If the filling is too close to the nerve, it may get infected slowly. Dentists can't predict the time frame for the tooth to become infected. If infected, you may experience a throbbing pain or a dental abscess.
If decay reaches the nerve of the tooth, the tooth becomes infected and the nerve of the tooth dies. Further treatment to the nerve of the tooth is then needed. So it is very important to have cavities filled in their early stages.
Deep cavities will continue to increase in size when left untreated, and can eventually spread to nearby teeth and gums. Deep cavities can also grow large enough to break and damage teeth, and increase the risk of infection. Potential treatments for deep cavities include fillings, root canal, or tooth extraction.
An inflamed nerve
If your dentist has performed a deep filling, it's possible it got close to the nerve resulting in discomfort or sensitivity. This sensation should heal as your nerve heals. It could take a few days or a few weeks, but it should improve rather than get worse.
If your tooth has decay to the enamel or dentin, a simple filling is enough to repair the cavity. However, if the cavity is left untreated, the decay will reach the deepest layer of the tooth, the nerve tissue. At this point, a root canal is necessary to repair the tooth.
Those that are too deep or too large may require a more intensive treatment. Once bacteria have entered your tooth, it may be too late for a filling because we will need to prevent or treat an existing infection. However, it's never too late for dental care!
Root Canals Aren't Possible with Severe Infection
If the deepest layers of the pulp become infected, it may be too late to save the tooth. In addition, if a large portion of the tooth is lost and a crown cannot be placed on what's left, root canal treatment is no longer a viable solution.
In the case of a deeper cavity that has reached the pulp or nerve canals, you may notice a bad taste in your mouth. Severe spontaneous pain, pain to pressure, pain that wakes you up at night and pain to hot are often signs of an infected nerve.
While a filling is perfect to take care of minor cavities and tooth damage, a root canal is used when the infection has reached the pulp. The pulp, which contains blood vessels and nerves, is extracted when you acquire a root canal near you, the tooth is filled and a crown is often put in place afterwards.
A person who can't brush or floss, who accumulates acid-producing bacteria around the teeth, who does not use fluoride or oral calcium products, and who has stomach acid in the mouth from GERD or bulimia can grow cavities that invade the dental nerve in as little as three or six months.
The biggest factor a dentist looks at when deciding if a tooth can be saved is how much “good” tooth structure there is left. If the tooth is broken at the gumline and has a big cavity that goes down to the bone then there is little hope that the tooth can be saved.
If your cavity hurts, it's not too late to save your tooth. When cavities are small, they tend not to hurt too much, but they'll start to cause pain as they grow. That's usually when you notice them. With a visit to your dentist in Wilmington, we can often save your tooth!
On average, a tooth nerve pain can last from as little as just a few days to as long as 4-6weeks or, in some instances, even longer. Considering the numbness ad sharp pain that may occur with a tooth nerve, you have to do what you can to get rid of the pain as soon as possible.
Determining the risk of nerve damage with proper imaging is critical. A panorex and CBCT scan is done to determine the level of risk during an extraction. If a tooth is considered high risk then a coronectomy is indicated. A coronectomy is the removal of the entire crown of the third molar, leaving the roots in place.
If the infection spreads, you may also develop a high temperature (fever) and feel generally unwell. In severe cases, you may find it hard to fully open your mouth and have difficulty swallowing or breathing.
throbbing tooth pain. throbbing pain in the jawbone, ear or neck (typically on the same side as the tooth pain) pain that worsens when you lie down.
Taking OTC pain medications: Pain relievers such as ibuprofen and acetaminophen can help soothe painful symptoms. Trying cold or heat therapy: A person can try applying a cold or hot pack to the outside of their mouth. Alternating these therapies may also help.
For all the good brushing does, it will not eliminate the cavity. The bottom line is you do not have the power to stop your cavity from growing. Your cavity will gradually expand to the point that it moves into the pulp chamber and spurs pain. If the cavity reaches the pulp of the tooth, it will require a root canal.
Dental treatment alternatives to a root canal include direct pulp capping, pulpotomy, pulpectomy, endodontic retreatment, endodontic surgery, tooth extraction, dental implants, bridges, or dentures.
If you wait a long time to undergo a root canal, bacteria will attack the tip of the tooth's root, causing serious bone loss. Such bone loss can result in tooth loss.
The dentist will determine the need for a root canal through one or several of the following methods: x-rays, the cavity test, selective anesthesia (to identify where the source of pain is when the patient doesn't know), thermal and electric testing, or by tapping on the problem tooth.