Root canal help

[Dietdont]

Hello

Ive had a root canal treatment on my molar ( after wisdom tooth extraction on an impacted tooth) and it was two weeks today since the final rc treatment.

One week ago , I started to experience pain (not severe but enough for me to try to prevent eating on this part of the mouth) on this tooth again.

What had gone wrong? I though the nerves are dead and that it wil be ok  and y am i experienicng more complications after all the rc treament? I am lost for answers.

[brcdmd]

could be from your meds...the antibiotic, the analgesics...or just from oozing of the extraction socket...residual infection clearing up.  I wouldn't worry too much.  Get over the healing process first and see where it stands.  Probably will clear up on its own.  Best wishes...

[Dietdont]

Hi

Happy New Year.

I had my appoinment with the surgeon two days ago and he pulled the tooth. It was infected and he said  
1. a crown would not work bc the bone is not strong enough
2. it would have cost 1500 euros to fix the tooth (i dont have that $)

So its two days later and its the weekend here- Im still feeling some discomfort as expected. I was given 4 capsules of IBproufen- 2* 400 mg and 2* 800 mg. When i eat there is still a funny taste on my left side of my mouth- basically foods taste a little "off"" is it the left over from the injection fromt the pain killers i was given?

tia

[brcdmd]

If the extraction was that bad on you, that is even more reason to restore this particular one, given the alternative.  The pain has gone down, most likely, because of the antibiotic.  Unfortunately, it may resume in a week or two or three, depending on if the antibiotic is just masking an infection from within the tooth.  Yes, you can just put up with it, sure.  However, know you still have work to be done on that tooth and don't neglect having it completed as soon as possible.

[Dietdont]

Hi

Im 31 years old . The molar infront of the root canal is crooked as for so long i didnt have the impacted wisdom taken out hence causing the hole inthe root canal tooth and the tooth b4 it to point slightly inwards. I always had a bad experience with the dentist  and unfortunately was totally reluctant to go since childhood. I suffered from gengivitis for a long time but now my gums are ok

my paint threshold is pretty weak and the wisdom tooth extraction this oct was the most rtraumatic experience ive ever had. The two bottom wisdom were taken out and I was given injections but not local anas. as in Germany wher i am working now there was long waiting list AND the oral surgeon who performed the procedure told me it was straight forward procedure- NOT

The teeth came out in bits and pieces and its was total hell!!!!!
tx for hearing me out....basically.........

it boils down to this ...I can brush onthe rc tooth and the pai n has subsided inthe last feew days after the antibiotics- I just dont want any more complications. Can i just put up with the sproadic but not throbbing pain and just b extra careful with eating on the rctooth?

[brcdmd]

Age is a consideration there.  If you are "seasoned", perhaps that is worth considering, but in all cases I encourage patients to save what they can, for several reasons...mostly because I see day in and day out the regret people show years down the road for having one pulled.  Sometimes that is the only choice, though, most notably when teeth split.  That's the guillotine for a tooth.  Remember this...it is a lot more expensive to replace them when they are gone than to fix what is there to begin with, if it is fixable.  Why not go without?  When you pull one, the adjacent and opposing teeth drift into the empty space (nature doesn't like a vacuum), causing problems with alignment and hygiene.  Furthermore, the load that tooth is meant to carry must be redistributed somewhere else, so the neighboring teeth tend to get overloaded, possibly causing the same fate to them...the domino effect, if you will.

As for the drinks...YES, diet drinks are heck on teeth.  It isn't the sugar in carbonated beverages that is so bad, but the acidity.  Diet drinks are just as bad as regular ones in that regard.  Acidity is probably the #1 problem with our diets as it relates to dental problems, not sugar.  Cut back on those by all means...worst cases are the sippers, who sip on it a little at a time all day.  Repeated, prolonged exposure to acid tears teeth up to no end!

[Dietdont]

Hi Thanks for your reply and belated Merry Xmas!

I have been reading everyones toothy woes and the more i think abou it - is it better just to pull the tooth out - is it really going ot be so detrimental that Ive lost a this molar?

Also on another note- are diet drinks like sprite 0 and fanta 0 very bad for ppl with dental problems?

TIA!

[brcdmd]

mmmm.  tough one.  If you were my patient and you were having these symptoms, i would literally make you get at least a temporary crown on the tooth to protect it.  if you are postponing treatment to make it easier financially on yourself, just talk to the dentist and explain the situation, and if they have a heart they will help you by getting a temp on there for 6 months and then proceeding to the final crown after that.  That will do 2 things.  1-allow you more financial flexibility.  You may have to cough up a little extra for the convenience, but  2- it will also give you a window of opportunity to try and get the tooth asymptomatic.  though it is not a silver bullet, if you will, it does help us to evaluate whether the tooth will need further treatment or not.  Say the pain lingers for the entire 6 months, with a temporary on it and all...I'd be very suspicious.  If it goes away, you can proceed to the final crown knowing confidently your tooth is fine.  The more i think about it, this sounds like a good idea for you.  The antibiotic doesn't make a lot of sense to me.  4 days is not a full course...and if you have an irreversible problem with the tooth, it won't do ANYTHING but potentially cover up the problem...it will resurface eventually.  If there is residual infection he is trying to clean up, your body should do that itself with time.  The antibiotic may speed it up a little, but unless you are swollen, too much time has passed since the initial treatment for that stuff to do you any appreciable good.

Merry CHRISTMAS!

[Dietdont]

Hi

Thanks for your advice. The dentist did mention i will have to get a crown eventually - can i afford to wait for 6 months when i go back home?

But I did go the the dental surgeon and he said that he can
1. take out the tooth(reluctantlyas they try to save all the teeth and he days that if he takes it out the upper molar will grow and grow as there is no bite)

2. He says that the pain is coming from the tip of the root(meaning the very bottom from the xray) and he will have to cut behind the molar and go under to fix ïnfection if there is any

He also gave me some antibiotics for 4 days to kill the bacteria.

Should i just try not to eat on that side of the mouth ?

[brcdmd]

Probably nothing...but you MUST follow up rc therapy on a molar with a crown.  MUST.  If not, the tooth will split and you'll lose it along with the grand you probably laid down for it.  RC'd teeth can still hurt...that is not unusual.  There is a lot of healing that has to take place b/f you feel 100% again.  Not to mention there are thousands of nerves AROUND the tooth that can be painful from occlusion, or your bite.  Yes, the nerves inside the tooth are gone, but if the bite is not correct you will know it b/c it will hurt, no doubt.  Get yourself lined up for a crown, and be sure the dentist knows you are having symptoms b/f treatment, so he can check to make sure you haven't split the sucker.

Best wishes