The removal of the tooth nerve many perceive as a panacea: excruciating pain that worries for a long time, will no longer be known. The stronger the perplexity when after some time the tooth deprived of a pulp and, accordingly, nervous tissues, suddenly withdraws pain. Concerned patients supporter: «Tooth without a nerve hurt!». So why does a tooth ache without nerve, and is it possible to eliminate this symptom?
When talking about a tooth without pulp as a «dead», it is not a very precise definition. The tooth actually becomes cut off from blood flow and nervous system, but it still remains a part of a complex system — a dentoalveolar apparatus in which each separate part can affect the state of others. And when the tooth is sore without a nerve, most often observed is this: in the pathological process involved other structures that «broadcast» pain in the tissues that contact with the tooth without pulp. This creates a false feeling that this tooth is sore.
In its prevalence, the causes of pain in the tooth without pulp can be distributed as follows:
Incomplete removal of the pulp.
All manipulations while removing the pulp are held blindly. And if the root canal is severely curved or that happens less frequently, the tooth has a tooth root, some part of the living pulp can stay in place. And after completing all the procedures and filling the tooth, it soon makes itself known. In most cases, inflammation and suppuration in the root canal, caused by incomplete removal of the pulp, develops within 1-3 days after visiting the doctor. The intensity of pain rapidly increases, becoming intolerable and «pulling».
Infection of the tissues of the jaw.
Can tooth without nerve hurt? Of course! If the filling of root canals was carried out inqualitatively, or in time of formation of channels the wall was damaged, the infection can spread on bone tissues of a jaw. In the first place, as a rule, is involved periosteum. It’s a thin film covering all the bones in the human body. At its inflammation in the area of the tooth first develops pressing, unlocking pain, which for several days grows into pulsating and acute. At the same time swelling of the gums and the corresponding side of the face, may increase the body temperature.
Defeat of the ligamentous apparatus of the tooth.
In this case, most often a tooth without nerve hurts when pressed on it, or with intensive chewing loads. Inflamed or decaying ligaments of the periodontal respond to the pain of the pressure that is transmitted to them from the tooth. Depending on the nature of the diseases of the ligamentous apparatus, there may be symptoms such as bleeding and swelling of the gums or their paleness, excessive swelling of soft tissues or, on the contrary, reduction of their volume. But in any case the gums look unhealthy, and are felt as painful, with hypersensitivity.
If a tooth aches without a nerve a year or more after the pulp removal has been carried out, the root cyst may be the cause. This disease most often affects the teeth in which the infectious process was flowing. And, since the removal of pulp is carried out predominantly in its infection and inflammation, the formation of cysts is very likely.
Pain in the tooth, with or without nerve, always indicates the development of any pathology. Depending on the causes of this symptom, complications can be a variety of conditions:
the development of chronic inflammation of the gums to the subsequent defeat of the tooth support;
systemic infections, which are spread from Infected periosteum on the blood stream throughout the body.
Therefore, the treatment of toothache, including, if the tooth removed pulp-is not only getting rid of the unpleasant symptom, but also the prevention of many negative effects on health in general. Tooth without a nerve hurt if at least the slightest bacterium penetrates its cavity
The method of treatment of pain in the tooth without pulp is chosen depending on the reasons that caused this symptom:
In case of inflammation in the root canal, repeated preparation of the tooth and purification of the canals with the laying of medicinal substances in them are carried out.
A ray study may be appointed to exclude the presence of additional root or curved roots that can become hotbeds of infection.
With excessive curvature of the roots can be shown their partial resection-surgical removal of a part of the root, which prevents the proper purification of the canals and their sealing. The same surgical treatment requires a single root cyst or granuloma. It is a pathology similar to the cyst, but represented by many small formations. But in this case not only the part of the root to which the cyst is attached, but also pathologically altered tissues around it is removed.
Gum disease usually requires long-term and comprehensive treatment. Especially it concerns cases when pathology has acquired a chronic current and has spread on tissues periodontal. In such situations, professional brushing of teeth with removal of mineralizeded dental deposits, laying of medicinal ointments in purified gum pockets, and in some cases-taking of drugs of systemic action, which penetrate the tissues, is appointed. Gums and periodontal through the blood stream.
The removal of the nerve in the tooth can not be perceived as a manipulation, permanently eliminating you from dental problems. Can tooth without nerve hurt? There are many reasons for this! On the contrary: a tooth deprived of blood supply and nervous regulation needs more careful care than healthy, «living» teeth. It is necessary to remember, that such tooth is exposed to all dental diseases, except for pulpitis (as in it already there is no pulp which is capable to be lost)
Therefore it is impossible to disregard the rules of oral hygiene, and to conduct it regularly and correctly:
at least 2 times a day,
with the use of not only brushes and threads,
In the presence of any complaints of discomfort in the gums, or obvious symptoms of trouble you should immediately consult a doctor: