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Root Canal Issue

User Level:
Patient
Posted by: P600nlb  (10 years ago)
7 years ago I had a root canal on my upper right second molar. After several months pain developed in my sinus near the root of this procedure and the dentist extracted the tooth. The pain remained and after x ray it was clear that solid debris remained near my max sinus (suspected filling material) and dentist, maxio facial surgeon and ENT have stated it cannot be the material. I have managed with the pain however I am now at the point where I think I should insist that the debris is removed. Am I asking too much? Surely any foreign body should be taken out if localised pain and irritation is felt?
User Level:
Dentist
7 years ago I had a root canal on my upper right second molar. After several months pain developed in my sinus near the root of this procedure and the dentist extracted the tooth. The pain remained and after x ray it was clear that solid debris remained near my max sinus (suspected filling material) and dentist, maxio facial surgeon and ENT have stated it cannot be the material. I have managed with the pain however I am now at the point where I think I should insist that the debris is removed. Am I asking too much? Surely any foreign body should be taken out if localised pain and irritation is felt?

The question is: Is it worth the surgical risk to remove it, with the tiny chance it may be the source of your pain? In 34 years of practice, I have never seen small debris in a healed extraction socket cause the sort of pain you are describing.

I would have a dental CAT scan before your proceed further. There are sinus conditions that cause the sort of pain you are describing.
Posted 10 years ago
User Level:
Patient
Posted by: P600nlb  (10 years ago)
Thanks for the reply. Having read some of your earlier stuff on root canal and the materials used is there a chance that amalgam or other irritating previous material is to blame. I know I'm not an expert but
User Level:
Patient
Posted by: P600nlb  (10 years ago)
I know I'm not an expert but other research I have looked at indicates this could be the issue. http://www.aspergillus.org.uk/secure/articles/pdfs2/16793483.pdf
http://www.checkdent.com/dental-blog/complications-during-root-canal-treatments.html?lang=en. I know there are risks and nobody has indicated sinus conditions that can cause this pain - or how to treat them?
User Level:
Patient
Posted by: P600nlb  (10 years ago)
Ps - I had the cat scans and nothing showed up. I've had allergy tests and know I'm allergic to all things pollen related and am being treated for this - they only did the allergy tests recently after I returned to pursue. Allergiess for foods havent been done but I may consider this.. They did do sinus work at the time to clear a passage on the right side which is still restricted but they say it won't be this. Also the pain occurred BEFORE the root canal tooth was removed but straight after the root canal work - the material had gone past the root into the sinus. The gum where the tooth was removed is often sensitive and didn't heal hard - its almost like soft tissue and often tastes ususal to my tongue - sorta metallic.
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