Root canal treatment of the upper right first molar with a broken file?
After root canal treatment on the upper right fourth tooth, there was still swelling and pain in the cheek the next day.
Subsequently, the tooth was extracted.
After extraction, a needle was found protruding from the root of the extracted tooth.
Could this be the reason for the persistent swelling and pain after the root canal?
BOBO, 30~39 year old female. Ask Date: 2016/02/17
Dr. Huang Zhicheng reply Dentistry
Hello: The management of dental roots inherently harbors many microorganisms.
During treatment, these microorganisms can sometimes be displaced outside the root canal due to irrigation disturbances, leading to temporary acute apical periodontitis and pain.
The disinfection of a broken file does not necessarily cause inflammation.
Wishing you peace and health.
Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/02/17
More Info
The situation you are describing regarding the impacted needle in the upper right tooth is indeed concerning and can lead to significant complications if not addressed properly. After a root canal treatment, it is not uncommon for patients to experience some degree of discomfort or swelling. However, persistent pain and swelling, especially following the extraction of the tooth, indicate that there may be underlying issues that need to be addressed.
Firstly, the presence of a needle or any foreign object that has penetrated the root of the tooth can lead to a variety of complications. When a needle is left in the root canal system, it can cause irritation and inflammation of the surrounding tissues, leading to pain and swelling. This is because the body recognizes the needle as a foreign object, which can trigger an immune response. The inflammation can result in the accumulation of fluids, leading to swelling in the face or gums.
In your case, the swelling and pain that persisted after the root canal treatment could indeed be attributed to the presence of the needle. If the needle was not removed during the extraction, it could have caused further irritation to the surrounding tissues, leading to an infection or an abscess. An abscess is a localized collection of pus that can form as a result of infection, and it can cause significant pain and swelling.
It is also important to consider the possibility of a secondary infection. After a tooth extraction, the site is vulnerable to infection, especially if there are remnants of the tooth or foreign objects left behind. Signs of infection can include persistent pain, swelling, redness, and sometimes fever. If the extraction site becomes infected, it may require additional treatment, such as antibiotics or further surgical intervention to clean the area.
To address your concerns, it is crucial to follow up with your dentist or an oral surgeon as soon as possible. They may recommend imaging studies, such as X-rays or a cone beam CT scan, to assess the area and determine if any foreign objects remain. If the needle is still present, it will need to be surgically removed to prevent further complications.
In the meantime, managing pain and swelling is essential. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. Applying a cold compress to the swollen area can also reduce swelling and provide some relief. However, these measures are temporary, and it is important to seek professional dental care to address the root cause of the pain and swelling.
In summary, the impacted needle in the upper right tooth could very well be the cause of your ongoing pain and swelling. It is essential to consult with your dentist or an oral surgeon to evaluate the situation, remove any foreign objects, and treat any potential infections. Prompt attention to these issues will help ensure a smoother recovery and prevent further complications.
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