Post-Root Canal Issues: Gum Inflammation and Chewing Problems Explained - Dentistry

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Post-root canal issues can be quite complex and frustrating, especially when they involve inflammation of the gums and difficulties with chewing. Your situation, involving a left upper molar that underwent root canal treatment and subsequent complications, raises several important points that need to be addressed.

Firstly, it’s essential to understand that root canal treatment aims to remove infected or damaged pulp from the tooth, followed by cleaning and sealing the root canals. If the treatment is not completed properly, or if there are complications such as calcification, it can lead to persistent issues. In your case, the fact that the tooth had calcification for many years and then was reopened for treatment suggests that there may have been some underlying issues that were not fully resolved.

1. Gum Inflammation: The inflammation you are experiencing could be due to several factors. It might be a result of residual infection, improper sealing of the root canals, or even irritation from the temporary filling or the materials used in the procedure. If the dentist mentioned that the gum inflammation is due to inadequate cleaning between the teeth, it’s crucial to maintain excellent oral hygiene. Regular brushing and flossing can help reduce inflammation and prevent further complications.

2. Chewing Difficulties: The discomfort while chewing, especially with tougher foods, could be linked to several factors. One possibility is that the occlusion (the way your teeth come together) is not aligned properly after the root canal and the placement of the temporary filling. If the bite is too high, it can cause discomfort and make it difficult to chew effectively. It may be beneficial to have your dentist evaluate your bite and make necessary adjustments.

3. Material Concerns: You mentioned the use of fiberglass posts. While fiberglass posts are generally considered strong and can provide good support for the tooth, their effectiveness can vary based on the tooth's location and the specific circumstances of the case. In posterior teeth, where significant chewing forces are applied, some practitioners prefer metal posts for added strength. If you feel that the fiberglass post is contributing to your inability to chew effectively, discussing this concern with your dentist is important. They may consider alternative options or adjustments.

4. Follow-Up Care: Given the ongoing issues, it would be wise to schedule a follow-up appointment with your dentist or seek a second opinion from an endodontist (a specialist in root canal treatment). They can perform a thorough examination, possibly including imaging studies, to assess the condition of the tooth and surrounding tissues. If there is evidence of infection or if the root canal treatment was not successful, further intervention may be necessary.

5. Pain Management: If you are experiencing pain or discomfort, over-the-counter pain relief medications can be helpful, but they should not be a long-term solution. Persistent pain is a sign that something may not be right, and it’s crucial to address the underlying cause rather than just masking the symptoms.

In conclusion, your situation requires careful evaluation and possibly further treatment to resolve the inflammation and chewing difficulties. Open communication with your dental care provider about your concerns and symptoms is key to finding a satisfactory resolution. Remember, your comfort and health are paramount, and it’s important to advocate for your needs in your dental care journey.