Tooth pain after nerve filling and what are the expectations after undergoing nerve filling

Tooth Pain After Root Canal Treatment, One of the common symptoms after a root canal procedure is feeling pain. In this article, we will learn about how long it lasts after the procedure, its causes, how to treat it, and what complications may occur if the root canal treatment fails.

Tooth Pain After Root Canal

There is a possibility of some symptoms appearing after a root canal procedure, which are accompanied by pain during the following days of the procedure, and these symptoms indicate tooth sensitivity. There are causes that lead to this sensitivity, so it is necessary to know these causes in order to try to avoid them. We will mention them in the following points:

• Foods and drinks rich in sugars, such as sweets and sweetened juices.
• Cold foods and drinks, such as ice cream or chilled juices.
• Hot foods and drinks, such as tea and baked goods.
• Caffeinated drinks.
• Acidic fruits and juices that make the mouth acidic, which stimulates the growth of bacteria and the occurrence of tooth decay and gum inflammation again.
• The collision of cold air with the filled tooth during breathing may cause inflammation of the nerve and gum sensitivity.
• The tooth colliding with the teeth during speech causes pressure on the filling, and it is possible that it may move the filling from its place or cause cracks in it, which leads to the presence of holes in the filling through which bacteria can grow and tooth decay can occur again.

Therefore, it is necessary to adhere to the instructions and avoid these causes to prevent the pain from continuing for a long time. The pain is expected to gradually disappear after the filling procedure within a week or two at most. The continuation of pain for more than that requires consulting the doctor immediately to solve any problems or prevent complications. Get ready to get rid of toothache and get ready for a healthy smile with root canal filling in our The Dental Center

Tooth Pain Two Months After Root Canal

The root canal procedure involves drilling a hole in the tooth cavity to remove decay and germs from the nerve canal and sterilize it. This procedure is considered painful despite the patient being anesthetized because the infection reaches the nerve endings. After the anesthetic effect wears off, the patient feels pain, which then gradually disappears until the feeling goes away within a week. However, the continuation of pain and feeling it for a month or two may indicate a cause. The causes of feeling tooth pain after a root canal for two months may be one of the following possibilities:

1. Inflammation of the gum in the affected area.
2. Inflammation of the tissues surrounding the teeth.
3. The presence of an abscess at the end of the nerve canals.
4. Infection in the nerve endings causing inflammation in this area.
5. Scratching the gum or tooth tissues from the tools used during the filling procedure.
6. The presence of protruding fillings resulting from not leveling the surface of the filling with the tooth surface, and when these protrusions collide with the teeth or are pressed upon during chewing and eating, they cause inflammation accompanied by severe pain.

How Long Does Pain Last After Root Canal?

The root canal procedure is performed under the effect of anesthesia, and the anesthetic effect wears off two hours after the completion of the filling. The pain continues after that for a period of up to a week, but by following medical advice and taking painkillers and anti-inflammatory drugs, the pain gradually disappears and occurs intermittently. After that, the patient feels an improvement, and the pain disappears completely, and any symptoms and inflammation disappear. However, if the pain persists for more than two weeks after the filling procedure, it is advisable to visit the doctor for an examination.

Causes of Tooth Pain After Root Canal Over Time

The causes of tooth pain after root canal over time are due to several mistakes or neglect in adhering to the instructions. We will explain this as follows:

• Tooth nerve inflammation: The nerve is the most sensitive part of the tooth to any changes that occur, and we note that in the case of a healthy tooth, it is surrounded by enamel and tooth tissues. However, in the case of tooth decay and the infection reaching the depth of the tooth cavity near the nerve endings, and the need to resort to fillings, the nerve may become inflamed by the chemical components of these fillings.
• Failure to secure the filling in the correct place in the tooth cavity: In this case, the dentist did not properly estimate the size of the filling material, and the cavity was not properly carved for it, or they did not level the surface of the filling with the tooth surface, resulting in protrusions appearing above the tooth surface.
• Severe infection in the tooth pulp: This is rare, but it occurs in the case of filling more than once in the tooth cavity, and the doctor prescribes the necessary procedures and treatment in this case.
• Mouth inflammation: In case of infection in the mouth due to neglecting oral care or using non-sterilized tools during the filling procedure or neglecting to take the antibiotics prescribed by the doctor after the procedure.
• Cracks in the filling: Pressure on the filling during chewing and grinding food or speaking may cause cracks or holes in the filling.
• Tooth fracture: Weakness of the tooth tissues and bones or its exposure to decay and filling more than once will lead to fractures and cracks, and the doctor will have to extract it in this case.

Treatment of Tooth Pain After Root Canal

The doctor prescribes the necessary treatment for the patient’s condition after the root canal procedure. The prescription includes non-steroidal painkillers such as paracetamol and anti-inflammatory drugs to treat tooth pain, in addition to antibiotics to eliminate any infection or bacterial residues in the tooth cavity. There are also some instructions that must be followed at home to treat tooth pain after root canal, which are:

1. Applying a local anesthetic ointment for the mouth.
2. Rinsing with water after meals and acidic drinks, as they cause erosion of tooth enamel.
3. Brushing teeth in the morning and before going to bed.
4. Using a suitable toothbrush for tooth sensitivity during this period.
5. Using the toothpaste prescribed by the doctor.
6. Not scrubbing the teeth while brushing them, but moving the brush in circular motions.
7. Using a miswak (natural toothbrush) helps soothe tooth sensitivity.
8. A warm water and salt solution helps eliminate any infection or treat inflammation in the mouth.
9. Avoiding foods and drinks rich in sugars.
10. Avoiding cold and hot foods and drinks.

How to Relieve Pain After Cavity Filling

There are some important tips that help relieve pain after cavity filling:

• Taking medications on time.
• Brushing teeth twice a day.
• Using dental floss once a day.
• Avoiding solid foods that cause pressure on the filling.
• Avoiding carbonated drinks.
• Avoiding caffeine.
• Reducing cold and hot foods and drinks. You can learn about whether tooth fillings are painful through this article.

Symptoms of Tooth Nerve Inflammation After Filling

There are symptoms that indicate tooth nerve inflammation after filling, which can be summarized in the following points:

1. Discomfort when consuming anything cold or hot.
2. Pain when pressing or biting on anything.
3. Inflammation when chewing and grinding any food.
4. Inflammation and swelling of the gum.
5. Feeling that the tooth is soft and spongy.
6. Swelling of the jaw.
7. Formation of pus in the area of the affected tooth.

Let our specialized doctors restore the function and health of your tooth nerve through root canal filling in our The Dental Center.

How to Place Root Canal Fillings

The root canal procedure is done over two or more sessions, depending on the patient’s condition and the extent of damage to the tooth. The steps for placing root canal fillings are:

During the First Session

• Examination of the patient’s condition as shown by the X-ray.
• Anesthetizing the gum or the area of the affected tooth.
• Drilling holes in the tooth cavity and removing germs and microbes in the dentin area.
• Isolating the affected area with a dental isolation paper.
• Disinfecting the cavity using solutions or water.
• Removing the entire contents of the nerve canal deep in the root of the tooth.
• Placing a temporary filling to seal all gaps in the nerve endings of the root.

During the Second Session

• The temporary filling is replaced with a permanent filling that fills the tooth cavity to prevent any infection.

During the Third Session

• A crown is placed on the top of the tooth to ensure that the filling is not lost, and in some cases, the doctor may perform this step during the second session. You can learn about the cost of root canal treatment through this article.

What are the Expectations After a Root Canal Procedure?

The goal of the root canal procedure is to remove decay or any bacteria from the tooth cavity and kill the nerve to eliminate pain. The voids are filled with fillings made of suitable chemical materials, and this procedure is performed under the effect of anesthesia.

It is expected that the anesthetic will wear off after two hours, and during the first 24 hours after the filling, it is preferable to drink only water and consume soft foods due to difficulty in chewing, swallowing, and moving the jaw. These symptoms disappear the following day, but in the subsequent few days, symptoms of pain and sensitivity appear. With regular intake of medications, they disappear, and after 10 days following the filling procedure, the patient becomes accustomed to the filling and does not suffer from anything.

Failure of Root Canal Treatment

Most root canal procedures are successful, but there is a small probability of failure due to several reasons, which we will mention below:

• Neglecting to clean the teeth after the root canal procedure and not regularly brushing them daily before going to bed.
• Cracks and holes forming in the fillings over time due to high pressure during chewing and grinding food and friction between the tooth and other teeth.
• Blockage of the nerve canal deep in the root of the tooth and failure to clean it and remove decay and infection from it.
• Cracks and fractures in the tooth structure itself, which weakens it, and in this case, the doctor will have to extract it.
• Failure of tooth restoration or its erosion over time.

Pain is the only or common indicator that helps identify whether there is a problem or not, in addition to determining the type of problem and working to solve it. Therefore, if the pain persists despite following the instructions and taking painkillers and anti-inflammatory drugs after a week from the filling procedure, it is necessary to consult the treating doctor to try to find the cause and take the necessary medical measures.