I would like to ask about post-root canal treatment?
Hello, I would like to ask about my situation.
After undergoing root canal treatment on June 30, I experienced swelling and pain in my gums that kept me awake that night.
The swelling and pain persisted on July 1, so I returned for a follow-up on July 2.
During the follow-up, the dentist found inflammation and an abscess in my gums, and it seemed like the doctor drained the abscess.
After that, the doctor placed MTA (Mineral Trioxide Aggregate) into the tooth for sealing.
However, after the anesthesia wore off, I noticed that the affected tooth cannot properly occlude and is painful.
Is this normal? Additionally, on July 2, I discovered that I have a cold.
Will this affect the healing of my gum inflammation? Thank you.
Ling, 20~29 year old female. Ask Date: 2016/07/02
Dr. Lin Jiayong reply Dentistry
Hello: 1.
If there is gingival inflammation accompanied by an abscess, it is generally not advisable to immediately use a rubber dam for sealing.
The root canal treatment for this tooth is likely still incomplete.
2.
When you have a cold and your body's immune response is weakened, it will naturally affect the degree of recovery from inflammation.
Based on your description, it seems that the overall condition has not yet been fully resolved.
It is recommended that you continue to seek treatment at a medical facility.
Wishing you safety and health.
Sincerely, Dr.
Lin Chia-Yung, Director of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2016/07/02
More Info
Post-root canal treatment pain and recovery can be a complex experience, and it's important to understand what to expect during this period. After undergoing a root canal, it is not uncommon to experience some discomfort or pain, especially in the first few days following the procedure. This can be due to several factors, including inflammation, the body's healing response, and the manipulation of tissues during the treatment.
In your case, it seems that you experienced significant pain and swelling immediately after the procedure, which led to a follow-up visit where your dentist identified an infection and drained a pus-filled abscess. This is a critical step in managing post-treatment complications, as infections can lead to increased pain and prolonged healing times. The presence of an abscess indicates that there was an infection in the area, which can cause significant discomfort and may require additional treatment, such as antibiotics, to help clear the infection.
The use of gutta-percha (馬來膠) to fill the root canal is standard practice, as it helps to seal the canal and prevent bacteria from re-entering. However, if you are still experiencing pain when biting down, it may indicate that the tooth is still healing or that there may be residual inflammation in the surrounding tissues. This is not uncommon, especially if there was significant infection prior to the treatment.
Regarding your concern about having a cold and whether it could affect the healing of your gums, it is possible. While a common cold itself may not directly impact the healing of your gums, any systemic infection can influence your immune response. If your body is busy fighting off a cold, it may not be as effective in managing localized infections, such as the one in your gums. Therefore, it is essential to take care of your overall health during this time, ensuring you are well-hydrated, getting enough rest, and possibly taking over-the-counter medications to manage your cold symptoms.
If the pain persists or worsens, or if you notice any new symptoms such as increased swelling, fever, or drainage from the site, it is crucial to follow up with your dentist. They may need to reassess the situation, possibly taking new X-rays or performing additional treatments to ensure that the infection is fully resolved and that the root canal treatment was successful.
In summary, while some discomfort after a root canal is expected, significant pain, especially accompanied by swelling and infection, should be addressed promptly. Your dentist is your best resource for managing these symptoms and ensuring a successful recovery. If you have any concerns about your healing process or the impact of other illnesses on your dental health, do not hesitate to reach out to your dental care provider for guidance.
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