Often, dentists hear complaints that the tooth hurts after the treatment of caries. It seems that the problem has been fixed, the seal is put, and the pain does not subside. What factors can trigger the onset of pain?
What is caries?
Caries is the destruction of the hard tissues of the tooth – enamel and dentin. Translated from Latin, this word means “decay”, which quite clearly describes the process. This disease is caused by demineralization of the tooth, which occurs under the influence of bacteria in soft plaque. Its thorough removal is the most effective prevention of caries. This disease is by far the most common on earth. According to the WHO, up to 80% of children suffer from this ailment, and 90% of the adult population of the planet have at least one sealed tooth.
There are several factors that favor the onset of the disease:
- susceptibility of tooth enamel;
- the nature of human nutrition;
- the amount of fluoride entering the body;
- the presence of cariogenic microorganisms in the oral cavity.
An important factor is such an individual peculiarity of the body as the amount of saliva to be separated. Environmental influences also play a role in the development of this disease. There are several stages of caries development:
- caries in the spot stage;
- superficial caries;
- medium caries;
- deep caries.
How long does the disease develop? It depends on the individual characteristics of the human body. Of course, the treatment of the disease is simply necessary, because untreated caries can lead to a lot of complications: pulpitis, periodontitis, periostitis.
Rather, this is the norm in the treatment of caries, especially deep. Sensitivity simply increased due to debridement. As a rule, these discomforts pass quickly, within 3-5 days. But a situation may arise when the pain after treatment is severe, and does not subside over time, but only worsens, especially at night. Sometimes even taking painkillers does not save the situation and the tooth continues to hurt.
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Causes of pain after treatment
The initial stages of the disease respond best to treatment. If the caries is advanced, then after its treatment pain can occur. First you need to determine what kind of sensations a person experiences.
If the toothache is not very strong, aching, but at the same time aggravated by biting, and the tooth becomes more sensitive to hot, cold, then this phenomenon is not considered a pathology.
Such symptoms may indicate that during the treatment the dentist somehow touched the nerve and became inflamed under the filling. In this case, there is only one way out: remove the filling and remove the pulp – nerves and blood vessels from the diseased tooth. If the pain occurs only when biting, then the problem may be an overstated filling. Such a disadvantage is easily eliminated if it is polished to the desired height. With the sensitivity of a filled tooth, the enamel fluoridation procedure will help. And if after the treatment the gums become inflamed, the dentist will prescribe anti-inflammatory therapy, which will remove the pain.
In modern dental clinics, the level of service is quite high. Using the most modern equipment and materials, dentists practically nullified the possibility of developing complications after tooth treatment. Although you should not forget that the skill of the dentist plays an important role here, because the human factor has not been canceled.
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Complications of Caries
The following complications of caries can lead to painful sensations:
- Pulpitis, or inflammation of the pulp, is a tissue inside the tooth that contains nerve fibers and blood vessels. It occurs when, due to deep caries, pathogenic bacteria enter the pulp and cause an inflammatory process there. The pain is very severe, sometimes it gives into the ear, and it is impossible to understand which tooth hurts. It occurs mainly at night. Treatment consists in removing the nerves and filling the dental canals first, and then the tooth itself.
- Periodontitis More often occurs as a consequence of neglected or untreated pulpitis. In this disease, the tissues that hold the tooth become inflamed. The pain in acute periodontitis is severe, aggravated by pressing on a bad tooth, as well as when eating hot food, but it subsides from the cold. In this case, the diseased tooth appears to protrude from the dentition. When the form is launched, the tooth begins to stagger. Such a disease negatively affects the entire body, bacteria affect the kidneys, heart.
- Granuloma This is a complication of periodontitis. A purulent sac, which is located at the root of the tooth, makes itself felt intolerable pain. Only X-rays can diagnose this phenomenon, and a bad tooth will have to be simply removed. Granuloma is a hotbed of chronic infection in the body.
Obviously, tooth decay is easier to prevent with simple preventative measures than to treat its effects. If you happen to encounter a toothache after caries treatment, you should definitely consult a doctor. This will help minimize the risk of all kinds of complications.
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