Is tooth pain after delaying RCT a sign of infection spread?

Question

Hello doctor,

I had my tooth checked up last year, and the doctor told me to go for an OPG as he was planning for root canal therapy. But due to severe negligence and work, I could not do that.

It has been almost a year now, and tonight I am having a painful time. Please tell me whether there is a chance of the spread of infection. Please help. My infected tooth is the right first molar of the lower jaw. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

As per your history and associated symptoms, it looks like you have now acute pulpitis leading to acute apical periodontitis. That means that because of the open pulp chamber, it is now infected. You need to take antibiotics and analgesics for this one. In case you do not have any medical, allergic, or any other systemic condition, I suggest:

Tablet co-Amoxiclav 625 mg twice daily for five days.
Tablet Aceclofenac twice a day for three days.

Consult your specialist doctor, discuss with him or her, and start taking the medicines with their consent. Also, visit a dentist again and get it checked if there are any chances of RCT (root canal treatment) to save this tooth as soon as possible.

I hope I have answered your question.

Kindly revert in case of further queries.

Thank you.