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Unilateral headache after root canal

User Level:
Patient
Posted by: AliHilde  (8 years ago)
Hi,
I got a root canal on the second molar to the back on my upper right side about 2 months ago and have had continuous episodes of pain in the upper right side of my head and neck ever since. The root canal itself caused me quite a bit of pain. I got the permanent filling soon after the root canal. The pain can be quite intense and though I have been back to the endodontist and dentist to get my bite adjusted, the pain still persists. I've had several root canals in the past and never had complications (two of the teeth are next to this one). I'm not sure what to do. Any thoughts would be greatly appreciated! Thanks!
User Level:
Student
Posted by: Novocaine  (8 years ago)
Hi,
I got a root canal on the second molar to the back on my upper right side about 2 months ago and have had continuous episodes of pain in the upper right side of my head and neck ever since. The root canal itself caused me quite a bit of pain. I got the permanent filling soon after the root canal. The pain can be quite intense and though I have been back to the endodontist and dentist to get my bite adjusted, the pain still persists. I've had several root canals in the past and never had complications (two of the teeth are next to this one). I'm not sure what to do. Any thoughts would be greatly appreciated! Thanks!


Short of a full history and diagnosis, I can't be sure what is causing your pain. Are you sure this filling is permanent? Nevertheless, this could also be due to an overfill or any other complication that could have compromised you root canal treatment. Anyway, how long has this been? Is this pain constant or only when you bite/chew?
User Level:
Dentist
Hi,
I got a root canal on the second molar to the back on my upper right side about 2 months ago and have had continuous episodes of pain in the upper right side of my head and neck ever since. The root canal itself caused me quite a bit of pain. I got the permanent filling soon after the root canal. The pain can be quite intense and though I have been back to the endodontist and dentist to get my bite adjusted, the pain still persists. I've had several root canals in the past and never had complications (two of the teeth are next to this one). I'm not sure what to do. Any thoughts would be greatly appreciated! Thanks!


The injections and holding your mouth open might have triggered muscle spasm. Try heat packs, muscle massage, and muscle relaxants. If this relieves the pain, the problem is probably muscle dysfunction and not root canal post-op problems.
Posted 8 years ago
User Level:
Patient
Posted by: AliHilde  (8 years ago)
Thank you very much for responding to my message! Novocaine - Yes, the filling is permanent. The pain is intermittent and comes during the day, at night - whenever. It doesn't just occur when I'm biting/chewing. Kim - Yes, one dentist I went to suggested that this may be the case. I have tried all of these things and they seem to take the edge off but do not fully relieve the pain. The tooth itself is very sensitive as well and hurts when I brush, so I'm not sure if it would be completely related to just muscle dysfunction... The pain goes from tooth to jaw to the area around my eye and down the back of my head/neck. Thank you so much for your input!!
User Level:
Dentist
Thank you very much for responding to my message! Novocaine - Yes, the filling is permanent. The pain is intermittent and comes during the day, at night - whenever. It doesn't just occur when I'm biting/chewing. Kim - Yes, one dentist I went to suggested that this may be the case. I have tried all of these things and they seem to take the edge off but do not fully relieve the pain. The tooth itself is very sensitive as well and hurts when I brush, so I'm not sure if it would be completely related to just muscle dysfunction... The pain goes from tooth to jaw to the area around my eye and down the back of my head/neck. Thank you so much for your input!!


Well, the symptoms you describe are not typical TMJ symptoms. These kinds of diagnoses are extremely difficult. I have done thousands of root canal and get weird symptoms every once in a while.

When all else fails, I give a Rx for a Medrol dose pack, which is a heavy-duty anti-inflammatory drug. Every once in a while this gets rid of residual inflammation around the end of the root.

The possibility remains that a vertical root fracture is the cause of your problems. This cannot be remedied other than by extraction.
Posted 8 years ago
User Level:
Student
Posted by: Novocaine  (8 years ago)
Thank you very much for responding to my message! Novocaine - Yes, the filling is permanent. The pain is intermittent and comes during the day, at night - whenever. It doesn't just occur when I'm biting/chewing. Kim - Yes, one dentist I went to suggested that this may be the case. I have tried all of these things and they seem to take the edge off but do not fully relieve the pain. The tooth itself is very sensitive as well and hurts when I brush, so I'm not sure if it would be completely related to just muscle dysfunction... The pain goes from tooth to jaw to the area around my eye and down the back of my head/neck. Thank you so much for your input!!


If the root canal doesn't seem like it's fixed it, this most certainly sounds like this a crack in the root.
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