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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Tenderness At The Root Of A Tooth Be Treated?

I've had a root canal treatment on a tooth for the second time-the first root canal was three years ago-I was suffering with tenderness above the tooth for over a year, had my dentist check it and he couldn't see anything on x ray-about six weeks ago I had an infection in the tooth and had to have the root canal re-done-after my dentist had drained the infection, the pain subsided after a day or so and completely went after a few days. I went back to my dentist for the second part of the root canal, he cleaned everything out and put a temporary filling into the tooth and made an appointment for four weeks later. I had no problems or pain during this period. I returned to my dentist to have the root canal completed-this was done without any problems, although a week or so later, i'm getting tenderness again at the root of the tooth, and I can feel it if I press with my finger. I don't have a problem with eating or drinking, and haven't had to take pain killers-The tooth isn't right, and i'm not comfortable with the tenderness. The tooth is already crowned. What can be done? Thanks
Tue, 5 Jun 2018
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Dentist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

It looks like there is some residual infection below the root tips of the tooth still present that is the cause tenderness on pressing.
If there is no pain on biting and it you are able to chew well then you need not to worry about it.
However to be on a safer side as you have already got the root canal treatment done twice you should take a course of antibiotics like Augmentin and anti inflammatory painkillers like Ibuprofen for reducing any infection.
Also do warm saline gargles.
Do not press the area again and again.
In case if it does not improve or continue to worsen then it can be a poor prognosis tooth and can require extraction.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Honey Arora
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How Can Tenderness At The Root Of A Tooth Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like there is some residual infection below the root tips of the tooth still present that is the cause tenderness on pressing. If there is no pain on biting and it you are able to chew well then you need not to worry about it. However to be on a safer side as you have already got the root canal treatment done twice you should take a course of antibiotics like Augmentin and anti inflammatory painkillers like Ibuprofen for reducing any infection. Also do warm saline gargles. Do not press the area again and again. In case if it does not improve or continue to worsen then it can be a poor prognosis tooth and can require extraction. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora