Q. What could cause pain and sensitivity in the extraction site?
Hi doctor,
I am female. One year ago, I felt pain in my molar tooth, and due to the advice of the dentist, I went for a root canal treatment (RCT). But after treatment, the gum of extracted tooth is still paining and feeling sensitivity like hotness in that area. I almost went every week to dentists. They assured me all was well in my gums. No problem is there. They did an X-ray for three to four times and said do not worry. With the dentist's advice, I tried all possible methods, like a massage in my gums and using paste for my gums and teeth, but it did not work. Still it felt hot and pain continuously for the last year. Sometimes I do not feel this sensitivity and pain, and sometimes I feel it.
What is the problem?
Can it be the cause of cancer?
Thank you.
Hi,
Welcome to icliniq.com.
Your chief complaint is unclear as you mention RCT (root canal treatment) and extracted tooth. Still, if the pain is in the extracted area, it can be due to the following.
1) Either there is some bony spicule left or a root tip.
2) Due to the lack of teeth, jaw forces can be imbalanced, which transmits force to the affected area.
3) Pain can refer to other areas of the oral cavity, or you may have adjacent carious teeth.
Thank you.
The Probable causes:
The probable causes are an edentulous area leading to pressure creation, adjacent carious tooth, bony spicule or root tip, and psychological issues.
Investigations to be done:Investigations to be done is IOPA (intra-oral periapical radiographs) of the involved tooth and adjacent teeth.
Treatment plan:Treatment plan for symptomatic treatment
1) Use gum paint like Ornidazole gel twice daily in the affected area for seven days.
2)Tablet of Tramadol hydrochloride 25 milligrams twice a day for one week.
However, these are symptomatic remedies, and you are requested to send an attachment, if possible, for further treatment strategy as there is no clarity whether it is RCT treated tooth or an edentulous area.
You need not worry there is nothing like that of cancer.
Preventive measures are avoiding eating and biting hard objects on the same side.
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