The reason why I still have pain after root canal treatment

This is an automatically translated article.

The article is professionally consulted by Doctor of Dental - Jaw - Facial - Department of Examination & Internal Medicine - Vinmec Hai Phong International General Hospital
After root canal treatment, pain is an abnormal sign, so to overcome this case, patients need to go directly to a more reputable dental clinic for doctors to examine and take X-rays to find out the cause. After healing the marrow, there is pain, from which the doctor has more specific remedies.

1. What is root canal?

The pulp is the most important and vital part of the tooth. In case if the tooth pulp is invaded by bacteria, you need to go for a root canal. Root canal treatment is also known as root canal treatment. This is a procedure to remove dead, infected, or necrotic pulp tissue. After removing the dead pulp, the space in this crown will be cleaned, shaped and filled to prevent the recurrence of pulpitis.
The cause of having to take the tooth pulp is because the tooth is cracked, decayed or suffering from other oral diseases without timely treatment so that the disease can develop seriously... when the tooth pulp dies, if it is not treated in time, it will appear. pus peaks around the roots of the teeth, jawbone and creates an abscess, affecting oral health, causing pain and destroying the bone structure leading to tooth loss.

2. Normal and abnormal signs after taking root canal

When the root canal is completed, the following symptoms confirm that the root canal is completely normal:
No pain, just like normal teeth There is tooth sensitivity for about 1-24 hours and then disappears . This phenomenon will depend on the condition of the tooth, the location of the tooth pulp After taking the tooth pulp, if you don't chew, you will not experience pain, but when you chew again, a sensitivity occurs, this phenomenon will disappear after 2- 3 days Mild pain or a lot of pain when lightly touching the tooth If you have the following symptoms, it may be an abnormal sign after a root canal:
Root canal treatment is painful: After taking the pulp, the tooth will not There is still pain, but if the pulp is treated, pain may be abnormal after the pulp is removed. After taking the tooth pulp, there is swelling of the gums: The cause of the swelling of the gums after taking the pulp may be periodontitis but not treated; The root canal treatment tooth has died, forming a chronic apical periodontitis; broken tooth after root canal,... Swollen gums but no pain: If the tooth has a cavity on the side after taking the pulp, food will be stuffed into that position causing gingivitis and swelling of the gums. In addition, swelling of the gums but no pain after root canal treatment can also be caused by periodontitis with previous root canal treatment or by chronic periodontitis, which causes swelling of the gums and is painless, only when pressing on the tooth will it be painful.

Sau khi lấy tủy răng người bệnh sẽ có cảm giác ê buốt
Sau khi lấy tủy răng người bệnh sẽ có cảm giác ê buốt

3. Causes of pain after root canal treatment

Usually, after the root canal treatment is completed, the pain will also go away and the patient will not feel the heat in the tooth that has just taken the pulp. However, in the case of pain after root canal treatment, the cause may be due to:
The process of root canal treatment is not thorough: This is the cause of pain after the pulp treatment, because if the pulp treatment process is not thorough, This will cause the inflamed pulp to remain in the tooth, causing the pulpitis to recur and cause pain even though the pulp has been removed. The manipulation of the root canal filling is not careful, not full and tight, causing the patient pain after taking the pulp. Dental pulp fillings are not of good quality. The poor doctor's expertise makes the extraction of the pulp careless, puncturing the pulp floor (very thin points between the roots) or the pulp apex (the apex of the pulp is the last two points of the root). Therefore, if you have pain after root canal treatment, it is best to go to reputable hospitals and dentists to examine and find out the cause, in order to have the most appropriate treatment regimen.

4. Overcoming the case where the tooth pulp is still in pain

After root canal treatment, pain is an abnormal sign, so to overcome this case, patients need to go directly to a more reputable dental clinic for doctors to examine and take X-rays to find out the cause. After root canal treatment, there is pain, then the doctor can have more specific remedies as follows:
In the case of incorrect filling or restoration, the doctor will remove it and proceed to restore it. The picture is fuller and closer than before. If the cause is due to the remaining pulp healing process, the doctor will conduct a thorough root canal treatment. If the tooth has a perforated pulp floor or apex, it will not be able to be restored, so the patient needs to extract that tooth, then perform a dental implant to restore aesthetics and chewing function.

Định kỳ kiểm tra sức khỏe răng miệng, giúp người bệnh phát hiện sớm bệnh lý và điều trị kịp thời
Định kỳ kiểm tra sức khỏe răng miệng, giúp người bệnh phát hiện sớm bệnh lý và điều trị kịp thời
Painful root canal treatment is an unusual sign, so in case you need to get a root canal, you should go to a reputable, specialized medical facility with modern medical equipment and skilled doctors to avoid undesirable complications.
Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in medical examination and treatment, patients can rest assured to visit. Dental examination and treatment at the Hospital.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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