Question:
I had a root canal performed on my upper right canine tooth 3 days ago,
following 3 months of severe pain in that and the surrounding teeth.
The sensitivity to hot and cold and the pain when biting down has
disappeared, however I still have a severe nagging pain in the area of
the tooth. It also is painful when the side of the tooth is tapped, and
I have a developed a painful area (when touched) next to my right
nostril, I presume where the root of the tooth lies.
I was prescribed 20 500mg Amoxycillin tablets to take following the
root canal.
Is the pain I am experiencing normal following a root canal?
Answer:
Yes this can sometimes happen especially when apical patency is performed.
The antibiotics should help mop up some of the bugs that were pushed past
the apex.
Did you get any pain killers prescribed?
Also did you have an abscess in that area prior to RCT?
As I said, it sometimes happenens. Also was the RCT done in 2 stages or one
stage?
If a patient comes to me with pain which is due to pulpal involvement, and
the tooth wants to be saved, then I remove all the decay and place Ledermix
after extirpating the pulp and irrigating with clorohexadine or hypoclorite.
I then book an appointment within the month for the completion of RCT.
All my patients get relief within 24-36 hours after the first stage, which
makes the less stage so much easier as they are less on edge.
Give it some more time. Is the amoxycillin for 5 days?
A lot of the time the pulp chamber will be quite hyperaemic (hardly
surprising), and I pl
When I initially visited my dentist, the pain in the upper right part
of my mouth was very severe and occured when exposed to anything hot or
cold,even cold air when breathing caused pain. I had previously had an
amalgam filling to the tooth to the right of the canine, and presumed
it was that causing the problem. At that stage the pain affected every
tooth on the upper right hand side including the right hand side
inciser.
The dentist said that there didn't appear to be any problem with the
filling, and said that I had probably been grinding my teeth during the
night which has caused inflammation. He prescribed 500mg Amoxycillan,
and told me to take anti inflammitary pain killers and to come back in
a weeks time.
The following week that pain had eased significantly, and I was able to
identify that it was localised to the canine tooth. I went back to the
dentist and explained this. He had a look at it and tapped the bottom
of it, this was very painful and he told me that he would make another
appointment and take the nerve out.(Which I presume meant a root canal)
I was unable to get another appointment until 6 weeks later, so I
continued to take painkillers in the meantime.
The entire procedure was completed in one go last Thursday afternoon,
and I am now experiencing the pain described previously. I was again
prescribed five days of Amoxycillan (20 500mg tablets) I was not
prescribed any painkillers, although he did tell me that it might be
painful for 24 hours.
I still have nearly 3 days of the anti-biotics to take, and have been
taking paracetamol for the pain, which is just as bad as the pain I was
experiencing prior to the procedure. Although the location of the pain
has moved.
I was not expecting this level of pain, as I was under the impression
that once the nerve was gone there would be no pain at all.
I would just like some reassurance that this pain following a root
canal of this type is normal as I am going on holiday in 10 days and
will be 3000 miles away from home.
