How to treat denervated tooth infection?

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Root canal or root canal treatment is one of the most common methods of saving damaged or infected teeth. But is this treatment always the end of the story? Unfortunately no. In some cases, even a denervated tooth may get infected after some time.

In this article, we will have a closer look at the symptoms, reasons and scientific methods of treatment of denervated tooth infection. From signs that should not be ignored to advanced treatment methods used in dentistry today. Just remember that the information in this article can help you better understand your oral condition, but it's not a substitute for an in-person dental exam. If you experience any of the symptoms that you read below, it is better to consult a dentist specializing in root canal treatment.

Is denervated tooth an infection? Does it?

On the face of it, when a tooth is denervated, the assumption is that there is no longer a reason for infection because the tooth pulp (the inner soft tissue that contains the nerve and blood vessels) has been completely removed; But the fact is that even after a specialized nervectomy of the tooth, there is a possibility of infection in some cases.

This happens when part of the infected tissue remains in the side canals or the tooth is not repaired properly and bacteria find a way to penetrate the root. Also, small fractures, permeable veneers or even poor oral hygiene habits can cause the infection to return. This may occur a week to ten days after nerve removal or may even appear months or years later.

The most important symptoms of tooth infection Pulled that you should take seriously

Next, you will learn about the most common symptoms of a pulled tooth infection; Signs that should not be ignored:

Continuous and throbbing pain

The pain felt deep in the tooth or jaw is usually throbbing and may be worse at night. This pain can be annoying when chewing, biting or even while resting. If this pain has appeared after specialized denervation of the tooth, it needs to be investigated.

Swelling in the gum area or face

Slight to visible swelling around the denervated tooth or even in the cheek and jaw may be a sign of the accumulation of infection in the underlying tissues. Sometimes this swelling occurs with painful touch or redness of the area.

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Sensitivity to heat and cold

Usually, a tooth that has been denervated should not react to heat and cold. So, if you still have a painful reaction to a hot drink or ice cream, there is probably an infection or inflammation around the root of the tooth.

Purulent secretions and bad breath

Sometimes the accumulation of infection is discharged from the gum in the form of a purulent abscess, which can cause an unpleasant taste and bad smell in the mouth. This symptom is one of the serious warnings of tooth root infection and requires immediate intervention.

Fever and general feeling of malaise

In more severe cases, the tooth infection may enter the bloodstream and cause symptoms such as fever, headache, fatigue or lethargy. In such a situation, it is necessary to see a dentist or even an emergency room immediately.

Why is a denervated tooth infected? Does it?

In this section, we will examine the cause of denervated tooth infection:

Resistance of bacteria in the secondary channels of the root

Teeth roots do not have only one direct channel; But sometimes they have tiny branches and very narrow branches in the depth of the jaw bone that cannot be seen even in the photo. If these secondary canals are not properly cleaned and disinfected during the treatment, the remaining bacteria can be activated over time and rekindle the infection.

creating a crack or fracture in the root of the tooth

The tooth that has just undergone root canal treatment is more sensitive to pressure and impact due to the emptying of its internal tissue. If there is a hairline crack or fracture in the root of the tooth (whether due to chewing hard food or incomplete restoration), bacteria may penetrate through this path and cause infection.

Improper and permeable filling or coating

Sometimes after denervation, tooth filling or coating is delayed or the materials are not placed properly. In this case, very small seams remain between the tooth and the restoration, through which bacteria can easily pass and enter the dental canals. This is why it is recommended to perform the final restoration of the tooth as soon as possible and accurately.

Creation of new decay in the tooth

Even if the root treatment is done correctly, if oral hygiene is not followed, the tooth may suffer from decay again from other areas (for example, between the teeth or under the veneer). This decay can create a new way of penetration for bacteria and spread the infection secretly.

In this section, we review the most up-to-date and effective scientific solutions for the treatment of denervated tooth infection.

Specialized dental treatments

If the dentist determines that the cause of the infection is the remaining bacteria in the canals or the re-leaking of bacteria into the tooth, re-nervation of the tooth is performed. This method means reopening the tooth, carefully draining the remaining tissue, cleaning the canals, deep disinfection and filling it again.

In cases where only the tip of the root is involved in the infection, instead of re-nervation, root tip surgery or epicectomy may be used. This procedure is performed with precise microscopes, during which the end of the root along with the infected tissue is removed and the canal is sealed from below.

Antibiotics and drugs: what is the best pill for tooth infection?

If the infection is in the early stages or has not yet entered the jaw and surrounding tissues, the dentist may try to control the inflammation and prevent its spread by prescribing antibiotics. Keep in mind that no medication alone can completely cure a tooth root infection. Medicines often play an auxiliary role so that the body is ready to accept the main treatment.

Home treatment for denervated tooth infection: is it really effective?

You should keep in mind that no home treatment can replace re-nervation of the tooth or epichotomy surgery; But some home remedies can help to temporarily reduce pain and inflammation so that you have the opportunity to visit the dentist:

• Washing your mouth with lukewarm salt water (3 times a day)
• Using a cold compress on the cheek to reduce swelling
• Using painkillers such as acetaminophen or ibuprofen
• Avoid eating hot or hard foods in the area of the infected tooth

Note: This The methods are only palliative, not curative. If you delay going to the dentist in the hope of home treatment, you may end up with tooth extraction or spread the infection to the jaw and body.

Can we prevent it?

Following the following methods can prevent the return of pain after denervation of an infected tooth:

Maintain oral and dental hygiene

You may have heard it many times, but it is still one of the most effective ways to prevent infection, this simple point:

• Brush your teeth twice a day.
• Use dental floss at least once a day.
• Mouthwash Mild antibacterial helps to control the bacteria hidden deep in the gums. This simple routine can prevent new decay, gingivitis, and bacteria from re-infiltrating the tooth root. Regular visits to the dentist for checkups Even if you don't feel any pain or problems, visiting the dentist every six months is essential. Many problems, especially the infection of denervated teeth after a few years, do not have clear symptoms in the early stages and are identified only through radiology or clinical examination.

  Perform the final restoration (filling or veneer) as soon as possible

  One of the common reasons for the return of the infection is the delay in the final restoration of the tooth. If the denervated tooth is left without a proper cover, the possibility of bacteria entering the root of the tooth through small seams and cracks increases.

  

  When should you go to the dentist immediately? Should we visit?

  If any of the following occur, contact the East Tehran dentist or the specialized root canal treatment center immediately:

  • Feeling pain for more than 3 days
  • High fever, chills or feeling generally unwell
  • Increasing swelling of the jaw, face or gums
  • Persistent discharge of pus, bitter taste or foul smell Mouth
  • Extreme sensitivity to heat or cold even without eating
  • Difficulty opening the mouth or swallowing food
  • Feeling of pressure, heaviness or throbbing in the area of the treated tooth

  

  Frequently Asked Questions About Tooth Infection denervated

  Is pain after denervation always a sign of infection?

  No; In many cases, mild pain or pressure after root canal treatment is normal and will subside within a few days.

  How much does root canal treatment cost?

  Tooth recanal cost It depends on factors such as the position of the tooth (front or Asian), the number of canals, the extent of damage or complexity of the root, the need for epitomy surgery or only non-surgical treatment. Yes.

  Does an infected tooth have to be extracted?

  Not necessarily. The dentist's primary goal is to save the tooth with re-nervation or endodontic surgery. Tooth extraction is recommended only in situations where the tooth structure is severely damaged and the infection has spread to the bone or adjacent teeth.

  Conclusion

  Denervated tooth infection is rare though; But if it occurs, it should be followed up quickly. Early diagnosis and timely visit to the dentist can prevent the spread of infection, destruction of tissues around the tooth, and the need for invasive treatments. If you have symptoms such as persistent pain, gum swelling, or unusual sensitivity in a denervated tooth, it is necessary to see a root canal specialist. Call 02191093560 to receive expert advice, information on dental tariff and schedule an appointment at Setareh Sharq Clinic. Keeping teeth healthy is possible with timely action.

  Last updated on 2 September 1404 by The Star Writers Team

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