When a person begins to have a toothache, he goes to the doctor with the sole purpose of stopping this pain. Toothache not for nothing is recognized as the most difficult to tolerate. Endure her for a long time not a single stoic can. If the tooth is cured, it will stop delivering pain. Following this logic, the patient goes to the dentist.
The specialist does what it's supposed to. Cleans the canals, removes the focus of infection or necrotic fragments of the tooth tissue, sanitizes the oral cavity, puts a filling. All this is unpleasant, painful, not enjoyable. But now the treatment ends, the doctor did everything to stop the tooth from hurting. However, after some time, the tooth starts to hurt again under a new and established filling according to the rules. Why is this happening and what to do in this case.
Why does it hurt?
The first thing to understand is the effect on the enamel coating of the tooth or its main tissue (dentin) with a drill drill or any tool penetrating the tissue, and even more so, cleaning the canals is a real operational surgical intervention. In the process of working with a drill, usually the dental nerves are affected by an anesthetic injection, when it stops working, the pain becomes obvious and can be felt quite strongly. long time. surgical wound heals, the body recovers, it should take a certain time period, such pain after canal filling is considered normal.
How to understand at what point a deviation from the norm occurs, and when you need to go for help or take independent auxiliary measures?
By the way. There are certain criteria by which it is calculated whether this is a norm or a deviation. With natural pain reaction enough to wait a while. If something went wrong, and the pain continues and even intensifies, the algorithm of actions will be different.
Criteria for determining the pain norm.
- The nature and level (depth) of the treatment.
- The presence of complications after treatment, or non-standard reactions of the patient's body.
- Pain duration.
- Pain dynamics.
- The nature of the pain.
What causes pain? They are divided into objective and subjective. The second category includes typical medical errors, errors in the diagnosis, incorrectly performed treatment or insufficiently high manufacturability of the clinic equipment.
caries or pulpitis
Alas, very often, even in expensive dental clinics, it happens that the doctor incorrectly identifies the problem of the patient. For example, "confuses" deep caries with chronic pulpitis. Yes, they are similar and have an almost identical appearance. But if caries is suspected, especially when a well-meaning doctor seeks to do without treatment root canal, this error can cost the patient not only long period pain, but also tooth loss. If you apply a filling in any form of pulpitis or periodonitis, without cleaning and filling the canal, the tooth will hurt in depth until inflammatory process will not enter the culmination stage, and tooth extraction will not be required. Thus, paradoxically, the first cause of pain may be that the doctor did not fill the canals.
Burn pain
It would seem, how to get a burn in the dentist's office? Overheating and tooth burns are a problem mainly in small budget clinics that have outdated equipment that does not provide for the use of water-air cooling.
If the fragment of tooth tissue processed by the drill is not cooled enough, it will overheat and burn the pulp tissue. As a result, a necrotic area is formed, which in the future will cause pain under the filling. The mortified tissue will decompose, giving inflammation of the pulp, periodontitis, pulpitis and further, as in the previous paragraph.
Overbite
This source of pain is not taken seriously by many patients. After filling the canal, a closing filling is applied to the dentin. At the moment of biting, a tooth from the opposite row presses on the filling. If the bite level is normal, the pressure is distributed over the entire dentition. But if it is too high, the entire jaw presses on the sealed tooth.
By the way. Patients, and even doctors, tend to think that a protruding filling will “wear in” over time. It's a big misconception modern materials for fillings differ in durability. It can take years to "grind". And at this time, each bite will not only cause pain in the tooth, but also injure the root tissues. As a result, traumatic periodontitis will develop.
The specialist must carefully monitor the height of the bite, since the patient himself, according to sensations, cannot accurately determine whether it is overestimated. The treatment takes place under anesthesia. Numbness in the mouth. Feelings blurred and fuzzy.
Important! If after filling the tooth hurts precisely when pressed, it is necessary to go to the dentist and grind down the filling to a comfortable level.
Seal shrinkage
Another reason that most patients are not even aware of is polymerization stress. It happens when installing light-curing composites (the so-called light fillings). They subsequently shrink and begin to hurt. This happens because a special lamp is used to harden the filling material. After her impact composite material decreases in volume. Of course, this is not at all the shrinkage that occurs if a woolen cloth is washed in boiling water, but even a slight decrease in the volume of the filling causes stress on the surrounding tooth walls. If the filling is multi-layered, the tension is greater, the stress is stronger. A light filling can hurt for several weeks, or it can be inconvenient. long time.
What hurts if there is no nerve?
All of the above cases can be attributed to partial filling. And if all the root canals are closed with fillings, moreover, the nerves were previously removed from them? Where does the pain come from if the tooth is “not alive”?
Many experts believe that pain in this case should not be. But, since it does occur, and in a substantial number of patients, the question of the origin of pain in a tooth without nerves remains open and hotly debated.
In what cases can you not worry that after filling the canals under a temporary or permanent filling, pain continues?
Important! Short-term pain in the tooth, where there is no nerve, even if all the work on removing the nerves, cleaning and filling the canals was carried out according to the protocol and with no errors, is a normal phenomenon.
Table. The nature of pain after canal filling
How does it manifest Description Cause What to do
After the completion of the filling, mostly temporary, the pain occurs after a few hours or days. Are celebrated pain symptoms during biting (from pressure). If the bite level is not too high, the reason is the reaction of the periradicular tissues to the extraction of the nerve. The root canal is expanded, filling material is introduced into it. The body reacts to the stimulus. In this case, you can do nothing. The pain lasts from 5 days to 3 weeks. Pain dynamics should be positive (gradually subsiding, up to disappearance).
After the action of anesthesia has ended, aching pain remains under the filling. This is also due to the body's reaction to the removal of the nerve. The disturbed walls of the channel "whine". The pain can last from two hours to a day. If it continues for longer, you should consult a doctor.
This type of pain is rare. As if something is pulling in the tooth, it can feel like an incipient inflammation of the pulp. It occurs exclusively in the form of an individual reaction of the body to the expansion of the channel or to the filling material itself (its structural component). "Pull" the tooth can also be from hours to days. Everything should be over in a day or so. More about medical errors
Canal fillings almost always require anesthesia. In this case, pain should not occur throughout the entire treatment process. But both during and after treatment, in addition to normal, tolerable pain, there are complications caused by medical errors.
Medical errors in canal filling.
How to relieve post-filling pain
Most experts advise doing nothing. If the pain is normal, it will go away on its own in due time. But, if the pain is strong and interferes with the normal course of life, it is not necessary to endure them. You can use folk remedies or official medicine preparations.
By the way. The most famous "tooth relievers" have long been considered baking soda and salt. They have several effects at once - antiseptic, relieving inflammation, removing tumors.
If a tooth hurts after a permanent or temporary filling of the canals, rinsing is effective.
Soda rinsing procedure
A warm, but not hot solution is made in the proportion of 5 g of soda per 200 ml of water. Boil water first. It is advisable to carry out up to four rinses per hour, that is, every quarter of an hour.
Salt rinse procedure
The proportions are the same as when cooking. soda solution. You can rinse five times an hour. Salt is preferably used iodized. If the salt is ordinary table salt, two drops (per 200 ml of solution) of pharmacy iodine, with a concentration of 5%, are added to it.
Important! Iodine is used only by patients who do not have thyroid problems and who do not have individual intolerance to this component.
Medications
From home first aid kit to relieve dental pain after filling the canals, you can use drugs: "Ketorol", "Ketanov", "Baralgin", "Nise" and others.
Painkiller "Ketorol" in tablets
When to See a Doctor
If the pain does not decrease and does not pass in the time allotted for it according to the protocol, you should go to the doctor immediately. If you don't, you will provoke serious complications which will lead to protracted and difficult to liquidate consequences.
Important! Especially if, after the root canal filling, the gums are swollen and the pain increases, you should contact your dentist immediately.
To find out the cause of the pain, the specialist will conduct a palpable examination, tap the tooth (percussion), determine the viability of the pulp with the help of an electric current (EDI) and prescribe an X-ray diagnostic. If errors in treatment or other causes of pain are detected, the tooth is subject to retreatment. IN emergency cases When a tooth cannot be retreated, it will be removed and a crown implant, bridge or other recommended prosthesis will be placed in its place.
Video - Tooth hurts after canal filling
When there is pain in the tooth, even the most hardy person will not be able to withstand such discomfort for a long time. The most typical causes of severe pain are carious lesions of varying depth or pulpitis.
Of course, in such situations, the only place of salvation becomes dental office. Upon leaving it, many experience long-awaited relief, but sometimes the tooth still hurts after filling. The presence of toothache after the filling procedure leaves no one indifferent, so the patient is puzzled by the question, can a sealed tooth whine?
During the filling, the doctor artificially restores the physiological structure of the affected teeth, using filling material and tools.
The tactics of manipulation will depend on their condition:
- - in such situations, the doctor installs a seal in the cavity;
- - This is a more complex procedure, implying.
In practice, you can often hear people say that a tooth hurts after canal filling against the background of nerve removal, or after installing a regular filling. Patients are worried about what to do if it continues to hurt, and should throbbing pain in the tooth appear at all after the filling procedure?
To understand such an exciting topic, you need to have an understanding of healing process to independently distinguish normal condition and symptoms of deviations. In many cases, after the teeth hurt for natural reasons, and this is not always a sign of pathology.
How long does the pain last
Many are interested in how much the tooth hurts after filling. It depends on how extensive the carious cavity was before treatment and individual susceptibility.
stages of caries. The larger the cavity, the more difficult the treatment.
The therapeutic algorithm for primary and secondary caries consists of the following steps:
- the dentist completely eliminates carious foci that affected tissues;
- then the doctor processes the dental walls so that a filling can be installed in the prepared space;
- to create secondary dentin, the bottom of the cavity is lined with a special gasket;
- a seal is installed;
- at the final stage, the dentist grinds the filling, adjusts it according to the bite, forms fissures on the crown part.
The process gets more complicated when it comes to running forms caries, which deeply affected the dental tissues or led to the appearance of pulpitis.
Under such circumstances, the doctor performs the following actions:
A good filling is beautiful, but it can hide under it It's a dull pain.
- opens dental cavity drill, providing free access to root canals;
- removes the neurovascular bundle (pulp);
- prepares canals for filling - carefully cleans the affected areas with special nail files from dead tissue, expands the lumen, measures the depth of the working area;
- performs antiseptic treatment;
- using filling material, fills voids along the entire length of the canal;
- installs a temporary filling, and after a while a permanent one.
Why does a tooth hurt after canal filling or after a filling has been placed? These dental procedures are performed under local anesthesia thanks to which the patient calmly endures painful intervention.
During the procedure, dental tissues are exposed to serious mechanical damage especially in the treatment of pulpitis. Therefore, it is considered quite acceptable when a person was given a temporary or permanent filling, and the tooth aches at the end of the influence of the anesthetic.
Do not worry if discomfort is present the next day or intensifies while eating, biting, closing jaws, food or taste irritants.
Oksana Shiyka
Dentist-therapist
Got a filling and your tooth hurts? Such symptoms belong to the variants of the norm and are called post-filling syndrome. The discomfort is temporary - it will disappear on its own as soon as the tissues heal.
As a result, we can highlight the main points that indicate a normal pain reaction of a sealed tooth to a dental injury. At the same time, it becomes clear how much the tooth hurts after filling:
- the pain is slight or wears light aching character, especially when pressed, can pulsate;
- every day there is a decrease in the tooth discomfort, it hurts less and less;
- in the treatment of ordinary caries, it can ache for up to 5 days, but most often the discomfort disappears in 2–3 days;
- it is assumed that after the completion of the filling of the canals, it may hurt for 1-3 weeks due to greater trauma.
For pain under the filling and inflammation of the gums, be sure to go to the doctor.
If the tooth hurts a lot, there is intense pulsation, headaches, sharp rise temperature, inflammation of the gums, general malaise- this signals the presence of problems, therefore it cannot be tolerated, but it is necessary to contact the dentist again to resolve the situation.
Why does a tooth hurt with a filling
The most common errors made during the treatment of caries, which cause pain under the filling:
- the dentist treated deep caries against the background of chronic pulpitis or periodontitis. This is possible if the doctor filled the tooth without examining the x-ray, based on the data of the visual examination. oral cavity. In this case, a person's pain pulsates and occurs sporadically, intensifies at night, worries for a long time. In the presence of these sensations, it is recommended to contact the dentist without delay, since it is urgent to open the cavity and treat the canals;
- inflammation develops in the treated tooth due to a poorly treated cavity - this means that the doctor did not perform a thorough cleaning of caries and the remains of foci remained in the tissues, which causes toothache after filling, and will also lead to a recurrence of caries in the future;
- an allergic reaction to the delivered material - in practice, this phenomenon is very rare, since modern fillings are biocompatible with the human body. Suspicion is confirmed if not only the tooth aches, but also pruritus, rash, swelling;
- the installed filling does not correspond to the bite. Sometimes it happens that under the influence of an anesthetic, the patient cannot clearly determine how comfortable he is with a new filling, or is embarrassed to say so. When the sensitivity returns, it is found that when the jaws are closed, the treated tooth interferes, presses on soft tissues or cause other discomfort. The problem is easily eliminated - a bite correction should be carried out by a doctor;
- were overheated hard tissues, which caused a burn and necrosis of the pulp, and accordingly becomes the cause of severe pain after the installation of the seal;
- there was a shrinkage of the seal - a phenomenon called polymerization stress. This property is typical for modern light-curing composites, so the task of the dentist is to fill the tooth cavity with the necessary amount so that there is not too much or too little material. Large layers of composite will exert pressure on the crown of the tooth, causing severe pain, and the lack of a seal after shrinkage leads to the formation of gaps.
Oksana Shiyka
Dentist-therapist
Any patient may experience similar pain. common causes two - natural and error in treatment.
The video below shows how to identify the causes of pain that were the result of improper treatment:
Filled canals and pain
If pain appears after filling the canals, and it is not short-term, then this often indicates a violation of the technological process of treatment:
- improper pre-treatment of the canal was carried out - elements of caries, pulp remnants, infections remained in the cavity, the lumen was not sufficiently expanded;
- the dentist incorrectly determined the depth of the canal, so the material was outside the root or the canal was not filled along the entire length, which implies the presence of voids;
- sometimes in the process of cleaning the canals with thin needles, part of the tip may break off and go unnoticed while in the canal. Of course, such an action is not intentional, but will lead to sharp pains and inflammatory process after filling. discover foreign body possible with the help of an x-ray;
- perforation - the walls of the channels were instrumentally damaged during cleaning. Under normal circumstances, the dentist should immediately correct the misunderstanding by applying an adhesive solution to the through hole so that material does not seep through it to the surrounding tissues. If the channels were sealed in the presence of perforation, then sharp pains in the causative tooth are inevitable.
What to do in all these situations? Do X-ray and definitely see a dentist for re-treatment.
What do we have to do
As a rule, everything pain after installation, the fillings are transferred quite easily, and soon they disappear completely. But if a slight aching pain after filling a tooth distracts from everyday activities, then they will help simple recommendations which will speed up the healing process.
So, what to do if the pain does not go away:
- in the first days after the procedure, eat warm food that does not irritate dental tissues;
- refrain from sour, sweet, solid foods;
- do not load the causal area in the process of chewing;
- observe meticulous hygiene;
- if a person knows about his excessive sensitivity, then it is advisable to immediately check with the dentist about painkillers - these can be Nise, Ketanov;
- solutions based on soda, salt or herbs - mint, chamomile, sage - have a calming effect.
With drug dulling of pain, it is important not to increase the dosage on your own, because the pills can muffle the symptoms, masking the true signs of the pathological process.
Now you know how much a tooth can hurt after a filling is installed and whether it should hurt at all after that. If you have any questions, we will be happy to answer them in the comments.
A visit to the dentist does not always guarantee instant relief from discomfort in the mouth. Why does a tooth hurt after filling, and when should you seriously worry about it? Do I need to go to the doctor again or can I solve the problem myself?
How a filling is installed
To cure caries, it is necessary to fill the diseased tooth, which occurs in the following order:
- the affected dental tissues are removed;
- the cavity in the tooth is processed;
- the bottom of the cavity is lined with a special gasket, which helps the formation of secondary dentin;
- a seal is installed;
- surface grinding and grooving.
With advanced caries, when pulpitis has already developed, the doctor under local anesthesia will carry out the removal of the damaged nerve, cure the pulp (lay the medicine) and put a temporary filling.
A week later, in the absence of complaints from the patient, the dental canals are filled to the full length, and the tooth is closed with a permanent filling.
The use of anesthesia in the treatment of acute pulpitis requires high medical qualifications: blocking the sensitivity of a diseased tooth (the use of anesthesia local action) leads to the fact that the dentist overdoes it and breaks the wall of the root, and this will cause periodontitis.
Causes of pain after tooth filling
Untimely eliminated defective areas of enamel eventually cause the development of caries, which ends with a neglected carious process, pulpitis, periodontitis or granuloma.
Whatever the degree of damage, the treatment of the aforementioned diseases is a mini-surgery with mechanical intervention in the crown of the tooth.
You can often hear that a tooth has recently been treated, now it still hurts, why? Many people noted that after the procedure, discomfort remains, which becomes stronger under the action of cold air currents or while chewing. This "behavior" of the tooth is the norm, because filling is a small surgical intervention, and pain is the body's response to damage. nerve fibers. It lasts a couple of days, and if the cleaning was done correctly and after that a filling was placed, it is not too pronounced and feels like a “tooth aches”.
Video
If the canals of the tooth were sealed, the recovery will take longer - about a month, during which the pain should become less intense every day until it disappears completely.
But the degree of concern of the patient directly depends on how much after filling the tooth there is aching pain. Important to pay attention and on the nature of pain sensations: it hurts to chew, from time to time it twitches in a calm position or shoots constantly.
If the tooth aches or the units located next to it ache, their sensitivity to mechanical impact within 1-3 days after a visit to the dentist - this is normal. There is an individual sensitivity of everyone to dental procedures, how long the healing period will last depends on this. But, if the tooth is sealed, and he does not think to stop creating tangible discomfort, you need to visit your dentist and establish the cause.
After a filling is placed, the tooth may hurt for the following reasons:
- Violation in the process of setting the seal. Excessive or insufficient drying of the cavity before the filling is installed causes irritation of the nerve endings, which provokes pain. If the filling does not adhere tightly to the walls of the crown, harmful microorganisms will freely penetrate into the cavity, causing secondary infection of the tissues and inflammation.
- The carious lesion was not completely removed. If the tooth is destroyed very badly, in addition to removing dead tissue, it is necessary to lay medicines into the cavity and the installation of a temporary filling material. Doctors do not always follow such a treatment protocol. After visiting the dentist, the pain may not only not go away, but even intensify, since conditions without oxygen are necessary for the development of a new inflammatory process. Secondary infection with caries of an already cleaned cavity sometimes provokes pulpitis.
- Allergic reaction to filling material. Similar cases- an extreme rarity and the doctor comes to such a conclusion only by excluding all other options.
- Wrong established diagnosis . Chronic caries and pulpitis, an inexperienced dentist sometimes confuses, eventually putting a seal in the wrong place.
- medical negligence- installation of filling material incorrectly or the use of a cheap analogue.
- Non-compliance with recommendations. The final filling material hardens only after 2 hours. Any food or drink during this period will change the acidity of saliva, which negatively affects the tightness of the seal.
If the teeth hurt after the canals were filled and the intensity of the pain does not decrease for a long time, this indicates that not all nerve endings have been removed.
Rising temperatures are evidence of development purulent process in the cavity. It is necessary to contact the dentist, who must correct their omissions. Also sensitivity dental canals appears if the appearance of pores was allowed during the installation of seals.
Video
When the gum hurts
If the filling material goes beyond the boundaries of the tooth root, the soft tissues of its periodontium will be affected and the inflammatory process in the gum will begin to develop, which will be accompanied by severe pain.
Also, the gum becomes painful if the nerve is not completely removed and the infected tissue remains after the installation of the filling material. Its suppuration and inflammation will begin, which turns into purulent pulpitis, periodontitis and further, in the flux. All this will be accompanied by intense pain, both during chewing and at rest, swelling of the jaw, fever. To avoid possible complications, at similar symptoms you need to contact your dentist immediately. He will open the abscess, disinfect and drain it.
The cause may also be the actions of the dentist, who touched the gum when placing the filling, but this discomfort passes quickly.
What folk remedies will help reduce pain:
- rinsing the mouth with a solution of salt and soda;
- applying to the filling site a cotton swab soaked in an infusion of lemon balm and valerian or in a tincture of calamus root;
- rinsing with decoctions of herbs of sage, calendula, yarrow, chamomile, mint with the addition of oak bark and propolis;
- clamp a cotton wool soaked in fir oil (5 drops) in the teeth that have been treated, but make sure that the cotton wool does not touch the gums, otherwise a burn is possible;
- applying a piece of ice to the disturbing place (keep until completely melted); as an alternative, you can use a frozen herbal decoction;
- after eating, rinsing the mouth with a solution of soda with the addition of a couple of drops of iodine;
- rubbing disturbing places with a cotton swab with clove oil.
From medications help: tempalgin, nurofen, ketanov, ketorol, dexalgin, ketorlak, baralgin, analgin, etc.
A tooth can also hurt due to the fault of a dentist who healed it incorrectly or poorly, and what other reasons are there:
- carious relapses. The service life of the filling material is five years. After that reliable protection he will not give a tooth from an infection, and caries resumes.
- Cyst. Its development is asymptomatic for a long time and therefore goes unnoticed during treatment.
- Not overbite fitted filling. If you press it while biting ( anterior tooth) or chewing food (molar), discomfort and pain will be felt, as soft tissues will become irritated.
Why does a tooth itch under a filling?
- prolonged exposure to stress;
- exposure to allergens: toothpaste, certain foods, prosthetic parts of the dentition, briquettes;
- lack of ascorbic acid;
- candidiasis stomatitis;
- ARI and influenza;
- large-scale deposits of tartar or plaque on the teeth.
What to do after the tooth is correctly and successfully cured? For a couple of days, give up:
- smoking;
- too hot and cold food;
- confectionery;
- chewing food on the side of the sealed tooth;
- hard and coarse food.
To diagnose yourself without consulting a dentist is fraught with serious complications. If a sealed tooth has been disturbing for more than a month, the first thing to do is to go to the dentist.
Video
Treatment of caries or pulpitis - difficult process. In addition to installing a filling, the doctor must expand carious cavity, remove all damaged tooth tissues, and, if necessary, depulp the tooth, clean and seal the canals, and if at some stage the doctor made a mistake, then his wrong actions will lead to the fact that the patient has. Might be worth checking out.
How is the treatment of the tooth
First, the dentist, using a drill, expands the cavity of the damaged tooth, removes altered and dead tissue. After that, I treat the walls of the cavity with special glue, this is necessary so that the filling material adheres more closely to the walls and does not form voids. If the pulp is not damaged, then a special gasket is placed on the bottom of the cavity, and when deep caries- medicine containing calcium hydroxide. Similar actions necessary to preserve the nervous tissue of the tooth, and in addition, this substance contributes to the formation of secondary dentin. Only after all the manipulations, a filling is installed, then it is polished and given the necessary relief, in order to ensure the correct closing of the teeth.
If pulpitis is being treated, then it is necessary to remove the nerve tissue of the tooth, then clean and fill the canals. A similar procedure is performed under local anesthesia, and very often the doctor first puts medicine into the cavity to relieve the inflammatory process, and covers it with a temporary filling, and installs a permanent one only at the patient's second visit after a few days.
After placing a filling
After the treatment of pulpitis, and in rare cases, after the treatment of caries, the patient may experience pain for some time. More often toothache after filling, if they press on it, bite off food with it, or pain appears when temperature stimuli, when consuming sour, spicy or sweet food. Within a few days, sometimes weeks, such phenomena pass. They are caused by the fact that in the process of interfering with the integrity of tissues, nerve endings were damaged. Just try to avoid situations that can cause pain in the treated tooth.
As a rule, pain is of low intensity, and there is no need to take analgesics.
If the sensitivity of the teeth does not go away within three to four weeks, then you need to see a doctor. If there are medical indications, then you will be offered to depulp the tooth and clean the canals, and if everything is in order with the canals and nervous tissue is not damaged, then the doctor will be able to recommend a toothpaste and rinse, which help reduce the sensitivity of the enamel, or he will advise the procedure for fluoridation of the teeth and coating them with active calcium. This will help not only reduce sensitivity, but also strengthen the teeth and reduce the risk of developing caries.
When toothache after root canal filling and removal of the nerve, the cause may be incomplete removal pulp tissue or when filling the canals or cavity of the tooth, voids have formed, due to which secondary inflammation of the tissues develops. In such cases, the pain is usually very strong, occurs spontaneously, may be throbbing or aching. Often, swelling of the gum tissue develops, swelling of the adjacent cheek also develops, and difficulty appears when swallowing or when opening the mouth. If left untreated, the patient's general well-being worsens and the temperature may rise. With the development of suppuration, an unpleasant bite in the mouth and a characteristic smell from the oral cavity appear.
When toothache after root canal filling, and at the same time, over time, the intensity of pain only increases, and symptoms of the development of the inflammatory process appear, you should consult a doctor immediately. It should be borne in mind that the inflammatory process in a closed cavity develops rapidly, and quickly affects neighboring tissues. With unfavorable development, suppuration may occur bone tissue tooth or an extensive purulent lesion of the muscular tissues of the face. Such diseases require long-term treatment in a hospital, and sometimes surgery.
Very rarely pain syndrome develops due to the fact that the patient has an allergic reaction to the components of the filling material. In addition to pain and discomfort, other signs of allergy are usually present in such cases: itching, rash, etc. Pi such symptoms, it is necessary to remove the filling and put a new one that does not contain allergens.
Pain in the treated tooth can also occur due to damage to the filling. Any material wears out during operation, and over time, the filling ceases to hermetically close the tooth cavity, it moves away from the walls of the teeth, food debris can penetrate under it, an inflammatory process develops, the walls of the teeth are affected and caries develops, and then pulpitis. At the same time, very often the patient himself does not notice the deterioration of the seal, and the dentist, even during a routine examination, determines that the seal needs to be replaced.
If the filling was placed recently, then it may fall out due to improper preparation cavities, for example, if the tooth walls were overdried or underdried before filling. It is also possible to damage the filling during chewing or biting, especially in cases where the patient neglects the doctor's recommendation to refuse to eat within two hours after the treatment.
When a tooth hurts after filling, it is better to consult a doctor, the dentist will determine the causes that cause discomfort, and if necessary, will perform the necessary treatment.
Why does a tooth hurt when pressed after filling? This question involuntarily arises after a visit to the doctor, regarding the installation of a permanent filling. You need to visit the dentist regularly. Not everyone follows this recommendation and go to a specialist when things get really bad. After examining the oral cavity, the doctor announces the verdict: “It is necessary to fill!” The procedure is lengthy and not very pleasant. Sometimes the patient notes some discomfort that occurs during meals or when drinking too cold liquids. Why, after filling, it hurts to press on the tooth, we will consider in more detail.
What is the dental filling process?
By itself, the process of installing a permanent seal requires unconditional adherence to the rules of asepsis. An insufficiently disinfected instrument, poor-quality cleaning and filling of the canals lead to the fact that after the installation of the filling, the tooth hurts when pressed. Installation of a seal is a set of actions of a dentist:
- Removal of the remnants of an old filling or carious formations with a drill;
- Rinsing of the cleaned cavity;
- Air drying;
- Cleaning of dental canals;
- Removal of nerves, if any;
- Drying channels;
- Sealing channels one by one;
- Drying of sealed canals;
- Installation of a temporary or permanent filling, depending on the degree of damage to the tooth;
- Stitching the filling on the bite.
And now, it would seem, everything is behind, but after a while the patient notes that it hurts to press the tooth after filling. Why does a tooth hurt under a filling when pressed? Discomfort is due to many factors.
Pain is different
The nature of the pain is different:
- Aching;
- short-term;
- Acute;
- Stab;
- Growing.
Also, pain can occur when exposed to various stimuli:
- Eating hot food;
- Cold water;
- When chewing food;
- When you are outside in the cold;
- When eating foods with high content acids.
If the tooth ached for a long time before treatment, it is not surprising that after the filling was placed, the tooth hurts when pressed. Soon the pain will subside and the whining will stop. To alleviate the condition, you can take an anesthetic.
Another nuance why a tooth hurts when pressed after filling is that the filling is set too high. In this case, you need to go to the dentist to grind off the excess filling material. As a rule, the pain goes away immediately. Don't expect the filling to sit. constant pressure on the filling as a result of eating can lead to the development of periodontitis. At the same time, the periradicular tissues become inflamed and an infection may develop at the site of prolonged compression.
Causes of pain after filling
The feeling of pain in the tooth after filling with pressure occurs for a number of reasons:
- Violation of sealing tactics;
- Inflammation of the channels;
- Too narrow impassable channels;
- Establishing a seal above the prescribed level;
- Seal shrinkage;
- Infection of the dental canals with poorly processed instruments;
- Poor quality material for sealing;
- Incorrect diagnosis before the intervention;
- The development of an allergic reaction to the filling material.
All these factors may be due to the fact that the tooth hurts after filling when you press it. Trying to save him, dentists do not always resort to the removal of nerves. Accordingly, the channels do not require intervention. But after the filling procedure, pain occurs. This, as a rule, indicates that the nerves still needed to be removed and a high-quality sanitation of the canals should be carried out. The result of such work of the dentist is one - it is necessary to remove the newly placed seal and carry out all the work again. But this time the dentist should be more attentive and carry out the sealing with high quality, in compliance with all norms and rules. If, even after filling the canals, the tooth hurts when pressed, the cause must be sought elsewhere. Let's take a closer look at each situation that leads to soreness after visiting the dentist.
Channels are to blame
So, so that when pressing on the tooth there is no pain after filling, the doctor must clean and close the channels with high quality. The diameter of the channels is different for all people, as well as the height and size of the feet. Therefore, to expand the root canals, the doctor uses different sizes spiral needles. After that, the channels are cleaned and the cavities are disinfected with a special solution. The channel is then dried and filled with material. If the dental canals are poorly cleaned or not completely closed, it develops infectious process. This is the main reason why the canals were sealed, and the tooth hurts when pressed. It is necessary to open the newly installed seal as soon as possible and repeat the whole process from the very beginning, but with better quality. Root canal infection can cause:
- flux;
- Pulpitis;
- Purulent process.
It is for these reasons that a tooth hurts when pressed after canal filling. Very often, the actions of an inexperienced dentist lead to removal.
Flux - the occurrence of soft tissue edema. As a rule, swelling is accompanied by fever, weakness and malaise. It is not worth treating the flux on your own, it is better to go to a dental surgeon to treat the pathology.
Pulpitis - inflammation of the pulp, also requires the intervention of specialists. Self-medication is extremely dangerous, entrust your sores to specialists.
A purulent process occurs when the canals become infected. The danger of finding pus in the oral cavity is that the exudate, together with the blood flow, can enter the brain and provoke the development of meningitis. If you find a white spot with contents and at the same time the filled tooth hurts when pressed, urgently go to the dentist for a second appointment.
Or were they treated
Pointing in the doctor's office to a bad tooth, the doctor begins treatment. It seems that everything went well, but at home the patient discovers that they have put a filling, and the tooth hurts when pressed! What's the matter? It happens that the doctor, due to inexperience and insufficient qualifications, begins to treat the adjacent tooth. After all the procedures, the adjacent tooth hurts even more, since the intervention is a kind of operation. Impact on the diseased tooth with mirrors and other instruments, while the doctor conjures over healthy tooth, trying to cure it, increases the pain.
You can check whether the tooth has been cured like this: tap on adjacent teeth metal object, if the pain is felt in any tooth, feel free to go to the dentist for a proper diagnosis.
Or maybe just allergies.
In our time allergic reactions affects about a quarter of the population. Poor-quality material used by the dentist for sealing can lead to the fact that the tooth with the filling hurts when pressed. In addition, there is swelling, increased tearing, transparent discharge from the nasal cavity. Often there are attacks of suffocation. If you find the above symptoms, you should not just go, but run to the doctor to remove the installed seal.
An allergic reaction usually occurs when a dentist uses cheap filling materials Chinese production.
In this case, it is necessary to replace the adhesive material with another one that differs from the previous one in chemical composition.
You can not ignore the pain and uncontrollably take painkillers if:
- Edema and swelling are observed in the area of the sealed tooth;
- An abscess appeared in the oral cavity;
- The body temperature has risen;
- The head and the cured tooth hurt very much;
- The filling interferes and does not make it possible to tightly close the teeth;
- You feel the gap formed between the filling and the crown of the cured tooth;
- The cheek is swollen and the edema does not subside for more than three days.
When the above symptoms appear, you should not hesitate. There is no point in self-medication, this can only aggravate the situation. In these cases, the tooth will hurt under the filling when pressed. You may have to say goodbye to a cured tooth forever.
First aid for asymptomatic pain
If, after treatment, the teeth ached under the filling when pressed, but no accompanying symptoms not observed can be used different therapeutic methods pain relief.
- Rinsing with a warm solution of soda and salt will relieve pain and destroy pathogenic bacteria. You can prepare the solution as follows: in a glass of water, at a temperature of 37 - 40 * C, dissolve 1 teaspoon of soda and salt. Rinse 4 times a day and after each meal.
- Good decoction of chamomile flowers relieves inflammation. For cooking healing decoction you need 1 - 2 tablespoons of dry grass pour a glass of water, bring to a boil, leave for half an hour, strain and rinse your mouth.
In no case should heat be applied to a swollen cheek. In the presence of a latent purulent process, it is possible to provoke the development of an abscess.
To quickly alleviate the condition when a sealed tooth hurts when pressed, you can take an anesthetic tablet. stop quickly pain attack will help:
- Tempalgin;
- Ketanov;
- Pentalgin;
- Nise;
- Nemisil;
- Analgin;
- Nurofen.
All medicines should be taken according to the attached instructions. Do not drink 2 or even 3 tablets at once. Overdose adversely affects the cardiovascular and digestive systems.
In order to prevent the destruction of teeth, it is necessary, by all means, to undergo an examination by a specialist. Let the visit be paid more than once every six months. At least once a year, take the time to visit the dentist. Indeed, as practice shows, from a young age it is necessary to protect not only honor, but also teeth!