Hairline fracture

[geos]

Hi,
My dentist discovered what she thinks to be a hairline fracture on a tooth with root canal treatment while reviewing X-rays. The fracture is below the gum, so the only solution would be to go for extraction. When she did the other tests, biting, percussion and cold test, nothing triggered a reaction. She also said she didn’t notice gum irritation or any visual sign that something is wrong other than the x-ray. With all this, she prefers to wait and see before extraction.

I was wondering a few things I didn’t think to ask.
1. Since the tooth had root canal therapy, does that mean any pain I would get should be minimal? Out of curiosity, would it mostly be the ligaments holding the tooth that would experience the pain?
2. I started recently to take a medication on which I should not take opioids or narcotics. If I ever experience increased pain, would my dentist be able to prescribe something to help or I would be limited to over the counter solutions? They didn’t ask me to update my health status / medication this time, so I wasn’t thinking of it.

 

[Gordon]

1) Yes, pretty much that. Unless/until bacteria made their way down the roots into the peri-apical space and set off an acute infection there.
2) Opioids are not usually effective for dental pain.

 

[geos]

My dentist called me back and after verification it seems the limited classes of medication she is allowed to prescribe me will all interact with medication I take. I will see with a doctor to see what they can prescribe me.