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Dentistry/root canal treatment and tooth filling


I had root canal treatment(april 7,2015) and tooth filling(may 6,2015) on neighbouring tooth on front tooth. Until now, i feel dull pain,lingering pain and sometimes sharp pain on treated tooth and i dont know which one caused it. The tooth which treated root canal treatment is severely dammage(quite big dammage)before I went to dentist.can you please help me about this? Is this normal and which cause the pain?

Hi Monaliza and thanks for your question.

I am sure you can appreciate the danger and difficulty of me giving you a definitive answer without having the privilege of examining you personally together with the necessary diagnostic tools.

What I can advise you to do is to either return to the dentist who treated you or get a referral to see an endodontist, who specializes in root canal treatments. Although the nerve has been removed from the root treated tooth, there could be several reasons why you might still be experiencing pain from this tooth, which include:
1. some viable nerve still left in the root canal of the tooth
2. latent, chronic infection
3. leakage of the root canal sealant and/or filler used in the root canal.
4. leakage of the filling itself
5. root and/or crown fracture of this tooth
6. additional canals and therefore nerve tissue present in this tooth...and many more.
the integrity of this root canal treatment should therefore be evaluated and assessed with the necessary X-rays and diagnostic tests.

Additionally, the recently filled tooth must be fully inspected and inspected in the similar fashion, together with vitality testing on the tooth.  This will determine whether the nerve within the tooth is still alive, dead or in the process of dying. Vitality testing should include heat, cold and electrical testing and the results examined to rule out non-vitality or any internal process in the tooth which could be eliciting your pain. It is often very difficult to determine which tooth is the cause of dental pain, especially if the teeth are adjacent to each other, but through a process of careful elimination and thorough diagnosis, the root cause will emerge. Bear in mind also, that the pain in one tooth might purely be a co-incidental occurrence and not directly related to the recent site of treatment, which would require a detailed examination to rule out.

I hope this helps and wish you all the best in resolving your pain speedily, take care.

Kind regards
Dr Craig Peck


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Dr Craig W Peck ( B.Med.Sc., B.Ch.D., Clin. Botox, Cosmet. Derm.)


I am a General Dental Practitioner, with special interests in Cosmetic Dentistry & facial aesthetics and Periodontology, placing a strong emphasis on the establishment and maintenance of a healthy periodontium (the support structure of the tooth) before cosmetic options are considered. I uphold all principles of prevention above interventional treatment and try as far as possible, to remain conservative in my approach. I believe in detailed, open and honest patient discussion, establishing what the patients expectations are and what the reality is of achieving this and involving the patient at every level of the treatment. I have strong principles on ethical treatment and appropriate patient management. I have chosen to treat and rehabilitate many nervous and phobic patients, who, for whatever reason, find it impossible to take part in the very important task of even a routine check-up. I will accept questions relating to general and cosmetic dentistry (in conjunction with the use of facial cosmetic procedures) and dental fears/phobias. I will be more than willing to answer any academic questions in dentistry, biology, physiology, psychology and health sciences in general. As most dentists will tell you, there is often not only one way of dealing with a dental issue - so very often, there is no precise right and wrong way of approaching the problem. All clinicians vary when it comes to treatments and what works best in their hands is often the treatment that is advised. Be understanding of this and bear in mind that nothing lasts forever! Patients are happy to accept only a one-years warrantee when buying a new car, but seem to expect that dental work is going to last them their lifetime.


I have worked for many years in the UK and RSA as a general dental practitioner - within the NHS, private practice and the government dental health services. I am certificated for the administration of Botox and Dermal Fillers for facial lines and wrinkles as I have attended further courses in minimally invasive facial cosmetic procedures. I started seeing an increasing number of patients who presented with severe to moderate dental fears, even with full-blown phobias, so I started with the slow and patient task of tackling this problem and have successfully rehabilitated many patients. The key is good, effective, concise and understandable communication, shifting control from the dentist to the patient in order to slowly, but confidently, regain their trust back in dentistry, thereby giving them the feeling of achievement and this self-empowerment which drives them to the next level of treatment.

Academy of General Dentistry. American Dental Education Association. IAPAM (International Association for Physicians in Aesthetic Medicine). Professional Speakers, Writers and Managements Consultants in Dentistry. The British Dental Association. UK Aesthetics Group. ARC - Aesthetic Professionals. Botox. Aesthetics & Beauty. American Association for Dental Research. FDI - World Dental Federation. SOURCE1uk. World Dental Hygiene Forum. ProDentalCPD. Public Health Dentistry. Dentist Network. LinkedIn. Who's Who of South Africa.

B.Med.Sc. Degree (Medical Physiology and Medical Virology; Physiology Cum Laude; Stell 1994). B.Ch.D. Degree (Bachelor of Dental Surgery; Clinical Dentistry Cum Laude; Stell 1997). CPR and CPR-Advanced Courses (2000/2001; UK). Clinical Botox (UK, 2001). Cosmetic Dermatology (Botox and Dermal Fillers; RSA 2011).

Awards and Honors
Placed on the Dean's List at University for academic achievement (1994). Highest achievement in the subject Dental Materials. Medal from 3M and the Radiology Association of South Africa for highest achievement in the subject Dental Radiology and Imaging. Medal from The Periodontal Association of South Africa for highest achievement in the subject Periodontology. Highest achievement for Oral Medicine. Highest achievement in Oral Pathology. Received the DASA (Dental Ass. of South Africa) Gold Medal for highest achieving dental student across the 5 1/2 years of the Degree. Passed the subject, Clinical Dentistry with distinction in final year.

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