Swelling and Pain After Fiber Post Placement: Dental Concerns Explained

Q: Swelling and Pain After Fiber Post Placement: Dental Concerns Explained

Dear Mr. L： Hello! As mentioned, further examination and evaluation are needed. Please refrain from getting dentures for now. It is important to communicate more with your physician. Thank you! Wishing you safety! Sincerely, Dr. Huang Ting-Fang, Dentistry.

After the anterior tooth was fitted with a fiberglass post, there is swelling and a bulge in the gum tissue near the base of the tooth, close to the nose?

Hello Doctor: About ten years ago, I had a root canal treatment on my front tooth.
Recently, a corner of it broke off, making it unsightly, so I sought a nearby dentist for a crown.
During my first visit, the dentist immediately placed a fiberglass post, reduced the tooth size, and reshaped the gums.
There was significant bleeding from the gums, so I only had the bite impression taken three days later.
During those three days, I felt persistent swelling.
When taking the bite impression, I specifically asked the dentist about it, and he said it was a normal phenomenon.
The day after the impression, I noticed swelling and a protrusion in the gum near the base of the tooth close to my nose, which is painful to touch.
I would like to ask the dentist: 1.
Should I ask the dentist to remove the fiberglass post and redo the root canal treatment? 2.
Can I proceed directly to getting a crown? 3.
If I get the crown and continue to experience swelling and pain, what should I do? Thank you.

Mr. L, 30~39 year old female. Ask Date: 2019/04/13

Dr. Huang Tingfang reply Dentistry

Dear Mr.
L: Hello! As mentioned, further examination and evaluation are needed.
Please refrain from getting dentures for now.
It is important to communicate more with your physician.
Thank you! Wishing you safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2019/04/13

More Info

Swelling and pain after the placement of a fiber post can be concerning, especially following a root canal treatment and subsequent dental procedures. It’s important to understand the potential causes of these symptoms and the appropriate steps to take for resolution.

Firstly, the swelling and pain you are experiencing could be attributed to several factors. After the placement of a fiber post, the surrounding tissues, including the gums, may react to the procedure. This reaction can manifest as inflammation, which is a normal response to surgical manipulation. However, excessive swelling, severe pain, or prolonged symptoms may indicate complications such as infection or an adverse reaction to the materials used.

1. Should the dentist remove the fiber post and redo the root canal treatment?
If the swelling and pain persist or worsen, it is advisable to consult your dentist for a thorough evaluation. The dentist may need to assess whether the fiber post is properly placed and if there are any signs of infection or complications related to the root canal. If there is evidence of infection or if the post placement has compromised the integrity of the tooth, the dentist might recommend removing the post and possibly redoing the root canal treatment. This would involve cleaning out any infected tissue and ensuring that the tooth is healthy before proceeding with further restoration.

2. Can the crown be placed directly?
Placing a crown over a tooth that is swollen and painful is generally not recommended. If the underlying issues are not addressed, the crown may not fit properly, and the pain could persist or worsen after the crown is placed. It is crucial to ensure that the tooth and surrounding tissues are healthy before proceeding with the crown placement. If the swelling subsides and the pain resolves, then the dentist may consider placing the crown.

3. What to do if the swelling and pain continue after crown placement?
If you proceed with the crown placement and continue to experience swelling and pain, it is essential to return to your dentist for further evaluation. The dentist may need to take X-rays to check for any underlying issues, such as an abscess or other complications. Depending on the findings, treatment options may include antibiotics if an infection is present, or further intervention to address any complications related to the post or the root canal.

In summary, while some swelling and discomfort can be expected after dental procedures, persistent or severe symptoms warrant further investigation. Communication with your dentist is key; do not hesitate to express your concerns and seek clarification on your treatment plan. If necessary, consider seeking a second opinion from another dental professional, especially if you feel your concerns are not being adequately addressed. Your oral health is paramount, and it is essential to ensure that any underlying issues are resolved before proceeding with restorative treatments.

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