Endodontists save millions of teeth each year with root canal treatment. Persistent dental pain may indicate that the patient needs a root canal. Tooth pain may come and go for a short time before returning. Pain may be felt in the tooth bone, face, jaw, and other teeth.
The cause of dental pain can vary. However, those who experience tooth pain for long periods of time should visit a dentist. In certain cases, such as when a patient is receiving chemotherapy, special considerations must be taken into account before starting any dental procedure. Antimicrobial mouthwash (0.2% chlorhexidine) administered before any dental treatment has been shown to reduce oral bacteremia.
Each condition identified during the anamnesis process can affect dental care in a unique way. For instance, in patients with controlled diabetes, no special treatment is required for routine dentistry, including prophylaxis and dental restorative care. After a root canal, some patients may experience tenderness, swelling, or inflammation, while others may have an irregular bite or a reaction to the medication given by the endodontist. Ibuprofen, ketoprofen, and naproxen are contraindicated in the third trimester of pregnancy due to their risk of prolonged delivery, risk of bleeding during delivery, and premature closure of the ductus arteriosus.
In patients with multiple comorbid conditions, only urgent dental needs should be addressed, preferably in a hospital setting. Cardiovascular problems that require special attention and a modification of the dental treatment plan include infective endocarditis, ischemic heart disease, myocardial infarction, cardiac arrhythmias, and congestive heart failure. Most root canal treatments are performed by an endodontist. The second (and perhaps third) appointment is when the root canal is cleaned and filled with a crown or other filling to prevent infection.
This can sometimes lead to chronic pulpitis, in which the dental pulp is continuously inflamed. Statistically, the chances of treating an HIV-positive patient in a dental office have increased due to the stable status of new HIV infections every year and the increase in longevity thanks to highly active antiretroviral therapy. Angina is often precipitated by physical activity or stress and can radiate to the arm or jaw or present as facial or dental pain. During dental treatment, several possible complications can occur such as transmission risk or drug interactions in patients being treated for an active disease.
Endodontics can be prevented if you follow a dental hygiene routine that prevents dental problems and cavities. If you are undergoing treatment on a larger tooth with multiple roots, it can take up to an hour and a half.