Relieve pain with anti-inflammatory medication that allows for reduction of inflamed periodontal fibers during your root canal recovery as tooth heals. When a tooth is infected and requires a root canal , the periodontal fibers that anchor the tooth to the bone are also irritated and stretched from infection around the roots of the tooth. But when a toothache won’t go away in spite of the fact that the tooth pulp is healthy based on examination and x- ray investigation, believe it or not, it may be due to a sprained ligament. The existing inflammation of the periodontal ligaments around the root tips of the infected tooth is the most common cause of tooth pain after root canal treatment. The periodontal tissues may be also get irritated by over extension of an endodontic file beyond the tip of the root during the procedure,.
This is “periradicular inflammation.
Depending on severity, it does take some time for such swelling to go down and the tissue to fully heal. The periodontal ligament may be further irritated by overextension of the file beyond the tip of the root during the procedure, as well as by the forcing of debris and fluids beyond the tip of the root during the cleaning of the root canals. Pain after a root canal treatment almost always comes from this source—from the ligament surrounding the tooth. If the tissue inside the tooth has been completely remove including the nerve inside your tooth , it is impossible for the pain to be coming from this source.
Fortunately for those of us who have experienced a lingering toothache , relief typically follows a visit to the dentist. It sounds like your dentist has suggested you a root canal as treatment for your constant pain from this tooth and you are sceptic about it (rather have the tooth extracted than a RC). Regarding your question: a root canal treatment helps per definition when there is an inflammation at the periodontal ligament.
Pain can occur after root canal treatment in case of fluid accumulation at root apex, irritation of ligaments surrounding the tooth or can occur because of hyperocclusion.
If pain persists beyond a week or two, then it can be because of failed RCT. The nerve endings in the periodontal ligament are extremely sensitive and the dead pulpal tissue creates an environment that provides nutrition for the bacteria that have invaded the root canal and caused the necrosis to occur in the first place. It can then spread to the periodontal ligament, which anchors the tooth to the surrounding bone and gum tissue. From there, the infection may extend to the gum tissue and cause periodontal disease, or even result in a painful gum abscess.
At that point, you may have pain — even severe pain that will let you know exactly which tooth is affected. After the treatment is completed no living pulp tissue remains inside the tooth, but nerve endings remain in the ligaments that attach the tooth to the surrounding bone. These ligaments have nerve associated with them that can feel pain. Most people associate having a root canal with a lot of pain and discomfort.
However, while most people can expect some discomfort during and after a root canal procedure, excessive pain is not normal. Modern technology and the use of anesthetics make this procedure quick, safe, typically pain -free,. Occasionally, infection of endodontic (root canal) origin can spread out from the end of the root where it exits the tooth all the way up the periodontal ligament, and cause a gum problem.
This may be revealed as an asymptomatic periodontal pocket — a detachment of the gum tissues that your dentist can trace back to the point of origin in the root canal — or a painful gum abscess. How long can a sprained tooth ligament last ? I had been having severe pain in the tooth for over a month and it had been pulsating for almost weeks before the root canal was performed. The rationale is such that after most root canal treatment there is a moderate amount of inflammation present around the tooth and in the supporting bone and periodontal tissues.
Root canal procedures are commonly believed to be the most painful dental treatment. Inflammation of the periapical tissues after root canal treatment is one. Periapical tissue is the tissue round the end of the root.
Sometimes the root canal files go past the apical terminus and can either inject some debris periapically or just damage the ligaments. Pain in a root canaled tooth and a half weeks after the root canal is definitely nor normal. The reasons for this pain could be : 1. Over instrumentation (going beyond the root canals during the cleaning procedure) 2. Forceful irrigation (injecting the irrigant solution which pushes it past the root canals) 3. The root canal procedure removes the nerves from inside the tooth, but the fibers surrounding it remain (called the periodontal ligament ) and can elicit pain , especially to pressure. In the absence of thermal sensitivity, you can rest pretty well knowing the nerves inside the tooth are gone.
If patient has pain even after a month the it is better to go back and consult the doctor. Patient is advised to take an x ray and re examine the root anal treated tooth for any perforations during treatment or any missing canals or improper canal cleaning or improper canal filling. No sensitivity to heat or cold temperatures, just pressure pain. After the root canal the tooth no longer pulsated but it still hurt a great deal whenever even the slightest pressure was applied to it.
It still hurts today whenever I touch the tooth. I think he called it the periodontal ligament ) was inflamed due to the root canal that was done and also. Causes of sensitivity after a root canal can be numerous, including a cracked or split tooth, accessory canals in a tooth, a periodontal infection, irritation from root canal medicines, or resolution of an abscess. Most commonly though the ligaments around the tooth get sore due to the bite being off. Pain continue so they finally went with a root canal.
Swallowing or anything at all touching that tooth causes pain.
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