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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat The Tooth Hurt At The Root Level?

While eating mince-meat (keema), I happen to bite on a piece of bone. My tooth seems to have hurt at the root level on account of pressure, the x ray shows no crack or physical damage to the bone. However, it dose'nt feel normal though there is no pain. The Doctor advised Taxim O and Ebility for 3 days... but it seem like 40% improvement only. Please advise. Thanks - A Rahman
Fri, 27 Jun 2014
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Dentist 's  Response
Hello,
If you have ruled out a fracture, you most likely put stress on the periodontal ligament. Think of this like a sprain. Avoid chewing on the tooth. Follow regular good dental hygiene and maintain a soft diet. Take some anti- inflammatory medication such as Acetaminophen or ibuprofen. If you experience temperature sensitivity, try toothpaste for sensitive teeth and home fluoride rinsing. Continue to watch the tooth. Trauma can cause nerve damage even months afterwards. Monitor for temperature and pressure sensitivity. A periodic x-ray of the root can check for changes.
Thank you for your inquiry. I am glad to answer additional questions.
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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 could be because of the fractured tooth. If the tooth is fractured above the cervical line then it can be restored with normal RCT. If the tooth is fracture below the cervical line then it is difficult to save the tooth, sometimes it can be restored with custom post. consult a good endodontist and take one more opinion. if the tooth is fractured at the root level, it cant be saved, it has to go for extraction. i hope my answer will help you. take care.
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How To Treat The Tooth Hurt At The Root Level?

Hello, If you have ruled out a fracture, you most likely put stress on the periodontal ligament. Think of this like a sprain. Avoid chewing on the tooth. Follow regular good dental hygiene and maintain a soft diet. Take some anti- inflammatory medication such as Acetaminophen or ibuprofen. If you experience temperature sensitivity, try toothpaste for sensitive teeth and home fluoride rinsing. Continue to watch the tooth. Trauma can cause nerve damage even months afterwards. Monitor for temperature and pressure sensitivity. A periodic x-ray of the root can check for changes. Thank you for your inquiry. I am glad to answer additional questions.