The tooth hurts after cleaning the canals: treatment, sealing and photo

Cleaning and treatment of dental canals implies a complex intervention on the latent part of the tooth.The pulp inside the canal includes a sensitive connective tissue with a mass of blood vessels, arteries, nerve endings, so treatment of the area is necessary in order to avoid necrotic processes or inflammation that destroys the tooth from the inside.Many people worry that after the treatment of canals, tooth pain and discomfort during chewing are possible.However, this is a small fee for maintaining the health of the tooth without the need to remove it( as was the case a dozen years ago).

When there is a need for treatment

There are several factors by which the physician determines the expediency of performing this manipulation:

1. Swelling of the gum near the tooth, also bleeding, redder, becomes sensitive.
2. On the gums near the tooth with dead pulp can form in the form of purulent pimples, boils and ulcers.They can be seen with a visual examination, as well as an unpleasant taste of pus in the mouth.
3. X-ray showed necrotic processes in the tooth( they can be asymptomatic and last for years before detection).
   

   Indications for cleaning and treatment of dental canals

4. Nerve has become exposed due to some dental manipulations or serious diseases.If untimely treatment of dental canals, an abscess and other consequences may occur.
5. Soft tissue inside the pulp has been damaged by a bruise, stroke or injury.
6. The doctor diagnosed pulpitis( caries reached the inner cavity of the tooth).Symptoms of the disease are aching and throbbing pain, sensitivity to temperature changes, etc.
7. The diagnosis is periodontitis.It is the following form of pulpitis, when the infection enters the root of the tooth, damages the bone tissue, causes pain, swelling and even hyperthermia.

Preparing for treatment

First of all, patients are interested in cleaning the tooth canals, or not, because the information around is contradictory.We will not deceive - the procedure is rather painful, but it is carried individually.Of course, the dentist will apply local anesthesia to reduce pain and sensitivity, however, some discomfort should still be prepared.

Preparation for the procedure involves 3 basic steps:

1. The nurse prepares the oral cavity, and the physician installs the necessary devices for manipulation, performs local anesthesia.
2. Drilling of tooth tissues damaged by caries is performed.Sometimes there is a need to remove and healthy tissues, because it is important for us to provide free access to the beginning of the root canals.
3. The pulp is then removed from the tooth( crown and cavity areas) along with the nerve endings.That is why many people do not have a toothache after cleaning the canals.
   

   Cleaning of the root canals

After the dentist has ascended directly to the channels, the main phases of treatment come.

Sealing stages

Here, too, should consider in detail the 3 main stages of work.

1. Measuring the length of the channel.

In order to avoid toothache after treatment of canals, the dentist must seal them to the full length strictly to the root of the root.This will prevent the exit to the root pathological microflora, which causes inflammation of the soft tissues and the release of pus.If the area is inadequate, it is possible to develop cysts, abscesses, other formations, as well as diseases: gingivitis, pulpitis, periodontitis, etc.If the cavity is reflexed( and this happens), the patient will suffer from prolonged painful spasms and even neuralgia.

How to measure length?After complete removal of the pulp, the dentist is armed with thin tools and passes through each open tooth channel( photo below).The advancement is controlled by an apex locator, on the monitor of which the doctor sees the depth of immersion and the moment of reaching the base of the root.Further, the doctor measures the length of the canals and hedges the X-ray of the tooth with the measuring instruments placed in the channels.

1. Machining.

The purpose of this stage is to ensure the suitability of the channels for subsequent sealing, for which it should be processed and expanded.Processing allows to eliminate the smallest irregularities, roughness, narrowing and gaps along the entire length.

Root perforation is one of the causes of toothache after cleaning the channel

The question "is it painful to clean the tooth canals"( photo below) is often associated with this stage, since, despite the removal of the nerve, the patient may remainUnpleasant sensations.

You can extend the cavity using hand tools.The dentist sends them to the channel and rotates to give the area the right amount.But more and more often, modern endodontic tips are used, in which titanium micro instruments are placed.These tips rotate in the channel and with the help of sharpened faces neatly expand the channel, removing thin chips.Such treatment is more expensive, but at the same time safe and effective.

1. At the last stage, the tooth canal is sealed with a gutta-percha material.

The dentist treats the expanded zone with an antiseptic and chooses the sealing method.

One paste method allows filling the cavity with a flexible substance that gradually hardens.This option was used decades ago, is irrelevant and unsafe, as it causes complications in 90% of cases!Do not skimp on health and leave the clinic, where it is sealed in this way.

The method of one pin duplicates the previous version, but implies an additional introduction of a gutta-percha pin.The method is more effective, but still unreliable and with consequences.

The Thermophile system allows you to seal the area of ​​a viscous heated gutta-percha, which cools and hardens directly in the channel.

And, finally, the most popular and high-quality method of sealing is the "summer condensation of gutta-percha". Here the root canal treatment is performed by successive actions:

• fits the font across the width of the cavity;
• channel is filled with paste-sealer, after which the selected pin is inserted;
• the pin is sealed by reciprocating manipulations of the spreader tool, the material is distributed along the walls, making room for other pins;
• The dentist introduces small pins( up to 12 pcs.) With subsequent densification;
• channel is sealed strictly to the top of the root, and the pins must not extend beyond its area( this is controlled by X-ray);
• the dentist removes the protruding apex of the pins and sealing material;
  

  Processing of the root canals

• a temporary seal is inserted, as filling of the crown and channel in one session is prohibited by security measures.

If after brushing the channels toothache is hurt

Unfortunately, many people have toothaches after treatment of canals - this is a normal process within 5-7 days.

Consider what can cause prolonged and abnormal pain after filling the channels:

1. The material for sealing has come out of the root. This situation is considered the most common, despite the possibility of radiologic control and good doctor's experience.Typically, the removal of material happens due to an incorrectly defined length of the channel, the choice of the pin.Determine this reason can only be done when you visit a doctor and get an X-ray or a viziograph.Sometimes a person can see the problem himself( the pin went 4-6 mm beyond the limits).
2. An error occurred during the process of filling the channel. Often the tooth hurts after the canal is sealed exactly when nibbling.This indicates that the canals have been sealed roughly or not to the end.In this case, pain can make itself felt after many months or years, as in a semipermanous cavity the pathological microflora gradually develops, cysts, granulomas and fistula are formed.
3. Chipped the endodontic instrumentation directly in the canal. Sometimes a doctor simply does not notice the damage to the instrument, so his splinter remains inside the cavity, being a hotbed of infection and inflammation.As a rule, devices break due to a violation of the technique of its use, strong pressure and load, the lack of timely lubrication of the parts, repeated use of worn parts.Perforation of the root.
4. .
   

   Root canal treatment

   Mechanization of dental work often leads to the formation of holes( holes) in the root of the tooth.The situation arises because of poor-quality devices, doctor's negligence, excessive activity inside the channel, improper inclination of the instrument, etc.In these cases, the perforation is covered with a material containing calcium.

5. Allergy to the materials used. Appears in the form of sharp pains that do not go away with the use of anesthetic, swelling of the cheeks, swelling of the gums, redness, etc.The pain keeps for a long time and prevents the patient from eating normally.
   Unfortunately, few of the dentists check the patient for allergies to the material.
   One way out is to use a substance with a qualitatively different composition for healing.

In this article, we learned whether it is painful to fill the tooth canals, why it is needed and how it happens.

Remember that the success of the procedure depends largely on the experience of the doctor, the availability of modern equipment and suitable material, as well as the timeliness of the patient's treatment of the complaint.