HomeAnswersDentistryroot canal treatmentPain due to an incomplete dental procedure. How to overcome this?

Is root canal treatment the best option for a tooth with nerve injury?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At July 24, 2022
Reviewed AtOctober 12, 2023

Patient's Query

Hi doctor,

I want to get advice on a dental visit I made last month. It has turned into a mess. I walked into a dental office to go through the process of getting a bridge. It has been three weeks, and I am in a lot of pain after the dentist shaved my tooth enamel, exposing the nerve. I have been taking painkillers every six to eight hours, which could be dangerous. They are telling me I will need a root canal treatment because the nerve has gone bad. The issue is worse. I am only entering a short query. Kindly help me.

Hi,

Welcome to icliniq.com.

I will be answering the query shortly. Kindly check your follow-up messages for a complete treatment strategy.

Thanks and regards.

Patient's Query

Hi doctor,

Thank you for your speedy reply. My first visit was a consultation. It is a husband and wife practice. The husband examined my teeth for the bridge and noticed small cavities in two of my upper left teeth. He explained he could take care of the cavities and start the process of my bridge simultaneously. When I returned to get the small cavities removed and the impression for the bridge, I got to know that his wife would be doing the work. I figured since they had a practice together, everything would be fine. Going through the procedure, she continued to remove extra enamel from the tooth and added two temporary crowns on both teeth. One of the teeth is fine, but the tooth I am having issues with is almost gone. The temporary crown did fall out later that afternoon. I had it replaced the next day. Since day one, the pain has been throbbing.

I contacted them as they were then on vacation, and she suggested I take Penicillin. I explained to her that I did not think I had an infection, and I had a feeling it was the nerve being exposed. She ordered me to take it to eliminate the inflammation. She also explained my bridge came in, and when she returned to the office in two days, she would put the bridge on to see if I was still in pain. I told her it would not make sense to put a bridge on while I was in pain. I brought up the root canal treatment, and she said we would discuss it during the appointment. Several days later, I went to my appointment as we discussed and discovered the bridge was not there as she stated. They rescheduled me for the next day, and I explained I was losing time at work and was very confused about the care they offered. I returned the next day, and she did X-rays to see what was happening. She stated she did not see anything, and it could be the nerve going bad. She being the specialist, asked me what I wanted to do. Right then, I lost trust and was very insulted. Right now, this has become a serious medical issue because I am taking too many painkillers, and it is kind of a setup where I have to let them do my root canal treatment because of the timing and pain. Once I headed to the front desk, they explained the cost would be expensive. I have already paid for them. I do not trust them at all. The bridge did come in that day, and when I asked to look at it, they realized it was a bad match. Not even close to the color of my teeth. I am hurt mentally and physically. I cannot believe this is happening. So now I am searching for a dentist to do my root canal treatment. I do not know what to do. Kindly help me find a solution.

Hi

Welcome back to icliniq.com.

I understand your whole scenario. I am sorry to hear the amount of time taken to fabricate a bridge. You can now opt for a visit to the endodontist, also called a root canal specialist, who will do the root canal treatment successfully in one or two sittings. After that, you will need a gap of seven to ten days to observe that you do not have any pain, and then the impression will be taken for the bridge. You would want to choose a dentist who is both an endodontist and a capping specialist in your city nearest to you.

Is your pain tolerable now that you are taking Penicillin (antibiotic) and Ibuprofen (painkiller)? If needed, I can suggest the medications for three to five days; in the meantime, you search for an endodontist. I hope this was helpful.

Patient's Query

Hi doctor,

Thank you for your reply. It has been 20 days counting today since they added the temporary crown. If the pain lasts too long, I can feel my heart beating. So I take the Ibuprofen before the pain gets too bad. I stopped taking Penicillin for a day. And I am afraid of mixing medications. Do you think they handled this situation properly? I am not overacting and I never encountered such an issue. As for the medications, would Ibuprofen be the correct medicine for the pain? I am taking Ibuprofen 300 mg every six hours and 500 mg of Penicillin two times a day, but I missed today. Kindly suggest me an opinion.

Hi,

Welcome back to icliniq.com.

I suggest you to stop taking Penicillin unless the endodontist you visit next will put you on it once again until the RCT (root canal treatment) is complete. You do not worry about that, and you have to request them for a single sitting RCT appointment and give a detailed history of the trauma you have undergone at the previous dentist so they can have a perspective. You can continue with Ibuprofen not more than twice a day for the next five days because too much painkiller dose causes acidity and heart palpitations too. Also, please schedule your RCT appointment and immediate bridging at the earliest. Single sitting RCT can also be done at the endodontist's office, and bridging will take three to four days. I wish you the best of luck because I can understand the trauma of such delayed treatment and response.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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