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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Gum?

I had a root canal on a upper molar which had a crown. I was on antibiotic. The endodontist went through the crown and when done put a temporary filling. This was on a Thurs. unfortunately, I went into the hosp on Sunday. I had intravenous IV. After a week I returned to endo my gums were inflamed. He asked me to wait another week which I did. When I returned I was experiencing severe pain in the gum close to my cheek bone. He asked me to use peridex for another week. I did. After another visit, he said he thought it was my trigeminal nerve and I should see a neurologist. Now another week later I am sensitive to heat.
posted on Wed, 16 Jul 2014
Twitter Thu, 17 Jul 2014 Answered on
Twitter Fri, 18 Jul 2014 Last reviewed on
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Dentist,  's  Response
Hello,

Thanks for consulting HCM .

Read your query, as you have severe pain in gum this can be due to presence of pain in Rct treated tooth due to presence of infection at apex of root , formation of periodontal pocket in tooth , or due to inflamation in periodontal ligament , or it can be to trigeminal neuralgia also.
I will suggest you to consult oral medicine and radiologist specialist and go for examination and Xray of painful region of gum to rule out the cause of pain.

Hope this will help you.
Wishing you good health.

Regards ,
Dr. Priyanka tiwari
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Dentist,  Dr. Uzma Rahaman's  Response
Thanks for using Health Care Magic.

Read your query.

Pain in the tooth and its related area after root canal treatment can be due various etiology like the incomplete removal of the pulpal remnants which is causing a flare in the tooth area causing the pain .Sometimes it can be due to trigeminal neuralgia.If your oral hygiene is not maintained well and weak periodontal condition can also aggravate the condition.

I would advice you keep the area clean.Do warm saline gargling.
Antibiotics like amoxicillin 500mg thrice and metrolag 200 thrice daily with prescription can help.( if you are not allergic to any medicine).

If still pain is persistent you can visit your endodontist and have a radiograph done to evaluate the tooth status.
Also then you can plan a neurologist appointment,if needed.

Hope this was useful.

Thanks and regards.
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What Causes Severe Pain In Gum?

Hello, Thanks for consulting HCM . Read your query, as you have severe pain in gum this can be due to presence of pain in Rct treated tooth due to presence of infection at apex of root , formation of periodontal pocket in tooth , or due to inflamation in periodontal ligament , or it can be to trigeminal neuralgia also. I will suggest you to consult oral medicine and radiologist specialist and go for examination and Xray of painful region of gum to rule out the cause of pain. Hope this will help you. Wishing you good health. Regards , Dr. Priyanka tiwari