Root canal treatment
Hello, last week I suddenly experienced intermittent pain in my gums.
I initially thought it was a recurrence of periodontal disease under my previous dental crown.
However, my regular dentist was closed for the holiday, so I randomly visited another clinic.
The dentist said there was nothing wrong and only gave me a bottle of mouthwash.
The next day, the pain worsened, but it became localized to the last tooth on the lower left side, which hurt when I bit down, making it very difficult for me to eat.
I immediately sought another opinion.
The doctor examined me and determined that the painful tooth had a deep filling from a long time ago and might now be decayed down to the nerve.
He started root canal treatment, which is still ongoing.
I just went for another visit yesterday, where the treatment involved inserting a needle and taking an X-ray.
After that, he continued to insert a long, thin needle, and sometimes I felt a bit of pain or discomfort as he pushed it down.
I'm not sure if this is normal.
Additionally, for the past two nights, I've suddenly experienced sharp, stabbing pain while sleeping, which wakes me up.
I don't understand why this is happening.
The doctor mentioned that this tooth is difficult to clean and will require multiple visits.
Now, even pressing near my jawline is painful.
I'm not sure what the problem is.
The root canal treatment is so painful!
R, 20~29 year old female. Ask Date: 2016/04/09
Dr. Huang Zhicheng reply Dentistry
Hello: Based on the above situation, this condition is normal because root canal treatment involves the removal of the nerve, which may cause some discomfort during the procedure.
It is likely that the molar has multiple root canals, requiring more time for cleaning.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/04/09
More Info
Root canal treatment (RCT) is a dental procedure designed to treat infection or damage within the pulp of a tooth. While it can be a necessary and effective treatment for saving a tooth, many patients experience pain and discomfort during and after the procedure. Understanding the pain management strategies and what to expect during recovery can help alleviate some anxiety associated with this treatment.
Understanding Pain During Root Canal Treatment
1. Nature of the Pain: Pain during RCT can arise from several sources. The procedure itself involves cleaning out the infected or damaged pulp tissue, which can cause discomfort. Additionally, if the tooth has been previously treated or has deep decay, the nerves may be more sensitive, leading to increased pain during the procedure.
2. Post-Operative Pain: After the procedure, it is common for patients to experience some level of discomfort. This can be due to inflammation in the surrounding tissues as the body responds to the treatment. The pain may feel like a dull ache or sharp pain, and it can sometimes be exacerbated by biting or chewing.
3. Duration of Pain: Typically, post-operative pain should begin to subside within a few days. However, some patients may experience lingering discomfort for a week or more, especially if the tooth was severely infected prior to treatment.
Pain Management Strategies
1. Medications: Dentists often prescribe pain relievers to help manage discomfort after RCT. Over-the-counter medications like ibuprofen or acetaminophen can also be effective. It is important to follow the dosage instructions and consult with your dentist if you find that you need to take pain medication more frequently than recommended.
2. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing relief from pain.
3. Follow-Up Care: It is crucial to attend all follow-up appointments with your dentist. If pain persists or worsens, it may indicate complications such as an incomplete cleaning of the root canals or the presence of additional infection. Your dentist may need to take further action, such as re-evaluating the treatment or prescribing antibiotics.
Expectations During Recovery
1. Sensitivity: It is normal to experience sensitivity in the treated tooth, especially to temperature changes. This sensitivity should gradually decrease as the inflammation subsides.
2. Signs of Complications: Be vigilant for signs of complications, such as increased swelling, fever, or severe pain that does not improve with medication. These symptoms may indicate an infection or other issues that require immediate attention.
3. Communication with Your Dentist: If you experience sudden, severe pain or any unusual symptoms, do not hesitate to contact your dentist. They can provide guidance and determine if further treatment is necessary.
Conclusion
Root canal treatment can be a daunting experience, especially when pain is involved. However, understanding the nature of the pain, employing effective pain management strategies, and maintaining open communication with your dentist can significantly improve your experience. Remember, while some discomfort is normal, persistent or severe pain should always be addressed with your dental care provider to ensure the best possible outcome for your oral health.
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