After months of hesitation (as I didn't trust my dentist and couldn't find one I trusted), I decided to go back to my dentist and have a look at my cracked tooth (top molar). He said it was safe to have a root canal and then put a crown on it. When he
put the crown, the tooth was still sensitive after the root canal, but the said there was nothing to worry about. I felt it was too early to put the crown on, but obviously I'm no doctor myself and had no other option than go on.

The area was painful for the next two weeks, then the pain slowly subsided, until today, when I woke up in pain and discovered a massive swelling just above the tooth. I would have thought that the root canal would have killed the nerves and prevented
any further inflammation. This is all more complicated as there's now a cemented crown on top of it.

Monday first thing I'm going to ring my dentist, but, really, what should I do? I get the feeling he botched the whole thing. However, I don't really have many alternatives, as dentists in UK are really bad, and surely in my area they have a very bad
reputation.

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On 2/8/2020 4:00 PM, miguel.manara@mail.com wrote:

After months of hesitation (as I didn't trust my dentist and couldn't find one I trusted), I decided to go back to my dentist and have a look at my cracked tooth (top molar). He said it was safe to have a root canal and then put a crown on it. When he

put the crown, the tooth was still sensitive after the root canal, but the said there was nothing to worry about. I felt it was too early to put the crown on, but obviously I'm no doctor myself and had no other option than go on.

The area was painful for the next two weeks, then the pain slowly subsided, until today, when I woke up in pain and discovered a massive swelling just above the tooth. I would have thought that the root canal would have killed the nerves and prevented

any further inflammation. This is all more complicated as there's now a cemented crown on top of it.

Monday first thing I'm going to ring my dentist, but, really, what should I do? I get the feeling he botched the whole thing. However, I don't really have many alternatives, as dentists in UK are really bad, and surely in my area they have a very bad

reputation.



It's really the dentist's call as to what to do. If you cannot find a
dentist whom you can trust, that's a problem. That the tooth was still
painful when the crown was cemented is a potential problem. It is
possible the apparent infection is periodontal, or caused by cement that
has been impacted into the gum. But it's also possible the root canal
has failed, or that the root is fractured.
The appropriate course depends upon the source of the infection.

Steve

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On 09/02/2020 14:12, Steven Bornfeld wrote:

On 2/8/2020 4:00 PM, miguel.manara@mail.com wrote:

After months of hesitation (as I didn't trust my dentist and couldn't
find one I trusted), I decided to go back to my dentist and have a
look at my cracked tooth (top molar). He said it was safe to have a
root canal and then put a crown on it. When he put the crown, the
tooth was still sensitive after the root canal, but the said there was
nothing to worry about. I felt it was too early to put the crown on,
but obviously I'm no doctor myself and had no other option than go on.

The area was painful for the next two weeks, then the pain slowly
subsided, until today, when I woke up in pain and discovered a massive
swelling just above the tooth. I would have thought that the root
canal would have killed the nerves and prevented any further
inflammation. This is all more complicated as there's now a cemented
crown on top of it.

Monday first thing I'm going to ring my dentist, but, really, what
should I do? I get the feeling he botched the whole thing. However, I
don't really have many alternatives, as dentists in UK are really bad,
and surely in my area they have a very bad reputation.

It's really the dentist's call as to what to do. If you cannot find a dentist whom you can trust, that's a problem. That the tooth was still painful when the crown was cemented is a potential problem. It is
possible the apparent infection is periodontal, or caused by cement that
has been impacted into the gum. But it's also possible the root canal
has failed, or that the root is fractured.
The appropriate course depends upon the source of the infection.

Steve

Thanks.

I have noticed that the pain in the tooth is almost gone, but the inflammation is still there (it hurts only if I touch the area). The dentist said it would take up to 2 months for the area to settle. It's just over a month since he put the crown in.
Should I still pay him a visit or wait?

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On 2/11/2020 3:00 AM, miguel.manara@mail.com wrote:

On 09/02/2020 14:12, Steven Bornfeld wrote:

On 2/8/2020 4:00 PM, miguel.manara@mail.com wrote:

After months of hesitation (as I didn't trust my dentist and couldn't
find one I trusted), I decided to go back to my dentist and have a
look at my cracked tooth (top molar). He said it was safe to have a
root canal and then put a crown on it. When he put the crown, the
tooth was still sensitive after the root canal, but the said there was
nothing to worry about. I felt it was too early to put the crown on,
but obviously I'm no doctor myself and had no other option than go on.

The area was painful for the next two weeks, then the pain slowly
subsided, until today, when I woke up in pain and discovered a massive
swelling just above the tooth. I would have thought that the root
canal would have killed the nerves and prevented any further
inflammation. This is all more complicated as there's now a cemented
crown on top of it.

Monday first thing I'm going to ring my dentist, but, really, what
should I do? I get the feeling he botched the whole thing. However, I
don't really have many alternatives, as dentists in UK are really bad,
and surely in my area they have a very bad reputation.

It's really the dentist's call as to what to do. If you cannot find a
dentist whom you can trust, that's a problem. That the tooth was still
painful when the crown was cemented is a potential problem. It is
possible the apparent infection is periodontal, or caused by cement that
has been impacted into the gum. But it's also possible the root canal
has failed, or that the root is fractured.
The appropriate course depends upon the source of the infection.

Steve

Thanks.

I have noticed that the pain in the tooth is almost gone, but the inflammation is still there (it hurts only if I touch the area). The dentist said it would take up to 2 months for the area to settle. It's just over a month since he put the crown in.

Should I still pay him a visit or wait?


That you had a swelling that began (or recurred) some time after the
root canal treatment was completed indicates there's a good chance
there's a problem, even if the pain remits.
In any case, the tooth should be followed for a while. If there is
evidence on x-ray of a dark area at the root end, it should diminish in
size over time. That diminution may take several months to even a year
or two, and it may never completely resolve. That is not necessarily a problem, but it should NOT increase in size. Likewise, if the swelling
recurs or you see drainage, there is a problem. Your dentist should NOT
tell you it's OK, it just needs a few more months to settle down.

Steve

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On Sunday, 9 February 2020 14:12:37 UTC, Steven Bornfeld wrote:

On 2/8/2020 4:00 PM, miguel.manara@mail.com wrote:

After months of hesitation (as I didn't trust my dentist and couldn't find one I trusted), I decided to go back to my dentist and have a look at my cracked tooth (top molar). He said it was safe to have a root canal and then put a crown on it. When

he put the crown, the tooth was still sensitive after the root canal, but the said there was nothing to worry about. I felt it was too early to put the crown on, but obviously I'm no doctor myself and had no other option than go on.

The area was painful for the next two weeks, then the pain slowly subsided, until today, when I woke up in pain and discovered a massive swelling just above the tooth. I would have thought that the root canal would have killed the nerves and

prevented any further inflammation. This is all more complicated as there's now a cemented crown on top of it.

Monday first thing I'm going to ring my dentist, but, really, what should I do? I get the feeling he botched the whole thing. However, I don't really have many alternatives, as dentists in UK are really bad, and surely in my area they have a very bad

reputation.

It's really the dentist's call as to what to do. If you cannot find a dentist whom you can trust, that's a problem. That the tooth was still painful when the crown was cemented is a potential problem. It is
possible the apparent infection is periodontal, or caused by cement that
has been impacted into the gum. But it's also possible the root canal
has failed, or that the root is fractured.
The appropriate course depends upon the source of the infection.

3 months down the line and no improvements. Due to the lockdown, I cannot book an appointment with any dentists.

If the swelling was due to root canal overfilling, would the damage be permanent? Is this reversible?

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Thanks Steve and sorry for my silly questions. Just one more. You said:

Root canal filling materials are pretty inert and biocompatible.

Ok, so, does it mean that if it had been an overfilling, it would have been reabsorbed by now? Or have I got it all wrong?

Just to clarify, the swelling is about 1.5 cm above the base of the tooth and it's roughly the size of a small pea, about 4 or 5 mm diameter; although I have the felling it's marginally smaller than 3 months ago.

--- SoupGate-Win32 v1.05
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On 5/5/2020 3:19 PM, miguel.manara@mail.com wrote:

Thanks Steve and sorry for my silly questions. Just one more. You said:

Root canal filling materials are pretty inert and biocompatible.

Ok, so, does it mean that if it had been an overfilling, it would have been reabsorbed by now? Or have I got it all wrong?

Just to clarify, the swelling is about 1.5 cm above the base of the tooth and it's roughly the size of a small pea, about 4 or 5 mm diameter; although I have the felling it's marginally smaller than 3 months ago.

That's a pretty big swelling. Whether it's resorbed or not depends upon
the material. The most common filling material is still doubtless gutta percha--that will NOT be resorbed.

--- SoupGate-Win32 v1.05
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On Thursday, 7 May 2020 16:57:21 UTC+1, Steven Bornfeld wrote:

On 5/5/2020 3:19 PM, miguel.manara@mail.com wrote:

Thanks Steve and sorry for my silly questions. Just one more. You said:

Root canal filling materials are pretty inert and biocompatible.

Ok, so, does it mean that if it had been an overfilling, it would have been reabsorbed by now? Or have I got it all wrong?

Just to clarify, the swelling is about 1.5 cm above the base of the tooth and it's roughly the size of a small pea, about 4 or 5 mm diameter; although I have the felling it's marginally smaller than 3 months ago.

That's a pretty big swelling. Whether it's resorbed or not depends upon
the material. The most common filling material is still doubtless gutta percha--that will NOT be resorbed.

Ok, I'm even more confused. My question is now: can such big swelling be caused by overfilling? Which was my original question, but I then lost the flow of reasoning. In other words, am I doomed?

--- SoupGate-Win32 v1.05
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On 5/7/2020 12:42 PM, miguel.manara@mail.com wrote:

On Thursday, 7 May 2020 16:57:21 UTC+1, Steven Bornfeld wrote:

On 5/5/2020 3:19 PM, miguel.manara@mail.com wrote:

Thanks Steve and sorry for my silly questions. Just one more. You said:

Root canal filling materials are pretty inert and biocompatible.

Ok, so, does it mean that if it had been an overfilling, it would have been reabsorbed by now? Or have I got it all wrong?

Just to clarify, the swelling is about 1.5 cm above the base of the tooth and it's roughly the size of a small pea, about 4 or 5 mm diameter; although I have the felling it's marginally smaller than 3 months ago.

That's a pretty big swelling. Whether it's resorbed or not depends upon
the material. The most common filling material is still doubtless gutta
percha--that will NOT be resorbed.

Ok, I'm even more confused. My question is now: can such big swelling be caused by overfilling? Which was my original question, but I then lost the flow of reasoning. In other words, am I doomed?

I never say never, but--it's far more likely to be a failure of the root
canal, or perhaps even a root fracture. An x-ray would quickly disclose
what's going on there.

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