This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

Hello,
Just under a month ago I had endodontic treatment of my upper first premolar. The endodontist treated the canals using an operating microscope and rotary instruments. After the first treatment session, he placed medication in the tooth, and for 3 days I had very severe pain. At the second visit he enlarged the canals further, cleaned them with ultrasound, and completed the root filling. He filled them quite deeply. For about 14 days I felt pain in the tissues, although it was not unbearable. It then settled, but a week later I started feeling pain again (it appeared after I clenched my teeth while sleeping). I also feel pain when the tooth is tapped. The temporary filling is not too high and does not bother me. I would like to know whether this course of pain can be normal, for example as a reaction to the filling material, because one root was very long and the filling was done quite deeply. How long can pain in the treated tooth last?

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

The root filling should be made to the end of the root, or more precisely to the point where the root canal narrows before exiting the root (physiological foramen). The filling can be checked on an X-ray, because its endpoint and homogeneity can be seen relatively well. Pain after root canal treatment is a relatively common problem and depends on various factors (despite a good X-ray image). It is not possible to say how long it may last. There are cases in which, despite an excellent X-ray appearance, additional therapeutic procedures were necessary (repeat root filling, apicoectomy...).

Have a nice day!

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