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DENTAL  FAQ's

Dental Pain

  This is going to hurt me more than it does you...


The anticipation of pain is perhaps the biggest deterrent to the acceptance of professional dental care, yet the management of oral pain is perhaps dentistry's most appreciated virtue. We discuss this apparent paradox...

Q: Hi I went to this dentist and was told I needed a root canal. The first day she took the nerve out. On the second visit she started filling the canal. Now ever since I left her clinic I have been in excruciating pain. I have been on painkillers and still no relief. On the second visit the only time she x-rayed my tooth was after she was done filling. Do you have any suggestions on why the roof of my mouth hurts when I speak, eat, laugh, even when I sit and do nothing. Thank you.

A: Although the intent of root canal treatment is to eliminate infection and pain, this does not necessarily happen immediately. Quite the contrary-- some amount of pain during and immediately after root canal treatment is to be expected. This is because the process may irritate sensitive tissues surrounding the root of the involved tooth. Additionally, septic material may be forced through the tip of the root during instrumentation, causing an acute flare-up of the pre-existing infection.

Your dentist should be made aware of your severe pain; he may be able to take steps to relieve your symptoms. Good luck!

Q: Three weeks ago I had a tooth filled. Now it seems sensitive to cold and hot. What does this mean? The dentist said it was a deep filling.

A: Some postoperative thermal sensitivity is normal, especially after a deep filling. This sensitivity may persist for several months. Occasionally, if the filling is made of a thermally conductive material, the tooth will continue to be more sensitive than other teeth, but this usually isn't manifest unless you expose it to something VERY hot or cold.

If the tooth becomes less sensitive over time, you can assume that no further action is necessary. If the sensitivity continues, is particularly severe, or begins to increase in severity, a return trip to your dentist is warranted...

 

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