The discomfort associated with toothache is familiar to many. One of the reasons for its appearance is neglected caries. It destroys the enamel and pulp, which contains the nerves. To save the patient from pain and further tooth decay, the dentist cleans the canals and removes the nerve.
Treatment of the affected canals requires a certain experience and skill of the doctor. It is not uncommon for a patient to feel pain in the gum and tooth after nerve removal. Unpleasant sensations occur when pressed. Only painkillers help to get rid of them.
natural pain
For comfortable treatment, the dentist administers an anesthetic to the patient during the removal of the nerve, cleaning the canal and filling. After a few hours, the action of the analgesic stops, and the toothache again makes itself felt. It can be hypersensitivity to hot, cold, sour. The patient feels a pulsation, discomfort when touched, unpleasant sensations intensify at night. During the first 2-3 days, a slight increase in temperature, headache is acceptable.
Nerve removal and canal treatment is a minor surgical intervention, medical devices disrupt the structure of blood vessels and dental tissue. General malaise, phantom pain, and other symptoms are a natural reaction to the doctor's manipulations.
In dentistry, pain is allowed for a period of 1 to 3 weeks after treatment, which eventually decreases and disappears completely. If the patient's cheek, lymph nodes are swollen, there is a sharp increase in pain under the gum, swelling has appeared, the temperature jumps to 38-40 degrees, you should urgently seek medical help.
There are several reasons for prolonged pain and worsening of the general condition after nerve removal:
1. Poor quality work - the dentist performed the treatment incorrectly:
- left part of the nervous tissue in the canal - pathogenic microbes remaining inside the tooth provoke an inflammatory process;
- did not completely clear the cavity of the channels - the symptoms of this error are general malaise and fever;
- when filling, a void formed - if the material shrinks incorrectly, there is a serious threat of an abscess, destruction of the tooth walls and the formation of fistulas;
- the material has gone beyond the top of the root - the help of a surgeon will be required to remove the upper part of the tooth;
- the medical instrument broke off in the canal cavity - the patient feels pain almost immediately. It is necessary to remove the metal fragment by reaming, and prevent the infection from spreading.
2. Allergy - a reaction occurs to the filling material. After 1-2 days, the gum turns red, itching appears. The only solution in this situation is to carry out therapy from the beginning, using a hypoallergenic base.
3. Damage to the gums - the mucous membrane in the affected area swells, becomes painful. To clarify the reasons, an x-ray is prescribed if the nerve is completely removed, there are no foreign bodies left in the cavity, the reason is in the inflammatory process on the gum. Applications with Metrogyl Denta and Solcoseryl will help reduce swelling. As an antiseptic, rinsing with hydrogen peroxide, propolis tincture, Chlorhexidine is used.
It is forbidden to apply heating pads and hot compresses to swollen gums. This provokes inflammation.
4. Trigeminal neuralgia - the main symptom of complications: pain when biting, chewing food, numbness. In advanced cases, neighboring teeth are affected, it is difficult to open the jaw during a conversation. Attacks last from 2-3 days to several weeks. Painkillers are prescribed to alleviate the patient's condition. The disease is treated only in a hospital setting. Negligent attitude to the situation will lead to tooth loss.
What to do if a tooth and gum hurts after a nerve is removed?
To reduce pain, the doctor prescribes painkillers - Nise, Baralgin, Nurofen or analgesics - Ketorol.
On the day of treatment, it is recommended to rinse the mouth with an iodine solution (250 ml of warm water + 1 teaspoon of salt or soda + 4 drops of iodine). The procedure lasts 2-3 minutes, the place of nerve removal should be given more attention - hold the solution longer.
As an analogue of painkillers, it is possible to use traditional medicine recipes.
Effective methods for the treatment of post-filling pain:
1. Propolis tincture - applied to a cotton swab and applied to the sore spot.
There are two types of propolis tinctures:
- Alcohol - you need 15 gr. propolis and 100 gr. alcohol or vodka. The components are mixed in a dark glass bottle and left in a cool place to infuse for 2-3 weeks;
- Herbal - you will need 1 tbsp. a spoonful of eucalyptus, chamomile and calendula flowers, 250 ml of hot water. It is necessary to mix the ingredients in one bowl and leave for 15 minutes to infuse, strain. Add 8-10 drops of alcohol tincture of propolis to the resulting infusion.
The first type is suitable for local applications, the second for rinsing the mouth.
2. Fir oil - has an anti-inflammatory effect, helps to relieve swelling in the gum area. It is applied to a cotton swab and applied to the affected area.
3. Salted lard - a slice is inserted between the cheek and the aching tooth for 20 minutes.
Conclusion
Re-treatment is more painful than the initial treatment. The patient experiences stress and incurs material losses. To protect yourself and your wallet, you need to follow a number of simple recommendations after visiting the dentist:
- Do not eat food and hot drinks for the first 3-4 hours after the removal of the nerve and the installation of the seal.
- Rinse your mouth with antiseptic solutions and herbal infusions for 2-3 days after treatment.
- Do not chew solid food on the side where the medical intervention was performed.
Do not be afraid of a second visit to the dentist, only he can determine the cause of the complications and prescribe the necessary treatment.
