I had a root canal treatment 2 days ago and yesterday my face started to swell. It's getting even worse today, my eye is almost shut. I've been taking clindamycin 300mg. What should I do?
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Sweeling after root canal treatment
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6 UpVoted this answer
I want to know which tooth is it? I understand it's on the upper arch, because if it's close to the sinus, many factors can be contributed to the swelling and if the tooth was swollen before the root canal or not! I would love to see an x Ray of the final root canal that will tell me a lot, but it's unusual to start swelling after 2 days of the final root canal if it's done properly. Until I have some more data keep taking the antibiotic.
5 UpVoted this answer
Your condition has progressed from acute periapical periodontitis to periapical (some call it dental) abscess, possibly on the way to a vestibular, or even buccal, space cellulitis or abscess. You need, at least, an endodontic drainage at this time plus the rest that was mentioned below by my colleagues. We're all in agreement that the best guy to handle your situation right now is an endodontist. He will make the right decision. I encourage you to Google the conditions that I mentioned above to motivate you to seek immediate treatment.
4 UpVoted this answer
Go back to original dr and let him re-evaluate!! Tough question with clinical diagnosis!! Maybe a change of antibiotics may help, but clindamycin is the drug of choice and appropriate for active infections! Sometimes a root canal can stir up the bad bugs and cause the symptoms you are describing!!
4 UpVoted this answer
When a root canal is done, a seal is created in the tooth so that communication between your mouth and the bone and tissues surrounding your tooth is shut down. When you have a severe infection as it sounds like you do, sometimes those inflammatory by-products and the bacteria that is already residing in the tissue and bone get trapped with nowhere to go so the tissue swells. It is dangerous to leave that swelling untreated and you should call your endodontist or dentist and continue with the prescribed antibiotic. In the mean time, you may get relief by applying a warm compress to the area followed by a cold compress. This will increase blood flow to the area, delivering the antibiotics and carrying away the undesirable by-products.
1 UpVoted this answer
Root canals are completed due to an infection being present in the area. A root canal seals off the tooth so that the body is able to deal with any residual infection left at the bottom of the tooth. However, sometimes the infection overpowers the body's defenses and the infection spreads. This is what it sounds like has happened. The best course of action is to continue with the antibiotics you are on and call your dentist. There are a few different things that he or she may do to help reduce the swelling, including sending you to the hospital for IV antibiotics (which start working quicker), draining the area or sending you to a specialist. The best thing to do is contact your dentist and let them look at the area and make a decision. Hope that helps, and hope you get better soon.
1 UpVoted this answer
You should keep taking your antibiotic and need to contact your dentist as soon as possible. Slight soreness is normal, but swollen face and is getting worse isn't. Have the dentist check the your bite, change up the type of antibiotics and of course take another x-ray on the area of concern.
1 UpVoted this answer
Talk to your endodontist and head in for a follow-up ASAP. The swelling could be a sign of infection, or you may just be having a reaction to the materials used during the procedure. It's important to figure out the cause before the swelling progresses.