Pain after an apicectomy
introduction
A sudden onset of pain in a tooth, to Problems chewing and a uncomfortable feeling are in most cases signs of a root inflammation Root canal treatment to be necessary at a dentist.
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It will removed inflamed tissues from the tooth and with different rinses flushed. This is how all bacteria are supposed to away and the Channel cleaned become. The root canal treatment tries to preserve the natural tooth. Once the treatment is over, you have some peace and quiet. However, after a while pain again occur, which may be a sign that the inflammation has flared up again. bacteria can in the tooth remained causing re-inflammation. A root canal treatment cannot give a 100 percent guarantee that no further problems will arise afterwards.
Can also after several attempts no success be achieved, there is the possibility of a Apical resection on. This surgical procedure is also used when a Root canal filling not possible is or yourself changes in the x-ray point out that require such an intervention.
With this treatment, the tip of the root is not treated from the crown, but access is made from the outside. To the area the root will be somewhat removed from the jawboneso that one has access to the root tips. The dentist now cuts off the inflammatory tip of the root, as the word "resection" suggests. The inflamed tissue is removed and everything completely cleaned. Finally, the Place sealedso that no bacteria can enter. A Previous root filling is also renewed in the course of the treatment. After the surrounding tissue is folded back again and neatly sewn became, becomes a another x-ray created. Based on this, the dentist can see whether everything went according to plan during the procedure and whether the filling is leakproof.
After ten days at the latest is the Wound healedso that the dentist does the pulling strings can. After three months the bone have regenerated again.
Pain during treatment
When you hear about an apicectomy, the first thing you think about is uncomfortable pain. One thinks not only of those who appear beforehand and draw your attention to the fact that something is wrong with the tooth, but above all of those that could arise during the procedure. This concern is actually unfounded, because a root tip resection is more similar to normal root canal treatment, not performed without anesthesia.
As a rule, the procedure is carried out on an outpatient basis under local anesthesia. At this Local anesthesia the pain-transmitting nerves are specifically shut down so that it becomes Freedom from pain comes. The practitioner can thus remove the root tip without you noticing anything. Unpleasant can only do that Administer the local anesthetic be there it injected with the help of a syringe becomes.
It can also further stunning measures be performed. This is either anesthesia or twilight sleep. This is indexedwhen the surgical intervention made more extensive or the Patient is very anxious. The patient is no longer aware of the treatment and is "woken up" again at the end.This stunning represents a greater stress on the body represent.
The procedure is designed as very complicated or is the general condition of the patient unsure, due to general illnesses, can be a inpatient stay be prescribed. So you don't have to worry about pain during the treatment.
After the procedure
After the procedure, the patient should have some regulate must be adhered to in order to ensure optimal healing and to keep the pain as low as possible. It can too Swelling and bruising come to the affected area, but with a sufficient cooling can handle well from the outside. As long as the job still deaf is, should not eaten will and also physical exertion are in the first few days to avoid. Nicotine and coffee should not consumed as they are the Delay healing of the wound can. A sufficient and good one Oral hygiene is very important, since the mouth and the sewn area cannot be unnecessarily attacked by bacteria. The wound takes time to heal.
The Healing but is unfortunately associated with painwhich can be very uncomfortable in the first few days after the procedure. After a few days this pain should subside, so should the Pulled strings can be. The tissue needs to recover and takes time to regenerate. To make the pain more bearable after the procedure, you can Taken pain medication become. The remedy of choice in this case is Ibuprofen. It numbs the pain and has one too positive Influence on a inflammation. Preparations that Contain acetylsalicylic acid, are to avoid, as they reduce blood clotting and thus increase it Bleeding can come.
The wound can infectwhat that Increased feeling of pain. If these symptoms occur or the pain does not subside after days, a visit to the dentist is advisable in any case. This can assess the situation and a possible infection of the wound. This can lead to injuries or during the course of the procedure Irritation at the maxillary sinus come what is in a inflammation expresses.
Furthermore is a Injury to neighboring, healthy tooth roots possible that are now starting to hurt. Sensory disturbances or a Numbness on the lower lip can also occur because the Damaged nerve or may have been irritated. This feeling fades on its own after a few days. At home you can support healing by taking the advice above to heart and with something Chamomile tea rinses the mouth, to the Soothe wound and the To relieve pain in addition. There are also some homeopathic Means how Belladonna or Arnica montanaaccompanying the healing.
How long does the swelling last?
After the surgical procedure, a swelling forms, which can worry those affected. The swelling is the body's immune response, as tissue also had to be injured during the resection in order to reach the root tip. This swelling can persist. In the healing phase, in which the wound closure is progressing, the swelling can persist for a week until it subsides.
The body reaction and wound healing is different for everyone and therefore the duration can vary from 1-2 days to over a week. Cooling with a cooling compress vehemently helps the swelling to subside and relieves pain.
You can find out more at: Swelling after an apicectomy
How long does the pain last after an apicectomy?
After the apicectomy, the pain can last much longer than the swelling. There are also patients for whom the symptoms never go away. The treatment is always just an attempt to save the tooth, there is no guarantee of success. Therefore, if the resection is not optimal, the pain can persist until the tooth finally has to be extracted.
Usually the wound pain sounds like with the wound closure and healing a week from. Nevertheless, the operated region can still hypersensitive and still be uncomfortable when touched or when eating on the affected side. This condition can last for a few weeks as the gums need time to completely renew themselves. In some patients the Chewing sensitivity of the tooth even further. This discomfort can persist even after half a year. A regular presentation to the treating dentist in the follow-up treatment is particularly important in order to understand the success or failure of the therapy.
Pulsating pain
Pain after an apicectomy is normal, as the body's immune response causes wound pain. However, some sufferers complain about pulsating pain on the affected tooth, although it is dead. How can that be? The pulsating pain can have a neurological cause. Directly below the root tip in the treatment area Nerve cordsthat may have been irritated during the apicectomy. However, this sensation should subside after a few days.
Furthermore, the pulsating pain can also be symptoms similar to Phantom painthat radiate to the affected region. There are also patients who experience pulsating pain in a region where a tooth has been removed. If these symptoms do not subside, it is advisable to consult a neurologist in consultation with the dentist.
Pain after years
A Root canal treatment can without complications run, the wound healing is carefree and there is peace for many years. But also Years after the procedure can do it again Pain come on the tooth, even if the frequencies of such complications rather low are.
The cause of pain can be different. For one, could Root tips left behind be the one renewed inflammation condition. An inflammation can also trigger itself again if the circumstances are unfavorable and bacteria available. Most of them stay Inflammation symptoms many years undetected and show typical symptoms only after a long time. With the tip resection you have that Root tips removed, of the remaining part but the root is still with one filling provided so that bacteria migrate from these canals and into the surrounding tissue, such as in the boneto nest. These processes can take place very slowly, so that pain does not return for years after the procedure.
You notice a Discomfort in a treated tooth or are already Pain available, it is recommended to see the dentist immediatelyto find out the cause. During this visit you can also use the alternative a prosthetic fitting.
Which drugs work best?
In addition to the surgical procedure, a surgical procedure is used to accelerate wound healing and protect against bacteria antibiotic prescribed to eliminate the bacterial cells. This can ensure faster sterility and wound healing. This antibiotic is individually adapted to the patient and the dose is specially prescribed.
The dentist prescribes as support anti-inflammatory pain relievers how Ibuprofenso that the symptoms of pain are relieved and the inflammation and swelling go down faster. It is advisable to use it twice a day after the tip resection Chlorhexamed® forte to flush around the Germ load to keep the oral cavity as low as possible and to promote wound closure. This creates an ideal environment in the oral cavity so that the wound cannot become infected at all.
Furthermore, Chlorhexamed® Gel or Kamistad,locally applied to promote wound healing. In addition, there are many home remedies and homeopathic preparations that are intended to close wounds and relieve pain. There is no scientific evidence here. The intake and dosage must be strictly discussed with the dentist, as it is not necessarily beneficial. However, the affected region can and should be cooled several times a day with a cooling compress in order to counteract the swelling and relieve pain symptoms.
Home remedies
Intended against inflammation and swelling Clove oil and the oil out Rosemary leaves To remedy the situation. Both oils will be dripped onto a compress as a tincture, which will then be placed on the affected area in the mouth. After a short exposure time, a pain-relieving effect can be expected. Clove oil is also used in dentistry and has a calming effect that can relieve wound pain.
Unfortunately, both oils are not and can be bactericidal (fighting bacteria) Germ environment inside the oral cavity Don `t change. Also the juice of the Boiled Wirsings and the extract of chamomile are intended to relieve pain in the oral cavity.
However, there is no scientific guarantee of the effectiveness of home remedies. Nevertheless, the application is not harmful and can therefore be actively pursued alongside dental therapy, even if only with a doctor's agreement.
homeopathy
Homeopathy can help to alleviate symptoms after a root resection and at the same time treats the immune system that has been damaged by the operation. It is recommended to take Arnica montana to promote wound healing. To counteract the swelling are Belladonna and Apis mellifica the preparations of choice. There are dentists who specialize in homeopathy and generally that is Consultation with the doctor about taking the appropriate agent and the exact dosage.
In general, homeopathy can help to accelerate healing and has a positive effect on the immune system. Because the body's reaction mechanisms are restored more quickly, the body can concentrate fully on wound healing, which then proceeds more quickly.
Alternatives
To avoid the pain of a root canal treatment and a possible apicectomy, the only option is to use the Tooth pull and a prosthetic restoration to strive for. But even this can be uncomfortable because the prosthetic restoration must be anchored and it can be too aesthetic and functional losses come.
There are different supply options. You could fill the gap with a bridge close, one pen anchor or a Implant set, followed by a Crown is set. Such a restoration can be both aesthetic and functional close to a natural tooth reach out. The Root canal treatment or the Apical resection are the last chance to save the natural tooth.
If the financial means available are and the dentist good chance of success thinks possible, the procedure is recommended to avoid the to leave the natural tooth in the mouth as long as possible. If the pain is over and the apicectomy is successful, the tooth can have a long life.
Summary
A root resection is not a pleasant procedure and often involves Pain connected. During the procedure you hardly notice anything at first, but at home when they do Numbness wears offurges the pain ever further to the surface. To normal wound healing However, this is part of it and should decrease again after a few days.
The pain remains can get out over this period Complications have occurred that should be checked. But even if everything seems to go smoothly, you can still Pain occurs years after the procedurewhich is mostly a sign of a renewed inflammation are. Here is one too quick treatment advisable.
Despite the more complicated procedure and the associated inconvenience, a root tip resection is worthwhile in many cases and leads to Preservation of the natural tooth.
