Severe pain or pressure that lasts longer than a few days, visible swelling inside or outside the mouth, an allergic reaction to a medication, or an irregular bite are all signs that it may be time to visit an endodontist after a root canal. Generally, general dentists can treat teeth near the front of the mouth because they have fewer roots. However, if you need root canal treatment in a multi-rooted tooth or if your case is complex, you may be referred to an endodontist. In most cases, the sensitivity and discomfort associated with root canal treatment should go away within a few days.
If it doesn't improve, or if the pain is severe or isn't relieved by home measures, it's important to call the endodontist or dentist for an evaluation. When using medications, be sure to follow the instructions carefully and call the endodontist if the pain medication doesn't work. People who experience severe or lasting pain should report it to the endodontist for further evaluation. If you experience extreme pain after a root canal, it's a good idea to follow up with your dentist or endodontist to see what can be done to ease the discomfort.
According to the American Association of Endodontists, more than 41,000 endodontic treatments are performed in the United States every day. If the cause of the pain is due to a lack of a canal, the endodontist will need to open the tooth, remove the filling, and try to find the canal. If you experience severe pain several days after root canal treatment or if the pain has gone away and then returns, it's important to contact your dentist or endodontist right away. Even if you don't experience any pain after your root canal treatment, it's still recommended that you visit your dentist in a few days or the following week for a follow-up appointment.