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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sweeling After Root Canal Theraphy. X-ray Back Molar Had Crack, Infection. Teeth Encrouching. Advise?

I had root canal therapy 5 months ago, but had incredible swelling afterwards, like a golf ball. Obviously, I went back to have it checked and they found out, after X-ray, that the back molar had a huge crack and infection in gum. Antibiotics, and Panadeine Forte, then extraction. However, since then, I'm going insane, as my bite is all wrong, and teeth are constantly encrouching on my teeth, and seems the temporary crown is too large. Anyway, I'm at the point that I want to try and file back the tooth myself, as have been back to dentist, and although they said they could see what was wrong and would fix it, it's worse and driving me nuts and preventing sleep.

Wed, 25 Sep 2013
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Dentist,  's  Response
Hello,

Thanks for writing to us.

Usually after root canal treatment swelling will not arise if the treatment had done successfully.

In your case,tooth may have cracked ,re-infected or perforated which can lead into swelling.

An x-ray of the tooth will help to diagnose the infection underlying.

Tooth has to be either extracted or root canal procedure has to be repeated if necessary.

Complete course of medicines has to be administered.

Take care.
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Dentist,  Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

After successful root canal treatment the tooth is completely devitalised so there are no chances of pain.
As you have mentioned your tooth is cracked, so there is re-infection along with swelling.
I would suggest you to consult to the treating Dentist and get a x-ray done, if required the tooth can be pulled out.
Take a complete course of antibiotics and analgesics.
At home take lukewarm saline nad antispetic mouthwash gargles.

Hope you find this as helpful,

Regards..
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Dentist,  Dr. Neha Sumra's  Response
Hi

Welcome to HCM

I would like to tell you that root canal treatment results in complete divitalization of tooth.If pain & swelling persists after root canal then it can be due to:-
-fracture of tooth
-re-infection
-perforation

To rule out,you need to get an IOPAR done of that tooth & consult your dentist.

Meanwhile start with course of analgesic & antibiotic.

Take care
Regards
Dr.Neha
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Sweeling After Root Canal Theraphy. X-ray Back Molar Had Crack, Infection. Teeth Encrouching. Advise?

Hello, Thanks for writing to us. Usually after root canal treatment swelling will not arise if the treatment had done successfully. In your case,tooth may have cracked ,re-infected or perforated which can lead into swelling. An x-ray of the tooth will help to diagnose the infection underlying. Tooth has to be either extracted or root canal procedure has to be repeated if necessary. Complete course of medicines has to be administered. Take care.