Wednesday, February 14, 2018

Pain during rct

Root canal is usually painful. When people are told that they need a root canal treatment , they usually think about pain. However, the pain they feel is caused by an infection in the tooth, not by root canal treatment. A root canal is done to eliminate that pain.


During a root canal treatment , the dentist washes the tooth roots with sodium hypochlorite, a solution that kills bacteria, dissolves any remaining nerve tissue and washes away the slurry that accumulates during the process. In rare cases, some solution can leak out of the root tip, causing immediate pain , even with the area still numb.

The pain shouldn’t last forever. Patients with an infected root canal system typically have two options—standard root canal treatment ( RCT ) or tooth extraction followed by dental implant. Standard root canal treatment is an option for patients who wish to save their natural tooth.


If the cause of the pain is due to a missed canal, the endodontist will need to open the tooth, remove the filling and try to find the canal. If the tooth has a vertical fracture , the dentist would likely have to remove the tooth. If a person experiences persistent inflammation or infection after a root canal ,. This often occurs the day after- perhaps up to two or three days and then settles down.


Pain in-between appointments could be due to the following reasons: Bacteria. In general, the chance of experiencing pain during or after root canal increases as stronger was the pain that somebody had before going to the dentist.

Some patients experience root canal pain between the dental visits that could be caused by the following conditions: Gas pressure build-up. This condition happens between visits after the nerve has been removed from the tooth, but before the canals and pulp chamber are filled. RCT is usually very successful, in that the outcome is a retaine functional tooth and a pain-free mouth.


However as with any medical treatment, complications can occur with RCT. If symptoms fail to settle down after the procedure, this could indicate a complication with the treatment. Some people will experience an acute tooth flare-up during which they experience mil moderate, severe or possibly even excruciating pain.


When these types of situations occur, it can be a challenge for a dentist to painlessly treat the severely inflamed tissues involved. Pain upon biting down and dull pain is common and a recognised side effect of root treatment. It should disappear within hours or so, but it can take some weeks for the tooth to fully settle. Habits such as grinding and clenching teeth can cause severe pain problems during (and after) a root canal treatment, especially in case of hyper occlusion of the treated tooth. During clenching the pressure is transferred to the already irritated periodontal ligaments and bone around the tooth tips, causing discomfort and root canal pain.


People will visit their dentist when it becomes utmost important to take a professional help. Patients typically need a root canal when there is inflammation or infection in the roots of a tooth. If the patient experiences a sudden severe pain during the root canal procedure, we must suspect a sodium hypochlorite accident. During root canal treatment, the tooth pulp and tooth roots are cleaned to remove microbes that cause infection, and a filling material is placed in the roots. The signs and symptoms include: Edema (swelling with fluid accumulation).


Ecchymosis (discoloration of the skin due to bleeding from underneath). 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. In asymptomatic periradicular lesions associated with infected teeth, there is a balance between microbial aggression from the infecting endodontic microbiota and the host defenses at the periradicular tissues.

Once the anesthesia wears off after the procedure, some discomfort can be present during recovery. This is especially true if swelling or inflammation was initially present. Oftentimes, the discomfort is mild and resolves in a few days.

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