Pain when pressing on a tooth after nerve removal is a common pathological phenomenon. The article discusses the most common causes of pain and methods of treatment.
The nerve is removed if it is possible to save the tooth. The procedure in which the dental nerve is removed is called depulpation.
The main indication for surgery is the inflammatory process in the pulp.
This disorder leads to persistent pain, which often does not go away when taking analgesics.
The nerve is removed if it is possible to save the tooth. If the root part is too damaged, the tooth is pulled out.
Procedure steps:
Before depulpation, as a rule, an x-ray of the diseased tooth is taken. This is necessary to determine the nature of the pathological process.
For any dental intervention You may experience pain immediately after the procedure. After depulpation, the appearance of pain is associated with mechanical impact on soft fabrics.
Normal pain syndrome occurs when chewing solid food. Emergence constant pain may indicate development inflammatory process in tissues.
The most common causes of pain after depulpation include:
Thus, toothache after removal of the nerve, biting may occur due to numerous postoperative complications.
Dental care required only if the symptom persists for more than 10 days Normally, the pain goes away in a short period of time.
Unpleasant symptom goes away on its own within 24 hours after the procedure. Less commonly, pain occurs periodically for 7-10 days.
Short-term pain when pressing (pressing, biting, tapping) on a tooth does not require special treatment.
Dental care is required only if the symptom persists for more than 10 days.
Taking analgesics and using other home treatment methods can help you get rid of the disease.
Pain after depulpation may indicate quite serious complications that require medical intervention.
You should contact your dentist if you have the following symptoms:
Important to remember! The appearance of the listed symptoms - direct reading to visit the dentist immediately. Delay can lead to aggravation of the pathological process. If a tooth hurts badly, do not try to treat it yourself!
The method of treatment depends on the nature of the pathology. First of all, the doctor examines the sore spot, identifies associated symptoms. The exact cause of pain when pressing is determined and carried out further treatment.
Main methods of therapy:
Can be done without the help of a specialist symptomatic therapy using pharmaceutical medications and traditional methods therapy.
Important to remember! Home treatment allows only short term eliminate pain when pressing. To completely get rid of a symptom, you need to eliminate the cause of its occurrence.
When treating toothache after depulpation, the following drugs are used:
The listed painkillers are available in the form of tablets for oral administration.
You need to take medications in accordance with the dosages indicated in the instructions, unless there are contraindications.
Self-medication can reduce the intensity of pain, but we must not forget about the need to visit a doctor if the pain intensifies or lasts longer than 10 days.
Intense pain is not the only problem that a patient may encounter after pulp removal. The operation can lead to the development of gumboil, as well as loosening of the pulpless tooth.
Flux develops due to the spread of inflammation from the roots of the tooth. Flux is understood as a pathological process in which the periosteum becomes inflamed.
In dentistry, this disease is called periostitis.
Flux develops due to the spread of inflammation from the roots of the tooth, as well as due to damage to soft tissues.
After depulpation, periostitis occurs, as a rule, when antiseptic standards are violated.
Most often this happens when the dentist immediately after removing the nerve installs permanent filling.
Main symptoms:
Flux is treated with antibiotics. If conservative therapy does not help - is carried out surgery, which involves opening a purulent formation and installing drainage in the gum to remove pus from the periosteum.
In order to strengthen tissues, it is recommended to use special toothpastes and soft brushes Pathology occurs due to mechanical effects on periodontal tissue, main function which consists in fixing the tooth.
Less commonly, pathology occurs due to effects on soft tissue caused by concomitant infectious diseases(gingivitis, periodontitis).
If such a symptom appears, if the tooth becomes loose after the canals have been cleaned, it is necessary to reduce the load on the jaws and introduce soft foods into the diet.
Thus, tooth depulpation can cause not only pain, but also other, quite serious complications.
Tooth pain after nerve removal is a common phenomenon that requires timely treatment. If pathological sign does not disappear for more than 10 days, dental diagnosis and further treatment are required.
Welcome to this blog dedicated to exploring the many dental issues that concern ordinary people. Today we will talk about post-filling pain. If you have a toothache after nerve removal, you should definitely read this article.
Even I have encountered such a situation in my life. I was diagnosed with pulpitis, the tooth was cleaned and filled after cleaning the canals. After some time, I noticed that the pain did not stop. Biting on a recently “cured” tooth was painful. It turned out that the channel was poorly cleaned. I had to see the doctor again. I went to another clinic. There they removed the filling, cleaned and rinsed the canal, and closed it again. After this, the pain began to subside and after 5-6 days I forgot about it.
However, some acquaintances have had situations where even re-treated teeth continued to cause problems. Let's figure out how and why this can happen.
You recently had a tooth filled, the specialist seemed to be quite good, several days have passed, and the pain does not subside. There is no reason to panic, but it’s worth looking into. Why was the nerve removed? In most cases, this is pulpitis - a complication in which the destructive carious process reaches the soft tissue located under the dentin layer - the pulp. It contains large number nerves. During the operation, the pulp is removed and the canals are cleaned.
Sometimes, due to the complexity of the shape of these channels, it is technically very difficult to complete the task. It is necessary to take x-rays to know exactly how they pass.
Tooth hurts
It would seem that if there is no nerve, what can hurt, for example, when biting?
It is normal for minor pain to persist for up to 3 weeks. But they shouldn't get stronger.
What to do if you have problems with a filled tooth, how to relieve pain? First of all. you need to understand what exactly caused the appearance painful sensations in the tooth.
Breaking off a dental instrument in a dental canal is a medical error
So, based on the fact that surgery on a tooth, during which it is depulped, is a painful and traumatic procedure, it is worth understanding that pain will persist for some time. However, under normal qualified treatment channels it will noticeably decrease every day. Therefore, you should start to “panic” only if the pain increases every day and swelling appears.
If there is a possibility that there are not three channels, but four (in rare cases there are even five), it is better to play it safe and take pictures in several projections.
Another option is the presence of other problematic teeth, which can easily radiate into the pulpless neighboring one. Sometimes they are very far from him, and therefore do not arouse suspicion. The advice is still the same - take pictures to find out in what condition the “suspects” are.
One of the most important advice– do not self-medicate with various types of pills.
Once in my youth, when I had a severe toothache before going to bed, I took seven tablets overnight - Analgin, Tempalgin, No-Shpu and even Ketanov. The only thing I achieved through my actions was nausea and vomiting.
Do not forget that large doses of analgesics and anti-inflammatory drugs that you take negatively affect the functioning of the liver, kidneys, and heart. Changes chemical composition blood, strong allergic reactions. The most unpleasant thing about this is that, having harmed yourself, you were never able to eliminate the pain.
Therefore, between the options “endure the pain, and then, in the morning, go to the doctor” and “take pills and poison yourself,” the choice is completely obvious. Be prudent and in any such circumstances, contact trusted specialists. Also take into account the fact that budget clinics do not always have available necessary equipment to provide qualified assistance. Therefore, it makes sense to immediately go to private ones.
Kalsept - material for canal filling
How to survive nerve removal - step-by-step instructions
Let's give a short step by step instructions, how to prepare for dental nerve removal and what to do after the operation.
Step one. First, find out why it is necessary to remove the nerve. Decaying nerve tissue allow bacteria to multiply. This is fraught not only with infection, but also with swelling that can spread to the neck, face, loss of bone around the tip of the root, and drainage problems beyond the latter.
Step two. Find out if you really need it this procedure. The fact is that in some cases not all symptoms of the problem appear.
Step three. Visit your dentist. Removing a dental nerve requires one or even several trips to the dental clinic.
Step four. Familiarize yourself with the depulpation process, which includes:
- X-ray;
- local anesthesia;
- placing a rubber plate in the mouth to control salivation;
- drilling a hole to access the dental nerve;
- root canal cleaning;
- filling;
- restoration (for protection, for example, a crown can be installed).
Step five. Study the consequences of the procedure. The tooth may heal for two or three days, but you should not chew hard food on the affected side. To reduce discomfort, you can use over-the-counter pain relievers.
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Video - Why does a tooth with a removed nerve hurt?
Then irreversible ones arise pathological processes. May occur various diseases, including pulpitis. Pulpitis is quite severe and is most often tolerated with intolerable pain.
In order to cure pulpitis, the nerve must be removed. After treatment, the patient may experience toothache.
If you have had a nerve removed and your tooth hurts, then either you are allergic to it, or the doctor made a mistake. Let's take a closer look at the causes and methods of pain relief.
During the procedure, the dentist may make a mistake. As a result, a so-called pathological hole can form. Symptoms: sharp pain, which does not go away for a long time.
Anesthesia - anesthetics - is used for treatment. After the anesthesia wears off, severe pain occurs. The pain does not go away for several weeks. They are localized in the tooth area.
If root perforation occurs, it is necessary to begin comprehensive treatment as quickly as possible.
How is the treatment carried out:
This is also a doctor's mistake. Used for canal treatment special tools. These delicate instruments can break in the canal. This usually occurs when there is excessive pressure.
In this case, the broken part of the instrument enters the canal and puts pressure on the so-called apex. This upper part root
Treatment:
If a dental instrument breaks off, filling the tooth is prohibited.
A few days after treatment, the following symptoms may occur:
As a rule, painful sensations in the area of the tooth occur when. X-rays are used for diagnosis. If the image reveals a void, then re-treatment is prescribed.
Description: The dentist incorrectly moves the special filling material (beyond the apex or apex).
Filling materials are made from synthetic components. Therefore, such materials are rejected by the body. That is, the human body perceives them as a foreign body.
The more the dentist moves the filling material beyond the apex, the more pronounced pain will occur. In this case, it is necessary to take into account the individual susceptibility of the human body.
There are patients who even complain of severe pain in the tooth area. During diagnosis, it turns out that in the apex area there is a minimal amount of so-called paste.
X-rays are also used for diagnosis. On the x-ray image you can see the amount of filling material.
How is the treatment carried out:
Filling materials are made on the basis of various synthetic substances. For example, resin-based.
Each body reacts differently to the materials used. A so-called individual reaction may occur.
Characteristic symptoms:
For treatment individual reaction the doctor prescribes medications. If the patient suffers from allergies, then certain medications cannot be taken. You should not prescribe any medications to yourself. Because different reactions may occur.
Other reasons:
After removal of the nerve, the patient must monitor his feelings (his condition). First of all, you need to pay attention to the symptoms. If pain occurs, you need to assess the intensity of the pain.
If the pain goes away on its own, then you don’t have to see a doctor. If the pain does not go away for several days, then you should definitely visit a doctor (dentist or dentist).
Treatment is prescribed individually. There are no universal methods. You can only relieve the pain. If pain occurs, then you need to take the appropriate medication. The drug can only be prescribed by the attending physician.
As a rule, the dentist prescribes the following drugs:
These will relieve pain. And the dentist can also prescribe analgesic medications.
And also can be used natural remedy- soda. The first day you need to rinse your mouth every hour. You can add a little iodine to soda.
Compound:
Caries is the most common dental disease oral cavity. There are different ones - from superficial to deep.
In advanced cases, treatment often ends with removal of the nerve, because the person suffers from constant pain.
But can a tooth hurt after nerve removal? Maybe this too alarming symptom if the pain does not go away for a long time.
If, even after removing the nerve, the tooth hurts when pressed, this may indicate the presence of various pathological complications.
A bundle of blood and lymphatic vessels along with multiple nerve endings located at the root is called pulp. It is considered the dental nerve.
It is important to remember that natural slight discomfort and tolerable pain are considered completely reasonable. defensive reaction body. However, upon detection dangerous symptoms, suspicion of any complications and diseases the best solution will be a visit to the dental clinic.
Information about why a tooth may hurt after nerve removal, from the mouth of a dentist:
5101 03/13/2019 5 min.
The tooth itself is simply bone tissue, the nerve (pulp) located in the tooth is responsible for all the sensations that we experience, for example, from cold or hot food. But various diseases and pathologies, for example, pulpitis, can lead to the nerve being removed. The problem is that for some people, the tooth continues to hurt and react to hot food after that. In most cases, the reasons for this phenomenon are poor quality treatment, failure to comply with hygiene rules, or complications after depulpation. Let's take a closer look.
The process of removing a nerve can be painless if the correct anesthetic is used, but there may still be some pain at some stages. Read more about why a filled tooth reacts to heat. The nerve is removed as follows:
The reason for its removal is usually tooth trauma and a number of other reasons leading to some form of pulpitis.
It would seem that the tooth is cured, the nerve is removed - and you can forget about the pain. However, even when the dentist performed the treatment in in full and rightly so, painful sensations sometimes persist. Read more about why a tooth hurts under a filling.
There are several causes of pain after nerve removal:
It may not actually be the sealed tooth that hurts, but the neighboring one, where the nerve is preserved. Sometimes it can be difficult for a person to localize painful sensations.
Dentists warn patients that pain in the area of the filled tooth can last up to a couple of weeks. In practice, for most people this period is much shorter - no longer than a couple of days. In case of serious intervention, the patient may feel discomfort when eating hot or cold food, but this will improve within 2-4 weeks. For more information about why a tooth reacts to cold and hot after filling, see.
There is an important clarification - the pain should gradually subside and be mildly aching, sometimes accompanied by pulsation. At the same time, pressure on a filled tooth or adjacent tissues, as well as from eating sweet, hot or cold food, may intensify it, but only for a short time.
A fresh filling can hurt even with a basic malocclusion.
If over time it becomes much stronger, it is accompanied by inflammation of the gums, headache, and general malaise, then this is a reason to consult a doctor again - this should not be normal.
The main way to fix the problem is to visit the doctor again. After all, depending on what exactly caused it, treatment, filling of the adjacent tooth, or additional removal of the nerve may be required, if it suddenly turns out that it was not completely eliminated.
Do not self-medicate. If the soreness is not due to the fact that it is just residual pain that will soon go away, there is nothing you can do, you need to trust the doctor and carry out treatment that corresponds to the root cause of the problem.
In general, you can simply consult a doctor if pain persists for too long. But there are a number of symptoms, in addition to those mentioned above, that should prompt you to consult a doctor as quickly as possible:
If there are any symptoms that are not described here, but which seem atypical to you, you should definitely contact your dentist, otherwise the possibility of complications cannot be ruled out.
Necessity re-treatment determined by the doctor - and only the doctor! – based on examination of the tooth and the area around it.
More details about the reasons discomfort V pulpless tooth look at the video
Residual pain in some cases may be completely natural and normal sign, but often this is a signal that there is some kind of problem that needs to be dealt with as quickly as possible. There is no need to panic, but you should not put off going to the dentist. The tooth may need to be treated further - this is a necessary measure that will help get rid of pain and avoid possible carious complications. Read more about caries and its complications.
