Tooth aches after treatment. Causes of pain some time after root canal filling

Aching pain in a tooth occurs quite often. She torments and brings out. Why the tooth aches, what causes the aching pain, how it manifests itself, we will discuss below.

It is necessary to distinguish aching pain from other types of pain. The sensation in the tooth can be pulsating, sharp and tugging. The aching pain is tolerable, but too intrusive.

It is necessary to understand that the appearance of any unpleasant sensations indicates an emerging disease. Healthy teeth do not bother you.

Common diseases

Crack on the enamel surface. Pain appears after eating hot, cold, highly acidic and very hard foods. If chips and cracks are not eliminated, they will gradually develop caries, and then a more serious disease -.
Ordinary caries. The disease affects the enamel and dentin layer. Thanks to this, harmful microorganisms begin to multiply at high speed. The result is inflammation, which causes aching pain.
Pulpitis. In this case, the dental nerve is affected. Rinse and lotions are powerless here. Required.
Periodontitis or periodontal disease. If you feel pain in several teeth and the discomfort intensifies when pressed, then this is periodontitis. Teeth that are not treated for periodontitis lead to tooth loss.
Allergy. Perhaps the patient’s body does not tolerate the dental medications used.
Flux. This is a rather serious consequence of caries and pulpitis. The inflammatory process affects the jaw bone. As a result, flux is formed. The pain often radiates to the neck and ears. It has a strong aching character. Flux in most cases ends with the complete removal of the tooth.

When aching pain occurs

After dental trauma. We are talking about a mechanical effect on the teeth, after which their displacement, bleeding and pain occur.
After . This is a common occurrence. For this reason, pain occurs due to a doctor’s error, from an infection resulting from the procedure, and from non-compliance with the doctor’s recommendations. The tooth may also ache as a result of complex treatment. After coming home and the anesthesia wears off, the tooth begins to bother me. This is due to the complexity of treatment. In this case, you need to be patient for a short time.
After tooth extraction. This pain is temporary. The main thing here is to be patient. It will definitely go away in a day or two.
During the eruption of wisdom teeth. behind the outermost teeth. The eruption of the third coat is accompanied by very severe pain, constant malaise, increased body temperature, and difficulty swallowing.

In addition, patients suffering from hypersensitive teeth often experience aching pain. Pain indicates thinning of the enamel layer. Patients usually feel discomfort when cold air hits their teeth. There are several reasons for thinning enamel:

Poor hygiene or lack thereof.
Endocrine diseases.
Nervous diseases.
Improper and irrational nutrition.
Climax.
Pregnancy.

There is only one solution visible here: go to the clinic to restore the enamel.

Aching pain can come from the gums, from the nerve of the tooth or from the jaw.

Non-dental reasons

Sinusitis. When the mucous membrane of the maxillary sinus is inflamed, the teeth located on the upper jaw may ache. If dental crowns are installed in this place, they reduce the pain even more. If the pain is localized in the area of the back teeth, then most likely the sinusitis is odontogenic. In this case, a cyst appears at the base of the root, connected to the maxillary sinus. The pain intensifies greatly when chewing food and eating hot food. In this case, an otolaryngologist will help save the situation.
Trinitarian neuralgia. Painful sensations appear after hypothermia. This is due to weakened immunity. If the dentist does not see the problem, and the pain continues to torment, then you need to rush to a neurologist. Since, most likely, the branch of the ternary nerve is affected.
Angina pectoris. In this case, sweating, chest compression, shortness of breath and lack of oxygen are added to the toothache. The pain intensifies significantly after physical activity. In this case, a cardiologist will help.

If the toothache does not go away after a week or two after treatment, you must visit the doctor again.

Prolonged pain

Inflammation that spreads to the gums.
Equipment failure that occurred inside the channel.
The human body did not tolerate the filling material used.
The treatment was carried out by an unqualified specialist who seriously violated the technology of the operation.

If the tooth aches and the pain increases, most likely, secondary caries has begun to develop under the filling or crown. Secondary caries is formed due to:

Poor surface preparation.
A dangerous space has formed between the tooth and the filling.
The filling does not adhere tightly to the surface of the tooth.

If you do not take into account secondary caries, a tooth may ache due to:

Incorrect and poor-quality dental canal filling.
Damage to the canal walls.
Incomplete.
Tool breakdowns.

Very often the pain intensifies in the evening and at night. One of the reasons is the psychological factor. Sometimes we are forced to ignore pain due to constant busyness. Work, travel, communication, household chores simply distract from her. The body produces pain with low intensity, thereby allowing the person to carry out his business. After coming home, the whole body relaxes, and the nerve endings begin to show a serious problem.

The human body perceives pain most strongly from 12 o'clock at night to five in the morning. This is the most difficult time for existing diseases and for the body as a whole. At night, the nerve changes its tone and becomes painful. In addition, physiologically, people’s blood pressure increases at night. As a result, the tooth ache in the evening.

Treatment of aching pain

Medication

You should not torment yourself with aching pain. You should take one of the drugs: Pentalgin, Ketorol, Nurofen, Ketanov, Nimesulide.

However, these drugs should not be taken by pregnant women. Pregnant women can take Ibuprofen, Paracetamol, No-shpa.

Severe pain can be relieved by two medications taken at the same time. These are Aspirin and Analgin. There is only a limit on the number of receptions. Tablets (namely taken together) can be taken no more than twice every seven days.

For faster pain relief, you need to break the tablet and put it on the sore tooth. This will help reduce it temporarily. Only in this case should you not apply aspirin, it will easily burn the mucous membrane. Lidocoine helps a lot. However, it must be used in the form of an aerosol or gel.

Regarding antibiotics. These drugs are often prescribed by doctors to relieve inflammatory syndrome. But taking one pill will not help a person relieve the aching pain. You should take antibacterial drugs only after consulting with a specialist. Self-administration can only be done in exceptional cases. For example, a long business trip.

Traditional methods

These include:

Sea salt. For treatment, prepare a soda solution (a teaspoon of the substance in a glass of water), which is used to rinse the mouth.
Clove oil. You need to moisten a cotton wool with oil and apply it to the tooth.
Alcohol drops: camphor, valerian, peppermint. Application is the same as clove oil.
Camomile tea. You need to drink an infusion prepared in the following proportions: 2 tbsp. for 2 cups boiling water. After standing for 10 minutes, it is filtered and cooled. Only then are they accepted.
Echinacea infusion. The steps are the same as with chamomile infusion, only take 4 tablespoons of the herb.
Propolis. You need to put a small amount on the tooth.
Vodka. Rinsing with liquid in its pure form relieves pain well.
Garlic. Place a clove of garlic on your wrist and tie it with a bandage.
Furacilin or potassium permanganate. Solutions relieve swelling well.

Massage helps relieve aching pain. To do this, you need to massage the area between your thumb and index finger. Relief will come if you apply a piece of ice to this place.

Aching pain is well relieved by chewing. If your tooth aches, you need to put it in your mouth and chew one of the following products: mint leaf, clove stick, plantain leaves, fresh ginger.

If the patient is prone to ENT diseases, then you can use potato inhalations. To do this, you need to boil the vegetable, drain the water, sit over the pan, cover yourself with a blanket and breathe through your nose. If the cause of the pain lies in inflammation of the maxillary sinus, then after a few procedures it will noticeably subside.

Unconventional methods

If your tooth aches, an ear massage helps. To do this, use the thumb and index finger to massage the lobe and upper edge of the ear. The ear for massage should be chosen on the side of the aching tooth.

There is another type of massage - Shiatsu massage. It consists of the following techniques:

Apply pressure on the carotid artery from the side of the diseased tooth. The point of impact is under the lower jaw.
Apply pressure with great force on the temples. Quantity: 2-3 times. Perform the action with three fingers.
Press on the cheek from the side of the diseased tooth. The impacts must be strong enough. Three fingers are involved in the work.

There is an interesting method, the idea of which is to switch the hemispheres of the brain. You must try to deceive the nerve endings. For a right-hander, you need to temporarily become a left-hander. That is, do everything with the other hand. After a short period of time, the other hemisphere of the brain will start working, and the pain will begin to subside. This method will not help with severe pain.

To alleviate your condition, you should do the following:

Try to switch psychologically. For example, you can watch an interesting movie. You can also read a fascinating book.
When a tooth aches, you cannot warm it up. This action will cause unnecessary blood flow to the area. As a result, ordinary pain will develop into gumboil.
It is advisable to avoid a horizontal position, as lying down increases blood flow. As a result, pressure on the tooth increases.
Cry. Crying relieves pressure in the gums and thus relieves some pain. If you are a sentimental person, then crying will not be a problem. If you can’t cry, you can cut an onion and naturally shed a tear.

Toothache cannot be tolerated. You definitely need to make it easier with the recommendations described above. In addition, the cause of the pain itself must be eliminated in the near future.

Pain in teeth always occurs at the wrong time. It causes ruined plans, insomnia, and health problems. Often people have the feeling that all their teeth hurt. Painkillers and traditional methods at the same time muffle unpleasant sensations, but do not relieve the source of the malaise. Only a dentist can determine what caused the discomfort and cure the problem.

Nature of toothache and location

Unpleasant sensations and pain simultaneously in the entire jaw do not always indicate caries or other problems of the oral cavity. Often discomfort occurs due to stress, neurology, cardiovascular and colds.

The teeth are connected in a chain thanks to nerve endings. The processes of the alveolar nerves extend to each unit in the maxilla. The middle alveolar branch passes to the premolars, and the anterior branch passes to the incisors. Small nerve endings from the gums to the tops of the teeth are processes of the trigeminal nerve. With such a connection, any disturbance in the course of the innervation will lead to aching pain piercing the jaw.

If one or more teeth ache, it is not always possible to independently identify the source of discomfort. It can hurt on the right, left, above and below the problem area. The sensations are sharp or aching, constant or wandering, appear during the day or at night.

One tooth hurts and aches for no reason

Toothache is often localized in the area of its source. It can spread throughout the body, causing jaw twitching, migraines and fever. The culprit behind why a tooth aches so much is usually late-stage caries, its complications, sore gums, grinding of teeth for crowns, mechanical damage to the enamel (we recommend reading:). If a periodically aching front tooth is located on the upper jaw, the source of discomfort may be the optic nerve.

The entire jaw or several teeth ache at the same time

Aching of several teeth or the entire jaw is an extremely unpleasant signal, in which there is monotonous pain that intensifies upon contact with irritating factors. Its sources include dental problems, neurology, and diseases of internal organs. In this case, patients may complain of the following dental problems:

Diagnostics

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To eliminate toothache, you need to find the cause at the dentist. The specialist makes a diagnosis based on complaints, examination of the oral cavity, x-rays of problem areas or panoramic photographs of the jaw. A large role is given to differential diagnosis. It helps to distinguish dental problems from a number of pathologies in which all healthy chewing units are disturbed.

Visual inspection

The visual inspection begins with the upper right molars and ends with the lower right molars. During the examination, the doctor notes the presence of plaque, stains on the enamel, assesses its sensitivity, identifies carious lesions and other symptoms of aching toothache. Additionally, existing fillings, the condition of crowns, dentures, and microprostheses are taken into account.

During the examination, all necessary diagnostic methods are used:

thermal diagnostics to identify pain reactions;
fluorescent diagnostics using a special lamp;
percussion (tapping on the front and sides) to eliminate caries complications;
laser fluorescence to determine areas of remineralization;
oral hygiene indices;
X-ray diagnostics without harm to health.

Panoramic photo of the dentition

A panoramic photograph of the jaw demonstrates a picture of the current condition of the roots and periodontal tissues and reveals impacted units. Complete information about the oral cavity will allow the doctor to determine the cause of aching toothache and select effective treatment. Additionally, photographs may be required during and after therapy. With their help, the quality of canal filling in the upper and lower jaw and other manipulations is assessed.

Causes of pain

Teeth usually ache due to the following pathologies:

inflammation of the trigeminal nerve;
hypothermia;
temporomandibular joint dysfunction;
pulpitis;
nervous soil;
angina pectoris;
hypersensitivity, thinning of enamel;
root cyst;
stressful situation;
caries;
Otitis media in children.

By the nature of the symptoms and toothache, all current health problems can be determined. For example, caries damage to canines indicates a risk of hepatitis. If you have caries of a molar tooth, you should undergo dental treatment and be examined by a gastroenterologist. If the pain radiates to the ear, pulpitis, wisdom tooth growth, trigeminal neuralgia, sinusitis, and inflammation of the jaw joint are likely.

Caries or pulpitis

Caries and its complication pulpitis are common causes of toothache. Their symptoms differ significantly. Caries gradually destroys the walls of the teeth, starting with spots that turn into aching holes. At the same time, quickly passing reactions to cold and hot, and unpleasant sensations when touched, occur in the teeth. Pulpitis destroys the nerve tissue of the tooth, causing long-term, excruciating pain. Unlike caries, toothache with pulpitis occurs for no reason and torments at night. Caries makes itself felt during the day.

Unhealthy gums

Gum disease is often accompanied by inflammation, pain, and if left untreated, leads to tooth loss. Depending on the location, they are of the following types:

gingivitis – point inflammation of the gums around the tooth, which aches due to swelling of the soft tissues;
periodontitis is a process that destroys the supporting apparatus of the tooth;
periodontal disease is a violation of the blood circulation of soft tissues, their degeneration, leading to the appearance of interdental gaps and exposure of the necks of teeth.

Pain as a consequence of complications of rhinitis

A cold with a runny nose and fever may be accompanied by aching pain in a healthy tooth (we recommend reading:). Inflammation in paranasal sinus disease leads to the formation of sputum. It blocks the nasal passages, which creates pressure, which causes toothache.

Another source is a large amount of liquid with lemon, drunk during ARVI. Fruit acids can irritate sensitive enamel.

Throat diseases

The feeling when a perfectly healthy tooth hurts inside during a cold, sore throat, stomatitis, glossitis is familiar to many (see also:). Why does such pain occur? Doctors are unanimous in their opinion - it is associated with prolonged exposure to cold, drafts, and swimming in cold water. With stomatitis, painful ulcers appear in the mouth; with glossitis, the tongue is affected, and this often “gives” into the dental tissues. ARVI and influenza that are not cured in time lead to sinusitis and its complications (trigeminal neuritis, chronic tonsillitis), which can cause pain in the teeth.

Nervous pain

Separately, atypical unhealthy conditions are distinguished, the symptoms of which do not correspond to any disease. However, patients consider diseased teeth to be the cause of discomfort and insist on treatment. They feel pain deep in the bones that ache and spread to other areas of the body. Diagnosis of pathology that develops “on a nervous basis” includes a medical examination, psychological training, and tests for behavioral reactions.

One common phenomenon is phantom toothache. It is long-lasting and painful, cannot be relieved by analgesics, and migrates throughout the body. Doctors have found the reasons why it occurs - recent tooth extraction, jaw injuries, osteochondrosis, neuritis.

Treatment of toothache with traditional methods

If your tooth aches or hurts inside from time to time, you should not immediately suppress this condition with alcohol (we recommend reading:). Before visiting the clinic, painkillers (Ibuprofen, Nurofen, Nalgesin) and traditional methods will help relieve the condition:

rinse with baking soda solution every 2-3 hours;
treat with dental drops;
apply dental gels (for example, Metrogyl Denta) to the gums;
apply propolis to the sore spot inside the jaw;
if the tooth hurts very much inside, prepare a decoction of sage and oak bark for rinsing (we recommend reading:).

Prevention of oral diseases

Patients complain that “my teeth always bother me unexpectedly.” A few simple recommendations will greatly reduce the risk of suffering:

thorough cleaning of the anterior and lateral units;
regular dental checkups;
balanced diet;
use of irrigator and rinses;
limiting smoking, alcohol, sweets;
giving up the habit of chewing hard objects.

The feeling that the entire jaw hurts at once is characteristic of many pathologies. Pain is only a symptom of an illness, and its cause is not easy to understand on your own. If you experience any discomfort, you should immediately see a dentist, who will provide adequate assistance.

It happens that after treatment, the tooth under the new, recently installed filling begins to ache. If this lasts a short amount of time (several days), then such toothache after root canal filling is considered a variant of the norm (a physiological reaction to the procedure). If discomfort in the repaired unit bothers the patient longer, this is a reason to seek help from a specialist.

Why does pain occur?

The first thing that every patient should understand is that any impact on the dentin or enamel coating of a dental unit with a drill (or any other dental instrument that penetrates the tissue) is a real surgical intervention. The same applies to cleaning canals, despite the fact that during the work, the dental nerves are calmed by anesthetic injections.

After the anesthesia wears off, patients usually experience a short, aching pain in the tooth after filling. After two days, the wound heals, the body recovers, and the discomfort goes away. Cleaning and filling of dental canals is a full-fledged type of surgical intervention, so minor residual pain after manipulation is considered normal.

There are a number of criteria for determining the norm (or deviation from it) of toothache after root canal filling. Their list includes:

the depth and nature of the treatment measures taken;
the presence of complications, non-standard reactions of the body to manipulation;
how long does a filled tooth hurt after dental surgery?
dynamics of pain sensations (they decrease or, conversely, become more intense);
nature of the pain (aching, throbbing, etc.).

Important! All causes of pain after root canal treatment are divided into objective and subjective.

The latter include classic medical errors, incorrect diagnosis, incorrectly performed procedures, and insufficient technology of the equipment of the dental clinic in which the treatment was carried out. Unfortunately, even an experienced specialist sometimes confuses deep caries with chronic pulpitis.

If the diagnosis is incorrect, the patient will not only have tooth pain after root canal treatment, but may subsequently need to remove the “affected” unit. One of the factors explaining why a tooth hurts after root canal filling is a burn. Overheating a tooth, as a rule, is a mistake that inexperienced doctors make in small dental clinics, but it happens that such a “puncture” also happens to more qualified specialists.

The culprit is outdated equipment that does not provide for a water-air cooling system. When the tooth fragment processed by the drill is not cooled enough during operation, it overheats and a pulp burn occurs. The result of such an error is necrosis, which will cause pain when pressing after filling the tooth.

Dead tissue gradually decomposes, provokes further spread of the inflammatory process within the pulp, then leads to periodontitis, pulpitis and other pathologies. As a rule, a burn is an indication for re-treatment and refilling of the canals. Overbite is another cause of the problem. So, after the canals have been sealed, a closing filling is applied to the dentin by the dentist.

At the moment of biting, the tooth located in the opposite row puts pressure on it. With a correct bite, the functional load is evenly distributed throughout the entire dentition, but if it is too high, the entire jaw puts pressure on the tooth that was filled.

A foreign body in the canal under the filling (a fragment of an instrument, a piece of nerve) is a provocateur of pain syndrome

Polymerization stress is another factor that causes pain in filled canals. Most patients are not even aware of its existence; this phenomenon occurs when light fillings (composites) are installed. Subsequently, these fillings shrink and lead to pain. Discomfort appears because a special lamp is always used to harden the filling material - it is precisely because of its effect that the composite decreases in volume.

If the patient has had a multilayer filling installed, then the tension is greater and the stress is greater. A tooth with such a composite may ache for several weeks. The factors described above cause pain in the tooth with partial filling. But can a unit with a removed nerve hurt, because in this case the tooth is considered not “alive”?! Unfortunately, discomfort also arises in this case.

Even experienced dentists make medical errors during the treatment process: they overheat the tooth, poorly clean the canal and do not completely fill it, and do not properly treat (disinfect) the wound surface. Brief pain in a tooth with a missing nerve is normal. If such a tooth hurts when pressed for longer than 3 days, this is a reason to visit the dentist.

Medical errors as a cause of pain

Cleaning the canals and installing filling material is always accompanied by the use of anesthetics. Neither during treatment nor after it, any discomfort, other than minor post-filling pain, should arise.

It may be painful to press on a tooth when biting after manipulations for the following reasons:

The filling has gone beyond the root. That is, the installed filling is larger than required. What to do in this case: refill the tooth.
After cleaning, the filling did not completely close the empty canal. If its top remains empty (the filling material simply “did not reach” it), it becomes a breeding ground for pathogenic microorganisms, and a root inflammatory process develops here. In this situation, the filling is replaced with a new one.
Presence of a foreign body in the canal. It could be a piece of nerve, a fragment of a dental instrument. All this is not only the cause of pain, but also a factor provoking a sluggish inflammatory process (it can occur after a few days or within a couple of weeks).
During the manipulations, the dentist did not wash and disinfect the root canal well enough. This error occurs for several reasons: due to anatomical features (the channels have a complex structure) or the lack of professionalism of the doctor. The result is pain, infection, and damage to surrounding tissues.

How to cope with pain

If the pain syndrome does not arise for a pathological reason, dentists recommend doing nothing. Two days after filling the canals, the discomfort will disappear on its own. If the tooth hurts severely, you should not endure the unpleasant sensations. The easiest way to relieve the condition is to rinse your mouth with a soda-salt solution (½ teaspoon of each powder/glass of warm water).

It is recommended to repeat such manipulations 4 times per hour (that is, every 15 minutes). This composition will not only play the role of a local antiseptic, but will also relieve the inflammatory process. Painkillers can also help relieve pain at home (take them only on the recommendation of a doctor): Ketanov, Nise, Baralgin.

The cause of pain after installation of filling material may be an inflammatory process in the root part of the “repaired” tooth

When to see a dentist

If the pain syndrome, which should last no longer than a few days, does not go away within the specified period, you should immediately go to the doctor. Why do you need to consult a doctor: if you do not treat the “damaged” tooth, then not only will the pain intensify, but a lot of other serious complications will also develop. To determine the cause of the discomfort, a specialist will conduct a palpable examination, tap the tooth (so-called percussion), determine how viable the pulp is, and send it for an x-ray.

If the diagnosis reveals medical errors, the tooth will need to be treated again. In emergency situations, if conservative methods are ineffective, the “affected” unit will be removed and a crown, bridge or other suitable prosthesis will be installed in its place.

Important! When, immediately after the filling has been installed, the gums become swollen and the pain rapidly increases, you should immediately contact a dentist.

So, the fact that a tooth hurts after canal filling is a variant of the norm, but it may also indicate the development of a pathological process. It all depends on how long the unpleasant sensations last and what nature they have. If a tooth hurts when pressed immediately after installing a filling, the discomfort persists for longer than three days and the pain increases, this is a reason for an immediate consultation with a dentist.

Most people monitor the condition of their teeth and make a timely visit to the dentist in order to carry out proper treatment. However, it happens that such intervention causes pain (as a result of filling).

Why can a tooth hurt after filling?

Filling itself is a rather complex procedure, which collectively consists of the following actions by the doctor:

cleansing the tooth crown from tissue elements that are damaged by caries;
drying it before applying adhesive;
laying the filling material.

However, even following the correct technology does not guarantee that the pain will not recur after some time.

Why does a tooth hurt after filling?? To answer, you need to know all the nuances of each specific situation. Pain varies, and is expressed in sensitivity to certain characteristics of food:

warm or cold,
sour or sweet.

The sensation of pain can also be aching or sharp.

In addition, pain can appear 1-2 hours after the end of treatment, and can make itself felt within a day.

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5 comments

Vasya Petrov
January 25, 2015 at 9:51 am
This is what happened to me, as the article says, after going to the dentist, a couple of days later the tooth began to ache when chewing food, but after a while everything went away on its own, and I didn’t even self-medicate, and I still didn’t understand what the problem could be. I didn’t go to the dentist again, but as far as I know, such a problem can arise if the dentist makes a mistake, or if there is an allergy to the materials used to fill the tooth. Other problems are possible.
Tatiana Fedorova
March 28, 2015 at 10:13 am
After filling a tooth, a dentist with a good reputation had the following problem. The nerve was removed, the tooth was filled, the treatment took place during the day, but in the evening a viscous, aching pain appeared. I didn’t eat anything hot or cold, but my tooth kept me from forgetting about it. I didn’t want to bother the doctor again. There were dental drops in the medicine cabinet, a few drops on a cotton swab and on my gums, maybe I didn’t take them correctly, but the pain went away. The tooth bothered me for 2-3 days.
Olga
November 26, 2015 at 9:40 am
After filling a tooth (six), pain appeared when chewing food, the doctor said that this was normal, the pain would go away. I endured it for a month, after which I came to the clinic again with a request to do something, but the doctor again refused, moreover, she said that the pain can be felt even for a year or more, and this is again normal. As a result, having been in pain for more than a year, I came to another clinic, where they took a picture of my tooth and found signs of an inflammatory process, and they categorically stated that it was impossible to endure the pain for so long. Where is the truth? Is there a chance that after replacing this filling the pain will go away?
Alla
December 19, 2015 at 11:51 am
If you have your teeth filled and it hurts for more than a week, definitely see the doctor again. Let him do an x-ray or something else. The channel may need to be cleaned again. A dentist with a club-handed tooth filled my tooth and had to remove it after a couple of months. And also at the reception I had round eyes - yes, everything was fine there, but I couldn’t chew on the tooth, I was already warping from pain when pressed. I changed the doctor. Sometimes my gums still hurt after going to the doctor, especially in the place where the needle with the painkiller was stuck. In such cases, I have a periodontocide spray in my Patek bottle, I spray it, the inflammation goes away and the pain stops quickly.
Marina
September 6, 2016 at 10:15 am
It just so happened that during pregnancy I had to have a molar tooth treated and filled. This was the most painful trip to the dentist. After the tooth was filled, two hours later the aching pain began, and then everything just turned into a nightmare. I couldn’t take medications because I was afraid for the child, but I still decided to take paracetamol, and the pain subsided slightly. And subsequently for three days, as it subsided, I had to endure this pain.

Imagine the situation: all of a sudden your tooth starts to ache. The pain is so severe that it does not allow you to sleep, eat, or work normally. What does a reasonable person do in this case? That’s right, urgently seek help from a specialist. The dentist determines the type of disease, conducts all necessary examinations, and prescribes treatment.

Unfortunately, for the most part, drug treatment for such pain does not help, since severe pain is unlikely to appear due to minor caries or another insignificant and easily eliminated problem. Such sensations most often indicate inflammation, which can only be cured by eliminating damaged tissue and completely sealing the dental cavity modern filling preparations. If the diagnosis was made correctly and the treatment was carried out correctly, the pain after filling the canals should completely disappear and not bother you anymore.

You return home from dentistry in a good mood, after some time the anesthesia wears off... and then it becomes clear that the tooth hurts after filling no less than before. How could this happen? What caused the pain to return? Let's try to understand this topic in more detail.

Causes

At its core, dental treatment is the same surgical operation, an intervention in the well-functioning functioning of the body. This is why the injured area may occasionally feel sore for several days after treatment. In this case, the intensity of pain should disappear over time. Even with severe gum damage, the pain should completely disappear within a maximum of two months. If this does not happen and the pain in the tooth does not disappear after filling, it means that something went wrong during the treatment process. There could be many reasons for this. Here are just a few of the main ones:

If the disease has been severely advanced, there is a possibility that the inflammatory process from the tooth itself has spread further to the soft tissue of the gums. Visually or on an x-ray, not all inflammations can be recognized immediately, so even if your aching tooth has been completely cleaned and well filled, it is not the tooth itself that can hurt, but the tissues surrounding it.
Often the cause of toothache after filling is the patient’s individual intolerance to the components of the filling substance. In this case, in addition to pain, there are a number of other signs that the dentist can recognize. The only treatment in this situation is to replace the filling that causes the allergic reaction with a new one that is safe for the patient’s health.
Even a true professional in his field is not immune to accidents. For example, when treating a dental cavity with the finest dental instruments, there is always a risk that a small piece will break off and get stuck in the canal. However, a good specialist always checks the result of his work using x-rays. If this does not happen and you are very worried about toothache after root canal filling, be sure to conduct an x-ray examination to identify the presence of foreign objects in the tooth cavity.
There are cases when the removal of inflamed tissues was not completed completely, then in the sealed dental cavity the inflammatory process may begin anew, which will cause attacks of pain.
Another reason to take an x-ray after filling is to determine the boundaries of the installed filling. If your tooth hurts after root canal filling, it is possible that there is an unfilled space inside or part of the composite extends beyond the tooth on the jaw side.

Treatment

So, what should you do if several hours have passed after the treatment and your filled tooth still hurts? First of all, you need to calm down and wait at least 1-2 days. According to statistics, about 80% of patients in dental clinics experience pain after dental treatment. During the specified time, you can relieve severe pain by taking painkillers, as well as folk remedies (rinsing with saline solution or herbal decoctions, applying cotton wool soaked in medicinal tinctures).

If the pain gradually decreases, you should simply endure the pain until it disappears completely. However, if the tooth aches after filling for more than two days, and the pain only intensifies, be sure to consult your doctor. It is likely that some mistake was made during the treatment process or the filling simply needs to be replaced. In any case, you should not put off visiting the dentist until the condition worsens.