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Sensitivity in adjacent tooth after rct
I had my wisdom tooth removal on 10th May and then went for root canal treatment for my infected molar tooth next to wisdom tooth. On 20th may 3rd sitting of rct , I felt severe pain during RCT treatment though local anesthesia has been given. Doctor confirmed with xray during and after RCT that there is no debris in cavity site of the molar tooth.after rct my pain not subsided, it not like pain before RCT but it's moderate pain and more like irritation and sensitivityon the adjacent tooth and upper molar tooth.. On 23rd may sensitivity relieved somewhat on day time but pain again comes after eating meals and then again sensitivity pain started 24th May early morning 3.30 . But the pain/sensitivity intensity is low compared to last two days.. it's been 4days still sensitivity adjacent to the RCT treated tooth and upper line molar tooth .ó Kindly clarify whether it's problem for concern or not.
Attached digital OPG xray took before the whole treatment.
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Based on your description and the provided information, it appears that you are experiencing post-treatment sensitivity and pain after your root canal therapy (RCT). While some discomfort following RCT can be normal, the persistence and specific nature of your symptoms warrant a closer look. Hereâs how you can approach this situation and discuss it with your dentist:
Understanding Your Symptoms:
Post-RCT Sensitivity: It is not uncommon to experience some sensitivity and mild pain after a root canal, especially within the first few days. This can be due to inflammation in the surrounding tissues.
Adjacent Tooth Sensitivity: The pain and sensitivity in the tooth adjacent to the one treated could be due to referred pain or inflammation affecting neighboring teeth.
Upper Molar Sensitivity: Similar to the adjacent tooth, this could be referred pain or might suggest an issue affecting the upper molar.
Potential Causes:
Residual Infection: Despite the treatment, there might be lingering infection or inflammation.
Inflammation: Post-operative inflammation can cause sensitivity and pain.
Bite Issues: If the filling or crown from the RCT-treated tooth is slightly higher than your natural bite, it can cause pain and sensitivity.
Referred Pain: Pain from one tooth can often be felt in another area due to the complex nerve pathways in the mouth.
Next Steps
What to Discuss with Your Dentist: When you speak with your dentist, itâs essential to provide a clear and detailed description of your symptoms. Hereâs how you can structure your discussion: Symptom Timeline: Mention the exact date of your wisdom tooth extraction and RCT. Describe how the pain and sensitivity have evolved since the procedure. Note any specific triggers for the pain (e.g., eating, temperature changes). Nature of Pain: Specify if the pain is sharp, dull, throbbing, or continuous. Mention any changes in pain intensity. Location of Pain: Clearly identify if the pain is localized to the RCT tooth, adjacent teeth, or other areas like the upper molar. Response to Treatment: Describe how the pain has responded to painkillers or other treatments you have tried. Concerns and Questions: Ask if the pain and sensitivity you are experiencing are normal post-RCT symptoms. Inquire if there could be any issues with the RCT itself or if further treatment is required. Discuss the possibility of referred pain or bite adjustment needs. Ask for any recommendations to manage pain and sensitivity in the interim.
Health Tips
Additional Advice: Pain Management: Use over-the-counter pain relievers as advised by your dentist to manage pain. Oral Hygiene: Maintain good oral hygiene but avoid harsh brushing around the sensitive areas. Diet: Stick to soft foods and avoid extreme temperatures to reduce irritation. Follow-Up: Schedule a follow-up appointment with your dentist to monitor your progress and make any necessary adjustments to your treatment plan. Digital OPG X-ray: The digital OPG X-ray you provided will be crucial for your dentist to reassess the situation. Ensure they review this along with your current symptoms to make an informed decision. By providing a detailed account and asking pertinent questions, you can help your dentist diagnose the issue more accurately and receive appropriate treatment.
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