Dr. Satish Gupta

Highlights

• Pain from a root canal is usually mild.
•  In most cases you should be able to manage it with over-the-counter pain medications, like ibuprofen (Advil, Motrin) or acetaminophen (Tylenol).

A root canal is a major procedure, so pain after a root canal is normal. A root canal involves deep cleaning inside the canals (the inner chamber of the root) of your tooth, which can in turn irritate surrounding nerves and gums.

The pain shouldn’t last forever. In fact, a root canal is meant to help you avoid pain related to a decaying or fractured tooth. It’s normal to experience mild to moderate pain for a few days after a root canal. Any pain beyond this point may warrant additional cleaning of the canals or other procedures.

Initial recovery period

In the past, root canals were extremely painful. This is one reason why people sometimes avoided such procedures. Dentists now have pain-relieving measures that can be used to reduce the amount of pain you experience during the procedure.

Before the process begins, dentist will apply a local anesthetic that minimizes pain. You might still feel pressure during the cleaning, but you shouldn’t be in pain during the actual procedure.

As the local anesthetic wears off after the root canal, you might experience mild pain and sensitivity. This is related to the cleaning process. During the cleaning process, your dentist makes a small opening in the crown of the tooth and cleans out diseased pulp inside the pulp chamber of the tooth. While uncomfortable, any pain and sensitivity following a root canal should only last a few days.

Since the pain experienced after a root canal is usually mild, you’ll likely only need over-the-counter pain medications for relief. 

You should also avoid chewing hard foods immediately following the root canal, as this can induce more pain.

When to seek help

Root canal pain should decrease over time. If you still experience pain or swelling, you should see your dentist. Most people need one to two sessions for a root canal to be successful. In severe cases, you may need more cleaning sessions. 

Recurring pain could be an indicator of this.Your symptoms should ease up if you’re taking any over-the-counter pain medications. If they don’t, your doctor may recommend prescription-strength ibuprofen or narcotic pain relievers. These are only taken on a temporary basis.

Once your tooth is completely treated, your dentist may put a crown on top of it. These can be made of metal, porcelain, or gold. The idea here is to prevent future damage to an already delicate tooth. Sometimes pain is a temporary side effect as you get used to a newly placed crown.

PAIN MANAGEMENT

Pain beyond a root canal should be addressed with your dentist. Beyond taking medications temporarily, there are other things you can do to manage pain from a root canal. 

Taking care of your teeth is a must, and you should avoid hard and crunchy foods until your pain improves. Quitting smoking can also help.

‘Smoking is injurious to health’, is a caption that is flashed on all cigarette packets. However, what is not told about is their adverse effects on the mouth.  The mouth with the lips, teeth, and gums are not just the first points of contact for a cigarette but also one of the majorly affected parts.

Listed below are how smoking affects the teeth and the mouth at large.

1. Bad breath (halitosis)

2. Tooth discoloration (brown to black spotting)

3. Tobacco deposits on the teeth leading to irritation of the gums

4. Increased formation of plaque and tartar on the teeth, leading to significant gum disease

5. Gum disease leads to tooth loss

6. Increased jaw bone loss

7. Lower success rate of dental implant procedures

8. Delayed healing after any oral procedure including extraction, periodontal treatment, or oral surgery

9. Increased risk of leukoplakia, white patches inside the mouth, which is a precursor to oral cancer

10. Increased risk of developing oral cancer

11. Reduces blood flow to the gums, thereby affecting healing

The tiny tobacco deposits sit on the tooth surface and with time, produce brownish stains. These are a constant source of irritation for the gums, causing gum disease. Unlike the regular plaque caused by food, this is much harder and more abrasive on the gums. This leads to damage of the periodontal tissue, which are connecting fibers between the teeth and the gums.  This leads to gradual tooth mobility and eventually loss.

Correlation:  If you are a smoker,

1. You are at risk for gum disease twice compared to a nonsmoker.

2. More cigarettes you smoke, greater the risk for gum disease.

3. More number of years you smoke, greater the risk for gum disease.

4. Poor response to regular treatment for gum disease.

Management:  The gum disease can eventually lead to tooth loss.  Therefore, the gums need to be protected at all cost to maintain oral health.  Some things to do are listed below, starting from the seemingly innocuous to the severe infections.

1. Regular cleanings at your dentist's office once in 6 months

2. Daily brushing and flossing to manage early gum disease

3. Deep cleaning below the gum line and prescription mouth rinses if there is already existing gum inflammation

4. Surgery to remove deeply seated plaque and tartar.

5. Surgery with bone graft to replace the bone lost to periodontitis.

6. Most important of all, quitting smoking.  This will produce remarkable benefits when the above are followed.

However, if the above are done with continued smoking, the effects will not last long.

Cigarette smoking is one habit, which has way too many effects on way too many working’s of the body and therefore kicking the habit is the best way to manage, not just your teeth, but your overall health.