It has been 7 days after a Root Canal on my bottom eye tooth and the throbbing pain is still happening.Have been back to the dentist twice and today he xrayed it and is perfect in the root and shows nothing.He has me on 500 mg of Keflex every 6 hrs and Vicodan 750 mg every 4 hrs is this the right treatment?I have had 2 done before and never this much afterwards of throbbing pain
Person's Gender: Female
Person's Age: 69
been taking the prescribed drugs since last Monday (1 week) and have had some days with no pain but it has come back again, is this normal?
My dentist said it happens sometimes and will go away
Welcome to Justanswer.I will do my best to answer your question.I am not a great typist,be patient and feel free to ask if anything is unclear.Keflex is an apprppriate antibiotic for tooth infections but not the one of choice.PenVk is the best if you are not allergic to it..How long have you been taking this antibiotic?
I am allergic to Pennecillin but not to Keflex, I have been taking this for 1 week now
Do you have any swelling? When you bite down..does this tooth seem to hit before the others? Did you have a recent filling placed in this tooth?
No Swelling! he x-rayed again today and all looked Ok, They tooth was touching my top teeth and went to him on Friday and he filed it down, Ok until Saturday night and then the throbbing started again. Some at times on Sunday and not at all last night.
Started again this morning and I went to see him again and he said it needed to be filed again because it was still touching a bit. After he filed it started the pain immediately and he said it sometimes takes 2 weeks for the pain to subside, Is that true or am I the only one that has had this pain for so long after a Root Canal?
He has given me 2 of them before 1 in 1999 and 1 in 2003 and I never had this pain before is it normal some times to have this?
Why is it in pain?
The two obvious possibilities are the Keflex is not effective in treating the infection at the root tip and you may need to be switched to an antibiotic like clindamycin.The other possibility is that there may be a vertical fracture in this tooth which is very hard to detect.There is a third possibility and that is there may be an accessory canal in the tooth that has not been filled.It is unlikely because cuspid teeth normally have only one canal but I have seen them with two.It is not normal to have extended pain in a root canalled tooth but it can happen.It normally has something to do with the bite.When you bring your teeth together and grind them..can you make this tooth hurt?
Yes, it hurts when I grind them!
Yes, it hurts when I grind them! Should I wait a couple of days to see it taking the Keflex every six hours day and night works or call and ask to change the medication?
How long have you ever seen pain after a root canal? The Dentist said it is rare but sometimes can last up to 2 weeks, Is that true??
It can depending on how inflammed it was prior to the root canal treatment and how long it was infected before that....If you had an infection it should have been resolved and you would probably still have some swelling.I am thinking that at some point during the day or night that you may be grinding your teeth and not know it.There can still be from inflammation at the ligament around the tooth and this appears to be where your problem is.My feeling is that you should return to the dentist ASAP and have him take this tooth completely out of occlusion so that it does not touch when you grind or bite..Take some Advil liquigels 400mg every 4 hours to cut down the inflammation.In most cases it is the bite that is a problem because the extra fluid at the tip of the tooth causes it to sit up just a little high and if you put pressure on it ..it will feel like a toothache.If your dentist detects any swelling in the gum or under your chin..at that point I would assume that the Keflex is not working and that the antibiotic needs to be switched.Does that make any sense to you?
Dentist and Anesthesiologist for 33 years