, she looked at me like an idiot.
Next to this tooth, I didn’t completely cut through the eight, which also, if strongly pressed, was aching - I thought about it and went from despair and from incessant pain to removal, although the upper wisdom tooth (antagonist) was removed for a long time and there was no contact It was. The tooth removed normally 6 days ago, drank the antibiotic azithromycin, 3 tablets, and every day a couple of tablets of Ketorol - the pain was extinguished and was relatively tolerable. The day before yesterday I stopped drinking ketorol and tried to eat with the help of 7.There was a terrible pain, now I can not even connect the teeth on the right - whining so that you go crazy and do not know how to make the right decision. The doctor put the medicine for the last month for a month, said: how to remove a tooth, come, I will put a seal. Is it possible to put a seal on such a tooth that hurts unbearably when pressing on it? And if not, what to do? I can’t sleep from the pain anymore, I’ll just go crazy soon ... Please advise me what it is more logical for me to take in this situation? Thank.
I forgot to add: is it possible to treat 7 with the hole torn from 6 days ago and still not fully healed from 8?
Hello, Alexey! All of you are right: you can’t put a seal in case of acute symptoms of unknown origin. I think that some of these symptoms are the result of a recent wisdom tooth extraction, the hole of which is in close proximity to the problem seven. It would not hurt to check the work of the doctor with the help of a snapshot (if you wish, you can send it to the mail of the site - I will comment on it). If everything is done in the canals of the tooth as it should be, then you may need to just wait for the healing of the hole.Fortunately, you are already close to the state of "primary" comfort, when the hole, after a complex wisdom tooth extraction, ceases to have a serious effect for 7-10 days, but residual effects (during chewing) may still be present.
The most effective course of action in such a situation is to immediately contact another doctor for an appointment, to take a picture and on the spot to understand what the problem is. With a probability of about 80%, the problem occurred due to incorrect actions of the doctor.
After identifying the causes of the problem, the seventh tooth must be repaired.
Hello, Doctor! My problem is this. On the 4th and 6th upper (left) teeth I have a bridge. On February 7, a purulent lump appeared over the 4th tooth on the gum. The doctor recommended teeth removal, as there was a big infection around them. Prescribed antibiotics before removal. On day 3 after taking antibiotics, pressure appeared around the nose (left). I thought that after the removal of teeth it will pass.
On February 14, the teeth were removed, the doctor cleaned for a long time and said that there was a lot of infection. But the pressure near the nose did not pass and even began to rise, as it were, to the eye. The doctor said - wait, it must pass, this is not an infection.The wound gradually began to tighten, not to fester, everything seemed to be getting better, given the heavy removal. But on March 6 a aching pain appeared in the place of the extracted teeth, it is not clear where exactly.
The doctor again prescribed antibiotics. After a week of taking the pain as if passed, but the pressure near the nose brought unpleasant sensations. And here again the pain of April 1. Pictures of the adjacent teeth - and now the whole 3 tooth (which is near the one removed) turned out to be problematic. Allegedly, he is dead and you need to clean the canal, and from this alleged pressure near the nose. It seemed to me that it hurts not only 3, but the rest of the upper teeth. But ostensibly on a roentgen, he sees a problem with only 3 teeth.
Well, the fact that I have a panic is understandable. I went to another doctor to confirm the diagnosis, again the pictures and the same advice that the canal should be cleaned. I agreed. Yesterday, April 10, I cleaned the canal, said that the nerve was dead. But the pressure along the nose did not go anywhere. Even as if it became more. I really need your advice. I would be grateful.
Hello! In such cases, it is difficult to say something definite without diagnostic measures and their data.There may be such an option, when the doctor initially made a mistake with the choice of a problem tooth. It is necessary to analyze the first images (before treatment, deletion) and subsequent images due to the ineffectiveness of therapy. If even after the X-ray is difficult to solve something, then you can make the EDI of the teeth to find the patient's tooth.
I am confused by the “pressure along the nose” that you describe - this is a clear manifestation of purulent edema, or (less likely, but worth checking) a symptom of inflammation of the maxillary (maxillary) sinuses. It is necessary to check the condition comprehensively: from external examination and examination in the oral cavity to X-ray examination and EDI. Such a difficult situation is definitely not the subject of a remote solution.
Hello! A week ago, the lower extreme tooth was depulped to the right. After the second snapshot, the doctor said that everything is fine. After 2 days there was pain. Yesterday, on the 7th day, the cheek was swollen. Ahead of the weekend, what to do?
Hello! If the tooth was indeed depulped, it means that the diagnosis was pulpitis, and therefore, edema after root canal treatment implies serious errors during treatment.If you were led by another diagnosis - “periodontitis”, then we are not talking about depulpation, since there is no longer any “nerve” in this disease in the tooth, it has decomposed. Such treatment can often cause swelling after closing the canals, especially when they are not fully treated.
So, given your description of the problem, you need to run away from your doctor without thinking, as the depulpation does not end with edema. It is necessary to save the tooth by analyzing the picture. However, in this context, you should not believe the doctor who was engaged in his treatment.
In the event that you yourself are mistaken when you speak about the depulpation of a periodontitis tooth, then there are no such serious claims to the doctor. It is necessary to check the treatment with a snapshot and draw subsequent conclusions.
In September 2016, a nerve was removed from the lower 6th tooth due to the fact that the seal flew out and, when removed, a nerve opened to install a new one. Cleaned, temporary seal, for the next visit, a permanent seal plus a pin. Before that, there were no problems with the removal of nerves. When removing, cleaning was used "priborchik with electricity", well, a couple of shots. According to the doctor, everything is fine.
By December, the pain had not passed, they removed the nerve in another tooth, from which the filling fell out, and looked at this one. They offered laser physiotherapy and drink nimesil. After the second packet of nymesil, I felt bad, like an allergic reaction. In general, I do not consume pills, but here I was sick that I cannot eat for the right side for three months.
It is now May 2017, and a tooth without a nerve hurts. More precisely, as long as we do not eat on that side - it’s normal, but how we sing, problems right away. It hurts only when pressing and this particular tooth. No neighbors do not hurt. The advantage now turned out that, probably, the bite had changed due to the pain, and some of the fillings on the top were loose. As a result, the pin is already sticking above the surface and can be felt if held with a finger.
What could it be? And most importantly, what should be done as a matter of priority?
Hello! Initially, it is necessary to take pictures of the teeth you have specified in the canals of the teeth and check the veracity of the doctor's words. If everything is really good, then you should check the adjacent teeth. I am sure that with the help of pictures and examination in the oral cavity there will be the cause of the problem.It is also useful to compare the pain of percussion on each tooth in order to draw conclusions and make a diagnosis.
In principle, the situation you describe is not the norm. Sometimes this happens due to overload of the tooth, which is why the filling crumbles. You can check this with occlusal stripes and examine the bite. Correction of the seal is best carried out taking into account the image, so as not to lose sight of the important nuances.
What can it be? The question is difficult, more often there is an error of treatment in the canals, less often - the neighboring teeth have hidden carious cavities that “express” their problem when the pain radiates to innocent teeth (even “dead”). I also mentioned a variant of overbite, which could create trauma, which is also important to check. An integrated approach is needed, a specialist should also be attached to this approach. Look for an experienced doctor and check again the pictures (not the doctor who treated - this is important). Good luck!
Hello! I have a filling material for the top of the root. Already a week worried about the tooth. When pressing on the gum very unpleasant sensations and swollen cheek. How to be? Thank!
Hello! In this context, this is a clear complication, and with a serious manifestation in the form of edema, rather of an allergic nature, but the infectious variant is also not excluded (it may depend on what diagnosis this tooth was used for: pulpitis or periodontitis and what errors in the canals could cause ). Not every clinic can take out the filling material, in some situations they are limited to physiotherapy treatment, although in many respects this is not the most promising, and sometimes doubtful activity.
In principle, it is important to understand what exactly is derived beyond the root: if it is gutta-percha, then it is necessary to extract it, and if it is sealer, then what is it from? If something like Endometazon, then almost certainly it is not scary. But when removing materials based on epoxy resin (for example, AN +) will be problematic for the future, since the material is “cement-like”. And it will be difficult to extract such material.
So, one can assess the scale of the tragedy only by clarifying what exactly was brought out from the top of the tooth root, how far it was taken out and what is happening to the gum at the moment.If you provide a snapshot of the tooth (to the post office site), it would help to understand how deep the material went, but you can only learn about the nature of the material from the attending physician (or from the medical card).
Hello, started to hurt tooth 21 when you click on it. I went to the dentist, said pulpitis. They cleaned the channels and put a temporary seal for a month. In the evening, the gums began to swell, the doctor said that this was possible ...
The next day, my cheek was swollen so that I could not talk. I went back to the dentist, made a gum incision and put drainage. It seems that everything is fine, after 2 days, the swelling subsided, but there is a slight swelling on the gums above the tooth. He began to stagger and a bit bare tooth.
Tell me in connection with what this happened? With teeth never had any problems. Thank!
Hello! The fact is that this is either a complication as a result of a doctor’s mistake, or there are objective reasons for the difficulties in maintaining this diagnosis. The state you described is not the norm. The mobility of the tooth against the background of exacerbation of the purulent process and gum recession in the cervical area is a bad sign from the point of view of further prediction.It is worth taking pictures, get advice not a single dentist for expert consensus. It may already be worth considering the conservative-surgical method of preserving a tooth - resection of the root apex, since these teeth (21) are most easily amenable to this treatment option.
Hello, tell me, please: the nerves were removed in a 6-ke, sealed up, after which the tooth continued to ache. The dentist said that up to a month such pain is the norm. Three months passed, all the same, when biting and when you knock on the tooth hurts. I came to her, told her everything, she sent me on an x-ray, said that everything was fine there. I removed the seal, and for a week I was like without a seal. Then she came, the dentist said again (I'll take it off), I said that I’m thinking up - she cannot get sick there, the canals are clean, and all is well on X-rays. In general, she gave me a temporary filling and, apparently, some kind of medicine. But now the tooth began to worry even more, as if a very heavy stone had been inserted into it, such a feeling. And also when biting hurts. Tell me, please, what should I do with him, what could it be? ..
And another question: does X-ray show if the root is inflamed, a cyst has formed?
Hello! There may be several options associated with errors or errors in the treatment of canals. For example, there may be the following options: 1. An additional channel is not found (in a single projection of the image it may simply not be visible); 2. Brought a large amount of material beyond the root; 3. There is an inflammatory process at the top of the root; 4. There is a perforation of the bottom or wall of the root.
I think that it is worth checking with another dentist, and not with your doctor (for objectivity). It is desirable that the images were checked in different projections, preferably on the visiograph. If doctors find a specific cause, then the tooth will have to heal. If the reason is not found, then this is the risk of losing a tooth after some time from the complications of periodontitis.
On the x-ray inflammatory process in many clinical cases it is possible to see.
Thank you very much 🙂
Hello, 2 years ago a tooth ached. Removed the nerve, put the fillings. A year later, the seal fell out.For a year now I have been going without a seal, nothing hurt, and now 2 days ago there was pain when I pressed a tooth. What could it be and what should be done? Delete it?
Hello! This is the best thing that could happen in terms of symptoms during depressurization of the tooth, through which the channel (s) of which the infection of the re-apical region began. Most often, these teeth manifest themselves in the form of severe pain, not relieved by painkillers, and edema (cheeks, lips, etc.).
The fact is that when an infection gets into the channels after a seal falls out, it gradually accumulates in the zone of the root apex, limited to healthy tissues. As long as there is compensation by the body of this inflammatory process at the root, the tooth may not even hurt for years, but in certain situations, starting from blocking the canal with food debris or trauma of the tooth at one-time load and ending with stress or a general disease (ARVI, for example), a kind of starting function a mechanism, that is, previously even a remarkably treated tooth in the canals, is exacerbated by chronic periodontitis.
It is possible to refill such teeth, although in many cases it is technically difficult and requires a lot of money from the patient. It is necessary to determine the shape of periodontitis and the scale of the tragedy from the picture.If the inflammation has gone too far, then the tooth will have to be removed. If you are determined to save the tooth even in a difficult situation, it will be useful to get advice in the dentist’s chair at several clinics at once.
In this case, the opinion of doctors can be divided: someone will urgently recommend to remove, and a number of specialists will be ready to save the tooth, but without a guarantee that 100% will succeed, and someone will even give a guarantee of success.
Good evening! In late April, she came to the doctor with a aching tooth pain. The diagnosis is pulpitis. They put arsenic, which was removed after two days and put a temporary seal. I had to leave immediately and could not visit the doctor to remove the nerve. Got an appointment only after three weeks. I cleaned the channels and on May 24 put a temporary filling with a medical compound. Remove it on June 14th. The fact is that after 10 days I began to have throbbing pains in the area of this tooth, it is impossible to close my jaw in this place, the feeling that the tooth is loose, and the gum seems to have swollen. The pain is constant. She came to the examination room, said to rinse, the tooth is not loose. It is claimed that this is normal with a temporary medical filling.Tell me, please, is this normal?
Hello! You, of course, very recklessly did that you did not treat the canals in time, transferring the pulpitis to periodontitis. And then the dentist for several reasons could not remove the tooth from the stage of exacerbation of purulent periodontitis. At the moment there is no objective positive effect of the treatment.
The fact that you feel the mobility of the tooth speaks only about the purulent process, and not about the actual mobility of the tooth, but the rest, described by you, cannot be called the norm. Of course, it happens that the body copes with the exacerbation (especially if the doctor prescribes antibiotics), and the tooth calms down, but most often with such a development, the situation becomes worse every time, and then we are talking about tooth extraction. I advise you to get a consultation in another clinic (you can immediately in two): to give dentists to study the pictures as an indicator of the progressiveness of treatment, and then, according to the analysis, try to save the tooth. Otherwise, you can still suffer for a very long time, but never come to a positive result.
When she was treating a tooth, the doctor said that the neighboring tooth also would not hurt to cure, the holes were very small. Well, almost two months later I decided to cure this tooth. He did not bother me at all and did not hurt at all. Came - it turned out that deep caries. Cleared everything and sealed, the nerve was not removed. A day later, when eating, that is, when pressing on this particular tooth, he was ill. I thought I would get sick, 2 weeks went by like this. Still came to the doctor, she removed the filling and said that we would remove the nerves. But there everything began to bleed, and she applied arsenic, said to come in 2 days. The tooth began to hurt even more. Then she took off the arsenic, cleaned the canals, left the tooth open and told me to rinse with soda, and during the meal to close with a cotton swab. Now I have a temporary filling, but the tooth still hurts when I press it. Tomorrow she said to come, they will make a normal filling. And why, if the pain does not pass? When she penetrated a special needle deep into the root to pull out a nerve, it was very painful. What could it be? After all, before treatment, he was not sick at all.
Hello! I advise you to change the doctor, because his treatment tactics do not meet modern requirements (protocols) for endodontic and therapeutic treatment in general.I will indicate the reasons for this opinion:
1. Caries passed into pulpitis after treatment (or pulpitis was not diagnosed in a timely manner);
2. Arsenic paste was used, although it currently does not meet the requirements of modern and high-quality treatment, often causing future periodontal problems in the future;
3. Leaving a tooth open is considered to be largely a violation of the treatment protocol or an outdated way of solving the problem, creating even more trouble — the channels are re-infected, at a minimum. Yes, and why leave the channels open 2 days after finding the paste, when it is enough to apply the antidotes of “arsenic” due to its negative (toxic) action, leaving the tooth in a sealed form for a day, maximum two;
4. If during the treatment of the canals and the removal of the “nerve” there was pain, then the doctor does not have anesthesia techniques. And at the same time leaves the tooth open, as with periodontitis, replacing one diagnosis with another.
There is a routine treatment method, often resulting in a tooth extraction: if not in the coming months, but after six months or a year - with a high probability. I recommend changing the doctor, taking pictures, and understanding whether the previous doctor has more serious mistakes,and then treat the channels, seal them according to the protocol and hermetically close the tooth with a permanent filling or a tab + crown. It all depends on the volume of loss of the crown part of the tooth: if more than 1/2, then the tab or tab + crown is recommended.
Hello, yesterday I went to the doctor with sharp pain in the tooth. When he was cleaning the canals, he said that they were too narrow and put some pill on the tooth. And this has been going on for 4 days, and the tooth is very sore.
Hello! When a doctor says that he cannot cope with the problem of narrow canals, this often means that he has also had certain difficulties of a different kind. For example: 1. A doctor cannot find a canal or canals (access to them is not created and an inflamed or even “rotting nerve” remains in the canal (s), causing pain). 2. The tool has broken off the channel. 3. There was a perforation of the root. 4. A false channel was created. 5. As a result of incorrect processing, the canal was clogged with sawdust, or a ledge was created or even many ledges.
Rarely, there are cases associated only with narrow channels, when the doctor found all the channels, went through them to a greater extent, but for the prospect of keeping the tooth for a long time, put a liquid or gel in its channels for passage and expansion.However, this acute pain, especially in a few days, should not be. In clinics where there is no microscope for canal therapy, it is sometimes difficult to do everything according to the protocol, so that later there will be no problems.
Without knowing the nuances of the work of the doctor and not seeing the pictures, it is difficult for me to judge what exactly went wrong. But severe pain can talk about violations committed in the treatment of canals. I recommend visiting a clinic where a microscope is used for endodontic treatment.
After removal of the nerve and the installation of fillings, the tooth continued to jerk, and when pressed, it created a feeling of a bare nerve. I suffered 1.5 months. After going to the dentist, 5 laser procedures were performed. No improvement has come. Opened the seal. Several times the medicine was laid with a temporary filling. Today again they put a permanent filling. The tooth does not pull, the unpleasant feeling remains.
Hello! Without pictures I find it difficult to determine how serious the dentist's mistakes were. And they, apparently, were admitted and their removal is often quite a difficult task.Errors in the course of treatment can be different: the missing channel, poor processing of the channels, the formation of perforations (just holes) in the tooth wall, breaking off a piece of dental instrument in the channel during its processing, etc.
If the problem is still eliminated, then gradually the level of discomfort will begin to decrease. If there is no positive dynamics, or, conversely, there will be a deterioration, an urgent need to return to the doctor is necessary, since without removing the cause of the problem, you can quickly lose a tooth.
Thank you very much.
Good day! I suffer the third week. They removed the nerve on the left of 7 and 8 and sealed the canals. Began to whine the whole jaw on the left side. Sometimes it bakes so much that it gives to the temple and ear. More often, my head began to hurt - sometimes it calms down for three or four hours, but the pain almost every day exhausts me, I have no strength. All doctors look at the picture and say that there is nothing to complain about, everything is perfect. I went to the doctor, the surgeon, and the periodontist. May suggest that neuralgia. But then where did it come from? Immediately after sealing.
Hello! The situation is not simple, and without pictures I find it difficult to add something to the opinion of those doctors who saw you personally. If you applied to different (this is important) clinics and opinions are the same, then perhaps there is another option: it is possible that a causative tooth was not found, which causes acute pain. Rarely, but it happens that the pain of an undetected diseased tooth radiates to already treated ones.
If you have referred to the three mentioned doctors within the same clinic, be sure to try to contact another clinic. It is important independent opinion.
Regarding where neuralgia came from after dental treatment: I have a skepticism about this diagnosis. But, as they say, there are as many opinions as specialists.
Good day! 4-5 years ago, the nerve in the upper unit was removed; nothing bothered. But two days ago, the tooth began to heave, more and more stronger, especially unpleasant sensations are localized in the gum. The temperature did not rise, there were no changes in the appearance of the gums, there was no redness, nothing swelled up. The pain does not depend on the time of day. Tell me, please, what can it be?
Hello! Initially, it is important for the dentist to check whether the problem is really in one tooth, and not in the next, in which, for example, a carious cavity may be present. After an examination in the oral cavity, if the diagnosis is difficult or specific, a snapshot of the very “one” is taken, where the quality of the canal filling and the presence of the inflammatory process outside the root are checked. Most often, if the reason is in this "dead" tooth, the picture will show the depression of bone tissue near the root apex.
Here it is important to collect as much information as possible in order to diagnose the cause of the pain, and then outline a treatment plan. If it turns out that the nearby living tooth is disturbing, then endodontic canal treatment is carried out. If you find yourself right, and the reason is in the “one”, then the tooth over-treatment is performed. If it is impossible to save a tooth, it is possible to remove it (although, taking into account modern technologies, it is not often carried out on these teeth).
Hello! I hope for your answer! They were preparing for prosthetics with metal-ceramic, the doctor took a point snapshot of the upper canine, then depulped the nerve under anesthesia.In the process of inserting something, such as measuring the length, as they said, 26 mm. After all the manipulations, they took a picture - the doctor said that she had not reached the top. Again she repeated all the manipulations, in the process of which there was a short-term sharp pain, to which the doctor said she had reached, then again took a picture. The doctor said that everything is fine. By evening, I discovered that when I pressed a tooth there was a slight discomfort. The next day she called the doctor, she prescribed nurofen. I drink the second day, sensations, it seems, the same. A day to go to the clinic, put the pin. Advise what to do? I misread everything, I'm afraid of perforation of the tooth. And put a bridge on this tooth. Gave money, and considerable!
Hello! The likelihood that a complication has occurred during the endodontic treatment of the canine tends to zero, since such a tooth does not present any difficulty for depulping: one wide canal of a conical shape (but long). The long canal length in the canine can be a problem for doctors with little experience or insufficient equipment.
In your case, in order to do the job perfectly, the doctor tried to fill the channel according to the protocol, that is, before the apex.I do not think that there are fears for the future of the tooth, but since I don’t have a picture, it would be incorrect to state unequivocally here. If you are still afraid, then my advice is to have a picture and advice from another doctor on the picture, since your doctor may not say honestly and objectively how the work was done.
The clinic almost always gives a guarantee for work, therefore, having receipts and a contract, you need not worry. In general, perforation of the canine is a rarity. Occurs in older patients, but not in young people. So do not worry.
Hello! Six months ago, she treated 46 tooth. The nerve was removed, the canals were cleaned and sealed. After treatment, the pain subsided, the tooth remained sensitive (if you knock the nail, unlike other teeth). Three months later, my jaw became slightly sore (especially in the morning after sleep). It became periodically to reduce the muscle under the tongue to the right. A month later, this muscle began to swell, apparently. And after using (rubbing in) “Long”, the swelling disappeared for about 2 hours. The tooth didn’t whine much, but the discomfort, as well as sensitivity, remained.
I went to the doctor who was treating.The picture looks fine. Sent to the maxillofacial surgeon to exclude salivary stone disease. That pathology is not found. Dentist uncorked tooth and canals. He laid an antiseptic paste and put a temporary filling, which the next day fell into the cavity of the tooth, and also appointed tsiprolet to exclude reactive lymphadenitis. A week has passed. The tooth retains sensitivity when tapping (the adjacent teeth are absolutely painless). The doctor said that after the paste after a week, you can fill it again, but I am tormented by doubts. If it didn’t pass (it’s true, it’s not so much now, but even earlier it happened from time to time), is it worth re-filling, will we not return to what we started from?
Hello! The question is complicated, I don’t have your pictures, so there is no possibility to comment on the quality of tooth treatment: suddenly there were complications after the nerve had been removed and the canals passed, but the doctor didn’t notice or hid this fact from you.
Closer to 90% you have an exacerbation of chronic periodontitis in the treated tooth: if the treatment did not bring its effect, then this diagnosis is usually made.Sometimes the pain response even slightly increases when reseating a tooth, but as a rule, the pain disappears after a few days. For more confidence in the correctness of treatment, you can get advice in another clinic, the benefit today it can be done even for free or for a minimal amount.
Help, doctor! Already 3 weeks as our doctors scoff at me! At night, I woke up from a strong pain in my teeth. In the morning it turned out that the upper teeth hit the lower teeth. The terrible pains in the lower jaw, ear, temple, and lymph nodes began. I went to a neurologist, began to prick, and diagnosed: trigeminal neuritis, 3 branches. I did not stop at this and went to the dental clinic. The dentist opened me 4 and 5 teeth, cleaned the canals and put light fillings. The pains did not subside, on the 4th day they began to put droppers and inject hormones. A few more days passed, and again I went to the dentist. This time the head of the polyclinic began to blockade me. For the past 5 days, he has been introducing medicine to my gums, but there is no improvement. On Monday, sent to the regional hospital (in Odessa).The pictures on the teeth showed that the 4 tooth was not fully sealed. There is no distortion on the face. Do I need to open the 4th tooth and redo the filling in the canal?
Hello! Your case is complex and far from standard. It is impossible to draw any conclusions here, without examining and analyzing images, and even more so - advising to start treatment of 4 teeth. Requires an integrated approach, and directly in the dentist’s chair, and not in absentia. I recommend you find a good doctor and trust him.
Hello! I appealed to the fact that the tooth reacted to the cold and hot, there was a hole. Previously, this tooth was treated, just had to change the filling. But since I got an appointment only a month later, of course, the pain had already increased. The doctor treated, put a filling, smeared something, so that the tooth became less sensitive. But in the evening the pain immediately appeared while biting. She turned to a doctor, they said to treat with heat. But the pain when pressing on the seal has not disappeared anywhere. The tooth began to react to the cold. Replaced the doctor. He removed the nerve, cleared the canals, put a filling, said that the tooth might whine a little, but it would pass.For two days I was happy, nothing bothered me, but on the third day there was pain while chewing. By evening, the tooth began to react to the cold and hot. The next day I went to the doctor, but again I was prescribed heat therapy. And I already can not eat, the tooth reacts to water at room temperature. What to do? The doctor refuses to re-take the picture, referring to the fact that he performed the work qualitatively. Help!
Hello! The situation is complex and in some sense non-standard. On the one hand, relief after prolonged pain may indicate that a causative tooth has been found, and on the other hand, the resumption of a tooth’s reaction to cold (!) And hotter determines the opposite. The fact is that after depulping (removal of the “nerve”) the tooth never reacts to the cold one. It is possible that the problematic tooth was not found, but the fact that the tooth calmed down was only a period of short remission. Or there were two sick teeth that have related problems to one degree or another.
I recommend getting in-person consultation with a disinterested doctor (your doctor does not seem to be ready to admit treatment errors).It is also possible, it is worth looking for a problem tooth, without being obsessed with the one that has already been treated.
Good day! Help, please, two weeks ago I went to the doctor and my nerve was removed. Everything went well, she even showed it to me, at the end she said that inflammation had gone there, there was a lot of blood, she put some kind of medicine, and she said, come to this tooth 2 more times. I came today, she pulled out my medicine and started cleaning something there, and it hurt. The pain is not very strong, somewhere 4/10. But I screamed every time she pushed there. I was scared, because, like, this should not be, because the tooth is already dead? The doctor was also surprised, said that, perhaps, because of the inflammation, it still hurts. She again put the medicine and told to come in two weeks.
Please tell me what it can be? (the tooth itself did not hurt and does not hurt).
Hello! In your case, this is clearly a routine intake: a lot of unjustified manipulation. For example, when diagnosing "pulpitis" (you say that the doctor showed a "nerve") for some reason, numerous medications are put, although almost always (with rare exceptions) the channels are sealed during the first visit.The maximum that is done when bleeding, so it is put hemostatic drug until the next day, or bleeding from the channels stops in the same visit.
According to your description, I had a feeling that the doctor does not have enough experience, or the clinic does not have good equipment. I recommend to go to another clinic - at least for a consultation to assess the correctness of the treatment.
Good day! Please, I beg you to help! 3 days ago, I was sealed with a tooth with three channels. On the third day after sealing, I needed to make a flight, and immediately after the flight, my tooth started to hurt. I note that right after the filling, the tooth did not hurt, but started to hurt only immediately after the flight (that is, on the 3rd day after the filling). Tell me if the pain can be associated with the flight? If so, is it possible to do something in this case? I am in another country at the moment and it is extremely difficult for me to contact a doctor now.
Thank you in advance and I hope for your response.
Yes, I forgot to say that immediately after the filling, an x-ray was taken, the image clearly showed that the channels were completely filled. Thanks again!
Hello! The first mentions of the effect of the flight on the teeth with sealed canals from my personal practice date back to 2000-2002, when it was about the occurrence of pain during the flight due to the so-called “pockets” containing air (in other words, these are cavities that are not filled with filling material). I do not exclude the likelihood that your doctor did not see the areas without filling (or he saw barely noticeable, but did not say so).
In addition, a tooth can often have a post-filling reaction shortly after filling - this often happens.
Be that as it may, you need to observe a little more tooth in the dynamics, and then draw conclusions about the quality of the treatment. If there will be no improvement, then it is better not to postpone the appeal to the dentist.
Hello. About a year ago I had a nerve removed in the lower first tooth. Just 3 weeks ago, he began to hurt when biting (when his teeth collide with each other when pressed). I tolerated 3-5 days, and now there is no pain at all. It is worth noting that I wear braces, but it is unlikely, I think, this may somehow act on the first tooth. What could it be?
Hello! Without an X-ray image, I cannot answer you unequivocally. However, I think that the cause of the problem should be looked in two directions:
1. In the picture to see how well the tooth is sealed (to eliminate the exacerbation of chronic periodontitis);
2. To assess whether there is a diseased tooth (adjacent to the treated one), which may have symptoms of gangrenous pulpitis or already periodontitis.
In any case, I do not advise you to calm down that the pain has passed: timely diagnosis is better than problems with a purulent infectious process for the future.
Braces can also give such a reaction in the first days after tightening the locks, especially if they are too tight.
Hello! Somewhere in 2009, 26 tooth was treated (a seal was put). 07/18/2017 while eating, the side part of the 26 tooth broke off. There was no pain. At the next visit, a pulpitis was diagnosed at the dentist (when removing the old filling, a putrid odor went out of the tooth). Put the medicine that kills the nerve.
08/22/2017 the nerve was removed, the channels were cleaned, and calcium was supplied. After that, one day (24.08) the tooth began to ache when biting and pressing on the gum, gives to the left ear and the left part of the head.Not hellish pain, but discomfort has been going on for 5 days.
Ideally, there will be a canal filling, a pin and a permanent filling. Tell me, does it make sense to continue the treatment of a problem tooth, if the pain in it does not decrease?
Hello! The putrid odor and the placement of calcium in the canal are not combined with the diagnosis of pulpitis. That is, with such a technique, the “nerve” removal is not at all, therefore, as I understand it, the doctor is treating the canals for you according to the diagnosis of “periodontitis”. The effectiveness of this measure, related to the placement of calcium hydroxide in channels, directly depends on how well the doctor has washed the channels and what form of periodontitis is taking place.
Since you wrote that the tooth began to hurt, there are the following suspicions:
1. Incorrect diagnosis or treatment (not quite adequate to the processes occurring in the channels and beyond);
2. Either in this clinic or office there is no equipment and (or) sufficient equipment for maintaining such a diagnosis.
Tangent to your question about the feasibility of continuing treatment - to continue the treatment, trying to save the tooth from removal, of course, is worth it.
Hello, 6 days ago, the doctor put arsenic to kill the nerve, the next day began to remove the nerve and filling. He cleaned the canal for a very long time (he said that only enamel was left), put a filling, and all these 5 days the tooth aches. The first days were screaming, now stopped whining, but it hurts when biting (tooth-to-tooth), and tapping with a spoon. So it should be, or should I go to the doctor?
Hello! This is often the case after the traumatic endodontic treatment of canals. Post-filling pains gradually disappear, and their presence in the first days is not critical for the existence of a tooth in the long term. Therefore, it is necessary to determine the trend: if such pains tend to decrease every day and disappear within 1-2 weeks, maximum a month, then most likely everything will be fine.
Good day! A year ago, the nerve was removed, the canals were sealed, but a couple of days ago this tooth began to ache terribly. The pain goes to the entire left side of the head, ear, temperature 37. The dentist said that it was pulpitis. Tell me, what could be the cause of this? Dentist error when filling?
Hello! Either you misunderstood the doctor, or your doctor keeps back. The fact is that teeth with a nerve removed for treatment errors sometimes cause an exacerbation of chronic periodontitis. But there is no talk about pulpitis in already “dead” teeth at all. If your doctor sees the cause in another (not yet treated) tooth, then it is quite possible that this is a primary pulpitis. But that tooth, which has already been treated in the canals, cannot normally give the symptoms described by you (unless, of course, it is qualitatively treated).
Therefore, it is important to carry out a full-fledged diagnosis: find a cause-and-effect relationship using a snapshot and using an instrumental examination in the oral cavity, and only then:
1. Either retract (or, as a last resort, remove) a tooth previously treated in the canals;
2. Either primary treatment in the canals is a new tooth, which gives pain (a hidden carious cavity may be present in the tooth, which is not always easy to find).
Good day. I decided to put the bridge, 3 ... 123 lower. Depulpated 4 teeth. On the second day, when taking water at room temperature, the whole jaw reacts, ie, they begin to hurt ALL the teeth with such pulling pain - 1 minute, and it passes.When biting and just teeth do not bother at all. I chew and bite them without problems. On hot there is no reaction. Two days to go to the turning and removal of casts. What could be causing my discomfort? Do I have cause for concern? Thank you in advance for your response.
Good day! 08/17/2017 at the 22nd upper tooth, the nerve was removed, the canals were cleaned, the tooth was enlarged. There was no pain after treatment. After a month, the tooth became sensitive when pressure was applied to it. What could it be?
Good day! 7 days ago I went to the dentist. The lower 8th tooth ached. The doctor opened the old filling, made an x-ray before that - said that she had become inflamed from the inside, she set up arsenic. After 2 days, the arsenic removed, removed the nerves under the injection, and said that it was three channels. Imposed "antiseptic" in the channels and a temporary seal. After anesthesia, the tooth began to hurt, just like that, not like chewing. She rinsed with soda and salt (as the doctor said), began to drink flemoxin. Two days later, it became a little better, but I can’t chew on it, much less chew on it.
Today, 5 days after the application of an antiseptic, the dentist knocked on the tooth, I said that it hurt, she decided to do anything for now. He says we will wait another 5 days and put the paste in the canals and seal it.Rinse with soda and salt. Is it normal that the tooth hurts when pressed and you cannot chew on it with this antiseptic? And I have big doubts that the pain will go away in these five days. Is it possible to impose pasta with this and fill it? Please help with the answer.
Hello! I have such a problem: 2 years ago, in my second tooth (upper right), a nerve was allegedly removed and sealed. A year later, I put a crown, and a year later I had a high sensitivity on this tooth during palpation and started to cross. Doctors say that I have a problem with the trigeminal nerve. Lumbago begins with this tooth and ends in an empty place (I have 6 removed).
They prescribed finlepsin. When the drug acts, the sensitivity of the tooth is very weak, and the backache is hardly observed. Dentist can not prove anything. I believe that if the nerve is removed, then what kind of sensitivity can we talk about? It's just a stump of a breathless, and I think that the dentist probably did not completely remove the nerve. The picture shows the roots in perfect condition. Desna too.
Tell me what to do, because because of the lumbago you can go crazy.
Hello! I can say the points. Even when the “nerve” is removed completely, the tooth can still begin to hurt in the future: most often it is the pain of a whining character, when biting on a tooth, sore gum or even its swelling. This is not even connected with the remnants of the “nerve”, but with the channels (or channel) that have not been fully completed, not properly processed, not sealed, etc. Complications after canal treatment may cause delayed pain in the tooth or more serious conditions (temperature, swelling of the face). So this seemingly “stumpless breathless” may well become a breeding ground for the infection if the work of the doctor was carried out incompletely.
I understand that dozens, and maybe even hundreds of thousands of people in our country have such badly treated teeth in the canals, and they don’t even have anything happening over the years, but again, everything depends on how much trouble the doctor has done during the treatment and what immunity in the patient. When a tooth begins to react when biting, it is often a sign of exacerbation of chronic periodontitis. Such a diagnosis is very often made when it comes to problems in a tooth already treated in the canals.It does not matter: a week ago, a month, a year or in 20 years.
There is another option - when the neighboring tooth hurts, and the pain radiates to the “dead”. It is possible to understand the situation only after having examined and analyzed the tooth image. The picture here is mandatory, since it is a question of checking the tooth for consistency, and your attending physician for professional suitability. You write that the picture was checked: here you need to consider who exactly checked - the person concerned (the doctor who treated you) or an independent doctor from another clinic? If your doctor treated you, I recommend, just in case, to seek additional advice from another specialist. Thanks for asking.
Hello. Please help. 2 weeks ago, a tooth ached - there was pain when pressed. A tooth is ground, as the doctor said. They removed the nerve under anesthesia, put the medicine and told to come to the reception after 3 days. The tooth ached. They cleaned it again, left it open and ordered to rinse soda. After 3 days, they again cleaned and again put the medicine and temporary filling. After 3 hours, I went to the doctor again, because the pain was unbearable. The doctor opened and cut the gum.Left everything open, appointed tsiprolet, niz and rinsing soda.
There was pain when pressing and tapping, but there was swelling of the cheeks and a bruise under the eye. Before receiving another 2 days. Does everything go as it should? What should I do?
Hello! This treatment takes place with negative dynamics. In addition, for one reason or another, the dentist uses a routine approach to treatment, which in the light of modern views often leads to a fiasco. I recommend to go to another dentistry, a higher level. The current perspective (if nothing is changed) is a constant visit to the dentist + a high probability of tooth extraction in the near future.
Good day! A week ago, my gum was strongly inflamed by the molars, the pain throbbed in the 26 tooth. Received an appointment with a surgeon. He made a gum incision, washed chlorhexidine and set the drainage, prescribed antibiotics and sent me immediately for treatment. The therapist, seeing that the gum was inflamed, made an anesthetic injection and began to drill the tooth. Anesthesia was not valid. Then she just put arsenic and sent it home before relieving the inflammation. A week later, the inflammation was gone.At the reception of another therapist, a tooth was opened, the canals were cleaned and the medicine was injected, a temporary filling was placed. A day later, she bit a cookie with this tooth and felt a sharp pain. What is the problem? Need to urgently run to the reception, or is this pain the norm?
Hello! Regarding pain when biting hard objects after canal treatment, this is a variant of post-filling pain, and it can have very different causes (for example, a doctor could take too much filling material beyond the apex of the tooth root). For accurate diagnosis, it is important to have a snapshot of the treated tooth. If you wish, you can send it to the mail of the site, and I will comment on it. In most cases, post-filling pain subsides within 1-2 weeks, but with serious errors made during canal treatment, it can persist for months.
Good evening, I treat the teeth, the last one remains (31 lower front teeth with deep caries of the root, plus pulpitis). On artikainy an allergy, treat without anesthesia. Before the treatment, the whole tooth ached when tapping. 2 times put the paste to kill the nerves, because after the first time it was painful. Today they cleaned the canals and sealed them.They put a temporary filling, but the tooth also hurts when tapping. With what it can be connected?
They also took a picture, there is no exit from the root, as well as the tools left.
Hello! You wrote that you are allergic to Articains, but there are, for example, Mepivacaine and (in extreme cases) Lidocaine. I do not think that it is impossible to find an alternative to Artikainam.
With regard to pain when tapping on a tooth - after endodontic treatment, pain of this kind (as well as when biting) can persist for several days, this is often the case. After all, the neurovascular bundle was torn out of the tooth, which is an injury.
However, if post-filling pains persist for a long time (more than 7 days), then it would not be superfluous to check the work of the doctor for serious errors. The fact that you were told at the clinic that everything is in order may turn out to be biased information - it would be better to get information in another dentistry in order to arrange all the currents above i. It is useful to keep in mind that sometimes there are two channels in the lower central incisors, therefore it is important to look at the picture from different angles.
Good day.In mid-February, a nerve was removed from the tooth, the bottom 6 on the left (experienced doctor, from a private clinic). It was removed in three steps: at the first dose, the nerve was removed, a medicine and a temporary filling were placed. In the second, the canals were cleaned and sealed, the medicine and temporary filling were put. In the third - put a permanent seal. As soon as they put a filling, the tooth began to ache. The clinic said that everything is in order and this can be. Two weeks later I went to another clinic, took an x-ray (I send you a photo of you). The doctor said that everything was sealed very well and very strange that it hurts. The pain subsided on day 3, but still ached when biting. After 3 days, the pain returned. I went to another (already the third) doctor, he looked and said that everything was in order, maybe I had a cold (although there were no symptoms) and nothing needed to be redone.
But the pain does not pass, the pain is aching, constant, at any time of the day, it can be pulsating in the cold. Tell me, is it possible? How dangerous is it and what to do next? The pain is no longer strength.
Hello. Did the seal hinder, and was it checked for overcharge? Post-filling pains usually disappear within 1 week (in very rare cases, they can persist for months,if there was a significant removal of the filling material beyond the root apex). In the current situation, there may be an overestimation of the filling, it is also possible that the nearby tooth is disturbed - for example, with hidden caries. If you are sure that it is precisely the recently filled tooth that hurts, it is worthwhile to carry out an additional method of research - CT. The (printed) picture provided by you is not very informative, sometimes everything really looks great on them, although a CT scan can show an unnoticed defect.
To choose the tactics of further treatment, do a CT scan - perhaps this will clarify the situation in which three (!) Doctors say that everything is fine, although it is obvious that somewhere there is a pathology.
Hello, a few days ago, a nerve was removed from the bottom eight, the canals were sealed, a permanent filling was placed. The tooth is constantly aching and I feel a sharp pain when pressed. I read that with time must pass. But I’m worried about another question: when filling the canal, despite the anesthesia, I felt a "shot" and noticeable sharp pain when the doctor worked as a tool.The doctor ordered to be patient and said that it was even good, they came "to the bone." Are such pains allowed when filling canals?
Considering that there are big questions on a permanent filling, I am no longer sure about the qualifications of a doctor. The second day I drink painkillers, it is easier until it becomes.
Hello, Anastasia. Modern methods of canal treatment really mean the removal of pulp without the use of arsenic pastes - under anesthesia. When filling the canal, even in spite of anesthesia, there is a slight pain sensation in the form of a slight “prick”, since the root of the tooth is surrounded by tissues that can react to any mechanical effect. Post-filling pains are quite common, and normally they usually disappear within 3-5 days. If the pain during this time does not pass, then I recommend, just in case, to see a doctor.
Hello. Please answer my question, thanks in advance. On Monday, my nerves (pulpitis) were removed. So, when they were removed and cleaned the canals, they put up a temporary seal and were told to come in 2 weeks to put a real seal. Two days everything was fine, but on the third day the tooth began to hurt a little.Not in the sense that the pain is unbearable - when you do not touch the tooth, it does not bother. But if you knock your upper teeth, it hurts, and then the pain goes away. What could it be? Maybe I caused tooth irritation, or something like that?
Hello, Gleb. The presence of painful sensations in the first couple of days after the installation of a temporary composite material, as a rule, is explained by the effect of the drugs placed in the canals of the tooth - this is a variant of the norm. However, the pain should not intensify over time. If the pain increases, I do not recommend waiting for 2 weeks, it is better to consult a doctor before this period.
In March, the tooth was depulped (top five). The diagnosis was ulcerative pulpitis. After depulping, the tooth ached and ached, changed the medicine several times, antibiotics (9 days). Then another doctor reworked, said that everything was washed out, and the filling material easily left the canal. She gave me three depophoresis procedures, a laser treatment. But the tooth still does not pass. Now put some new medicine with which I go for two months.
In general, the tooth hurts a little more than four months. There was advice from the doctor: either wait, or resect the root apex, or delete it. I went to another dentist - they said that the material for the top of the root was removed. What to do and how long to wait? In the clinic where she began to heal, they say that removing material is not a complication of treatment, and they don’t even know why it hurts. Although I repeat, it is advised to either wait or resect. I can not chew on this side, the pain is strong. I would be grateful for the advice and advice.
Hello, Elena. After filling the canals, there is a possibility of minor pain, which should take place over a short period of time (usually within a week). Long pains indicate the presence of an inflammatory process. The cause is usually the withdrawal of infected tissue from the canal beyond the root tip along with a filling material. At the same time, the filling material itself plays the role of a kind of splinter in the tissues surrounding the root. In rare cases, the pain can persist for months, as the filling material does not resolve.
Resection of the apex of the tooth root can be effective in case of complete confidence that the entire canal is sealed qualitatively, that is, tight throughout. I would recommend you to do a computed tomography (CT scan) in order to fully assess the situation and make a forecast. If you wish, you can get a free consultation in our clinic.
Hello. Two years ago there was pulpitis in the 6th lower tooth. Six months ago, the tooth began to ache from the hot. Opened a tooth, cleaned the canals and told to rinse with soda and salt. On the second day, pulsating pains began (there was a cyst in the tooth and periostitis began). Saw antibiotic, rinsed. Two weeks later, the canals were re-cleaned. Again, the throbbing pain in the tooth began. After a week of rinsing and drinking antibiotics, they cleaned the canals, put the medicine for a week. All this time was aching pain. Then the medicine was removed, the canals were sealed (resorcin-formalin paste) and a temporary filling was placed.
After filling the pain increased. On the second day, the pain diminished, but her character changed - a feeling of an ache appeared, extending to the neck, ear.A month later, put a permanent seal.
4 months have passed. During this time, the tooth does not hurt, but the aching pains give to the neck, ear, chin, cheekbone bones, there is a feeling of distention of the salivary glands. This side does not chew. Sometimes, if I try to chew something soft, the pain intensifies, if I do not chew, only periodic ones. There are no visible changes and redness of the gums.
Has made a roentgen - there is an insignificant removal of the filling compound beyond the limits of two dental roots (the third root could not pass). To remove a tooth or not? Could this pain be from another tooth?
Good day, please answer. I went to the doctor, removed the nerve, sealed the tooth. Then in the evening the jaw began to hurt - on top of 2 teeth, on the bottom 2 teeth (large, left and right). What to do? Is this the norm?
Good day. 08/29/2018 applied to a paid dentist with acute pain. Opened a tooth, cleaned the canals, put some medicine (as I understood, from inflammation, as the doctor diagnosed pulpitis). Put a temporary seal and sent home. After the procedure, it was impossible to bite on the tooth, of course, plus my gums ached, because they pricked it very badly (they made 3 doses of anesthesia, they called it somehow on D, they said it was based on Artikain).
08/31/18 again came to the reception, again they made 3 injections of the painkiller, they pricked the whole gum (as I understood, the doctors are either inexperienced or illiterate, because I warned the doctor at another appointment that I have a low pain threshold and I need to pain relief so that numbness is strictly half the face, that is, to get into a nerve or nerve ending, or where they are prickling there) ... As a result, the canals were cleaned, it turned out that I had 4 nerves in the lower six. During the canal filling, the doctor filled them so deeply that the anesthesia did not help, and at the time of the touch there was severe pain. After treatment, the doctor warned that she may temporarily hurt, as the filling material creates pressure on the tooth. So it was, the first 2 days could not bite on a tooth, then it became easier.
And today, the pain again appeared when biting even not very solid food, but eventually passed, it also hurt when the tooth was percussion. The doctor did not order to do the pictures - both before and after treatment. So I can’t say how the channels are sealed. The gum also aches a bit, even when pressing on the side of the cheek (as I understand it - this is from injections). She treated in another city, there is no possibility to go to this doctor again, she gave a lot of money.
Tell me, please, what can it be? Maybe you should take a picture and check how the channels are planned? Or run to the doctor? Or "self pass"?