Thursday, November 12, 2009

Severe tooth ache after sedative filling .. Please help?

I had a cavity and severe tooth ache. i went to a dentist and he said i need to do a root canal.He also gave a sedative filling for temporary relief. Now I am getting severe pain again. Is there a way to control it.

Severe tooth ache after sedative filling .. Please help?
You can call your dentist and ask him. He may give you some painkillers and or anti-inflamatories. Chances are the sedative filling was enough to send the nerve of your tooth into a tail spin of death. It should be over soon.





There is a procedure that some dentists do called pulpal debridement(pulpotomy). This actually removes the nerve to varying degrees. The problem with this treatment for dentists is if we do it, you will be pain free. If you are pain free, then you may not come back.
Reply:probs need antibiotics.go to dentist again and keep harrasing till u get it sorted.u can take paracetamol for the ache and ibrofen for the swelling but not with alcohol mind!!
Reply:This type of tooth pain is caused from the exposed nerve. The temp. filling is allowing heat and cold to transfer directly to the nerve making it really hurt! My advice is to not switch from hot to cold and back again. Try to eat room temperature food if possible!
Reply:Take 1 or 2 Advil or Aleve. If that doesn't work, you should just call your dentist, he might want to prescribe something stronger to take temporarily.
Reply:I think you should take Advil. I had braces when I was in high school, so my teeth ached all the time and my orthodontist told me to take Advil, which has ibufrofen. That should make your teeth stop aching, but if you find that you're still in pain, you should call your dentist.
Reply:I'm a dentist.





Sedative fillings don't always work. They typically contain a material called "eugenol", which is essentially clove oil, and are also composed of calcium hydroxide and other materials. Eugenol is the key to its "sedative" properties, as it is for some unknown reason an "obtundant"...that is, it obtunds the pain and calms the nerve. Again, we don't really know how it works.





For a tooth that is constantly throbbing, such a filling will likely do little to help if anything at all. Such a tooth is said to have "irriversible pulpitis", i.e. an irreversibly inflamed nerve that is on its way to becoming necrotic and causing an abscess (not the kind of abscess known to the lay person where pus comes out of your gingiva, but the kind of abscess known to doctors characterized by an acute infection at the tip of the tooth's root where the battle between bacteria and white blood cells takes place).





For such a tooth, you need a root canal. It is possible that your dentist was making a last-ditch effort to save you from having to do a root canal. I do this for some of my patients. Once every blue moon, it works.





Typically, however, I will use sedative fillings only for teeth that are excessively cold-sensitive (without having spontaneous pain) after a filling. Such cases are often treated successfully with sedative fillings.





As for pain control, unless your dentist is willing to call in a prescription for you, acetaminophen and ibuprofen are your only salvation. You can take up to 4000mg and 3200mg of them, respectively, provided you don't have liver disease or kidney disease, GI problems, or major bleeding disorders.

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