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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

I'm wondering if anyone can help me.
I've been going to a dental school to get cheaper prices on my dental work. The first thing they did was to tell me I needed a root canal and so I let them do it.

That was six months ago and it hurt after they did it. They kept saying the pain would wear off. I think it's also making my sinus blocked up and I have a sinus headache all the time.

Finally they did xrays and the head of endodontry said that the root canal looked beautiful. He tapped on my teeth and I almost went through the ceiling when he tapped lightly on the root canal tooth.

The he tested my teeth for cold and he said that it was the NEXT tooth to the root canal tooth that the gum was sensitive to cold.

He says THAT tooth needs a root canal.

Meanwhile, the original root canal tooth that they did is killing me. I can't chew on that side and even if I put my finger on that tooth it hurts.

I always though that after the nerve had been removed from a tooth you couldn't have pain. This is horrible. Can anyone help? TIA
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Community Member
Posts: 1,067
Registered: ‎01-20-2003

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
#1 question....did they recommend having a crown done on that tooth after the root canal? It is pretty common for a tooth/root to fracture after a RCT, IF a crown is not done. The blood supply is out of the tooth, which in a sense 'dries out' the tooth structure, plus having that inner pulp gone, the tooth is just more susceptible to fracturing. Alot of time, teeth w/ root canals can fracture vertically--the length of the root---and if it does that, it's pretty slim of the tooth being saved :-(

Ya--sensitivity is normal for a couple mo's; but with what you are describing--that isn't normal. No, the sensitivity isn't coming from the tooth's nerve itself, BUT if it is fractured, that torquing back & forth when biting can be a killer! Do you have a dull ache from time to time too?






If your gecko is broken, you have a reptile dysfunction.
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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
I originally went to them because I had lost a lower crown. I was going to get the lower crown when I can afford it and hoping to get that newer root canal tooth crowned too.

You mean it could have fractured??!!

I had been putting off the crown for the newer root canal tooth until the pain went away but it never did go away. Sometimes it feels like a nail going up through my head but that could be coming from the tooth next to it that they now say needs a root canal also.

That side of my face hurts and my sinuses are blocked up a lot on that side, somehow it seems related to teeth.
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Community Member
Posts: 1,067
Registered: ‎01-20-2003

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
Yes....it could have fractured, but do have them take an x-ray (the crack may or may not show up) and do some better diagnostic testing. I know quite a few patients who had put off doing a crown, and then ended up losing the tooth altogether. It is a huge bummer.

I'm assuming this is an upper tooth, being you're talking about sinus problems too---that is pretty common. The upper molar roots are really close to the sinus floor--so alot of times those teeth/sinus problems go hand in hand! And, if you have an infection with the tooth/root due to a fracture, the bacteria is constantly 'wicking' itself down the crack & into the sinus--thus the sinus plugginess = (

I guess if I were you, I'd make an app't w/ a dentist---not the school---even though you do get a great deal on the work, but sometimes you just need an answer FAST! (and the schools have to have their docs check off on each & every step...makes for a long frustrating time, sometimes!)

Hang in there.....keep me posted, K???






If your gecko is broken, you have a reptile dysfunction.
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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
The pain sometimes is a dull pulsuating pain.

Yesterday I made an appointment with another dentist for a second opinion about the necessity for another root canal but he can't see me for weeks, sometime in April.

What other diagnositc testing do you suggest? I could call the dental school and ask to have those tests. They have done tapping on the tooth and xrays. What else is there?
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Community Member
Posts: 28
Registered: ‎03-26-2003

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
It has been several years, but I had a root canal done in a tooth and it continued to hurt for several weeks afterward. They kept looking at it and trying to figure out what was going on. I ended up having a procedure where they cut a window in my gum line and cut off the ends of the tooth, capping them in amalgum (sp?). That solved the problem. This all happened through the local dental school. They called in an oral surgeon specialist to do the work and the room was filled with students watching the whole thing. They didn't charge me for it because I agreed to let everyone watch. It now has a crown. By the way, I have a good friend who is a dentist and comes from a family of dentists. He always told me that I would get the best care at a dental school. I went to the dental school for years until my husband got really good insurance, and then it was cheaper for me to go with a regular dentist. But I know of my dentist through the dental school. Good luck.
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Community Member
Posts: 1,067
Registered: ‎01-20-2003

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
yikes zag....I've only assisted on that type of procedure a couple of times & it looked umm...'not fun'!--it's an apicoectomy w/ a retrograde amalgam--very good of you to remember the lingo! I'm impressed = )

newengland--one trick we'd use a 'Tooth Sleuth'--basically a plastic stick with bumps, and depending on how the pt. would bite, it would help to pinpoint which cusp had the crack. Definately call around 1st thing tomorrow, try & get in somewhere--even if it is the school (if you have some extra time). One quick temporary fix, if they could take the tooth out of occlusion at least (so you are putting NO biting force or pressure on at all) that may help you get by til they can figure out the long-term treatment & prognosis.






If your gecko is broken, you have a reptile dysfunction.
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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
I'm confused about who to go to -- the endo department at the dental school already tested it and didn't do anything about it except to sort of file it down or whatever you call it. The new dentist doesn't do root canals and his secretary gave me the impression that he could tell you if you needed one but I don't know if he'd be able diagnose this tooth.

Maybe I should ask HIM to recommend an endodontrist and try to get an emergency appointment with him?
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Community Member
Posts: 1,067
Registered: ‎01-20-2003

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
You wouldn't necessarily need to see an endodontist...any seasoned DDS would be able to diagnose & more than likely treat--unless they do not do endo at all. If you see a specialist, you WILL pay specialist fees = ) Do you have any good friends that can recommend a great DDS in your area? At least for a starting point!






If your gecko is broken, you have a reptile dysfunction.
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Community Member
Posts: 5
Registered: ‎08-12-2006

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
This did happen to me...I had root canal and 4 roots were drilled out and much pain persisted after the temporary cap was put on. It turned out that I had a fifth root that wasn't seen the first time. Now the tooth is fine after more drilling to remove it. He may have given me a bunch of nonsense, but that is what I was told. By drilling I mean with the hand bits or wires that they use.
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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
All of your posts have been helpful -- thanks. What I ended up doing was to make an appt with the endodontrist part of the dental school but I was sort of pushy and said I was thinking that the tooth might be fractured and is there any way to test for that.

First, they just wanted to give me more painkiller but I persisted and so now they are going to take the temp crown off and go inside the tooth with a microscope thing. I hope they really do this -- I don't want to leave without finally knowing what's wrong.

I also have an appt with a regular dentist in April but he knows nothing about root canals his secretary said. He could just look at the other tooth and tell me if I need one.
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Community Member
Posts: 38
Registered: ‎07-11-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
I had root canal 3 yrs ago and complained that it hurt every visit.

My full x-ray came due and when the dentist took it he found that I had a root left in there that was infected!

I ended up having to have it extracted and now I have to get an implant. Its very expensive (with insurance)!

I was very sick with the infection for a couple of months.

Do not let this go. Get it checked out.
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Community Member
Posts: 1
Registered: ‎03-07-2007

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
Have them check your tooth with a more advanced x-ray machine. I went through pain for better than a year. I had x-ray after x-ray done where they said nothing was wrong. They even tried that "adjacent tooth" story. The pain was never overly severe...just annoying enough to keep me from eating on that side of my mouth. When my face started to hurt, I went back to them again and was told it was nothing. I went to my regular doctor to see if it was a sinus infection. It wasn't. He put me on yet another antibiotic and sent me back to the dentist.

Imagine my suprise to find out the dentist that had done all the work on my tooth was no longer there. I saw a temporary dentist who saw the problem on one of my OLD x-rays. She told me I would probably lose the tooth and sent me to a specialist. He too, could see the 4th canal on the x-ray. By this point, the infection had gotten into all of the canals and up into my facial bones. Although his treatment of that canal fixed the main pain, I still have discomfort in my face and was told that it could be up to a year before that part of the infection clears up.

Go to a specialist before it is too late.
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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
Thank you. I'm going today.
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newenglandnew
Community Member
Posts: 263
Registered: ‎03-06-2004

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
To add to the information already here -- and if it's of any help to anyone else, they took out the temporary filling today and didn't find any evidence of fracture in the tooth. It was VERY painful when they went up inside the tooth so they put some medicine (calcium hy-something or other) up inside it and put another temp on. I am to come back in two weeks and it should have "calmed down." They took xrays from different angles and will see if there was another root that was missed.
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Community Member
Posts: 8
Registered: ‎02-10-2009

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
I'm sorry about the pain you're going thru. Years ago I had a similar problem. My tooth kept hurting no matter what my dentist did. Finally he did a root canal but the pain kept coming back.

The pain always came back, at first just a feeling of pressure. Finally another specialist was going to do a procedure,(I don't remember what it was called to clip the nerves where there would be no feeling,

During surgery he found it was a tumor. Every time someone worked on it, it had relieved the pressure just enough to stop it hurting. There had been a tiny spot on all my previous X-rays going back for years, so make sure you see a qualified dentist. You probably have a different problem, but worth checking out.
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Community Member
Posts: 1
Registered: ‎03-13-2007

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
Err, why does eBay have forums?

Anyways, last night the tooth I had a root canal on about six months ago abruptly became very painful. There is a dull pain that persists regardless, and slight pain to the touch. I suppose it sounds like I have something different than you since my tooth felt fine for the past six months. I go to see the dentist in the morning, and I'll try to remember to post the diagnosis if I'm not too doped up.

Best of luck!
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Community Member
Posts: 1
Registered: ‎03-14-2007

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
SOUNDS LIKE YOU HAVE THE SAME PROBLEM I HAD WITH MY LAST ROOT CANAL, I JUST GOT BACK FROM THE DENTIST WHO AFTER 8 MONTHS OF PAIN WITH THIS TOOTH HAD TO GO BACK IN AND REMOVE BONE MATTER MORE ROOT ETC. IT WAS NOT FUN IF YOU ARE IN PAIN AND CAN NOT CHEW BE SURE TO GO BACK AND HAVE IT TAKEN CARE OF THE LONGER YOU WAIT THE MORE BONE LOSS ETC, YOU COULD HAVE A CRACKED TOOTH AS IS WHAT COULD HAVE HAPPENED TO ME ANY WAY, THE AFTER FIX WAS MUCH WORSE THANE ORIGIONAL ROOT CANAL, I WOULD HAVE JUST PULLED THE TOOTH IN THE BEGINNING... IF I KNEW THIS WOULD HAPPEN.... THANKS DAVE
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Community Member
Posts: 1
Registered: ‎03-14-2007

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
I got a root canal on a lower back tooth 3 1/2 years ago. It hurt for a whole year. My ear, jaw, and head hurt all of the time. My dentist kept trying to adjust the level while all of the time telling me what a wonderful job he did. Finally my boss could take no more and sent me to his dentist. After getting me to buy a tooth guard for TMJ and it causing me more pain, the dentist opened up the tooth, checked it out and closed it back up. Instantly the pain went away. For 2 years it was pain free. Then I decided it was time to get a crown. The temporary was fine, but immediately after getting the crown put on, I was in terrible pain. It has been 2 weeks and my ear, jaw, head and sinuses are killing me. I think I am going to have the temporary put back on and if that doesn't work, I am having the tooth pulled. Besides all of the pain, the worse part was that no one believed me. In fact the first dentist laughed at me.
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Community Member
Posts: 1,067
Registered: ‎01-20-2003

PAIN IN TOOTH LONG AFTER ROOT CANAL

in reply to newenglandnew
Hey rosa = )
Quick question---did your DDS adjust your splint after inserting the permanent crown--? All splints always need some fine tuning on the inside (where the new crown would fit into) cuz the new crown more than likely will be a tad different shape & cusp height, etc. compared to the original tooth. And, did he do alot of fine tuning on the bite w/ this new crown--? Some pt's end up going back 1 or 2 times to do some occlusal adjustment. Just a thought...

Don't extract it if possible!!! Otherwise, all that moola you have invested is down the drain....and missing teeth can start an array of problems, and in the long run will end up costing you more $$$.....not fun = (

hang in there girl! (And NO professional should ever make their patient feel like they are imagining things--and esp laugh at them. Grrr!!) Glad you left that practice!!






If your gecko is broken, you have a reptile dysfunction.
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