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How long can the periodontal ligament stay inflamed or irritated?

G

GypsySoul

Junior member
Joined
Oct 16, 2015
Messages
4
If I have had a lot of dental work done in an area over the course of many weeks (fillings, bite adjustments, a re-do of one of the first fillings, more bite adjustments) and X-rays look good but it is still hurting all AROUND the tooth, even up into my face/nose now, can it be the periodontal ligament is *still* inflamed/bruised?

If I take longer to heal than normal generally
(not terribly longer but a little - like a recent root canal hurt the most about 5/6 days after it was done, and took three weeks before I could do the crown prep instead of the standard two)
how long could this go on? (taking into account that I am already not chewing at all, because chewing anywhere in my mouth makes it hurt more. )

If it IS an inflamed / irritated ligament, a RC won't really do much, will it?

Would getting the tooth extracted make it stop hurting?
If yes, how long would you wait it out to see if it will calm down on its own from the time the last work in the area was done, if bite looks good, and antibiotics didn't help, and X-rays are not showing anything, before thinking about an extraction?

:confused:
 
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Dr. Daniel

Dr. Daniel

Well-known member
Verified dentist
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Nov 2, 2010
Messages
2,020
Location
The Hague , Holland
Hi,

It sounds like your dentist has suggested you a root canal as treatment for your constant pain from this tooth and you are sceptic about it (rather have the tooth extracted than a RC). Am I wrong?

Regarding your question: a root canal treatment helps per definition when there is an inflammation at the periodontal ligament.

My reccomendation: you can go have a second opinion.
 
G

GypsySoul

Junior member
Joined
Oct 16, 2015
Messages
4
Hi,

Thank you so much for replying -- I have added more info.

A second opinion is difficult for me as I finally found a dentist I can actually *go* to.

Yes, you are incorrect in that I would happily go for a root canal if that will help. My dentist has NOT suggested it at this point, as he feels it is pain due to inflammation of the ligament.
I go to a great Endo and if a RC would do the trick that would be great and I would go ASAP.

But since I have been told it is from inflammation of the ligament from bite/trauma/dental work, and since a RC only takes out the nerve INSIDE the tooth - and so leaves the tooth still hitting against the ligament - I wasn't sure if that could help.

Sorry for the backstory, but maybe that will help explain?

Have really bad Panic Disorder, avoided dentist for years except when absolutely necessary.


Broke a tooth (#11) in 2008. Went to newbie dentist who did post / RC / crown. Crown looked awful, but I didn’t care, just wanted to be done. He told me I was too anxious and he couldn’t treat me. Tooth always was a little sore but not enough to get me to dentist. (Endo and new dentist both say it *looks* good.)


Had had a RC/crown on #29 in 2003. Once the crown went on it never felt right. Hurt for years, if tapped on the side.


Fast forward to June 2015. Found a super patient dentist who found the right mix of anti anxiety meds. Was able to find that #29 had an infection at root - suggested Retreat, but when I went to Endo, he suggested apico or extraction. Having been years, I had it out.


No isses.


Needed fillings in:
7-8-9-10 - did them in 7/2015 all went well
19-20 - did them 8/2015 all went well
A root canal & new crown through a previous crown/pulpcap on 18 — did it 10/2015, went relatively well - gums were bruised longer than expected. But overall fine.


and filings on 13-14-15 on 9/16/2016.


(I don’t have #12 - from braces/overbite as a child, so 11/13 are next to each other.)


13-14-15 has been a nightmare.
Got them filled on Sept 16th. They didn’t hurt beforehand. I could chew anything. Ate nuts everyday.
14 was very deep. Hurt after fillings, thought possibly a root canal, but was actually a high bite on 15. Taken care of at Endo's office when he did RC Retreat on 18, and 14 calmed down.


But - 11/13 hurt. First seemed to be 11, but there’s no root. Went to have it adjusted.
Everything looked good (says both dentist and endo.)
Was planning to do retreat, but hurts all the time.
Then 13 started to hurt also after the fillings.
Dentist thought 13 could be packed too tightly for me, so he re-does 13 on Nov 11 when permanent crown is placed on 18.


so timeline was this:


13-14-15 fillings on Sept 16, 2015
Sore after - HURTING - in with Endo - RC on 18, possibly on 14 (but was bite issue), possibly Retreat on 11 - but looks good so everyone (except me) wants to wait & see


Root Canal on 18 on Oct 3rd
I bruise bad so had to wait 3 weeks for crown prep as gums were sore
went for a few bite adjustments for 11 during this time.
Crown prep on Oct 28th
Crown placed on 18 & redo filling of 13 on Nov 11th
HURTS
Readjust #11 on Nov16th (was planning to retreat & new crown in January when benefits reset)
HURTS BAD at 11 and 13


So now it is a week later. 13 HURTS. Or 11 hurts. or they both hurt. All AROUND the teeth. And I think 13 especially now.


Dentist said to give it time, felt it was an inflamed ligament from all the dental work.


I don’t chew at all right now. If I chew *anywhere* in my mouth it hurts more.


It doesn't get worse when I bite down (like when they were doing the bite adjustments) but starts up shortly after.
Not to hot. It wasn’t to cold until after filling redone - now it is a bit to cold, but that is likely due to filling.


Not to air usually - sometimes 11 is, but 13 wasn’t until maybe after filling redone.


~Could the periodontal ligament STILL be inflamed? I really did abuse the area with repeated bite adjustments, etc.
BUT it has been many days now. However, I heal from bruises slowly now it seems.


~Would getting 13 extracted help? (I know I should try to save the tooth, but I can’t see how getting a root canal will help if it is the ligament, nor can I afford to get a root canal on a tooth that I will have to pull from the pain anyway….)

~How would a root canal help if the pain is from repeated concussions to the ligament?



~If it is the ligament, and I try to keep waiting for it to calm down - and it eventually does, does that mean it will hurt like this all over agin when I get the tooth next to it (11) its Root Canal retreat and new crown?


X-rays look good.
No signs of infection.
The cavity in 13 wasn’t deep.

But I’m hurting like crazy and need this to stop already. :(
 
M

mytooth!

Junior member
Joined
Feb 21, 2017
Messages
2
Hey GypsySoul,

Just wondering if your inflammed/irritated ligament ever got resolved? I have the same issue going on right now. Endo examined the tooth and said it looks perfectly healthy, suggested it may be a sprained ligament and come back in 2 weeks. Shoot, I wish it could be resolved with a root-canal - that would be easy.

I made myself an adjusted mouthguard so I would avoid hitting that molar at night - i wear it in the daytime too. Other than that, essentially eating apple sauce and protein shakes (kinda kidding - I just chew on other side). Am also starting to take some ibuprofen.

But, I'm wondering if your issue ever got resolved and what you did to resolve it.

Thanks for any intel!
 
L

Luv2eatgrilledcheese

Junior member
Joined
Apr 2, 2017
Messages
1
I'd also like to know the update on your situation. I suffer from terrible anxiety too and just about had a full meltdown last night when I was trying to google my symptoms. Haha. Not a good idea ever. Haha

My situation sounds a lot like yours.
I had a RC on my bottom back right molar. Healed perfectly. Could eat chew bite down on anything. Then I went in a month later to prep for a crown and they really did some trauma to the area. Even with anesthetics it was still very uncomfortable. Came back two weeks later for the permanent crown which was made incorrectly so we had to do the procedure all over again. Now my jaw aches all the way up to my lower ear. It's painful to even touch the tooth with my tongue. As if the socket the tooth is in has something wrong. I ate something hot the other day (eggs) and they went across the area with that tooth and there was instant pain through the jaw up to my ear for 10 min. I had a Root Canal so I know it CANNOT be the tooth. It has to be inside the gums

Now I'm wondering if they bruised or strained the ligament. Tylenol and ibuprofen help take the ache away. I'm going to try very very hard to not use that side of my mouth at all for the next week till I can see the endo again.
 
J

jsherer74

Junior member
Joined
May 16, 2017
Messages
3
Hello, I've recently experienced a similardeal! I had three composite fillings done (2 on upper left, 1 on lowerright). The upper left ones I had no issues with, the upper right not thecase. From day one it has given me fits. Within few days ofhaving it done I experienced sharp pains from biting high. I went in 4different times to have the tooth adjusted. Each time the tooth feltbetter for a few days but the soreness returned. The symptoms I have can be characterized bysore, loose tooth along with sore gums and occasional swelling of my jaw nearthe lymph nodes. I went back to mydentist and they did x rays which showed healthy teeth/ roots. They asked if I was a teeth grinder? To my knowledge I wasn’t but they suggestedan over the counter mouth guard. Ipurchased one and began wearing it a few weeks ago. My tooth felt a little better but the sorenesswould always return albeit not as severe. However I woke up this morning and my mouth was very sore swollen…thiswas despite wearing the guard! I’ve madean appointment with a different dentist! I think my bite is off and that’s what ultimately causing myproblems! I hope to get this resolvedsoon because it’s very painful!
 
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E

elizv

Former Member
They told the same thing to my daughter. She's 7 and got hurt wrestling. I'd say it took a good month or two for her to stop complaining about the pain. She is fine now. Hope that helps.
 
L

Ltadaisy

Junior member
Joined
May 19, 2017
Messages
1
I'm experiencing the same thing from clearing my teeth at night. I am going tomorrow to get a nti guard. It prevents you from biting on your molars if you clentch at night. I been in extreme pain going on for 7 days.
 
H

Hannah01

Member
Joined
Mar 20, 2017
Messages
20
Hi GypsySoul,If extraction is the best solution they will definitely do it, not the root-canal. I agree some people take longer than normal to heal but once the pain is relieved you started to feel good about what your dentist did. Keep us updated with your situation and best of Luck!!
 
Z

zakoren

Junior member
Joined
Jan 30, 2018
Messages
1
Im living the same problem for 14 years I lost 4 thoots I think ıt is hormonal problem I have tiroid and early menapouse
Hi,

Thank you so much for replying -- I have added more info.

A second opinion is difficult for me as I finally found a dentist I can actually *go* to.

Yes, you are incorrect in that I would happily go for a root canal if that will help. My dentist has NOT suggested it at this point, as he feels it is pain due to inflammation of the ligament.
I go to a great Endo and if a RC would do the trick that would be great and I would go ASAP.

But since I have been told it is from inflammation of the ligament from bite/trauma/dental work, and since a RC only takes out the nerve INSIDE the tooth - and so leaves the tooth still hitting against the ligament - I wasn't sure if that could help.

Sorry for the backstory, but maybe that will help explain?

Have really bad Panic Disorder, avoided dentist for years except when absolutely necessary.


Broke a tooth (#11) in 2008. Went to newbie dentist who did post / RC / crown. Crown looked awful, but I didn’t care, just wanted to be done. He told me I was too anxious and he couldn’t treat me. Tooth always was a little sore but not enough to get me to dentist. (Endo and new dentist both say it *looks* good.)


Had had a RC/crown on #29 in 2003. Once the crown went on it never felt right. Hurt for years, if tapped on the side.


Fast forward to June 2015. Found a super patient dentist who found the right mix of anti anxiety meds. Was able to find that #29 had an infection at root - suggested Retreat, but when I went to Endo, he suggested apico or extraction. Having been years, I had it out.


No isses.


Needed fillings in:
7-8-9-10 - did them in 7/2015 all went well
19-20 - did them 8/2015 all went well
A root canal & new crown through a previous crown/pulpcap on 18 — did it 10/2015, went relatively well - gums were bruised longer than expected. But overall fine.


and filings on 13-14-15 on 9/16/2016.


(I don’t have #12 - from braces/overbite as a child, so 11/13 are next to each other.)


13-14-15 has been a nightmare.
Got them filled on Sept 16th. They didn’t hurt beforehand. I could chew anything. Ate nuts everyday.
14 was very deep. Hurt after fillings, thought possibly a root canal, but was actually a high bite on 15. Taken care of at Endo's office when he did RC Retreat on 18, and 14 calmed down.


But - 11/13 hurt. First seemed to be 11, but there’s no root. Went to have it adjusted.
Everything looked good (says both dentist and endo.)
Was planning to do retreat, but hurts all the time.
Then 13 started to hurt also after the fillings.
Dentist thought 13 could be packed too tightly for me, so he re-does 13 on Nov 11 when permanent crown is placed on 18.


so timeline was this:


13-14-15 fillings on Sept 16, 2015
Sore after - HURTING - in with Endo - RC on 18, possibly on 14 (but was bite issue), possibly Retreat on 11 - but looks good so everyone (except me) wants to wait & see


Root Canal on 18 on Oct 3rd
I bruise bad so had to wait 3 weeks for crown prep as gums were sore
went for a few bite adjustments for 11 during this time.
Crown prep on Oct 28th
Crown placed on 18 & redo filling of 13 on Nov 11th
HURTS
Readjust #11 on Nov16th (was planning to retreat & new crown in January when benefits reset)
HURTS BAD at 11 and 13


So now it is a week later. 13 HURTS. Or 11 hurts. or they both hurt. All AROUND the teeth. And I think 13 especially now.


Dentist said to give it time, felt it was an inflamed ligament from all the dental work.


I don’t chew at all right now. If I chew *anywhere* in my mouth it hurts more.


It doesn't get worse when I bite down (like when they were doing the bite adjustments) but starts up shortly after.
Not to hot. It wasn’t to cold until after filling redone - now it is a bit to cold, but that is likely due to filling.


Not to air usually - sometimes 11 is, but 13 wasn’t until maybe after filling redone.


~Could the periodontal ligament STILL be inflamed? I really did abuse the area with repeated bite adjustments, etc.
BUT it has been many days now. However, I heal from bruises slowly now it seems.


~Would getting 13 extracted help? (I know I should try to save the tooth, but I can’t see how getting a root canal will help if it is the ligament, nor can I afford to get a root canal on a tooth that I will have to pull from the pain anyway….)

~How would a root canal help if the pain is from repeated concussions to the ligament?



~If it is the ligament, and I try to keep waiting for it to calm down - and it eventually does, does that mean it will hurt like this all over agin when I get the tooth next to it (11) its Root Canal retreat and new crown?


X-rays look good.
No signs of infection.
The cavity in 13 wasn’t deep.

But I’m hurting like crazy and need this to stop already. :(
 
C

Ceelee

Junior member
Joined
Mar 23, 2018
Messages
2
Had a rc done Wed....it showed no infection...but was severely traumatized by too tight of a partial...the freezing didn't take well at all..because so inflamed.....but 3d xrays showed the rc was good.
I still have that lower deep throb..same as before....almost around the root...and bone area.
It's the same pain I had before rc...no infection showed on xrays....just inflammation.
Will this ever settle down?....
..
 
Y

Y2K_o__o

Junior member
Joined
Jun 3, 2018
Messages
5
Had a rc done Wed....it showed no infection...but was severely traumatized by too tight of a partial...the freezing didn't take well at all..because so inflamed.....but 3d xrays showed the rc was good.
I still have that lower deep throb..same as before....almost around the root...and bone area.
It's the same pain I had before rc...no infection showed on xrays....just inflammation.
Will this ever settle down?....
..

I am on the same boat now... It's my forth week with that strange feeling.
Pain level was lowered to 20%, but I don't know why they feel really strange.

I am visiting an endodontist this thursday and see what's going on.
 
S

saralou35

Well-known member
Joined
Aug 13, 2010
Messages
218
Did anyone get any resolution of pain as I have a similar thing going on with newly crowned tooth! It’s been root canalled so know it’s not the nerve! Seeing dentist tomorrow!
 
S

ShyRage

Junior member
Joined
Aug 16, 2021
Messages
15
Location
Texas
Bringing back this old thread to see if anyone ever found out what their problem was...

At the beginning of this year Feb (2021) I had got four crowns placed on the front anterior of my mouth. 7,8,9, and 10. From the start and after the procedure, the number 9 has always hurt. I did get a root canal even though the endodontist said there was nothing wrong with the tooth but stated it may just be one of those things that can fix the problem. The problem continued and the endo ended up going all the way to the tip. After talking to the dentist that did the crown, we both agreed that the crown itself looked to be protruding out and so it was taken off and eventually placed with a better-looking crown. The annoying pain was still there. On a scale from 1 to 10 with 10 being the highest of pain, I'm about a 4 which is why I called it an annoying pain. Every other crown feels like a normal tooth except for this one. Eventually, I went to another Endo who also stated he couldn't find anything wrong with the tooth. He did however believe that there was something wrong because when he pressed on the tooth, my face squirmed and my body shook. He was at a loss and told me to wait till about March of next year and see if it goes away.

This feeling has been here since February and has never gone away. It hurts more if I press on the back of the crown pressing it forward. Has anyone ever experienced this scenario? I have a new appointment with a board-certified cosmetic dentist come January. Any ideas from both dentists and patients are welcomed.

* I do have an appointment with a periodontist as well in Janurary. After doing my own personal research, it may be Percussion sensitivity in an endo’ed tooth. Not 100% because i am not a professional
 
Gordon

Gordon

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Messages
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I assume that somebody at some point in this has actually checked the bite carefully on this crown?
 
S

ShyRage

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Messages
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Location
Texas
Personally, I would assume. I can't speak for anyone else but that was one of the first things checked in my case. Pertaining to my case, have you experienced the same thing while practicing?
 
Gordon

Gordon

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Yes, it always turned out that there was a high contact somewhere in the occlusion that we hadn't caught. It was just a case of getting the patient to move around as much as possible while checking till the high area revealed itself. I believe there is a snazzy new computer system around now which can do it almost automatically but I've not used it.
 
S

ShyRage

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Joined
Aug 16, 2021
Messages
15
Location
Texas
SO I just want to make sure, when you say high contact; are you talking about maybe a tooth hitting another tooth? Is the new snazzy system you mentioned called the "T scan (Digital Occlusal Analysis)"? If so, that was one of the very first things done in my case. I actually had to drive out from my area to another dentist that provided the T scan option. In both cases, both checkout ok with nothing touching the number 8. At this point, IM not sure if biological width or percussion sensitivity would be playing a role in this. This is just my own research though and none of the professionals have caught it yet. Up to date, it's been my dentist, two endos, and one periodontist. One of the endos mentioned not wanting to discredit me since looking at the x-ray, there was obviously nothing wrong. Keep in mind, these are advanced 3d systems. I'm at a loss not and I'm hoping my periodontist in January can help me.

If you would like to see pictures of my x rays and pictures themselves, let me know and I'll inbox them to you.
 
Gordon

Gordon

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Yes, a tooth hitting someplace harder than the rest in your case somewhere in the region of the affected tooth.
I'm not familiar with the snazzy new system, so can't really comment on it.
Sometimes you have to be really patient, use extremely thin marking paper and try to get the patient to move their jaw in as many different angles as possible, as well as swallowing, pretending to chew stuff etc.
There's not much point in seeing x-rays, without physically seeing you they won't add much I don't think.
 
S

ShyRage

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Joined
Aug 16, 2021
Messages
15
Location
Texas
Yes, a tooth hitting someplace harder than the rest in your case somewhere in the region of the affected tooth.
I'm not familiar with the snazzy new system, so can't really comment on it.
Sometimes you have to be really patient, use extremely thin marking paper and try to get the patient to move their jaw in as many different angles as possible, as well as swallowing, pretending to chew stuff etc.
There's not much point in seeing x-rays, without physically seeing you they won't add much I don't think.
Okay. Well for sure the tooth isn't being hit. I will be going to a new dentist come January. This person is well familiar with cosmetics and I hope she can give me some insight. In the meantime, maybe someone reading the thread would have encountered something similar and will be able to chime in.
 
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