Dental pain in primary root canal treatment and its management

Written in association with: Dr Negin Mosahebi
Published:
Edited by: Karolyn Judge

Leading endodontics specialist Dr Negin Mosahebi goes into expert detail about dental pain in primary root canal treatment and its management in this informative article.

Man who experiences dental pain preparing for root canal treatment

What causes dental pain during primary root canal treatment?

Dental pain during primary root canal treatment can be attributed to various factors, including:

Infection

Bacteria present in the tooth pulp or surrounding tissues can lead to inflammation and infection, resulting in pain.

 

Inflammation

The process of cleaning and shaping the root canal system can irritate the surrounding tissues, causing discomfort.

 

Nerve irritation

Manipulation of the tooth's nerve tissue during root canal treatment can cause temporary sensitivity or pain.

 

 

How is dental pain managed during primary root canal treatment?

Local anaesthesia

Local anaesthesia is administered to numb the tooth and surrounding tissues, ensuring that the patient experiences minimal discomfort during the procedure.

 

Pre-operative analgesics

Patients may be advised to take over-the-counter pain relievers, such as ibuprofen or paracetamol, before the procedure to help manage any pre-existing discomfort.

 

Intra-operative pain management

During the root canal procedure, the dentist or endodontist may use additional techniques to manage pain, such as applying topical anaesthetics or using special irrigation solutions to alleviate inflammation.

 

Post-operative care

After the root canal procedure, patients are typically prescribed pain medication and instructed to follow specific post-operative care instructions. This may include:

  • Taking prescribed pain relievers as directed;
  • Avoiding chewing on the treated tooth until it has fully healed;
  • Applying ice packs to the affected area to reduce swelling and discomfort;
  • Following a soft diet to minimise pressure on the tooth.

 

Follow-up appointments

Patients are usually scheduled for follow-up appointments to monitor their progress and ensure that the root canal treatment is successful. During these visits, any persistent pain or discomfort can be addressed, and additional interventions may be recommended if necessary.

 

Dental pain during primary root canal treatment is a common concern for patients undergoing the procedure. However, with advancements in dental techniques and pain management strategies, discomfort can be effectively minimised.

 

Local anaesthesia, pre-operative analgesics, intra-operative pain management techniques, post-operative care, and follow-up appointments play crucial roles in ensuring a comfortable and successful root canal treatment experience.

 

By working closely with their dentist or endodontist and following recommended guidelines, patients can undergo primary root canal treatment with confidence and minimal discomfort.

 

 

 

Require expert primary root canal treatment from a dental pain expert? Arrange a consultation with Dr Mosahebi via her Top Doctors profile.

By Dr Negin Mosahebi
Dentistry

Dr Negin Mosahebi is a highly respected dentist with practices limited to endodontics based in and outside London. She is renowned for her expertise in primary root canal treatment, as well as highly complex retreatment cases, vital pulp therapy and dental trauma. Dr Mosahebi is based at the esteemed Wimpole Street Dental Clinic (and Mona Lisa Smiles) in central London.

Negin Mosahebi qualified from Guys & St Thomas’ Dental Hospital in 1998 and  worked for several years in hospitals and general practices before devoting her clinical practice exclusively to Endodontics in 2003. She achieved Masters in Endodontics in 2006 and continued with specialist training at Kings College Hospital until 2009. Negin was awarded membership in Endodontics (MEndo) from the Royal College of Surgeons in Endinburgh. She was a part-time clinical teacher for undergraduates at Guy’s and King’s College Hospital until 2016.
 
Negin’s experience in hospitals and general practices has given her particular skills in understanding problems of diagnosis, case management of multidisciplinary cases and treatment planning. She believes in close collaboration with the referring dentists to provide the highest level of (evidence-based) endodontics tailored suited to her patients. Negin believes that patient’s journey is very important. With her many years of experience at dealing with nervous patients and her calm demeanour, she ensures that the patients are fully informed and are as relaxed and comfortable as possible.
 
She works in several private referral-based practices in and around London. Referrals she receives are from other specialists, General Dental practitioners, self-referred and patient recommendations. She ensures that the referring dentist are fully informed with timely reports and close follow up when required.
 
Negin is very passionate about her chosen field of endodontics and continues to maintain and update her skills by attending numerous national and international conferences. During her undergraduate studies, she won the Malleson Prize for her research. Negin keeps up with the latest research in Endodontics and has recently carried out research on endodontic sealers with professor Camilleri at the Birmingham Dental School. Teaching remains a passion of Negin and she continues to run CPD courses and welcomes opportunities for in-house training for general practitioners.
 
Additionally, Negin was the treasurer for the exclusive Langham endodontic society and an active executive member for five years. Negin is one of the local representatives of the Dental Trauma UK.

She enjoys all aspect of endodontics, from simple primary root canal treatment, to most complex root canal re-treatment, pulp therapy and regeneration and trauma cases. Lastly Negin is very approachable and is happy to provide advice and guidance regarding any endodontic issues and strives to answer all the emails to the best of her ability and efficiently.
 

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