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I am troubled often by mouth ulcers. Are there simple remedies for this? I use a pain relieving gel and go on a course of folic acid and becosules and they come under control.
I am 35 year old male bad smell and bleeding from mouth. Very little black hole in my teeth. Please give treatment for me.
Tfn implanted two years back. Implant broken (proximal end) one year back by itself. Advised revision surgery. Age 57 years.
I am 23, I have broke my 1 upper incisor tooth on 26th June accidentally, Dentist have cemented with temporary one for 1 month. He recommended to do me capping. What about capping warranty. Is it will be for lifetime? Whether I have to visits specialized one or any dentist can do capping?
How scared are you of root canals? what if we tell you. You no longer need to be?
Root canals are easily one of the most dreaded treatments in the world. I have seen patients compare the anxiety they feel before a root canal to things like open heart surgery and labour. The last thing you want to hear on a dental chair is the diagnosis that you need a root canal. The horror stories surrounding this dental treatment range from gruesome to excruciating.
This article is an attempt to dispel the mystery and pain associated with root canals and show you how far we have come from the horrors to the sophistication of the latest technology.
From painful to pleasing
What are root canals really?
In its simplest sense a root canal is a deep filling done by cleaning the infection from the third and innermost layer of the tooth which is made up of nerves and blood vessels.
Our tooth is made up of 3 layers the first 2 are hard and confined layers called enamel and dentin when decay affects these it is very slow to spread and easy to remove and fill within one short session.
The third layer may take 1-3 sessions to clean as the infection may have spread or collected in the supporting tooth structures.
Why are root canals considered painful?
The 3rd layer of our tooth is a nerve chamber containing soft nerves and blood vessels in communication with the rest of our body.
This is the place that communicates pain to our brain and this is why when decay or bacteria hit this soft deeper layer we experience sharp shooting pain.
Top 3 reasons why root canals used to be painful
Improper or inadequate anesthesia to numb the inflamed nerve
Mechanical instrumentation to manually pull out the nerve which we now dissolve and clean with automated machines
Lack of the right medications to use within the tooth.
What happens to root canal infections if left untreated?
If this pain is suppressed with medication and not treated it can lead to an infection spreading within the bone which may later lead to a swelling with pus etc.
If this infection is left within it can eat into the supporting bone and eventually infect or affect the adjacent teeth as well.
When a small cavity isn't treated in time, the tooth decays badly that normal filling cannot solve the problem. In such cases, your dentist will probably advise you to undergo, a root canal. When performing a root canal, the dentist will remove the nerves and pulp within the tooth, clean the inside of the tooth and seal it. After this procedure your tooth will not sense anything and should be pain free.
However, in some cases you may still experience pain after root canal and there are four main causes of this pain:
- Swelling of ligament around the tooth: One of the signs that you need a root canal is swelling of the gums. Even after the nerves and pulp within the tooth are removed, the ligaments around the infected tooth may still be swollen. This can take some time before the tissue is normal again. In most cases this is the cause for pain after a root canal procedure.
- Damaged tissue: Part of the root canal procedure is to clean the insides of the tooth. Here the dentist must be very careful to not go beyond the tooth. In some cases the file used to clean the tooth may go beyond the root and damage the tissue there. Another possibility is that the sealant used to fill the tooth may go beyond the root, thus aggravating the tissue. This can take some time to heal and may cause pain.
- Excess filling: After the tooth has been cleaned, the dentist fills the tooth with a sealant. If excessive sealant is filled in the tooth, it may become taller than the surrounding teeth, which puts extra pressure on the tooth and results in soreness and pain. The dentist will have to remove the excess sealant in order to resolve this issue.
- Phantom pain: Phantom pain is rare when it comes to root canal. This occurs when the nerve leading up to the tooth still behaves like it were connected to the tooth despite the nerve within the tooth being completely removed. The peripheral nerves will need to be treated to resolve this issue.
In most cases, these events cannot be prevented. There is also no reason to expect that this is a symptom of your root canal being a failure. Stay in touch with your dentist and brush and floss your teeth regularly. You will soon notice the pain subsiding.