Why does the tooth hurt without a nerve?
In dental practice, it is often necessary to remove the nerve in a diseased tooth. Many patients believe that after this, it becomes "dead" and, accordingly, should not bother. But still there are cases when the tooth hurts without a nerve. Unpleasant sensations can occur immediately after filling channels with paste or after a while. Why is this happening? What to do? These questions are answered in this article.
In order to decide on the removal of the pulp( nerve), the specialist should have a basis. Treatment of canals is a forced measure. In addition, depulpation is a complex process. The patients are accustomed to call the pulp system a nerve. Its appendages are very thin. And the channels that fill the pulp are often meandering. This makes access difficult for the specialist.
In addition, the procedure performed by a doctor is almost blind. It is not possible to monitor the process visually by a specialist. Sometimes, even with the help of an X-ray, it is not possible to examine in detail the entire "labyrinth" of the canal channels. The snapshot is not able to display the nest processes hiding behind each other. There are also too narrow channels with atypical entrances. It is not easy to extract pulp with all its branches. After all, if you leave at least one "tail", problems will begin. The patient will face the fact that his tooth hurts again. Without a nerve and with sealed canals, it would seem, he should not bother. Now we have to understand the reasons for the pain.
Why does the tooth without a nerve have a sealed tooth?
In part, we answered this question when we considered the depulpation process. Since it is carried out almost blindly, mistakes in dental practice are very common.
There are several other reasons why the tooth without a nerve hurts:
- It was not possible to clean the channels to the very end. Repeated treatment of the tooth, in which the channels were already filled with paste, sometimes leads to the situation in question.
- Introduction of material beyond the tip. There may be a complication in the form of inflammation of the jaw nerve.
- Insufficient washing with antiseptic canals. Microorganisms do not have time to die. As a consequence, the inflammatory process develops.
- Failed to completely fill the tooth canals. In the formed voids, pathogenic bacteria are almost always found. And this error of the doctor leads to that the tooth without a nerve at nibbling hurts.
- Part of the toolkit can break and stay in the channel. Accordingly, the foreign body will not allow for qualitative treatment.
- Inaccuracy of the doctor sometimes leads to perforation of the walls or apex of the root. All this will certainly lead to complications in the form of an inflammatory process.
What causes errors?
As we have already understood, the unprofessional actions of the dentist very often lead to the fact that the sealed tooth hurts. Without a nerve or even with the smallest of its remnants, it will greatly disturb the person. If mistakes were made during endodontic treatment, a cyst or granuloma may develop. Often the inflammatory process inside leads to swelling of the gums. After a while, a purulent abscess appears in the area of the aching tooth, which is called a flux. In this situation, a person should immediately seek help from a specialist. The tooth itself begins to ache when pressing on it.
The nature of the pain can vary in intensity. A person experiences discomfort during the temperature difference( hot and cold food intake), with weather change.
Also the untreated tooth differs and externally from the remaining units. Over time, the enamel darkens. To all the rest is added an unpleasant smell from the mouth.
Statistics show that removal of the nerve passes without errors only in half the cases. That's why almost every patient can be familiar with the situation when the tooth without a nerve hurts.
Separately, let's talk about such an unpleasant phenomenon as a cyst. In order for the neoplasm to express itself pain, it may take a long time. Therefore, the tooth, whose channels are not filled to the end, first does not bother the patient. And only when the cyst reaches a large size( about 20 mm), a person feels pain. The moment of its development passes asymptomatically. But the reason for its formation is still an infection that has gone beyond the root of the tooth. Statistics show that in 70% of cases, education develops due to the fact that the channels are not completely filled with the material for sealing. To testify for the presence of a cyst, the following symptoms may occur:
- swells around the gum;
- pain during chewing food;
- increases the size of submandibular lymph nodes;
- change in enamel color or even unit mobility;
- may cause fever.
But even in cases where the cyst does not cause the patient discomfort, it is still dangerous. It's a capsule filled with pus. The infection can spread to healthy tissues, causing complications in the form of periodontitis, periostitis, osteomyelitis and even sepsis.
When should I not worry?
Can a toothache without a nerve, if it is properly treated? Experts argue that in some cases, the reaction after sealing is a normal phenomenon. And the situation itself does not require a repeated request to the doctor. The pain that occurs after the filling of the canals is called post-filling. Sensations can be constant and intense enough. Sometimes they can be healed only with the help of pain medications.
But most often the reaction is expressed by aching mild pain, which occurs when chewing and getting solid food on the tooth. In a week she must pass. However, the discomfort can be felt by the patient for up to three weeks.
How to distinguish post-reflex pain from complications? If the work of a specialist is performed qualitatively, then the sensations should subside with each passing day. The pain gradually fades. At the same time the development of the inflammatory process, on the contrary, the sensations will become more intense every day. In order to be sure of the origin of the pain, it is necessary to take an X-ray.
How to cope with the pain?
So, we have considered the reasons why the tooth hurts without a nerve. What to do? If there was a mistake in the treatment of the canals, you will have to visit the dentist. And the earlier, the better. In order to calm post-pilling pain, you can drink a tablet of "Analgin" or "Baralgina".These drugs experts recommend taking if there was a slight aching pain. If the sensations differ in their intensity, you can take a pill "Ibuprofen" or "Ketanol."
Alternative ways to eliminate toothache
We will offer you a few recipes of folk medicine that will help with toothache. After taking painkillers can not be a long time. This can cause discomfort in the work of the gastrointestinal tract. Here are some effective tips:
- rinse the mouth with a decoction of chamomile, sage, oak bark, althea root;
- use a soda solution( 1 tsp to a glass of water);
- attach a piece of propolis to the problem area;
- gruel from onion and garlic( applique) will relieve pain.
Of course, the best recommendation is a thorough oral care. Nerve depilation should be avoided, than to deal with possible complications that occur very often.
It is necessary to thoroughly brush your teeth, use threads, rinse aid. Regular visits to the dentist will determine the caries at the initial stage. Then the treatment will be simple manipulations. Do not have to remove the nerve. In addition to hygiene procedures, patients are advised to balance their diet. It should contain enough micronutrients and vitamins.
A healthy lifestyle, walking outdoors, physical exercises will strengthen the whole body. The state of the oral cavity will depend on the immune system.
But if it so happened that you could not keep your teeth in order, then it's necessary to approach the choice of the attending physician responsibly.
Instead of concluding
Now you know why the tooth hurts without a nerve under the seal. The reasons can be different. Usually, before the treatment of canals, the dentist warns about the possibility of discomfort. The expert advises to take anesthetic and wait a while. It remains to add that if the discomfort does not go through a month after filling the channels, you need to urgently consult a doctor. The sooner you do this, the easier it will be to treat complications. Take care of your health!