Edema after pulpitis
Pulpitis - very unpleasant inflammatoryDisease of the tissues of the teeth, accompanied by severe pain. Quite often there are situations that, after dental treatment, pain in the tooth does not go away, and is even more aggravated. In the proposed article you will find detailed information, why there is pain after treatment of pulpitis and how to eliminate it. And also, briefly about possible complications.
There are situations when after a visitdental clinic the patient returns home with an unsolved problem. Pain after pulpitis treatment is sometimes a consequence of the most complicated treatment - in such cases it gradually subsides within 2-3 days. But often the cause of unpleasant consequences can be a gross mistake of a dentist. Official statistics will be relevant here - in 60-70% of cases, complications after pulpitis treatment are associated with the poor quality of the doctor's work. Therefore, after the completion of the procedure, it is extremely important to make an additional X-ray image, which will show how well the sealing was performed.
If after a pulpitis treatment the tooth hurts and does not pass within 2-3 days, most likely, this complication
Unfortunately, even if there is a control pictureyou can not say that the dentist himself recognizes his mistake and immediately corrects the defect, because according to statistics, many of them hide such facts and let the patient go home. Such actions are explained by the fact that complications in the treatment of pulpitis, as a rule, appear after the end of the warranty period. That is why the patient should know how to independently identify the signs of unfair treatment.
Causes of toothache after treatment of pulpitis
The degree of pain after this procedure can beboth insignificant and acute. To accurately understand why the tooth hurts after pulpitis treatment, one of the two main causes - trauma or inflammation - should be excluded.
Trauma of tissues in the region of the upper part of the root of the tooth
Since the treatment involves the extraction of inflamed pulp (a bundle of blood vessels and nerves) and the subsequent filling of the canals, pain in pulpitis can occur for the following reasons:
- When the pulp was removed, the vascular-neural bundle in the upper region of the root of the tooth was torn off;
- Instrumental treatment of root canals was carried out, as a result of which the tip of the instrument could go beyond them and cause microtraumatic damage to tissues near the apex of the root;
- Root canals were washed with antiseptics,a number of which could fall into the tissues located near the apex of the root. Since dentistry uses very strong antiseptic drugs, they sometimes cause the tooth to hurt after pulpitis.
Find out how long the tooth hurts after treatment of pulpitis, if the procedure was carried out correctly, you can according to statistics - basically the pain lasts 1-3 days.
Poor root canal sealing
The first sign of poor-quality treatment isSymptoms: a tooth is aching and / or there is a swelling in the gum area. But sometimes it happens that the symptoms remain hidden for a long time and you can find out the cause only from an x-ray photograph.
Consider the signs of unscrupulous root canal sealing.
Root channels are sealed not at the level of the apex of the root
Pulpitis is the result of infection of pulptooth by harmful microorganisms, therefore, during the removal of pulp and cleaning of channels, a certain amount of pathogenic microflora remains in the tooth. If the channel is not sealed up to the top or is badly sealed with the seal material, the infection will continue its multiplication in the unsealed area. As a result, it penetrates into the tissues around the tooth, forming a purulent sac (periodontal abscess), and pulpitis after treatment will pass into periodontitis. On an x-ray, it is viewed as an intense darkening in the upper region of the root.
To get rid of the complications of pulpitis after filling up the canals the following actions will not help to the end: it is required to urgently heal the tooth, completely rooting the root canals and sealing them again.
The material of the seal is out of the top of the root
To hurt the tooth after treatment of pulpitis can also due to the removal of the seal beyond the root. In this case, this defect can be easily seen on an x-ray.
In case of channel re-sealing, the problemshould be addressed individually. If after the treatment of pulpitis the tooth hurts when nibbling, but the amount of extracted material is insignificant, the pain must pass quickly enough and the tooth should not be re-treated. The same applies to not acute, gradually diminishing pain. If the filling material is withdrawn in large quantities, there may be a need for surgical treatment followed by resection of the apex of the root. In this case, the operation is fairly simple and takes 30-40 minutes, but in the case of pulpitis under the crown, it is likely to be temporarily removed.
Tool fragment in the root canal
Sometimes it happens that with a mechanicalinterference with the root canal, the used instrument breaks and part of it remains in the tooth. Sometimes the fragment can be removed, but if the jammed part is the tip of the tool - it is impossible to get it. The cause of this problem is often the negligence of doctors, except when the root canals have a strong curvature.
Another reason for the occurrence of toothache -pulpitis was treated with the use of pins, the screwing of which caused perforation - a "non-physiological hole" in the root wall, made by a doctor. This problem is extremely important in dentistry. The formation of perforations is mainly due to the lack of professionalism of the doctor, less often - with objective reasons (for example, with too distorted channels).
Correcting perforations is very difficult. In this case, inexpensive removal of pulpitis after treatment of caries or for other reasons may require a significant cost for expensive materials, such as Pro-Root. Unless, of course, the perforation was the result of the negligence of the doctor, who had to correct everything at his own expense.
Complications and consequences of pulpitis
Among the mistakes and complications of pulpitis, the most common are the following:
- In the case of nedoplombirovannyh channels with 100% probability may develop periodontitis, flux, radicular cyst and other complications;
- Republishing, which occurred, for example, after the treatment of pulpitis under the seal, can cause long pain, and in the worst case, neuralgia;
- With a fracture of the dental root or the occurrence of perforation through the fault of the doctor, the lack of rapid treatment may require a complete tooth extraction;
- After a while, remove the tooth may also be required in case of pulpitis in periodontitis (purulent formation at the apex of the tooth).
How to relieve pain in pulpitis
If the gum hurts after treatment of pulpitis or aching tooth, the pain can be weakened by following a series of recommendations:
- To ease the pain during pulpitis periodical rinses are warm (in the absence of purulent discharge) or cold (with purulent discharge) water;
- If any stimuli (pieces of chocolates and food, acidic liquid) get on the sick tooth, they must be immediately removed in order to avoid aggravation of pain;
- Chew food only by the healthy side of the jaw;
- If you are interested in how to relieve pain in pulpitis, remember a simple rule - do not sleep on the side of a sick tooth, otherwise the blood will flow instantly to the inflamed pulp and the pain will intensify;
- Pregnant and nursing mothers pulpitis anesthetize will help children safe drugs, in particular paracetamol, as well as folk remedies;
- In the absence of various negative reactionson the adoption of potent painkillers, the following drugs will quickly help alleviate the pain: Ketanov, Nurofen, Baralgin, Ketanol and Pentalgin-N. However, their use is unacceptable right before going to the dentist, even in case of irradiation of pain in pulpitis. Otherwise, the symptoms of the disease will be blurred and the diagnosis will be difficult to make. In addition, it is worth remembering that if the toothache is painful, pulpitis requires treatment, and prolonged pain blocking with anesthetics can lead to dangerous complications. And even for the body as a whole, these drugs are quite unsafe;
- Although it is painful and very unpleasant for pulpitis,apply to the affected tooth analgin - is strictly prohibited! Such actions will not only not improve the condition, but can also destructively affect the enamel, as well as the soft tissues around the tooth;
- Positive effect on the inflamed tooth can have a cotton swab moistened with a pair of tooth drops;
- Another tool that helps those who askThe question of how to reduce pain during pulpitis is Dimexide. This drug is anti-inflammatory and is often used by doctors. But he also has some negative sides. In particular, terribly unpleasant odor and allergenicity. So even Dimexide is not an ideal solution for those who are interested in how to ease pain in pulpitis.
Types of pulpitis: acute and chronic, pulpitis of wisdom tooth
Treatment of pulpitis
Pulpit of the tooth
Pulpitis in children