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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurred Pain In Teeth, Jaw And Jaw Muscle, Swollen, Tender Throat. History Of Partial Root Canal Treatment For Lower Molar, On Temporary Filling. Concerning?

I had a partial root canal roughly 36 hours ago on my lower left rear molar (wisdom teeth extracted years ago). The doctor drilled out the pulp (noting that it was mostly dead) and put on a temporary filling until the root canal specialist could see me. Now, about 36 hours later, I'm in quite a bit of pain again, both on the tooth that was operated on and in a molar on the top of my jaw and in the back jaw muscle. My neck is rather swollen too and is tender to the touch. I have plans to travel tomorrow by plane to see some family and go diving. Is my condition something that requires immediate attention? Should I not be flying or diving?
Tue, 13 Aug 2013
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Dentist, Pedodontics,  's  Response
Welcome to HCM forum. Dead pulp inside a root canal is almost always infected with several bacteria. Now, while removing those dead pulp/ remaining tissue or washing the root canal, there is every possibility that some part of that infected material pushed through the root apex foramen(hole) to the surrounding area. Naturally that area become infected and in many instances the infection expressed as an acute infection of root apex area with pain and may be with swelling. It is called ENDODONTIC FLARE UP. It may happen in 50% patients after the cleaning of root canal . The dentist has no control over it. There is no need of postponing your travel schedule. You should start an antibiotic like Augmentin or same type ( Amoxicillin 500 mg + Clavulanic acid 125mg) 8 hourly for 5 days. Along with that you have to take Aceclofenac 100 mg + Paracetamol 500mg, 3 times a day in full stomach. If you have a history of excessive acidity, you have to take 10 ml of any liquid antacid before taking Aceclofenac. Your pain will subside with in 2 to 3 days. But continue Antibiotic for 5 days. best wishes.
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Dentist,  Dr. Souranjita Chattopadhyaya's  Response
Hello,

Thanks for choosing HCM,

After reading your symptoms I feel the total pulp has not been taken out...thatswhy you are getting pain...in next sitting all pain will go...

Meanwhile you take antibiotic and analgesic according to prescription...

Do warm saline rinses 5-6times/day...you will get relief....

Don't apply hot compress from outside on the face that may worsen the condition...

You can use chlorhexidine mouthwash twice...

Keep your mouth clean after every meal....

If you will take the medicines properly then you can go for flying and diving....

Wish you good health....

Regards....
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Dentist,  Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing to us.

The swelling is due to the underlying infection of tooth.

Entire infected pulp has to be removed and root canal treatment has to be completed.

Take amoxycillin as well as metronidazole tablets.

Its better to postpone the journey until the procedure gets completed.

Meanwhile,maintain oral care.

Hope this helps.
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Dentist,  Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

If the pulp is removed from your molar so there should be no pain, pain can be due to some left over pulp tissue or presence of periapical infection.
I would suggest you to take a course of antibiotics and analgesics till you see the Endodontist.

Take the appointment with your Dentist and get the checkup done take an x-ray done, irrigation of the cavity and some medications can be placed.
Take warm saline rinses and antiseptic mouthwash rinses.

Hope this helps out,

Regards...
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Recurred Pain In Teeth, Jaw And Jaw Muscle, Swollen, Tender Throat. History Of Partial Root Canal Treatment For Lower Molar, On Temporary Filling. Concerning?

Welcome to HCM forum. Dead pulp inside a root canal is almost always infected with several bacteria. Now, while removing those dead pulp/ remaining tissue or washing the root canal, there is every possibility that some part of that infected material pushed through the root apex foramen(hole) to the surrounding area. Naturally that area become infected and in many instances the infection expressed as an acute infection of root apex area with pain and may be with swelling. It is called ENDODONTIC FLARE UP. It may happen in 50% patients after the cleaning of root canal . The dentist has no control over it. There is no need of postponing your travel schedule. You should start an antibiotic like Augmentin or same type ( Amoxicillin 500 mg + Clavulanic acid 125mg) 8 hourly for 5 days. Along with that you have to take Aceclofenac 100 mg + Paracetamol 500mg, 3 times a day in full stomach. If you have a history of excessive acidity, you have to take 10 ml of any liquid antacid before taking Aceclofenac. Your pain will subside with in 2 to 3 days. But continue Antibiotic for 5 days. best wishes.