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Dental & Oral Disorders
Question #21333
45 days ago
121

I need an advise a realistic one without making a drama out of a situation - #21333

Misses G

I had a root canal treatment 1-2 weeks ago The nerve was removed, and I was told that the inflammation was very deep. The nerve was taken out, and a temporary filling was placed with liquids inside to calm the tooth. I have an appointment on January 27, 2026 for another rinsing and a new temporary filling, and only after that a final appointment for the permanent filling. So far, I had no pain, but for the last 2–3 days I have been experiencing pain, and yesterday it was so severe that it radiated into my throat. I have to mention that recently I did not brush my teeth well, drank a lot of juice, and ate a lot of sweets and spicy food. Today the pain is much less, but I am consciously trying not to eat on that side and not to bite down. From time to time it hurts even when I am not doing anything or biting. Yesterday the pain was so bad that I could barely speak without pain. The problem is that I am in a other country until January 22, 2026. I have the following pain medication with me: IBU-ratiopharm direct 400 mg powder for oral (powder)use. I have heard that it stops inflammation down to the nerve and relieves pain. However, I am afraid because about a year ago, when I had a real bad inflammation, I took this medication and it did not help at all. I am afraid that from today, January 17, 2026, until Thursday, the pain could get much worse and that the painkillers might not help anymore. Now I have the following options: 1. Either I travel home on January 18, 2026 and then call my dentist on Monday to make an appointment, or 2.I stay in the other country until Thursday (as planned) and then call my dentist on Friday to ask if I can come in early in the morning. Option 2, staying longer abroad, would be preferable for me, but I have two fears: 1.That the pain becomes unbearable and painkillers no longer help. 2.That if I wait for 5 days, the tooth may no longer be salvageable and might need to be extracted because I waited too long. Yesterday the pain was pulsating and almost unbearable. At the moment it is tolerable, and I have not taken any medication yet at all. I would also make sure to brush my teeth properly and only chew on the other side. What do you think?

Age: 27
Chronic illnesses: Nope
Dentist rooth canal treatment
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Your symptoms are most consistent with a temporary post–root canal flare-up, not treatment failure. Waiting until Thursday is medically acceptable as long as pain stays manageable and no swelling or fever appears. A delay of a few days will not make the tooth unsalvageable. Use ibuprofen if needed, maintain strict oral hygiene, and monitor symptoms closely.

Best decision is to visit a dentist.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello

This sounds like post–root canal flare-up, not an emergency. Waiting 5 days will NOT ruin the tooth or force extraction in most cases. Ibuprofen 400 mg is appropriate; you can take it every 6–8 hours with food if needed. Avoid sweets, juice, spicy food; brush gently and chew on the other side.

Go home early ONLY if pain becomes constant, severe, or swelling/fever appears.

If pain stays tolerable or controlled with ibuprofen, Option 2 (stay, see dentist Friday) is reasonable.

If pain becomes unbearable despite medication or swelling starts, travel earlier.

I trust this helps Thank you

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Given the symptoms and history of a recent root canal, priority should be managing acute pain and preventing further complications. The severe pain radiating to your throat and pulsating nature can indicate an infection or inflammation that’s either not adequately resolved or has flared up. Considering you’re in a situation where immediate access to your regular dentist is not possible, it’s crucial to balance between pain management and seeking timely dental care. Staying pain-free is important for your peace of mind and quality of life. Ibuprofen is an anti-inflammatory, which could help with both pain and inflammation, but it’s important to take it as directed on the package and not exceed the recommended dose. As it didn’t previously help in severe cases, it’s possible it might not suffice if the situation exacerbates. Keep track of any increase in pain intensity, swelling, fever, or difficulty opening your mouth—these would act as signs to promptly seek medical attention. Now, regarding your options: if the pain remains stable and you’re able to manage it with the ibuprofen, staying in your current location and following through with your plan might be feasible. This, however, banks on no deterioration in condition. However, considering the severity you’ve described, if there’s any uncertainty about managing the pain or fear that waiting might worsen your condition, traveling back earlier to see your dentist might be more advisable. Teeth can usually be salvaged if caught in time, but it’s always better not to delay assessment if symptoms are severe. Focus on maintaining oral hygiene by gently brushing the surrounding areas, avoid hard-to-chew foods, and avoid anything that might irritate the tooth further such as hot, cold or overly sweet drinks and foods. If any more alarming symptoms arise, it would be wise to seek local dental care even before your planned return. Taking into account what you know about how your body responds to this medication and past experiences, make sure that any action taken is well-considered regarding your comfort and health priorities.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
43 days ago
5

Hello dear See as per clinical history it seems root canal post operative glare up reaction. I suggest you to wait for 3-5 days. However for control of pain Take below medication Tablet Voveron xr 50 mg twice a day for 3 days Tablet augmentin twice a day for 5 days Hopefully theses medication will bring improvement in symptoms within 72 hrs Regards

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