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Root Canals and Root Canal Dentist, Tooth Pain and Other Symptoms Of Endodontic Disease

By Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS

What Are the Most Common Symptoms
of Endodontic Disease?

Endodontic disease can manifest itself with a wide variety and combination of symptoms. Common symptoms of endodontic disease include:

  • Lingering tooth sensitivity to cold liquids.
  • Lingering tooth sensitivity to hot liquids.
  • Tooth sensitivity to sweets.
  • Tooth pain to biting pressure.
  • Tooth pain that is referred from a tooth to another area, such as the neck, temple, or the ear.
  • Spontaneous toothache, such as that experienced while reading a magazine, watching television, etc.
  • Constant or intermittent tooth pain.
  • Severe tooth pain.
  • Throbbing tooth pain.
  • Tooth pain that may occur in response to atmospheric pressure changes, such as when flying or scuba diving.
  • Tooth pain that may occur in response to postural changes, such as when going from a standing to a reclining position.
  • Tooth Swelling.

If you have any of these symptoms, it would be wise to see your dentist because you might have root canal disease or another dental problem.

Some of these endodontic disease symptoms may also be attributable to decay, defective fillings, periodontal diseases, cracked teeth, or other tooth or bite-related problems.

On other occasions, the symptoms may even be caused by disorders that are not related to the teeth.

Why May Endodontic Disease Cause Swelling?

When the pulpal tissue becomes severely diseased and necrotic, the resultant infection can spread from inside the tooth into the adjacent bone and soft tissues.  As a result, swelling can occur in the tissues immediately surrounding the tooth.

If this situation is not treated and the endodontic disease process is not kept under control by the body's defenses, the infection can begin to spread into other tissue spaces, such as those around the eye or in the neck. In some situations, this can become a serious medical emergency.

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