HomeAnswersDentistryfractured toothDuring the dental visit, I had severe pain during the treatment for a fractured tooth due to a cavity. Why?

Why was the treatment painful for fractured teeth caused by a cavity?

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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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Published At October 10, 2023
Reviewed AtOctober 10, 2023

Patient's Query

Hello doctor,

I had a cavity last week, which caused my lower left tooth #20 to break. The gap between my two front teeth is on the side that faces my mouth's back. I visited the dentist today. Most of the drilling went smoothly, but about 3/4 of the way through, one decay she was trying to drill off seemed like it had struck a nerve! Unreal pain was felt. Add more freezing, but the result will be the same. Quite painful. She claimed that the cavity was moderate and the nerve was not exposed. Thus she was taken aback. She needed to halt. In the end, she applied fluoride and a temporary filling, and she instructed us to return in two weeks so that they might try again with drilling and gas this time. Why was that portion so painful, and what was going on? She suggested it could be because the nerve terminals are close to the tooth's crown. When some of the swelling subsides, she remarked, I should be able to finish the drilling the following time. It is not a root canal either, she claimed. Kindly help.

Answered by Dr. Naveen Thomas

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I assume you mean local anesthesia when you say "freezing." Is it not? Otherwise, she will need to drill farther to reach the nerve. Usually, one or two shots of the anesthetic will produce excellent anesthesia. She might have given at a different time, or the nerve might have been positioned slightly differently. Anesthesia is still easily attainable. There was no need for any anesthetic if the nerve was not exposed and the cavity was of moderate size. She needs a root canal because the exposed root is uncomfortable and will always be so. Therefore, request root canal therapy for it, followed by installing a ceramic crown. That is your only choice.

Revert with the answer to assist further.

Thank you and take care.

Regards.

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

Dr. Naveen Thomas
Dr. Naveen Thomas

Dentistry

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