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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Tooth After Root Canal Treatment. Have Swelling In The Gum. What Is Wrong?

I had root canal treatment one year back.I was feeling pain in that tooth from last three days.i visited dentist,they gave me pain killer and anti biotics for five days.its third day ,i am taking medicine and having releif in pain but some swelling has occured in the gum above that tooth and on the face too.i am also feeling pain when i am pushing that tooth.swelling of gum seems soft and watery when i touch it.
Thu, 18 Apr 2013
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Dentist,  's  Response
Hi,

Thanks for asking the query,

After a successful root canal treatment the tooth is completely devitalised, and sealed so there are no chances of pain.

Pain can be due to incompletely done procedure, any accidently left unexplored canal, re-infection, food lodgement between the tooth and cap, if the tooth is capped.

I would suggest you to visit a Dentist and take x-ray of the tooth to look for any remnants of pulp tissue. You have to undergo re-RCT with the tooth.

Go for symptomatic treatment of complete mouth scaling and polishing.
Take complete course of antibiotics and analgesic given by the Dentist.
Take lukewarm saline gargles and antiseptic mouthwash gargles.

Hope this helps out.

Regards...
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Dentist,  Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for writing in.
ThE Pain and swelling under root canal treated tooth may be due to-
Re-infection.
periapical abscess.
sinus discharge.
An x-ray will help to guide in such conditions.
Depending on the severity of condition,tooth has to be extracted or re-rct has to be done.
Take antibiotics course completely.
Use chlorhexidine mouthrinse and maintain good oral hygiene.
Take care.
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Pain In The Tooth After Root Canal Treatment. Have Swelling In The Gum. What Is Wrong?

Hi, Thanks for asking the query, After a successful root canal treatment the tooth is completely devitalised, and sealed so there are no chances of pain. Pain can be due to incompletely done procedure, any accidently left unexplored canal, re-infection, food lodgement between the tooth and cap, if the tooth is capped. I would suggest you to visit a Dentist and take x-ray of the tooth to look for any remnants of pulp tissue. You have to undergo re-RCT with the tooth. Go for symptomatic treatment of complete mouth scaling and polishing. Take complete course of antibiotics and analgesic given by the Dentist. Take lukewarm saline gargles and antiseptic mouthwash gargles. Hope this helps out. Regards...