In the article, we will consider what to do if a depulped tooth hurts .
Pulp is a fibrous tissue inside a tooth that contains a large number of blood vessels and nerve endings. Depulpation is the removal of inflamed pulp, which is done to prevent complications dangerous to the patient - apical periodontitis and pulpitis. Depulpation, as a rule, is an extreme measure, which is most often resorted to if the therapeutic effect is impossible with pulpitis and deep caries.
When a tooth is pulped, it does not always hurt.
How does the pulp removal procedure go?
Pulp removal is carried out under local anesthesia and in most cases does not deliver pain to the patient. After this manipulation, the dentist eliminates damaged tissue, opens the root canals, and then removes the dental nerve. After this comes the next stage of treatment - permanent or temporary filling of these canals. The service life of depulled teeth depends on the quality of the filling materials used and in many respects the qualifications of the dentist. With proper therapy, the tooth should last for many years.
The occurrence of pain
A number of people who underwent a similar procedure complain that a depulped tooth hurts. Unpleasant sensations intensify when biting and eating hot or cold food. On average, the pain syndrome persists for several days after this dental procedure and disappears on its own or after using anti-inflammatory medications prescribed by a specialist. You can also alleviate the painful condition by regularly rinsing the oral cavity with a decoction of oak bark.
When a depulped tooth hurts, it is caused by the patient’s reaction to the filling materials and is not considered a sign of pathological processes. If the pain syndrome after depulpation does not disappear, has a pulsating character and gradually intensifies, it is necessary to consult a doctor to check the filling of dental canals and determine the causes of this unpleasant phenomenon.
So, we will understand why a depulped tooth hurts.
Causes of pain
It is possible that the removal of dental nerves and fillings have passed according to all dental rules. In this case, the pain syndrome can be caused by the presence of other teeth that need therapy next to the depulped one. If the adjacent teeth are healthy, pain may be due to poorly performed therapy, which requires confirmation using an x-ray.
Inflammatory process
If the specialist did not completely clean the root canals, did not completely remove the nerve endings, or did not complete the filling, the patient will have a depulped tooth. One of the most common causes of such discomforts is the cavity remaining in the tooth, which is filled with contents that exert pressure on the surrounding tissue and provoke an inflammatory process. Unfilled root canals are a “refuge” for pathogenic microflora, which causes the formation of fistulas, abscesses and, ultimately, the destruction of the tooth itself.
After determining the cause, the method of therapy is selected. How long it lasts depends on the complexity of each particular case. If with acute pain it was previously removed in a depulped tooth, then in the arsenal of modern dentistry there are a variety of techniques for canal filling and subsequent treatment.
Whether a pulp tooth can hurt is interesting to many.
Pain after nerve removal and other symptoms
Quite often, dentists have to remove the dental nerve, even though the patient carefully conducts oral hygiene and monitors the health of their teeth. Such manipulation is not always carried out, but only in some cases, when it is impossible to leave the nerve untouched.
What is dental nerve removal?
First you need to understand directly the structure of the tooth. Any bone formation of the human oral cavity to the greatest extent consists of hard tissues, on the visual surface of which caries develops. Due to the long process of its formation, as well as the lack of the necessary treatment, caries over time affects the internal structure of the tooth - the soft tissues where the nerves are located. By removing them, the dentist does not get rid of the fibrous formation, but specifically from the pulp. The first and main symptom of the development of pulpitis is a pronounced pain syndrome, which occurs due to swelling of the soft tissues and compression of the nerve endings. In those situations where the treatment of a diseased tooth is not possible, the dentist proceeds directly to the manipulation of depulpation.
As it was before?
Due to the fact that dental practice began to improve only in recent decades, earlier the process of treating dental tissue was rather painful for patients. In addition, the removal of nerves required more than one visit to the dental office, which caused certain inconvenience for the patient. Before removing the nerve, it was exposed and placed in the cavity of the tooth arsenic, the function of which was to kill the inflamed nerve. To ensure the effectiveness of such a procedure, temporary fillings helped to apply on the tooth for no more than two days (otherwise this could lead to periodontitis). After a certain time, the specialist got rid of the fillings, removed the dead nerve, treated the tooth cavity with a special antiseptic solution and covered the cavities with permanent fillings.
To date, the procedure for removing the dental nerve, as well as filling the canals, is carried out using local anesthesia and takes only a few minutes, without giving the patient even the slightest pain.
If a depulped tooth hurts in a year, you should seek help from a professional dentist who will perform the depulpation most accurately and quickly.
Symptoms of pathologies, in addition to painful sensations, are also swelling of the gums in the area of this tooth, a reaction to food temperature, etc.
Dentist Tips
The dental pulp removal process usually begins with anesthesia, opening soft tissues, removing nerve endings and filling open channels. Therapy is considered to be completely completed when a permanent filling is applied to the entire bone formation. In these cases, there should be no discomfort. However, it often happens that a depulped tooth hurts under the crown and after removal of the dental nerve. The appearance of uncomfortable symptoms is very simple to explain - an extraneous intervention occurred in the tooth cavity, which led to the reaction of the body in the form of a pain syndrome. Sometimes unpleasant sensations are supplemented by swelling and headache, which can be dealt with by adhering to certain recommendations of a specialist:
- The most effective way to help forget that it hurts in the area of a depulped tooth is to use pain medication. However, they do not always have a positive effect on the body. It is recommended to take them immediately after the depulpation procedure or within one day after it.
- Solutions for rinsing the oral cavity help to reduce the severity of discomfort. You can cook them even at home. For example, the following solution is made - boiled water, in which 1 teaspoon of soda and 4 drops of iodine are dissolved.
- Sometimes the application of propolis to a sore spot helps, which also entails a positive result.
- In the case when a depulped tooth hurts for longer than 2-3 days, this may be due to the characteristics of the human body or the result of unqualified removal of the dental nerve.
- If the correct procedure for removing the pulp under the filling is not followed, an inflammatory process may develop. It can be eliminated only by removing the established fillings, re-treatment of the dental canals and the application of a new filling.
How long should the pain last?
How much does a depulled tooth hurt? If the dentist does everything right, after this procedure, the tooth can normally hurt for another two days. If pain symptoms persist beyond this period, this is the first sign that an inflammatory process has begun in the tooth cavity and this may require appropriate treatment, including the use of antibacterial pharmaceuticals. The main thing at the same time is to observe how many days the unpleasant sensations last and whether they change their character. In the worst case, you should again contact a specialist who will help save the tooth and prevent the operation to remove it.
Treatment
When a depulped tooth hurts when pressed, treatment begins in most cases with medical methods. In this case, the patient is recommended to take painkillers, for example, Baralgin, Ketorol, etc. Anti-inflammatory drugs also give a good effect in the event of such pathological phenomena. One of these tools is Nise, which not only helps to reduce pain, but also effectively removes the inflammatory process.
Antibiotics
If the above funds did not help to achieve a positive result, antibiotics are prescribed to the patient. The main drug used in dentistry is Linkomycin. It is effective for inflammation caused by pathogenic bacteria entering the tooth cavity during filling.
If antibiotics did not help to get rid of pain in the area of the depulped tooth, the application of extreme measures remains - opening the fillings and re-cleaning the dental canals.
The pulled tooth hurts: reviews
Probably, every person has undergone the procedure of dental depulpation at least once in his life. However, judging by the reviews of patients, pain after this manipulation often occurs, but in most cases it disappears on its own. The occurrence of the inflammatory process in this case is a rather rare phenomenon. The majority of patients say that the pain lasted about one to two days and went on with painkillers.