عصب کشی دندان به عنوان یکی از روشهای درمانی مؤثر برای نجات دندان عفونی و آسیبدیده شناخته میشود. این روش با اینکه یکی از روشهای متداول برای نجات دندان آسیبدیده عفونی است؛ But if it is done wrong, it can be accompanied by complications and cause problems for the person. It is very important to know the complications of improper tooth extraction so that people can take treatment as soon as possible if they see any problems. In the following, we will discuss the complications of incorrect tooth extraction in full.
“Improper root canal treatment can lead to several complications: Persistent Bacterial Infection, Inadequate or Overextended Root Filling, Missed Canals, Coronal Seal Failure, Vertical Root Fractures"
«Complications of incorrect tooth denervation include the following: Persistent bacterial infection, Insufficient or overfilling of the canal, overlooked canals, failed coronal seal, Vertical fracture of the root.
If you see symptoms such as persistent pain, swelling, sensitivity or discoloration of the tooth after nerve extraction, Be sure to consult a dentist to prevent more serious complications. transition-colors duration-100 ease-in-out"> PMC
What is tooth extraction?
Root Canal Treatment is also known as "root treatment" whose purpose is to clean and remove the infection in the pulp area or the soft and central part of the tooth. Nerve removal clears the pulp area of infection and then fills the cleaned space with special materials to treat the decayed tooth.
What are the side effects of improper tooth extraction
Although denervation is a safe process; But it may cause complications. These complications can be common and temporary, and some others may be caused by the dentist's mistake in performing this process. In the following, we will discuss the side effects of improper tooth extraction:
Short-term effects of tooth extraction
Some of the complications after tooth extraction are among the common and temporary complications, among which the following should be mentioned:
Pain and discomfort after tooth extraction
One of the most common side effects of tooth extraction is the feeling of pain and discomfort in the treated area. This pain usually occurs due to the inflammation of the tissues around the tooth and is a natural side effect of the denervation process. This pain is transient and mild in most cases; But it may sometimes last for several days and require special care to improve. In simple cases, using common painkillers and following the dentist's recommendations can reduce pain. If the pain is excessive and continues for more than a week, you should definitely consult a dentist so that proper treatment can be given.
Swelling and inflammationAfter denervation
Other things that can happen after denervation are swelling and inflammation in the area of the treated tooth. This complication occurs due to the body's reaction to the healing process and inflammation of the tissues around the teeth. Normally, the swelling is mild and temporary, but it can cause problems and discomfort in people's normal daily functions, such as chewing food.
To solve this problem, cold compresses and anti-inflammatory drugs prescribed by the dentist can be used. If the swelling continues, becomes severe and is accompanied by symptoms such as fever and severe pain, you should see a dentist.
Tooth sensitivity
One of the other side effects of improper tooth extraction is tooth sensitivity, which can occur due to changes in the tooth structure after treatment. The sensitivity is usually mild and gradually decreases and can be minimized by taking proper care.
Serious complications after improper tooth extraction
Some complications after nerve extraction occur due to problems in tooth extraction and should be treated as soon as possible. Among these complications are the following:
Leakage of infection
One of the hidden and worrying risks and complications after tooth extraction is the leakage of infection. This problem occurs when the residual infection in the tooth space damages the surrounding tissues. As a result of the leakage of the infection, symptoms such as severe pain, swelling and even systemic problems arise.
Usually, the failure to completely clean the dental canals or the use of insufficient filling materials causes this problem. For this reason, to prevent such problems, you should consult a specialist and experienced dentist.
Tooth cracking syndrome
One of the hidden and complex complications that can occur in the case of improper nerve extraction is the development of tooth cracking syndrome. This syndrome occurs when the tooth has small and invisible cracks. These cracks usually occur due to the weakening of the tooth structure after nerve extraction or excessive and unnatural pressure on the tooth. Front teeth are more prone to this problem; Because they are under more pressure when eating and talking, and on the other hand, they are more exposed to physical injuries or fractures.
This problem can cause pain, sensitivity and discomfort, and usually requires additional treatments such as crowning or advanced repairs to prevent further damage. New infections or problems in the treatment process. If the fever and chills continue for a long time, it needs a detailed and immediate investigation to solve the cause of this problem.
Sinus Congestion
The sinuses and the root canal of the teeth are located near each other. This problem can cause some of the oral fluid to enter the nasal membrane during tooth extraction and cause congestion of the sinuses.
Sinus infection
If the upper teeth are not extracted correctly, the possibility of infection spreading to the sinuses and their inflammation increases. This can cause facial pressure, sinus pain, and nasal congestion. In these cases, in addition to the treatment of the teeth, additional treatments are needed to control the sinus infection.
Change in tooth color
Due to the loss of their living tissue, the teeth that undergo nerve removal may change color after a while and their color will change to earthy, greenish earthy or even black. In these cases, this problem can be solved with bleaching or dental crown.
Treatment failure
One of the challenging side effects of improper tooth extraction is treatment failure. This problem arises if nerve extraction cannot completely eliminate the infection or completely restore the tooth. Symptoms of treatment failure include persistent pain, swelling, and lack of improvement in dental conditions.
Problems in washing and filling dental canals, anatomical complications of teeth, and the presence of resistant infections can all be the cause of this problem.
Symptoms of incorrect tooth nerve extraction
Various symptoms can show that the tooth extraction has failed or not! Among these symptoms are the following:
Continuous pain: If a few weeks after denervation there is still pain in the treated area, this indicates that the denervation was unsuccessful.
Pus secretion and bad taste in the mouth: If a person notices the discharge of pus from the treated area or feels a bad smell and taste in the mouth, this can be a sign of infection.
Gum swelling and frequent abscess formation: Swelling or abscess near the treated tooth shows that the infection is still present in the area.
Sensitivity to heat, cold and pressure: Sensitivity is a normal complication for a few days after nerve extraction, but if this problem persists for several weeks, you should see a dentist for treatment.
Ways to prevent the complications of improper tooth extraction
Since the side effects of denervation can cause a lot of problems, it is recommended to minimize this problem by using the following solutions:
Choosing an expert and experienced dentist
The root treatment specialist (endodontist) usually has more experience and specialized tools for complex treatments. This feature helps the root canal treatment to be carried out in the best possible way and without complications for the person.
Complete examination of the tooth with radiography
It is very important to determine the number of canals, the length of the root and the state of infection well before the root canal treatment using digital radiographic or CBCT images so that this work can be done completely.
Complete and accurate filling of the canals
The canals must reach the end of the root (Apex) are filled with a special material (such as gutta-percha) to prevent the re-entry of bacteria. Incomplete or excessive filling of the canal can cause pain and certain complications.
Follow-up and control after treatment
Re-examination of the condition of the tooth to ensure healing around the root is necessary to act as soon as possible if there are any problems.
Observation of oral hygiene
Regular brushing, flossing, and mouthwash can prevent the recurrence of infection, and for this reason, oral hygiene must be maintained. and teeth should be observed.
Consultation with Dr. Farin Shamshirgar, specialist in prosthetics, implants and dental aesthetics in Zafaranieh
One of the most important things to prevent the complications of incorrect tooth extraction is to visit a specialist and experienced dentist. Since many complications occur as a result of the lack of expertise of the dentist, it is very important to consult an experienced dentist in this field. Dr. Farin Shamshirgar is dental implant specialist in Zaferanieh and this point helps them to easily diagnose the problems of the mouth and teeth of the person and suggest the best solution for its treatment.
To use the experience of more than 10 years Dr. Farin Shamshirgar, you can visit his clinic in Zafaranieh and Shahrak Gharb.
Final word
Dental denervation is known as one of the useful methods for treating infected teeth; However, this method can have complications.
Some of the complications of dental denervation are common and mild complications that resolve within a few days, while others are complications that may be continuous and indicate a problem in the treatment process.
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Can cause reinfection, chronic pain, inflammation, and even root fracture.
Yes; Both cases can cause inflammation, pain or treatment failure.
Symptoms such as continued pain, swelling, bad smell or discoloration of the tooth can be a sign of treatment failure.
Yes; اگر ساختار دندان ضعیف شده باشد یا پُرشدگی با فشار زیاد انجام شود، احتمال شکستگی وجود دارد.
معمولاً درمان مجدد ریشه (re-treatment) یا جراحی اپیکو یا در موارد شدید، کشیدن دندان پیشنهاد میشود.
