Tooth Ache, Had Failed Root Canal, Burning Pain In Gums. Diagnosed ATN. No Relief With Motrin, Tylenol. Solution?

Hello,

Thanks for writing in HCM,

After reading all your present symptoms I feel probably You are getting pain from your Root canal treated tooth...may be they are re-infected...

In trigeminal neuralgia continuous pain generally doesn't occur..in such cases pain usually arrives from a particular trigger point and remains for few secs to minutes...

I think proper radiograph is required for your rct treated tooth but you have not mentioned in which teeth rct were done....

Do warm saline rinses 7-8times/day....

Avoid hot,spicy food...

You can start antibiotic and analgesic according to doctor's prescription...

If you have any other doubts please feel free to revert back...

Regards...

Hello,

Thanks for writing to us.

Since the involved tooth has already rc treated along with apicoectomy,and still pain persists,i would advice you to get the teeth extracted.

Take amoxycillin along with analgesics.

Maintain oral hygiene well.

If symptoms persists even after extraction of tooth,please do visit an oral surgeon.

Take care.

Hello there,

ATN has typical features of bouts of pain on getting triggered by specific factors.

There could be two aspects of treatment:

1) If you desperately want to save the tooth, I would advice you to first go for a good radiograph of the tooth in periapical and occlusal view to understand the 3-D area of infection ( if any) and depending on the findings then proceed towards any treatment.

2) As you have mentioned that after facing so much pain and waisting of all the efforts and money, you are still in pain then, go for extraction of the tooth. Immediate implant is not advisable for your case as the infection and the cause of pain is not clear. Wait for 6 weeks for the bone to heal completely and then when the pain and burning have subsided completely with good amount of bone formed then go for implants.

Hope this helps.

Hi,

Thanks for asking the query,

According to your clinical symptoms i suppose that you have developed re-infection in your root canal treated tooth.
In case of trigemminal neuralgia there are some specific trigger points which when touched gets the pain.
I would suggest you to visit to an Oral Surgeon and take a second opinion.
If required go for re-RCT of the tooth.
Avoid anxiety and stress.
Maintain a good oral hygiene.

Hope this helps out,

Regards.