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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Filling The Molar Be The Reason For Severe Headache, Ear Pain And Jaw?

I had a filling changed for right upper first molar, but in 2 weeks I was having intolerable headache, pain in ear, tongue, jaw and surrounding areas. The doc re-opened the filling and found pulpitis, said his drilling might have exposed pulp. I was prescribed anti-biotics for a week and he did root-canal. 3 canals were found and filled, on top of the filling he put cotton stuffing and then the temporary filling. He had already used up all of my insurance on the fillings, so said the permanent filling could be done in an year. Is it safe to wait for an year, I am not really sure if he did the sealing properly.
Mon, 30 Jun 2014
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Dentist,  's  Response
Hello,
After pulpitis and root canal therapy, there will be a period of healing required before the tooth feels better. The antibiotic should help healing and reduce inflammation. Take some anti-inflammatory medication such as Tylenol or Motrin. Return to your dentist for a follow up visit if it is not improving or feels worse. Do you hit the tooth hard when you bite? You may need the tooth adjusted to reduce stress. I recommend taking an X-ray. Consider getting an evaluation by an endodontist. This is a root canal specialist. I do not recommend restoring the tooth until it is comfortable. A hidden canal might exist or retreatment may be necessary.
I do not recommend leaving the tooth in a temporary filling for a year. You risk fracture and it can continue to decay without causing pain. Plan to progress with a restoration. For back molars, I recommend a post and core with a crown. Sometimes, I place the post and core with plans to place the crown at a later time. Also, a temporary crown to prevent fracture, can be placed for a longer period of time to allow monitoring of the progression of healing with this tooth.
Thank you for your inquiry.
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Dentist, Oral and Maxillofacial Surgery,  Dr. Mahesh Kumar T S's  Response
Thanks for your query, i have gone through your query. The pain what you have described can occur secondary to tooth infection. The tooth which is root canal treated should be restored with a crown as early as possible because after root canal treatment the tooth will become brittle. The chances of tooth getting fractured is more. So try to get it restored as early as possible. i hope my answer will help you, take care.
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Can Filling The Molar Be The Reason For Severe Headache, Ear Pain And Jaw?

Hello, After pulpitis and root canal therapy, there will be a period of healing required before the tooth feels better. The antibiotic should help healing and reduce inflammation. Take some anti-inflammatory medication such as Tylenol or Motrin. Return to your dentist for a follow up visit if it is not improving or feels worse. Do you hit the tooth hard when you bite? You may need the tooth adjusted to reduce stress. I recommend taking an X-ray. Consider getting an evaluation by an endodontist. This is a root canal specialist. I do not recommend restoring the tooth until it is comfortable. A hidden canal might exist or retreatment may be necessary. I do not recommend leaving the tooth in a temporary filling for a year. You risk fracture and it can continue to decay without causing pain. Plan to progress with a restoration. For back molars, I recommend a post and core with a crown. Sometimes, I place the post and core with plans to place the crown at a later time. Also, a temporary crown to prevent fracture, can be placed for a longer period of time to allow monitoring of the progression of healing with this tooth. Thank you for your inquiry.