Root Canal Treatment: What to Do If Your Tooth Hurts - Dentistry

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Hello! It sounds like you're experiencing some discomfort with a tooth that underwent root canal treatment two years ago. This can be concerning, especially if you're feeling sensitivity or unusual sensations in that area. Let's delve into what might be happening and what steps you can take.

First, it's important to understand that after a root canal treatment, the tooth is often left without a protective crown, which can lead to various issues over time. The root canal procedure removes the infected or damaged pulp from inside the tooth and seals it to prevent further infection. However, without a crown, the tooth is more susceptible to fractures and can become weakened, leading to sensitivity or pain.

The symptoms you're describing—sensitivity, a feeling of discomfort, or "something strange"—could be due to several factors:
1. Residual Infection: Sometimes, even after a root canal, there can be residual infection in the surrounding tissues. This can cause inflammation and discomfort. An X-ray may be necessary to check for any signs of infection at the root tip.

2. Tooth Fracture: If the tooth has been subjected to excessive forces, such as grinding or clenching (bruxism), it could develop a fracture. This is particularly common in teeth that have not been crowned after root canal treatment.

3. Gum Issues: The discomfort might not be coming from the tooth itself but rather from the surrounding gum tissue. Gum inflammation or periodontal disease can also cause sensitivity and discomfort.

4. Temperature Sensitivity: If you're experiencing sensitivity to hot or cold, it could indicate that the tooth is still alive and reacting to stimuli, or it could be a sign of nerve irritation.

Given these possibilities, here are some steps you can take:
- Consult Your Dentist: It's crucial to return to your dentist for a thorough examination. They may take X-rays to assess the condition of the tooth and surrounding bone. This will help determine if there is an infection or other issues that need to be addressed.

- Consider a Crown: If your tooth is structurally sound but lacks a crown, your dentist may recommend placing one. A crown will protect the tooth from further damage and help restore its function.

- Pain Management: In the meantime, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. However, this is only a temporary solution, and addressing the underlying issue is essential.

- Monitor Symptoms: Keep track of your symptoms. If the pain worsens, or if you experience swelling or fever, seek immediate dental care.

- Avoid Hard Foods: Until you can see your dentist, try to avoid hard or sticky foods that could put additional stress on the tooth.

In summary, while root canal treatment can save a tooth from extraction, it is vital to follow up with appropriate restorative care, such as crowns, to ensure the tooth remains functional and free from complications. Your symptoms warrant a professional evaluation, so please make an appointment with your dentist as soon as possible. They will be able to provide a tailored treatment plan based on your specific situation. Take care!