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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Root Canal. Have Swelling In Gum. Taken Ceftum. No Pain In Gum And Tooth. How To Reduce Swelling?

I got root canal done on my right second molar 16 years back . I have also got extracted my first molar . Doc had implanted permanent tooth with help of second molar . Now there is swelling in gum of second molar . It is not going . There is no problem in tooth as i had done opg.doc has removed that permanent tooth . I have taken ceftum 250 for five days . I am allergic to norflox tz . My dentist is not able to give that medicine to me . Now he is trying to built second molar as it comletely destroyed because of bridge. There is no pain in gum & tooth . Only swelling is there . Can u pl suggest me how to reduce swelling . Thanks !
Tue, 13 Aug 2013
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Dentist, Pedodontics,  's  Response
Welcome to HCM forum. Swelling in the gum in relation to a decayed tooth mostly signifies a chronic infection from bacteria present in root canal of the decayed tooth. Mostly the collected pus in your swelling will soon drain through a small hole(sinus) and the sinus will persist until the root canal of your tooth is bacteria free. The low grade infection from those bacteria will continue to form pus which will drain through that persistent sinus. It is difficult to comment about such problem without seeing the condition of your tooth and the x ray. But even after your tooth is 'completely destroyed' and you do not have any pain, which indicates that the tooth is 'non vital' i.e. the tissue inside your tooth is now dead. Most of the time such dead tooth root canals cause localized chronic infection. A chronic infection will not be resolved by antibiotics like Ceftum that you have taken. You have to go for root canal treatment of your 2nd molar tooth. OPG is not a diagnostic x ray for seeing destruction of root tip area, especially if the infection is in the primary stage. You need to have an IOPA x-ray of the offending tooth. I think if RCT is done correctly to your 2nd molar, your problem will resolve.Get well soon.
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Dentist,  Dr. Bibhu Dutt Nanda's  Response
hello and welcome to HCM forum,
I would like to inform you that persistent swelling in the gum is either from consistent pressure from the newly implanted tooth or from infection which is stilll present in the root canal treated tooth.
First line of treatment is antibiotics, as you are laready taking them, therefore i will advise to perform warm saline rinses, as many times a day as you can. this will resolve the infection as well pain.
Do not apply any hot compresses on the cheek of the affected side.
I hope this answer was useful,
I wish you good health,
take care.
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Dentist,  Dr. Prachi Mishra's  Response
hello
i would suggest you to go for an iopa x ray for the region which is swelled up. may be that swelling is due to infected second molar. since it does not pain it is a chronic infection it is not finding its way to get out so it has swelled your gum and trying to come out. you do not worry. just get it properly checked and ask your dentist to re treat your tooth root canals and if not possible then friend only way is to get it extracted and find some other treatment plan...you have mentioned that doc has removed your tooth but which one its not clear...
you can start with antibiotics as prescribed by your doc and also do warm saline rinses 3-4 times daily....
hope i have helped you to some extent
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Dentist,  Dr. Qazi Ammara's  Response
Hi,

Thanks for aksing the query,

After the sucessful root canal treatment the tooth is completely divitalised , disinfected and sealed to the apex so there are no chances of pain, pain ca be due to incompletely done procedure, any accidently left over canal, food lodgement between the tooth and cap if the tooth is capped.

I would suggest you to visit to the Dentist and get an x-ray done, if required go for re-RCT of the tooth.
Go for complete mouth scaling and polishing.
Take complete course of antibiotics and analgesics under the prescription of your Dentist.
At home take lukewarm saline and antiseptic mouthwash rinses.


Hope you find this as helpful,

Regards..
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History Of Root Canal. Have Swelling In Gum. Taken Ceftum. No Pain In Gum And Tooth. How To Reduce Swelling?

Welcome to HCM forum. Swelling in the gum in relation to a decayed tooth mostly signifies a chronic infection from bacteria present in root canal of the decayed tooth. Mostly the collected pus in your swelling will soon drain through a small hole(sinus) and the sinus will persist until the root canal of your tooth is bacteria free. The low grade infection from those bacteria will continue to form pus which will drain through that persistent sinus. It is difficult to comment about such problem without seeing the condition of your tooth and the x ray. But even after your tooth is completely destroyed and you do not have any pain, which indicates that the tooth is non vital i.e. the tissue inside your tooth is now dead. Most of the time such dead tooth root canals cause localized chronic infection. A chronic infection will not be resolved by antibiotics like Ceftum that you have taken. You have to go for root canal treatment of your 2nd molar tooth. OPG is not a diagnostic x ray for seeing destruction of root tip area, especially if the infection is in the primary stage. You need to have an IOPA x-ray of the offending tooth. I think if RCT is done correctly to your 2nd molar, your problem will resolve.Get well soon.