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Root Canal, Traumatic Nerve Injury To V3 Branch, Burning, Throbbing In Gums, Pain In Root Canal Area. Advise?
I had a root canal on tooth 30, 21 months ago. I have been told that I have Traumatic Nerve Injury to the v3 branch from the Local. I have tried all the meds out there. I have a RFL which a numbed what the neurosurgeon thought it would, but my major complain of fierce burning and throbbing in my gums on the the right side is still there. I did feel a horrible sharp pain through my gums and tongue when the root canal was being done( enough to make me "Tap out" and I cried the rest of the procedure. I have been to 2 oral surgeons. Ant thoughts?
Wed, 8 May 2013
Hello and welcome to HCM,
In a root canal treatment, the nerve carrying the sensations from the a caries tooth are severed so that the tooth does not hurt any more.
This procedure is carried out under local anesthesia so the pain is minimal.
Severe pain during the procedure indicates that either the local anesthesia is not working properly or due to damage to the nerve by the needle used for local anesthesia.
Nerve injuries of this type usually take few days to heal.
Symptoms of altered sensations may be felt in the area of innervation by the nerve.
Throbbing pain is usually caused by accumulation of pus, so you can take a course of antibiotics after consulting your doctor.
Thanks and take care
Dr Shailja P Wahal
In a root canal treatment, the nerve carrying the sensations from the a caries tooth are severed so that the tooth does not hurt any more.
This procedure is carried out under local anesthesia so the pain is minimal.
Severe pain during the procedure indicates that either the local anesthesia is not working properly or due to damage to the nerve by the needle used for local anesthesia.
Nerve injuries of this type usually take few days to heal.
Symptoms of altered sensations may be felt in the area of innervation by the nerve.
Throbbing pain is usually caused by accumulation of pus, so you can take a course of antibiotics after consulting your doctor.
Thanks and take care
Dr Shailja P Wahal
I find this answer helpful
Hello there ,
Thanks for writing your query,
Any injury to the nerve branches during dental procedure takes a little longer time to heal.
The nerve fibres regenerate with a course of time and the symptoms will subside .
burning sensation and pain in the gums can be due to other gum problems , i would suggest you to get the examination done consulting a dentist.
exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.
i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned .
consult an oral surgeon and get the examination done.
i hope this helps ,
take care.
Thanks for writing your query,
Any injury to the nerve branches during dental procedure takes a little longer time to heal.
The nerve fibres regenerate with a course of time and the symptoms will subside .
burning sensation and pain in the gums can be due to other gum problems , i would suggest you to get the examination done consulting a dentist.
exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.
i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned .
consult an oral surgeon and get the examination done.
i hope this helps ,
take care.
I find this answer helpful
Hello judi,
The pain in root canal treated tooth may be due to-re-infection/faulty rct procedure undertaken.
I would advice you to visit your dentist and get a thorough check-up done.
If there is re-infection,entire root canal procedure has to be repeated.
If any instrument breakage/ledge formation occurs within the canals,cleaning and shaping has to be done well.
If tooth cannot be saved,it has to be extracted.
Take comlete course of antibiotics too.
Thorough scaling is adviced.
Take care.
The pain in root canal treated tooth may be due to-re-infection/faulty rct procedure undertaken.
I would advice you to visit your dentist and get a thorough check-up done.
If there is re-infection,entire root canal procedure has to be repeated.
If any instrument breakage/ledge formation occurs within the canals,cleaning and shaping has to be done well.
If tooth cannot be saved,it has to be extracted.
Take comlete course of antibiotics too.
Thorough scaling is adviced.
Take care.
I find this answer helpful
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