Why does a toothache appear after removal of the nerve, when is it necessary to ring the alarm?

When a complication of tooth decay takes place, the enamel damage occurs, which leads to the formation of pulpitis. As a result, the person experiences severe pain. Sometimes the only solution to the problem is the removal of the nerve.

Modern treatment methods allow conducting a procedure under anesthesia within a half of an hour. Often, there are situations when a severe toothache occurs after removing the nerve and filling channels, such as biting or pressing on it. Why does it happen, and what to do when it’s time to ring the alarm?

Pain after tooth filling

Depulpation procedure is conducted as follows: after the local anesthetic is being injected, the dentist removes the nerve and performs cleaning of the channels. After the work is done, the seal is being installed.

Under anesthesia, the patient does not experience any discomfort, but in fact, the procedure of removing the nerve cannot be painless. Nerve endings are woven into a single trunk, which is responsible for the sensitivity of the face and jaw.

Therefore, a formation of pulpitis can lead to discomfort in the ear, temple, and forehead. During the process of depulpation, a nerve is being torn off from the common trunk, causing, thus, tissue micro trauma.

Since there is a serious interference in the human body, unpleasant feelings arise in every second patient. These effects are considered to be natural, so they should not cause concern.

In this condition the following symptoms are considered to be normal:

• Increased sensitivity when exposing to external stimuli (food, cold air, sweet drinks).
• Discomfort when pressing or biting.
• Suddenly arising pain, especially at night or during sleep.
• Discomfort during clamping the jaws.

In addition to the sensitivity near the treated area, the patient experiences severe headaches, general weakness, and deterioration of health.

Over time, these feelings should subside. The worsening of the state of health may indicate inflammatory processes that lead to flux, purulent lesions of the gums.

It is a quite logical question: “How long does a toothache after removal of nerve and filling last?”.

If the tooth hurts more than 7 days, and it becomes more intense and sharp, then there is an urgent need to visit a doctor.

Low-quality treatment

Complications arise for the following reasons:

• Poor cleaning of channels. This could result in microbes that develop under the seal and cause inflammation.
• Nerve tissue has been removed not completely. The consequence of this error may be an increase in temperature.
• The void under a seal. This occurs as a result of incorrect calculations for shrinkage of material. The consequences are quite dangerous and can lead to an abscess, tooth walls decay, the formation of fistulas.
• The output of material for sealing off the root apex. This error may result in a visit to the surgeon. The doctor will perform a simple operation. It lasts 40 minutes and is aimed at removing the apex of a tooth.
• Non-standard structure. For example, the doctor observes three teeth roots, but four root canals. In this case, the dentist does not see one of them, so he does not remove it. As a result, the patient experiences discomfort.

Procedures that eliminate a low-quality treatment are unpleasant and painful. For example, re-cleaning of canals runs harder than the first treatment. Therefore, you should remember that professional services cannot be cheap.

The smaller the value of the process of depulpation is, the lower is the qualification of the dentist.

If the procedure was carried out poorly, the doctor did not comply with the protocol of removal, or there appeared an unexpected situation during the process of treatment (e.g. tool breakage), the clinic should conduct re-treatment for free.

Other causes

Besides the main factors influencing tooth pain after the removal of the nerve, secondary factors are differentiated that occur much less frequently.

Allergic reactions

They can occur as a result of intolerance to the components contained in the filling material. In addition to pain, the person experiences a rash and itching.

The only solution in this situation -consulting the doctor to remove the installed seals and replace it with a new one. It is better to be made of hypoallergenic material.

Damage to the gingiva

If after removal of a nerve inflammation continues, an oral cavity must be carefully examined. The damaged gingival tissue can cause unpleasant symptoms. To reduce swelling and relieve inflammation doctor may prescribe antibiotics and mouthwashes with antiseptic drugs.

Trifacial neuralgia

The first warning signs of the disease – is a lot of pain to the touch and bite, attacks of neurological and numbness. Symptoms may concern not only to the spot of the removal but also on the adjacent teeth.

The disease develops as a result of the defeat of alveolar nerve. It undergoes several stages and the last stage may lead to serious consequences.

The jaw becomes so painful that sometimes it is hard for the patient to speak. Neuralgic attacks can end quickly or last for several weeks. To remove the symptoms, the jaw must be strongly rubbed or pressed on.

To reduce pain such analgesics as Nimesil or Nise can help.

How to prevent unpleasant consequences?

Compliance with these rules will eliminate many of the causes of discomfort after the removal of the nerve:

• Follow the doctor’s recommendations.
• Properly take care of the oral cavity to prevent the development of infections.
• Protect the area where the process of depulpation took place from mechanical influences. For example, when brushing your teeth or consuming a solid meal.
• Within 1-3 days, rinse your mouth with neutral antiseptic.

If the doctor did not make an x-ray after the procedure, do it yourself. This is necessary to ensure the usefulness of the seal.

How to get rid of the pain?

You can prevent discomfort if to react in time. To do this, start the procedure immediately after depulpation.

Doctor’s recommendations

The doctor may prescribe an anesthetic drug from anesthesia, such as Ketanov, Tempalgin. Also, taking analgesic drugs is allowed.

To prepare the solution you need to dissolve a teaspoon of baking soda or salt in 1 cup of warm water. Then add 4 drops of the resulting liquid iodine. Also, any antiseptic mouthwashes are suitable for rinsing.

Taking painkillers immediately after the removal of the nerve greatly facilitates the patient’s condition.

Traditional methods

There are many ways to deal with a toothache that arises after the removal of the nerve. The most effective include:

• Propolis. For a positive result, it is necessary to wait until the effect of anesthesia passes, and apply it to the affected area.
• Spirits. For the rinsing procedure of the oral cavity cognac or vodka are required. The drink should be briefly held in the mouth, and then spit out.
• Sunflower oil. It is also used as a rinse. Spit it only after it becomes white.
• Lard. To reduce the pain is possible by means of a piece of lard, which is applied to the gum.
• Ice. Spot exposure to cold will help reduce some discomfort. For this purpose, a piece of ice, which is placed in the hollow between thumb and index finger, and then gently massage the area.

The given methods can only temporarily reduce painful symptoms. Only a dentist determines the correct course of treatment which is often resorted to the appointment of antibiotics. If you start taking them, even with a significant facilitation of the state the therapeutic course is necessary to take to the end.

Incomplete treatment reduces the patient’s immune system and causes addiction to the antibiotic.

When is it necessary to urgently consult the doctor?

After depulpation it is necessary to monitor your condition. The main determining factor is the day after the procedure, and the intensity of pain. If they do not pass on their own, this is the first sign of inflammation.

It is necessary to take immediate actions after the detection of such symptoms:

• Severe swelling of soft tissues or gums.
• Discomfort when swallowing or severe pain in the throat.
• Purulent discharge.
• Bad breath not only in the morning.

Since the area where the tooth was removed is quite vulnerable, it is necessary not to resort to self-treatment. This is a direct path to the formation of phlegmon, inflammation of bone tissue and the appearance of flux.

Consequences

Today’s treatment methods make it possible to save a tooth that hurts after removal of the nerve. The doctor performs unsealing, cleans channels and sets the seal again. Delays in treatment lead to the formation of cysts and granulomas. At this stage, it will not be able to save the tooth, the only way out is its removal.