HomeAnswersDentistrytooth painDoes lingering tooth pain indicate pulp infection?

I have a lingering toothache in the lower left central incisor. Is the pulp affected?

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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.

Answered by

Dr. Bharat Joshi

Medically reviewed by

Dr. Preetha. J

Published At November 11, 2020
Reviewed AtDecember 18, 2023

Patient's Query

Hi doctor,

I have a lingering toothache in the lower left central incisor. Are there any problems with the pulp of that tooth?

Answered by Dr. Bharat Joshi

Hello,

Welcome to icliniq.com.

Please be calm. Thanks for the picture (attachment removed to protect patient identity). See, it seems to be internal resorption in one of your teeth that is left central incisor. The teeth are showing dilaceration also. I suggest you get RCT (Root canal treatment) done for the left central incisor. Since you are young now so chances are there that the teeth may get uprighted.

The Probable causes

Trauma.

Investigations to be done

Done already.

Differential diagnosis

Internal resorption (picture confirmation).

Probable diagnosis

Internal resorption (picture confirmation).

Treatment plan

Medications and RCT.

Preventive measures

You can take Amoxicillin 500 mg twice a day for five days and Diclofenac sodium 50 mg once a day for one day and, if required (I hope you are not allergic to it; if so, please let me know).

Regarding follow up

When going for RCT, due to COVID-19, you can wait for some time but get it done.

Patient's Query

Hi doctor,

Thanks for your reply.

What is RCT, and what do you mean upright?

Answered by Dr. Bharat Joshi

Hello,

Welcome back to icliniq.com.

Please do not worry. RCT means root canal treatment. It means the pulp of tissue is removed. And they were filled with gutta-percha and zinc oxide eugenol. This procedure is painlessly done under local anesthesia. If you can see the x-ray, your teeth are tilting towards the center; uprighting means they get straightened. I was mentioning your age because at this age body undergoes structural changes, so you can wait for some time to get uprighted.

The Probable causes

Infection.

Investigations to be done

Done.

Differential diagnosis

RCT and uprighting.

Probable diagnosis

RCT and uprighting.

Treatment plan

RCT and medications.

Regarding follow up

See I have prescribed you medications so you can wait for sometime for RCT. Also, there is no need for ortho treatment for uprighting so please wait for your teeth to get aligned themselves. Regards.

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

Dr. Bharat Joshi
Dr. Bharat Joshi

Dentistry

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