Sore tooth with arsenic: what to do
There is such a thing as extirpation of the tooth nerve. It is used in such complications of caries process, such as pulpitis and periodontitis. In the second case, often the nerve is already dead and need to remove it disintegrated the remains. As you know extirpation is removed. As for pulpitis, the nerve is still alive and its removal is quite a painful procedure. It is carried out in two ways devital — using ARSENICAL paste and vital under local anesthesia. ARSENICAL paste is designed to kill tooth nerve. But there are times when a toothache with arsenic. Why is this happening and what to do about it?
Why the need for arsenic
As mentioned above, the arsenic is placed in the tooth to kill the nerve. To date, use of local anesthesia everywhere. And if the situation allows the nerve is removed immediately in the first visit. But sometimes there are cases when there is no possibility to do it simultaneously. Therefore resort to the old way that the patient felt no pain. When put arsenic:
- Not valid local anesthetic;
- Pulp much blood;
- Allergy to drugs local anesthetics;
- The children’s age.
Yes, there are situations when the patient is not receptive to anesthesia. Most often this is due to the fact that he was too worried and the stress the vessels constrict. Anesthetic bad enters the bloodstream, respectively, and in the right fabric. Therefore, in such cases, not to torment the patient and not exceed the dose of anaesthetic is put ARSENICAL paste.
Pulp when severe inflammation may abundantly sacrofice. Most often this occurs when used anesthetic without epinephrine or with a low concentration. Because it helps to narrow the blood vessels to the anesthetic lasted longer. These substances are used for those who have high blood pressure, problems with heart problem and pregnant women. Also tooth nerve can be very bleeding during the beginning of the menstrual cycle. And if you are not able to stop the bleeding, first, this creates problems for finding channels, secondly, breaks asepsis. And until the blood stops it is impossible to seal the channels. Of course, open them to leave is also impossible. About allergies and everything is clear. The anesthetics may be components not suitable for the patient. As for the children, they always put the arsenic, if the milk tooth. If permanent depends on the situation.
How is the production of arsenic
- If no allergic reaction is a local anesthetic. Children often make the application anesthesia.
- Then dissect the carious cavity.
- Remove the softened dentin.
- Take the smallest spherical boron, and open tooth cavity in the region polyarnogo horns. This is done to the arsenic worked better.
- ARSENICAL paste is taken with a probe or trowel the size of a small ball and wrap the wool in a loose, rolling up the ball. This ball is placed on the exposed point.
- Placed on top of the sterile cotton ball and cover with a temporary filling.
When he laid each tooth their time. Front teeth have one canal and therefore he’s supposed to stay the night, not more. As for posterior teeth, the arsenic is placed on two days, not counting the second premolars. They also have only one root. It is impossible to exceed the time, otherwise there will be unpleasant consequences.
Whether the hurting tooth with ARSENICAL paste
Many people ask this question not just. Because they are confronted with such a situation — toothache under arsenic. The idea took the no pain in the tooth should be, and it hurts all the same. Let’s start with the fact that arsenic is itself a harmful substance. While acting anesthesia, the patient will not feel pain. As for after the departure from it, it depends on the situation. If the inflammatory process is chronic, the patient often feels no pain. But when the inflammation is acute or exacerbated most of the time he will feel pain. This is due to the fact that arsenic acts on the nerve. And since he is alive and inflammation of the patient will all this experience. The pain is tolerable. Usually closer to the evening subside. So the nature of the pain symptom is considered normal and there is no reason to panic. You can take pain pills.
When to sound the alarm
What to do if you have a toothache after arsenic, or rather under it? In cases when the pain is tolerable and with time its intensity subsides, then no further action is needed except receiving analgesic drugs. But the pain may not subside, but rather increase. And pills can only give a temporary effect, or even not to help. Here already then be sure to inform your doctor if you have his contacts. Or to run for help. In addition to pain may appear swollen and hyperemia of the mucosa. Will it hurt to chew on that side. There may be facial asymmetry. It may even be a local increase in temperature and increase in nearby lymph nodes. In the presence of at least one of these symptoms necessarily, immediately, you need to go to the doctor. If the first does not work, you should at least try to pull out the temporary filling with arsenic.
Why a toothache under the arsenic
As for the rules, that is, when the tooth must sometimes sick under the influence of ARSENICAL paste all clear. But why these pains intensify, sometimes even to such an extent That it is impossible to touch the area? As mentioned previously, the arsenic itself is very harmful and strong substance. He if gets into healthy tissue may cause irritation, even necrosis of this area. Sometimes if the cavity is opened much arsenic can TV go in the periodontal region, causing irritation. And periodontal much more difficult to treat, especially if there is arsenic periodontitis. This situation can occur in the wide channels. But the most common reason is the untimely removal of ARSENICAL paste. Often, when a patient ceases to feel pain, is not returned to the dental clinic when assigned. Moreover, he may think that once the nerve is already dead then there is nothing to ache already, and the seal and then to deliver. ARSENICAL periodontitis may not immediately make itself felt. Some even forget that they have arsenic and walking with him for a very long time. This happens when it was not possible to return at the specified time due to work or other circumstances.
Sometimes the pain and swelling can occur due to allergic reactions to arsenic. Yes, this also happens. It is highly toxic and therefore the body of his best answers allergic reaction, showing that it is a foreign body, to be rid of. Pain also occur due to incorrect dosage and the installation of arsenic ball. Some physicians into thinking that the arsenic will work better and faster take more than the required number. Thus they, without realizing it, can cause inflammation outside of the tooth. With regard to improper formulation, it happens when the cavity is not enough opened. Doctor setting the arsenic may unconsciously to displace when the top is covering a makeshift bandage. So you need to be very careful. In such cases, often the pain is not the tooth and adjacent gums. Toxic drug seeps through the wool to the mucosa of the gums, which may be subjected to necrosis. So you need to make sure that arsenic completely from all sides with a dentin-dressing.
What to do for pain in the tooth under ARSENICAL paste
The patient is in pain and he can’t stop these feelings any way. Of course in such cases is necessary to consult a doctor. But in our life it is not always possible to do so. Someone away, someone who is a nobody to leave the children etc each person may have their own reason why he can’t go to the doctor. It is the human factor and nothing can be done. What should I do? Can I take something yourself? Of course, even necessary. First and foremost, you need to eliminate the cause of pain, i.e. to remove arsenic. To do this, carefully wash the hands, take the needle and the tweezers and sterilized them with alcohol. You need to hold it for some time. Then take a needle and stand in front of a mirror. A needle to pick open the seal and tweezers completely to get residue. Then prepare a warm solution of water with baking soda and a few drops of iodine. Rinse thoroughly the mouth, focusing on the area of the affected tooth. To close an open hole with a sterile cotton ball. Before going to the doctor after every meal is necessary to remove vetochku, rinse with the same solution and close new sterile bulb. Well, of course, at the first opportunity to go to a specialist. It will not hurt to do the shot.
What to do when you had the temporary filling with arsenic
This happens when the seal does not dry, and the patient was chewing on the other side, or hit the saliva in her statement. In such cases, you need to make sure that nothing of arsenic left in the tooth. And then the actions are the same as when you remove the paste yourself — rinse, close with sterile cotton wool. And again, warn your doctor and go to see him.