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Pain and swelling after the root canal

User Level:
Patient
Posted by: bornFree  (10 years ago)
Dear everyone,

My second premolar tooth on the lower right side became grayish dark in color. A few months ago, I got a cavity on the tooth. Three weeks ago, I noticed a feeling of tightness in my cheek and the gum around the tooth swelled. The dentist put me in a week course of antibiotics and told me to go to a root canal specialist after I finish it.

I went to the endodontist after one week. He performed the root canal, sealed the tooth with a temporary crown and asked me to go back in a week for the permanent crown. It’s now the third day since I had the root canal done and I still feel pain. The swelling in my gums have not subsided yet. Should I be concerned? Will the pain and swelling go away? I feel like the infection is still there even though I finished my antibiotics. Any thoughts? I would be grateful for your answers.
User Level:
Student
Posted by: ghnane  (10 years ago)
Hello. Give it more time to get the inflammation and trauma from root canal treatment to settle down. You premolar has been trough a lot by first being attacked by bacteria and developing decay then by endo treatment. It takes your body sometime to finish the inflammatory reaction even with antibiotics. Wait a couple of days. Make sure you feel comfortable before you agree to have the permanent crown put on otherwise you may run into problems.
User Level:
Dentist
Dear everyone,

My second premolar tooth on the lower right side became grayish dark in color. A few months ago, I got a cavity on the tooth. Three weeks ago, I noticed a feeling of tightness in my cheek and the gum around the tooth swelled. The dentist put me in a week course of antibiotics and told me to go to a root canal specialist after I finish it.

I went to the endodontist after one week. He performed the root canal, sealed the tooth with a temporary crown and asked me to go back in a week for the permanent crown. It’s now the third day since I had the root canal done and I still feel pain. The swelling in my gums have not subsided yet. Should I be concerned? Will the pain and swelling go away? I feel like the infection is still there even though I finished my antibiotics. Any thoughts? I would be grateful for your answers.


It will eventually subside, but it will subside more quickly if the swelling was lanced and the pus allowed to drain out.

Kim Henry, D.M.D.
Posted 10 years ago
User Level:
Patient
Posted by: bornFree  (10 years ago)
Hello. Give it more time to get the inflammation and trauma from root canal treatment to settle down. You premolar has been trough a lot by first being attacked by bacteria and developing decay then by endo treatment. It takes your body sometime to finish the inflammatory reaction even with antibiotics. Wait a couple of days. Make sure you feel comfortable before you agree to have the permanent crown put on otherwise you may run into problems.

How many days on the average does a tooth, which had such treatment, take to recover from the trauma? The dentist said when the permanent crown will be placed the pain will go away. So, what should I tell him? How long does a temporary crown last?
User Level:
Dentist
DO NOT have a permanent crown placed until the infection has subsided. Some obstinate root canals take a month to heal completely. Actually, it is the bone around the root end that needs to heal.
Posted 10 years ago
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