What to do if a dead tooth hurts when pressed? This is a common question. Let's figure it out.
A tooth is considered dead after a depilation, that is, removal of a nerve, has been performed. After this procedure, circulation stops, mineralization, as well as innervation. In some cases, patients complain of pain when pressing on a dead tooth. This is often explained by the effect on soft tissue under a depulped tooth.
Quite often, a dead tooth hurts when pressed or bitten as a result of filling with low-quality materials, as well as after partial removal of the soft tissues of the gums.
Reasons for Depulpation
There are quite a few indications that can cause the removal of a dental nerve. Depilation can be carried out with extensive carious lesions, against the background of infection, as well as inflammation in the dental canal and other dental problems. For example, against the background of prosthetics, even a healthy pulp is subject to removal, which is necessary to exclude a secondary inflammatory process after installing an orthopedic design.
Thus, the following factors may become the main causes of pulp removal:
1. Prosthetics.
2. Deep tooth damage with caries when the nerve is affected.
3. Damage to the pulp itself.
4. Periodontitis.
The pulp removal procedure is carried out according to the following scheme:
1. Removing an x-ray of the tooth in order to estimate the size of the channels.
2. The introduction of local anesthesia.
3. Removal of pulp in the crown.
4. Removal of pulp in the root.
5. Treatment of cleaned channels with an antiseptic solution.
6. Sealing.
In the future, a temporary filling is first applied to the tooth, which is then replaced by a permanent one.
Causes of pressure pain
When a dead tooth hurts when pressed, this may indicate poor-quality filling of the treated unit. If the root is not completely filled, after the end of the treatment procedures, sensations appear both in the gum and in the tooth itself. If there was too much cement material, and it went beyond the root edge, the risk of developing periodontitis, and in some cases the formation of a cyst in the canal, is increased.
It often happens that a dead tooth hurts when pressed after a year.
Unprofessional actions of the dentist can lead to the fact that part of the tool remains in the root canal of the tooth. Sometimes perforation of the channel itself occurs for the same reason. An X-ray can help determine the cause of the pain when pressing on a depulped tooth.
Other reasons
There are also a number of other reasons why a dead tooth hurts when pressed after removing a nerve:
1. The presence of an inflammatory process.
2. The penetration of pathogenic microorganisms into the periodontium during the treatment of pulpitis.
3. Partial removal of a nerve in a tooth.
4. The pain is irradiating in nature, as the adjacent tooth is damaged.
5. Sometimes this is an adequate response of the human body to the treatment.
6. Incorrect surgical procedures.
7. Allergy to filling material.
There may be other reasons.
A dead tooth hurts when pressed differently.
The severity of pain and its duration is important. If the syndrome is mild and lasts for several days after removal of the nerve, aching pain when pressed is considered normal. In this case, doctors recommend taking an analgesic or enduring it until the sensation resolves on its own.
Why does a dead tooth hurt when pressed?
If the nerve was removed poorly before prosthetics, even when healthy, the tooth can cause suffering. The nature of the pain is pulsating and manifests itself not only during exercise, but also at rest.
If a dead tooth hurts when pressed, what should I do?
Treatment
After the cause of the pain syndrome in the depulped tooth has been determined, the dentist prescribes the necessary treatment. If an inflammatory process in the periodontium has been identified, a professional cleaning of the oral cavity and teeth is prescribed, as well as taking anti-inflammatory anesthetics. In addition, it is considered effective to conduct antiseptic procedures using various solutions for local use.
If a dead tooth hurts when pressed and a pocket in the jaw, and this is caused by caries localized under the prosthesis, a decision is made to remove the structure and treat or remove the unit, depending on the extent of tissue damage. After the therapy, the crown is put in the same place, and in case of tooth extraction implantation is prescribed.
Sometimes the pain is taken by surprise, and it is not possible to consult a dentist in the near future. In this case, popular remedies come to the rescue, such as Ibuprofen, Analgin or Tempalgin. Rinsing the mouth with various antiseptic and anti-inflammatory solutions, for example, based on soda, salt or medicinal decoctions are also effective. The most effective are chamomile, calendula, nettle, sage.
Rinse should be done as often as possible, every few hours. This will help to maximize the disinfection of the oral cavity from pathogenic microflora and eliminate the symptom before going to the doctor. However, it will not be possible to avoid a visit to the dentist, since pain in a dead tooth indicates a possible pathology, especially if it appears after a long time after the depilation. In some cases, the pathological process occurred a year after treatment. Timely treatment will prevent serious complications and avoid the removal of healthy teeth.
Pregnancy treatment
What to do when a dead tooth hurts when pressed during pregnancy?
Toothache is considered the most intense and difficult to tolerate by a person. If the syndrome occurs against the background of bearing a child, the situation is doubly complicated, because a pregnant woman should not take most of even the simplest drugs. Tolerate pain in this position is harmful for both the woman and her unborn child. The optimal during pregnancy is the use of folk remedies, various medicinal decoctions and rinses with soda and salt. However, these methods do not always have the proper effect, which forces a woman to turn to medical treatment.
When a dead tooth hurts under the crown when pressed, anesthetics can help.
Pregnancy-approved medications
Among the modern drugs that are allowed to be taken during pregnancy, the following stand out:
1. No-Shpa based on drotaverine is an effective and maximally safe drug. The drug has a pronounced antispasmodic effect and relieves pain in the head, gastrointestinal tract or teeth.
2. In the first trimester, when the formation of important systems and organs of the fetus takes place, such a drug as "Grippostad" is suitable. However, even in this case, it should be taken only with the permission of the doctor and with caution.
3. Paracetamol is relatively safe for a pregnant woman, however, it should also be taken under medical supervision and without exceeding the prescribed dosages in order to avoid excessive load on the liver. It is possible to relieve pain with this drug provided it is of low intensity, paracetamol is not suitable for severe syndrome.
4. "Tempalgin" and "Pentalgin" during pregnancy are prescribed half a tablet.
5. Doctors can recommend a pregnant patient to use gels that are designed to treat gums when teething in children. These drugs have a freezing effect.
6. If the pain is severe, one Ketanova tablet is prescribed.
If the suffering becomes unbearable and the pills do not help, you need to consult a dentist or call emergency assistance. Doctors can give an antispasmodic injection or offer hospitalization.
Complications and consequences
If you do not consult a doctor in a timely manner with severe pain in a depulped tooth, you may encounter such complications:
1. Inflammation of a purulent character (granuloma).
2. The formation of cysts in the tooth.
3. Removal of the affected tooth.
Norm or pathology
Thus, the appearance of soreness in a depulped tooth may be the norm if surgery was performed on it, or indicate the development of a pathological process that requires action. The occurrence of pain when pressing or chewing food in this case indicates poorly performed filling. In addition, this may be the result of incomplete removal of the nerve, perforation of the root of the unit or the inflammatory process in the canal or gum.
findings
If the tooth continues to bother a few days after the dental procedures, you should not postpone the visit to the doctor. Only a specialist is able to assess the condition of the unit and identify the cause of the pain. The dentist will treat the affected tooth again or remove it if necessary. The treatment of complications in the form of an abscess or the appearance of a cystic formation that arose against the background of improper treatment is much more complicated and longer, in addition, it can lead to consequences for adjacent healthy teeth. A common rule for everyone should be a visit to the dental office every six months as a preventive measure.