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What was your longest wait for a Root Canal tooth to successfully settle?

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lizjackchris

Member
Joined
Dec 8, 2011
Messages
54
Hi. I had a root canal on Dec. 21 st on a back molar and my tooth has not settled. It was performed by an endodontist with cone beam ct scan and microscope and all the equipment necessary for success. There is no indication on the endodontist's end that it should be anything but successful. It's nearly 3 weeks later and it is sore. Tender to touch and bite on and just a generally sore feeling. Though not throbbing or excruciatingly painful. Just achy and its presence I am painfully aware of. I have done a course of Penicillin vk. Anti-inflammatory medication does help as I believe there is still a lot of inflammation going on. Could there still be so much inflammation going on? Scheduled to start my crown in 1 week. I am sure this is not a new story to hear on the dental forum. Just wanted to hear if anyone had any success with root canals settling weeks later. Thanks
 
carole

carole

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Jan 5, 2012
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7,914
Location
UK
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Hi sometimes they can take months to settle. Someone on here went over a year and out of the blue just stopped giving them trouble.

I wouldn't have a crown put on until the tooth is settled because if they have to go back in then they aren't spoiling a new crown which isn't cheep. It is usual to wait for at least 6 months to make sure things are settled and no further problems happen.

Have a word with your dentist and ask why if the tooth isn't settled is it being crowned so soon after the rct. :butterfly::butterfly:
 
L

lizjackchris

Member
Joined
Dec 8, 2011
Messages
54
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Thank you Carole for your reply. I am scheduled to at least get the temporary crown 1 week from now. It is of the endodontist's opinion to at least get a temporary on so that the tooth is less at risk for fracture. I will ask my general dentist who is also a prosthodontist to not make the final crown yet. I will though have to pay for a temporary. Everyday I wake up hoping it will settle. I know lots of us here on the forum are just waiting for the "tooth to settle". I have had lots of dental work ...implant, gum graft, bone graft, other root canals....and I always seem to have a problem....so discouraging.....
 
carole

carole

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Re: What was your longest wait for a Root Canal tooth to successfully settle?

From what you say this taking time for things to settle is normal for you. It is very dis-heartening I know I have suffered with dental problems myself but as long as things do usually settle down try not to get too down about it. If it is bothering you so much take some pain meds, it is pointless letting things build up because as we feel pain or aching we tense our jaws and this makes things feel worse.

I wish you all the best, let us know how you get on please :butterfly:
 
L

lizjackchris

Member
Joined
Dec 8, 2011
Messages
54
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Thanks for all the replies. I feel encouraged and I agree with the post that I should take my anti-inflammatory or my pain pill. There is no sense in remaining in pain. I was staying off them to try to assess how I feel but I think I know by now... I am in pain! Luckily the pain has not been more than the pills can handle. Been there too when the narcotics can't even touch the pain. Luckily it has not been that bad. Thanks for all the great advice...you guys have made me feel a lot better.
 
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zeezee22

Member
Joined
May 6, 2014
Messages
29
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Thanks for all the replies. I feel encouraged and I agree with the post that I should take my anti-inflammatory or my pain pill. There is no sense in remaining in pain. I was staying off them to try to assess how I feel but I think I know by now... I am in pain! Luckily the pain has not been more than the pills can handle. Been there too when the narcotics can't even touch the pain. Luckily it has not been that bad. Thanks for all the great advice...you guys have made me feel a lot better.
My one and only root canal took 13 weeks to settle. I know, as I was counting the weeks. It eventually did settle and lasted about 12 years before it started to give me some discomfort again. I had to have a re-root which started to settle after about 3 months again, but currently recovering from apicectomy.
I would say, the fact the tooth needed a root canal, means the surrounding tissues must have been traumatised for a long period, so the area needs time to settle down and everyone is different, the older we get, the more time we also need to recover. So long as you are seeing some slight improvement week after week, it must mean you are going in the right direction.
 
L

lizjackchris

Member
Joined
Dec 8, 2011
Messages
54
Re: What was your longest wait for a Root Canal tooth to successfully settle?

My one and only root canal took 13 weeks to settle. I know, as I was counting the weeks. It eventually did settle and lasted about 12 years before it started to give me some discomfort again. I had to have a re-root which started to settle after about 3 months again, but currently recovering from apicectomy.
I would say, the fact the tooth needed a root canal, means the surrounding tissues must have been traumatised for a long period, so the area needs time to settle down and everyone is different, the older we get, the more time we also need to recover. So long as you are seeing some slight improvement week after week, it must mean you are going in the right direction.
Thanks for your response. The tooth is still sore to the touch and mildly achy. It does not wake me up and I don't think it fits the description of cracked root. It's been 3 weeks today. Hoping for the best. Good Luck with your tooth. I agree the older we are the longer it takes to recover. And the less patient and crankier we get with things like this. At least, I do.
 
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R

rebeccauk

Member
Joined
Oct 6, 2011
Messages
36
Location
United Kingdom
Re: What was your longest wait for a Root Canal tooth to successfully settle?

I'm almost identical to your situation. I had a root canal done on 15th December and it's yet to settle. Like yours the pain is achy and sore but not the kind of pain that wakes me up (although it did during the first two weeks) so I'm a month on and it's not better yet. I've had it opened up and recleaned twice now and going for the final restoration in two weeks although if I'm still having pain then I may ask for another couple of weeks. I've been taking pain medication constantly for a month now and don't think I could have coped without it. Let's hope both our root canals settle soon
 
L

lizjackchris

Member
Joined
Dec 8, 2011
Messages
54
Re: What was your longest wait for a Root Canal tooth to successfully settle?

I'm almost identical to your situation. I had a root canal done on 15th December and it's yet to settle. Like yours the pain is achy and sore but not the kind of pain that wakes me up (although it did during the first two weeks) so I'm a month on and it's not better yet. I've had it opened up and recleaned twice now and going for the final restoration in two weeks although if I'm still having pain then I may ask for another couple of weeks. I've been taking pain medication constantly for a month now and don't think I could have coped without it. Let's hope both our root canals settle soon
Hi. Yes...our situations sound similar. Yes..achy and sore and it is still going on for me, as well. I am also taking pain medication everyday. Mostly anti-inflammatory like advil. I have not needed something stronger. I have had a lot of dental work...root canals, implants, gum grafts etc so I am no stranger to pain. I have had root canals that never stopped being excruciating and I have had those pulled within the first two weeks. So I am encouraged that this mild/moderate achy soreness may resolve. I am going in on Tuesday for crown prep and will get a temporary only. I will ask the dentist not to make a permanent crown until this improves. Does your tooth feel sore if you push it on the side? I feel like the pain is inflammation coming from the tissues surrounding the roots/tooth. I have not had any temperature sensitivity so I think the tooth has been cleaned. I also had an endodontist with all the equipment do mine who says it was textbook. Don't they all say that? Lol. Good Luck with your tooth as well.
 
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L

lizjackchris

Member
Joined
Dec 8, 2011
Messages
54
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Just wanted to update....I continued to have some soreness and mild ache with my rct and also general tenderness. I decided to do keep my crown prep appointment. I have my temporary in and I actually feel a bit of improvement. I am keeping my fingers crossed. The only negative about today's appointment is the dental drill/bur seemed to skim my tongue on the side. It is a bit sore and irritated. Nothing ever seems to go off without a hitch. Does it? Always gotta have a minor issue. Ugghhh
 
B

Becky937

Junior member
Joined
Feb 3, 2017
Messages
1
Re: What was your longest wait for a Root Canal tooth to successfully settle?

I'm in the same boat as you. My two-part root canal was completed on 1/4 and I am still sore with pain. It seemed to hurt more once I went to the dentist for post/crown prep. He put a temporary filling on the r/c tooth two weeks ago. Yesterday I went back to the dentist and told him about the ongoing issue with pain. He said he would take out the temporary and place the permanent crown in with temporary glue. The dentist explained that the temporary was plastic and pushed beyond the gum line which can cause discomfort. It helped some after he put on the semi-permanent crown. The dentist tested the tooth by hitting adjacent teeth and then the r/c'd tooth #4. When he hit the r/c'd tooth I definitely felt more pain. I asked why does it hurt if the nerve is gone. He said that the gums looked inflamed and other nerves have to settle down. He also took an x-ray and said there was no sign of infection.

I don't know it hurts more today probably because of the prodding and it hurt when he took the temporary out. I've been taking over the counter pain relievers which seem to help. I used a well-know endo that did 2 other r/c's for me with no trouble at all so I am at a loss why this one's a bugger. I can't wait until all of the crap is behind me. Good luck to everyone with this stupid pain. May we all feel better soon.

Becky937
 
S

samkukree

Junior member
Joined
Aug 16, 2018
Messages
2
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Hello everyone,

I have a similar story to share. I got my root canal done on Tooth 14 in the second week of July by an endodontist, and everything went well. I had general pain and soreness on that tooth for about 10 days (some days were worse than others), but there was a good stretch of 4 days when it seemed fine and did not need painkillers. So i went back to my general dentist to prep it for the crown. After the crown prep, the pain seemed to be getting worse, and it would feel the worst on tooth 13, next to the rct tooth. I went back to the dentist, who said that tooth 13 is slightly sensitive to cold and to pressure, that one needs a root canal. I found it odd that it would be giving me trouble all of a sudden, and I already was mis-diagnosed by the same dentist on the original root canaled tooth (he kept saying it was reversible pulpitis, but it was extremely sensitive to hot, cold, and hurt on pressure for 4 months before I lost patience and went to the endodontist, who said it should have been root-canaled months ago). I went back to the endodontist for more insight, since I was against doing anymore procedures unless someone could explain why this was happening (my teeth had no visible decay, damage, or infection all this while). The endodontist tested both teeth (14 and 13), and said that both seem sensitive to pressure, but 13 was only mildly sensitive to cold, and he said an RCT is not necessary. I mentioned to him that the pain was chronic, especially from tooth 13, and was keeping me awake on some nights. Painkillers wouldn't help at all, and I was just desperate to stop the pain. He recommended visiting an oral specialist, but his referral's earliest appointment was in December. So i found an maxilliofacial surgeon through my insurance, and got an appointment for the next day. He took a thorough history, went through the x-rays, and checked my jaw near my ear and my gums. He also tapped on both those teeth, and both were sensitive to pressure (i did tell him there is a spot between the teeth where when both are tapped, that point hurts the most. He said that there seems to be a muscle spasm on the left jaw, which is causing some of the pain. But he said that if a dentist and endodontist can't find any obvious causes, it is unlikely he would. He did say that tooth 13 may be getting referred pain from tooth 14, and it is most probably the cause for the pain. He advised that i should try muscle relaxants, and see if they help to at least alleviate the jaw pain, and prevident (in case some sensitivity was still an issue). I am on day 2 of the muscle relaxants, starting to feel a little better now. But at this point, I have to decide whether to get a permanent crown on the RCT tooth (I have already paid for it), and just wait for a few months to see if it settles, or get an RCT on tooth 13, and see what to do. The oral surgeon also said tooth 13 doesn't seem to need an RCT.

I still have biting pain, so I stay off that side while chewing. But I am just tired of going to doctors and not being able to understand what is happening. Just desperate for normalcy. I pray to have mostly pain free days, but the days its bad, i become the worst version of myself.

I have asked about a missed canal, but they don't recommend another RCT unless 6 months have passed, to make sure it wasn't a settling issue. Tooth 13 still feels odd, and seems to ache the most. Should I give it until next year to see what happens? I would appreciate it if someone could help on this matter.

Thanks,
Sam
 
M

MountainMama

Well-known member
Joined
Jul 1, 2018
Messages
2,189
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Hello everyone,

I have a similar story to share. I got my root canal done on Tooth 14 in the second week of July by an endodontist, and everything went well. I had general pain and soreness on that tooth for about 10 days (some days were worse than others), but there was a good stretch of 4 days when it seemed fine and did not need painkillers. So i went back to my general dentist to prep it for the crown. After the crown prep, the pain seemed to be getting worse, and it would feel the worst on tooth 13, next to the rct tooth. I went back to the dentist, who said that tooth 13 is slightly sensitive to cold and to pressure, that one needs a root canal. I found it odd that it would be giving me trouble all of a sudden, and I already was mis-diagnosed by the same dentist on the original root canaled tooth (he kept saying it was reversible pulpitis, but it was extremely sensitive to hot, cold, and hurt on pressure for 4 months before I lost patience and went to the endodontist, who said it should have been root-canaled months ago). I went back to the endodontist for more insight, since I was against doing anymore procedures unless someone could explain why this was happening (my teeth had no visible decay, damage, or infection all this while). The endodontist tested both teeth (14 and 13), and said that both seem sensitive to pressure, but 13 was only mildly sensitive to cold, and he said an RCT is not necessary. I mentioned to him that the pain was chronic, especially from tooth 13, and was keeping me awake on some nights. Painkillers wouldn't help at all, and I was just desperate to stop the pain. He recommended visiting an oral specialist, but his referral's earliest appointment was in December. So i found an maxilliofacial surgeon through my insurance, and got an appointment for the next day. He took a thorough history, went through the x-rays, and checked my jaw near my ear and my gums. He also tapped on both those teeth, and both were sensitive to pressure (i did tell him there is a spot between the teeth where when both are tapped, that point hurts the most. He said that there seems to be a muscle spasm on the left jaw, which is causing some of the pain. But he said that if a dentist and endodontist can't find any obvious causes, it is unlikely he would. He did say that tooth 13 may be getting referred pain from tooth 14, and it is most probably the cause for the pain. He advised that i should try muscle relaxants, and see if they help to at least alleviate the jaw pain, and prevident (in case some sensitivity was still an issue). I am on day 2 of the muscle relaxants, starting to feel a little better now. But at this point, I have to decide whether to get a permanent crown on the RCT tooth (I have already paid for it), and just wait for a few months to see if it settles, or get an RCT on tooth 13, and see what to do. The oral surgeon also said tooth 13 doesn't seem to need an RCT.

I still have biting pain, so I stay off that side while chewing. But I am just tired of going to doctors and not being able to understand what is happening. Just desperate for normalcy. I pray to have mostly pain free days, but the days its bad, i become the worst version of myself.

I have asked about a missed canal, but they don't recommend another RCT unless 6 months have passed, to make sure it wasn't a settling issue. Tooth 13 still feels odd, and seems to ache the most. Should I give it until next year to see what happens? I would appreciate it if someone could help on this matter.

Thanks,
Sam
I have a very similar story as well and am still going through it. I had a root canal done at the beginning of June, on molar 15. It never settled. Temp crown put on. I had already paid for half of the permanent crown, as the whole thing started when replacing a crown.
I went back two weeks after the root canal for a follow up and the tooth hurt when tapped. The endodontist said that shouldn't be hurting that much. The pain level wasn't decreasing. It is sore to the touch, not heat or cold sensitive, but felt bruised, even after the ligament healed.
She sent me to an oral surgeon because I had a small extra wisdom tooth right next to the molar. She said it could be causing inflammation. I had it removed surgically, as it was not erupted. The pain seemed to decrease, but then another tooth on the opposite side of my mouth started hurting. Dentist replaced the filling, but it still hurts.

So the endodontist is doing an evaluation on the lower molar (31) tomorrow and an apicoectomy on the root canalled tooth. I had to wait on the api until my mouth healed from the wisdom tooth removal. I haven't eaten solid food since early June. I am so tired of pain and ibuprofen and tylenol.
 
D

Davi

Member
Joined
Mar 3, 2017
Messages
25
Re: What was your longest wait for a Root Canal tooth to successfully settle?

I’m well over a year and lower molar not settled. I have seen multiple dentist including the highest level and all scans show a perfect root canal.

I have been diagnosed with aytipical toothache and TMJ. I know the TMJ is muscular through testing and when certain spots in the masseter are pressed I get toothache in thar root canaled molar. The molar itself is sensitive to pressure from the sides.

I have been strongly advised to not have it extracted.

Additionally, there is the issue of central sensitivity and this is when pain becomes chronic. I’m on amitriptyline for pain but it’s not much use.

I have had other chronic pain conditions that suddenly went away. ]
 
M

MountainMama

Well-known member
Joined
Jul 1, 2018
Messages
2,189
Re: What was your longest wait for a Root Canal tooth to successfully settle?

I’m well over a year and lower molar not settled. I have seen multiple dentist including the highest level and all scans show a perfect root canal.

I have been diagnosed with aytipical toothache and TMJ. I know the TMJ is muscular through testing and when certain spots in the masseter are pressed I get toothache in thar root canaled molar. The molar itself is sensitive to pressure from the sides.

I have been strongly advised to not have it extracted.

Additionally, there is the issue of central sensitivity and this is when pain becomes chronic. I’m on amitriptyline for pain but it’s not much use.

I have had other chronic pain conditions that suddenly went away. ]
Did they tell you why it should not be extracted? My x rays show a perfect root canal as well, but it was painful if pressure was applied. I had an apicoectomy two and a half weeks ago, and it was getting better, but now has started hurting again. My endo said to pull it if the pain hasn't gone away in a few more weeks.
 
S

samkukree

Junior member
Joined
Aug 16, 2018
Messages
2
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Just to update... i decided to get my rct tooth extracted... I went to an oral surgeon (tmj specialist as well) and he checked me out.... he believed that the problem was still the rct tooth. At this point in time i was in severe pain some days, painkillers wouldn't work, and starting to just cry because nobody had an explanation. So i told my doctor I want it extracted, which he advised against. I told him that I can't live like this, and am done taking advice from everyone who don't know what the problem is, but don't want me to extract it. My oral surgeon did turn out to be more productive though. He called my general dentist and my endodontist to understand their thoughts, and said they don't really have any solution to the issue. He asked me to get 1-2 more opinions from another endodontist, and another tmj specialist, which I did, and they all came to the same "we don't understand what is going on, except that the rct tooth is most symtomatic, and rct looks good on x-ray". After numerous visits, tears, maxing out my insurance, and being very concerned about the bottles of painkillers I went through over 6 months, I got the rct tooth pulled. It hurt like hell for the first 2-3 days, but now that I am a week in, I am finally starting to feel normal and able to smile. My other teeth are still sore, but only just.
While this was an extreme step, i just wanted to share my story. I understand that I'll need a dental implant eventually, but the pain was starting to eat into my life in a way that was unacceptable to me.
 
M

MountainMama

Well-known member
Joined
Jul 1, 2018
Messages
2,189
Re: What was your longest wait for a Root Canal tooth to successfully settle?

My root canal tooth has started hurting worse than before the apicoectomy now. It has always been painful when tapped or when pressure is applied. Now it hurts constantly, like a bruise. It doesn't throb mecessarily, but has a dull pulsing pain.

I was hoping it would last until January, at least, so that my insurance starts over, but it looks like it is going to have to come out sooner. The pain is getting worse each day.
 
J

jenny8484

Member
Joined
Mar 15, 2017
Messages
33
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Just to update... i decided to get my rct tooth extracted... I went to an oral surgeon (tmj specialist as well) and he checked me out.... he believed that the problem was still the rct tooth. At this point in time i was in severe pain some days, painkillers wouldn't work, and starting to just cry because nobody had an explanation. So i told my doctor I want it extracted, which he advised against. I told him that I can't live like this, and am done taking advice from everyone who don't know what the problem is, but don't want me to extract it. My oral surgeon did turn out to be more productive though. He called my general dentist and my endodontist to understand their thoughts, and said they don't really have any solution to the issue. He asked me to get 1-2 more opinions from another endodontist, and another tmj specialist, which I did, and they all came to the same "we don't understand what is going on, except that the rct tooth is most symtomatic, and rct looks good on x-ray". After numerous visits, tears, maxing out my insurance, and being very concerned about the bottles of painkillers I went through over 6 months, I got the rct tooth pulled. It hurt like hell for the first 2-3 days, but now that I am a week in, I am finally starting to feel normal and able to smile. My other teeth are still sore, but only just.
While this was an extreme step, i just wanted to share my story. I understand that I'll need a dental implant eventually, but the pain was starting to eat into my life in a way that was unacceptable to me.
My mother eventually did the same. She had a RCT that gave her pain, an Oral surgeon did an apicoectomy and she still had pain so she finally extracted the tooth (after being offered another apico) and feels better now.

I understand your frustration as I am currently in pain after a filling that was done and no one can tell me why. I have been to two dentists and an endodontist..
 
D

Davi

Member
Joined
Mar 3, 2017
Messages
25
Re: What was your longest wait for a Root Canal tooth to successfully settle?

Did they tell you why it should not be extracted? My x rays show a perfect root canal as well, but it was painful if pressure was applied. I had an apicoectomy two and a half weeks ago, and it was getting better, but now has started hurting again. My endo said to pull it if the pain hasn't gone away in a few more weeks.
They said that the pain could be worse if extracted and this was based on the theory that they cannot see any structural reason for the pain. They asserted that in all probability the pain was coming from muscles of mastication and the periodontal ligament which is bruised through clenching.
 
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