A devitalized tooth that hurts can be an ordinary symptom, but also a signal that deserves maximum attention. This happens because the area has been treated with procedures and instruments that have caused trauma with consequent inflammation at the apex of the root.
In these cases, the tooth may show tenderness to the pressure and annoy the chewing. They are very recurrent symptoms and destined to disappear within a few days.
What to do when the devitalized tooth hurts?
There can be several reasons why a devitalized tooth hurts after months. We recall that the intervention of root canal therapy aims to remove the dental pulp, the soft part of our teeth.
With this procedure, the inside of the root canal is also cleaned, to eliminate any cause of inflammation or past infection and above all future. The first reason for post-devitalization problems is, therefore, the inadequate treatment of this channel.
The symptoms of infection in the devitalized tooth:
Typically, a devitalized tooth that hurts and throbs is a tooth that has significant inflammation, often associated with the presence of a bacterial infection.
The infection is not always linked to the imprecise solution of root canal treatmentas it may also be due to an internal lesion to the root or loss of the coronal seal. These are the cases in which it is necessary to contact the doctor, who will know what interventions are needed in a particular situation.
Furthermore, by referring to the dentist, you get a prescription for specific drugs whose goal is to make the patient’s symptoms disappear as soon as possible. To avoid pyorrhea, it is essential to contact your dentist.
How to assess the severity of symptoms?
To sum up, what has been said so far, it can be said that it is the time factor that makes the difference between passenger and other worrying symptoms.
A devitalized tooth that hurts when you chew is normal if you have undergone root canal therapy for just a few days. Also, other symptoms, such as a greater sensitivity to heat or cold, are within the norm if their appearance occurs a short distance from the operation (for this reason, some dentists advise against using that tooth in chewing in the first times). If not, contact a specialist as soon as possible.
How can you take help from a doctor?
A dentist who is very experienced in rct treatmenthas the skills and instrumentation (operating microscope, innovative materials) to deal with similar situations, sometimes very complex to manage: the tooth must be reopened, the channels re-cleaned and filled to their full length.
Sometimes it is necessary to operate by surgery, as will be explained later. The dentist will provide all the information and therapeutic alternatives once you get over with all the root canal cost so that the patient can consciously decide.
The alternative to a new treatment attempt is, unfortunately, the loss of the tooth. The deeper the changes consolidated over time and the pathological wear, the more difficult it will be to re-establish a stable occlusal balance.
Despite the enormous progress made in the field of implantology, nothing, for now, is better and more durable than natural teeth, although the duration over time of a successfully retracted tooth and a well-positioned implant is comparable.
In the presence of cases in which it is not possible to heal through normal root canal treatment or canal reprocessing, and the tooth continues to hurt and give problems, it may be necessary to resort to surgical endodontics. The most common surgical endodontic procedure is known as root canal treatment.
This technique allows treating root lesions without going through the crown of the tooth, but opening micro-surgical access through the gum.
Through this access a small portion of the infected root is removed, usually about three millimeters, to eliminate the portion of root contaminated by microbes that could not be eliminated by cleaning the channels for the normal orthograde pathway.
It is a quick and painless treatment, which is performed in microscopy and therefore minimally invasive and with little post-operative problems. It is generally the last treatment attempt that is performed for the rescue of a tooth.