Endodontics (root canal treatment)
This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
recently, more precisely 14 days ago, I visited your dental office because during pregnancy the filling in my upper left second molar had gradually been crumbling. The tooth hurt and was very sensitive, so you opened it, cleaned the root canals, placed medication, and temporarily closed the tooth until November, when I am scheduled again. The root has already died.
The pain disappeared immediately for one week and then returned over the weekend. On biting I felt a sharp sensitivity in the tooth; the pain appeared while eating and then disappeared. The pain was as strong as before treatment.
I visited the emergency dental clinic in Bled, where the dentist repeated the procedure and placed new medication in the tooth.
Until yesterday I had no problems with the tooth. Yesterday, however, when biting I noticed the familiar unpleasant sensation, as if it were starting to sting again. In addition, the temporary filling has chipped off in certain areas. The tooth does not hurt for now, but it is sensitive on biting and I am just waiting for it to start hurting.
Based on my case and the problems described above, I have the following questions for you:
-Do you think my tooth is sensitive because bacteria are accumulating in it again and it would be good to repeat the procedure?
-Is it possible that it is sensitive because of the procedure performed 6 days ago?
-Is there any other method of treating the tooth that would destroy the bacteria permanently, since it is probably not good to keep opening the tooth indefinitely and putting medication into it?
Thank you in advance for your answers and kind regards,
Anja
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
A tooth can be painful on biting or spontaneously because of inflammation of the periodontal ligament around the root apex, which can be the result of an infected root canal or the action of the substance placed in the canal. The treatment we perform is directed against bacteria in the canals or around the root apices. Estimating when they will no longer be present is very difficult and depends on several factors: porosity of root dentine, number of periapical ramifications (branching of the main canals near the root apices), and hidden additional main canals. All treatment methods are aimed at the same goal—disinfection of the canal—but this can be achieved in different ways: by placing different pastes (medication) in the canal, by laser, by irrigating the canal with certain agents... The choice of method depends on the case. The tooth may also hurt because of mechanical trauma that caused a crack. Confirming a crack in the early stage is very difficult (even if X-ray diagnostics could be used), but over time the clinical picture will become different. If the tooth does not stop hurting within a few days, call me and we will solve the problem in the office.
Have a nice day!
A tooth can be painful on biting or spontaneously because of inflammation of the periodontal ligament around the root apex, which can be the result of an infected root canal or the action of the substance placed in the canal. The treatment we perform is directed against bacteria in the canals or around the root apices. Estimating when they will no longer be present is very difficult and depends on several factors: porosity of root dentine, number of periapical ramifications (branching of the main canals near the root apices), and hidden additional main canals. All treatment methods are aimed at the same goal—disinfection of the canal—but this can be achieved in different ways: by placing different pastes (medication) in the canal, by laser, by irrigating the canal with certain agents... The choice of method depends on the case. The tooth may also hurt because of mechanical trauma that caused a crack. Confirming a crack in the early stage is very difficult (even if X-ray diagnostics could be used), but over time the clinical picture will become different. If the tooth does not stop hurting within a few days, call me and we will solve the problem in the office.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
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