Concerns About Biting Food After Root Canal Treatment: What to Know - Dentistry

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Observation of the tooth undergoing root canal treatment?


During the observation period of my root canal treatment, I accidentally bit down on bread a couple of times with the affected tooth.
I have been very careful not to use the tooth that hasn't been covered with a crown for the past three months, but today I inadvertently used it to bite down a few times (without any pain).
I am very concerned about the possibility of bacterial infection inside the tooth (as a crack during this period could lead to extraction).
I am unsure if the temporary material used during the root canal procedure is truly unable to withstand biting food.
If that is the case, I still have about a month until my next appointment, so I would like to have some reassurance.
Thank you for your response (as using the same side of my mouth for three months has also caused significant soreness in the gums on the other side).

Ki, 30~39 year old female. Ask Date: 2021/01/02

Dr. Lin Jiayong reply Dentistry


Hello: Although the tooth undergoing root canal treatment does not have pulp nerves, it still has periodontal blood vessels and nerves.
Therefore, if the affected tooth has cracks or other inflammatory infections, you may still experience sensation, so there is no need to worry too much.
During this process (before getting the crown), you just need to be careful with your diet.
Thank you! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/02

More Info


After undergoing a root canal treatment, it is common for patients to have concerns about biting food, especially when the tooth has not yet been fully restored with a permanent crown. Your situation, where you accidentally bit into food with the treated tooth, raises valid concerns about the integrity of the tooth and the potential for complications.

Firstly, it is important to understand that during a root canal procedure, the dentist removes the infected or damaged pulp from the tooth and cleans the root canals. After this treatment, the tooth is often left with a temporary filling until a permanent crown can be placed. This temporary filling is not as strong as a permanent restoration, which means that it is generally advised to avoid biting down on hard or chewy foods with that tooth. Doing so can risk dislodging the temporary filling or causing further damage to the tooth.

In your case, since you mentioned that you bit into bread and did not experience pain, it is a positive sign that there may not be immediate damage or infection. However, the concern about bacteria entering the tooth is valid. If the temporary filling is compromised, there is a risk of bacteria infiltrating the tooth, which could lead to reinfection and potentially necessitate further treatment.

The fact that you have been cautious for three months and only accidentally bit into food once is commendable. It is crucial to maintain good oral hygiene during this period to minimize the risk of infection. This includes brushing your teeth gently but thoroughly, flossing carefully around the treated tooth, and using an antibacterial mouthwash if recommended by your dentist.

If you experience any discomfort, swelling, or unusual symptoms in the coming days, it is essential to contact your dentist as soon as possible. They may want to evaluate the tooth to ensure that the temporary filling is intact and that there are no signs of infection.
Regarding your concern about the temporary material, while it is designed to withstand some pressure, it is not intended for heavy chewing. If you find that you are frequently using the other side of your mouth due to discomfort, it may be worth discussing with your dentist the possibility of a more immediate solution to restore function and comfort.

In summary, while it is generally advised to avoid biting with a tooth that has undergone root canal treatment and is awaiting a permanent crown, an accidental bite into soft food like bread is unlikely to cause significant harm if there is no pain. However, monitoring the tooth for any changes and maintaining good oral hygiene are crucial steps to ensure a successful recovery. If you have any lingering concerns, do not hesitate to reach out to your dental care provider for guidance and reassurance.

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