Cavities, enamel cracks, lesions, diseases, etc., are all factors that can damage a tooth, or even cause its loss. Indeed, when the nerve of the tooth is affected, it leads to inflammation and pain. In this case, a root canal may be an alternative to extraction. With such a procedure, the tooth can survive, but pain after a root canal can sometimes persist for a while. Is this normal?
Root canal treatment or devitalization
Root canal treatment is a procedure that may, in some cases, require several appointments, depending on the extent of damage to the pulp and the shape of the canal(s). First, the dentist will administer local anesthesia to the affected tooth. Next, a protective rubber dam, called a rubber dam, will be placed around the tooth. The purpose of this is to protect the tooth from bacteria in saliva. The dentist will then drill into the isolated tooth to access the canal and remove the pulp (nerve). The canal will then be cleaned and widened. Finally, the dentist will fill the canal and seal the tooth with specially formulated materials.
The tooth becomes sensitive after the procedure
During a root canal, the dentist will attempt to remove the inflamed nerves. This is an irreversible procedure, meaning that once removed, the nerve cannot regenerate. Generally, this will eliminate the pain around the tooth, but it's possible that it may remain sensitive for a few days. To alleviate this discomfort, the dentist may prescribe anti-inflammatory medication. Ibuprofen is one example. If the pain persists beyond a few days, it's best to consult your dentist to avoid potential complications.
The pain persists for a few weeks
One or two weeks after a root canal, your tooth may remain sensitive. In rare cases, you may experience inflammation or pain after a root canal, which will gradually subside over time. However, it is not normal to experience this for several months. If this is the case, you should make an appointment with your dentist to determine the cause. Among other things, the tooth may have broken after the procedure, some parts of the canals may not have been completely cleaned during the procedure, etc. Your dentist may even refer you to an endodontist for a more thorough diagnosis of the treated tooth.
When all attempts at devitalization fail
After a few years, a root-canal-treated tooth can become infected again, and you may experience pain even with a root canal. In such a situation, it is sometimes possible to repeat the root canal treatment. However, often, if the tooth is fractured, if its root has a deep cavity, or if it has suffered significant bone loss, there is no other solution than extraction.
Root canal treatment, also known as devitalization, is a procedure that involves cleaning and disinfecting the inside of a tooth to save it from extraction. The results can last for years, and sometimes even a lifetime, provided the patient follows their dentist's advice, is in good health, and maintains good oral hygiene.
