Tooth Sensitivity After Root Canal Treatment - Dentistry

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Hello doctor, my question is that last year I had a root canal treatment on my right front tooth.
The dentist recommended that I get a crown to protect it, but I was afraid that making a dental mold would be uncomfortable, so I didn't proceed.
However, today, for some reason, that tooth which had the root canal feels sensitive.
It doesn't hurt when I brush or eat, but it does feel sore when I touch it with my hand or tongue.
What should I do?

Xiao Xian, 10~19 year old female. Ask Date: 2018/01/31

Dr. Huang Tingfang reply Dentistry


Dear Miss Hsiao-Hsien,
Hello! As mentioned, it may be necessary to conduct a detailed examination on-site, as the issue might be related to the adjacent tooth and not associated with the braces.
Please communicate more with your dentist.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/01/31

More Info


Tooth sensitivity after root canal treatment can be a common concern for many patients. It’s important to understand that while root canal therapy is designed to alleviate pain and save a tooth, some patients may still experience discomfort or sensitivity in the treated tooth for various reasons.

Firstly, it’s essential to recognize that after a root canal, the tooth may still be healing. The procedure involves the removal of the nerve and pulp from the tooth, which can lead to inflammation in the surrounding tissues. This inflammation can cause sensitivity, especially when pressure is applied, such as when touching the tooth with your finger or tongue. The fact that you do not experience pain while brushing or eating is a positive sign, indicating that the tooth is likely stable during normal functions.

There are several potential reasons for the sensitivity you are experiencing:
1. Healing Process: After a root canal, it can take time for the surrounding tissues to heal completely. During this period, it’s not uncommon for patients to feel some sensitivity, especially when the tooth is touched.

2. Inflammation: The area around the tooth may still be inflamed, which can lead to discomfort when pressure is applied. This inflammation can be a result of the body’s natural healing response or due to residual infection that may not have been fully resolved during the root canal procedure.

3. Dental Materials: If a temporary filling or crown was placed after the root canal, the materials used can sometimes cause sensitivity. If the filling is too high or improperly placed, it can lead to discomfort when biting or when pressure is applied.

4. Cracks or Fractures: Although your dentist may have checked for cracks, it’s important to note that microfractures can sometimes be difficult to detect. These can lead to sensitivity and discomfort, especially when pressure is applied.

5. Adjacent Teeth: Sometimes, sensitivity can be referred from adjacent teeth, especially if they are experiencing issues such as decay or gum disease.

Given your situation, here are some recommendations:
- Monitor Symptoms: Keep track of when the sensitivity occurs and if it changes over time. If it worsens or if you start experiencing pain while eating or brushing, it’s essential to consult your dentist.

- Use Desensitizing Toothpaste: Over-the-counter desensitizing toothpaste can help alleviate sensitivity. These products work by blocking the pathways that lead to nerve endings in the teeth.

- Avoid Hard Foods: Until you have a chance to consult with your dentist, it may be wise to avoid hard or crunchy foods that could exacerbate the sensitivity.

- Consult Your Dentist: If the sensitivity persists or worsens, it’s crucial to return to your dentist for a thorough evaluation. They may recommend additional imaging, such as X-rays, to check for any underlying issues that may not be visible during a standard examination.

- Consider a Crown: If you have not yet had a crown placed on the tooth, it is highly advisable to do so. A crown can provide protection and stability to the tooth, reducing the risk of further sensitivity and potential fractures.

In summary, while some sensitivity after root canal treatment can be normal, it’s essential to monitor your symptoms and consult with your dentist if the discomfort continues. They can provide a more tailored approach to your situation, ensuring that your tooth remains healthy and functional. Remember, maintaining regular dental check-ups is crucial for long-term dental health, especially after significant procedures like root canals.

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