Arsenic in the tooth: is it dangerous for health? Arsenic in the tooth: why they put it, how long can adults and children keep it, how it works, possible complications Put arsenic on the tooth, it hurts for 3 days

Why do they put arsenic in the tooth? This question is often asked by patients who have just visited the doctor. Currently, dentistry often uses various painkillers that are effective and fast-acting. However, in addition to modern drugs, arsenic is often used in medicine.

How does this substance work? What benefits and what harm can the substance bring? Let's look at these topics in more detail.

Today, almost every attending physician uses painkillers that help the patient more easily endure the unpleasant treatment procedure. However, quite often there are situations when it is impossible to do without. This type of treatment takes several days, and the procedure itself is very painful. In order to make life easier for the patient, modern dentistry uses arsenic, which kills the nerve within a couple of days.

Arsenic is applied in the form of toothpaste. Thanks to this product, when you visit the dentist again, the doctor will be able to easily remove the pulp and clean the canals without any discomfort for the patient.

How does the substance affect the nerve in the tooth? Arsenic, which is placed on the tooth, has a local effect. By its nature, the drug belongs to the group of poisons, but when used correctly in the hands of an experienced specialist, this remedy becomes an excellent pain reliever.

Arsenic paste, which has a “killing” force that affects the nerve, contains several components. These include various antiseptics, tannin, arsenic anhydride and anesthetics (novocaine, lidocaine and dicaine). Due to the influence of these substances, there is a necrotic effect on the pulp. Nerve cells die, and painful sensations are blocked, which is why the procedure brings virtually no discomfort.

Arsenic paste

Indications and contraindications for use

Since today the pharmaceutical market offers a large number of different painkillers, arsenic is not used in all cases.

1. The drug is used when the patient is diagnosed with an allergy to other medications.
2. The medicine is placed in the tooth when the patient’s body is insensitive to other anesthetics or when it is impossible to provide local anesthesia.

Anna Losyakova

Dentist-orthodontist

It is not recommended to use it if you are intolerant to the substances that are included in its composition. This remedy should not be used by children under the age of one and a half years, by patients whose tooth roots have not formed, as well as by patients suffering from dysfunctions of the genitourinary system.

How is the treatment carried out?

Once pulpitis is diagnosed, it is impossible to cure it without removing the nerve. However, during the first procedure, the nerve can be removed immediately. Why then do specialists give patients arsenic? Getting rid of a dental nerve is a very painful procedure. It is installed in order to avoid unpleasant sensations. In addition, a temporary filling is placed in the tooth. Within a couple of days, arsenic kills the dental nerve, and only then the doctor removes the temporary filling and takes measures to get rid of pulpitis.

Anna Losyakova

Dentist-orthodontist

Typically, arsenic is placed in the tooth for 24 hours. This happens if the tooth has one root. In all other situations, the product is left in the patient's mouth for 48 hours for a more effective result. In case of complications, the medicine can remain in the dental canal for up to 7 days.

Due to its composition, arsenic paste is safe for the patient’s body. However, the product has a negative effect on the gums. That is why, in case of periodontal disease, it is not recommended to place arsenic in the dental canal for a long time.

Side effects and complications

If treated incorrectly, a temporary filling using arsenic can lead to necrosis - death of oral tissue. This also happens if the substance remains in the tooth longer than necessary.

Anna Losyakova

Dentist-orthodontist

Possible gum burns. In this situation, it is necessary to rinse the mouth with hydrogen peroxide and treat it with iodine. If you notice such complications, you should immediately contact your doctor.

Gum burn

When the nerve is removed and the drug is placed in the tooth, toothache may occur. This is based on several reasons. The main one may be tissue swelling. The fact is that arsenic affects the diseased tooth in several directions at once, causing blood circulation around the dental canal to be disrupted and blood vessels to dilate.

In addition, as noted above, the paste contains lidocaine. This substance is not always perceived by the body, so pain may be present.

Some patients are diagnosed with intolerance to arsenic, which has a toxic effect on the body. Therefore, it is important to contact an experienced specialist so that such a situation can be avoided.

In the video, a doctor talks about the risks of using arsenic in dentistry:

Medicine without arsenic

In pediatric dentistry, drugs made from this element are used extremely rarely. They are used only when other treatment is not possible. Arsenic preparations can be used only when the roots are fully formed. In addition, the period of influence of the “poison” on the body is reduced to 16 hours.

The use of arsenic to eliminate the nerve in some situations is the only correct solution. The most important thing is to follow the time recommendations. In this article we will talk about why and why arsenic is placed in a tooth, what it looks like in a tooth in the photo, and we will discuss how to deal with pain when this substance is placed.

Dental problems always come unexpectedly. It seemed that just yesterday the person was feeling normal, working and enjoying life, but today the sharp pain is simply tearing him apart. The only correct solution in this situation would be to visit the dentist's office.

In any clinic, dental manipulations are carried out using anesthesia if desired. Modern drugs have an instant pain relief effect, completely disabling the desired part of the oral cavity for a certain period of time.

But the use of old reliable methods is still practiced. A manipulation that involves applying arsenic under a tooth is called devital pulp extirpation. Let's talk about how much and why arsenic is placed in a tooth, why it is needed and what to do if a tooth hurts under arsenic.

Devital pulp extirpation - application of arsenic under the tooth

The substance is used for the treatment of palpitis, if it is not advisable to use other methods of removing the nerve.

Indications:

1. Intolerance to one of the components of the drug.
2. Immunity to anesthesia.
3. Time restrictions.
4. Contraindications to painkillers for health reasons.
5. Therapy of teeth with formed roots in childhood, when the procedure cannot be performed with anesthesia.
6. Treatment for urgent indications.

Since arsenic is considered a rather dangerous drug, it cannot be used by all patients.

Contraindications :

1. Allergic reaction.
2. The child is up to one and a half years old.
3. Defective tooth roots.
4. Impossibility of completely cleaning the channels.
5. Perforation or separation.
6. Increased intraocular pressure.
7. Diseases of the genitourinary area.

The essence of the procedure

If for some reason it is impossible to numb the tooth with a local remedy, dentists resort to the old proven method - the use of arsenic. The poison destroys the nerve and contributes to the death of the pulp.

Treatment regimen

Initially, the doctor takes an x-ray to assess the condition of the tooth. Then the opening, cleaning and administration of the substance is done. Sometimes a special ball soaked in an anesthetic is placed on top.

The patient gets a temporary filling and then goes home. The doctor will inform you about how long you can walk with arsenic in your tooth and a temporary filling. At the next session, the patient will have the temporary filling removed, along with any remaining material and the nerve itself.

Arsenic is placed under a temporary filling

After the manipulation, the nerve will be completely dead, so it will not be accompanied by pain.

The effect of the poison depends on the age of the person and the condition of the teeth. It is of great importance whether the substance is placed on the bare pulp or unopened.

The norm for arsenic exposure is considered to be 24 hours. The doctor regulates the timing and extends it if the tooth is multi-channel. When using modern medications, the exposure time can last up to five days.

When using this toxic component, precautions must be taken. Failure to meet deadlines can cause severe harm to health.

Naturally, doctors are well aware of the use of the component in treatment, but the patient must also have the necessary information about the complications that may arise.

The negative qualities of the poison are minimized with correct, competent use.

The person must take care that the temporary filling is not damaged. The specialist must place it so that it is airtight and prevents the substance from leaking into the mouth. It is very important to ensure that arsenic does not come into contact with surrounding tissues.

Strong compaction should not be allowed, because as a result of strong pressure a person will experience pain. Such a filling is always very difficult to remove. This criterion is taken into account so that a person can independently get rid of it if severe pain occurs.

How long can the medicine last?

If arsenic is in the tooth for a long time, this will lead to the fact that it will enter neighboring tissues and injure them. Sometimes a small part of the product remains there for life. It is very important to comply with the deadlines also because the drug is dosed empirically.

The specialist places a substance into the tooth that is no larger than the head of a pin. However, individual reactions must also be taken into account.

Arsenic should be removed on time - otherwise there may be severe pain and complications

It is very important that arsenic-based medicine is removed from the mouth on time. Otherwise, severe pain and worsening of the condition may occur.

Negative consequences

Many have encountered this phenomenon: they put arsenic on a tooth, but it hurts after the arsenic. So why was it put in and what to do? Logically, if everything is done correctly, the pain should go away. It happens that the pain becomes simply unbearable and the jaw bursts.

There is no need to endure and suffer. You can use temporary remedies from the pharmacy to improve the condition. However, when the pain does not subside and appears at night, do not hesitate and go to the doctor.

The substance must remain in the tooth for a short time. If you do not comply with the deadlines, an inflammatory process may occur. Sometimes tissue necrosis occurs due to overexposure. In very susceptible individuals, poisoning and damage to the gastrointestinal tract may occur.

What to do: arsenic fell out

If a temporarily installed filling falls out, you need to make sure that there are no arsenic residues at the place where it fell out.

In such cases, experts recommend thoroughly rinsing your mouth with a soda solution. Add a small spoon to one glass and pour in a few drops of iodine. Cover the area with a sterile bead and go to the doctor.

If you suspect you may have swallowed the paste, there is no need to worry. The dosage is harmless to the body. To calm down, drink a cup of milk. It will turn the component into an inactive substance.

During pregnancy

Patients often ask: how many days can you keep arsenic in a tooth during pregnancy if it hurts? The answer will be unequivocal: during pregnancy, the use of arsenic for medicinal and other purposes is categorically unacceptable.

The period of lactation and pregnancy is a crucial period of time in the life of the expectant mother and her baby. Despite the small concentration and dose, it is impossible to completely neutralize the negative effect on the fetus. During therapy, you must inform your doctor about your interesting situation.

Arsenic should not be used during pregnancy

Today there are many products available that destroy pulp without poison. Their use is absolutely harmless to the fetus and the expectant mother.

Use of the substance for children

In childhood, this technique can be performed when it is impossible to numb the area with a local anesthetic. Dentists choose this treatment tactic if the child is very afraid of injections. Arsenic can serve as a good remedy for a vulnerable psyche. However, such pastes are allowed to be used only if the child’s roots are already fully formed.

A child is allowed to use arsenic only if the roots of the tooth are already fully formed.

The time period within which the substance can be kept is significantly shortened in children. If the remedy was applied to the pulp, then the small patient should come to the session no later than 16 hours. If another method was used, you are allowed to walk with the paste for a day.

What does it look like

Some manufacturers add a special dye so that the specialist can better see the location of the product.

Combination of alcohol and arsenic

Alcohol should not be combined with such pastes. These products have a very complex composition, and alcohol will enhance the effect of each of them. Even though the dosage is small, there is no need to check your health. You can abstain from drinking alcoholic beverages for a few days.

In dental treatment, various means are used that help kill the nerve, eliminate caries, put a filling, etc. Often in dentistry, arsenic is used, which is placed in the patient’s tooth for several days. This substance helps kill the nerve and pulp and usually does not cause pain.

It kills the nerve, then why does the tooth hurt under arsenic? If pain occurs, you should contact the dentist who administered the drug, since the causes of discomfort can be very different.

Reasons and contraindications for installing arsenic

There are several indications for introducing arsenic into the tooth cavity:

• intolerance to the components of arsenic-free preparations for tooth depulpation;
• the patient’s pain threshold is high, so other painkillers are not suitable for him;
• the child is afraid of injections, and baby teeth need to be treated;
• the patient, for health reasons, has contraindications to other types of anesthesia and arsenic remains the only method of pain relief;
• allergies to other types of anesthesia.

This substance also has certain contraindications: it is not given to children under one and a half years old, as well as to patients who are allergic to the components of the drug. The drug cannot be used in some clinical cases. For example:

• the patient’s roots have not fully formed;
• it is not possible to completely clean the channels;
• the patient suffers from high eye pressure;
• the patient has a history of diseases of the genitourinary system;
• women expecting a baby and breastfeeding.

Procedure for administering the medicine

Before introducing the paste, the doctor must thoroughly clean the tooth canals from dead tissue and take a photo to control the thoroughness of his work. Then a ball of paste with arsenic is placed into the prepared cavity, which is closed with a cotton swab dipped in phenol or camphor. The last step is to apply a temporary filling.

How long to wear the drug is determined by the doctor - it depends on the individual characteristics of the patient. Most often, it takes 1–2 days for the substance to take full effect.

In the video, the doctor talks about arsenic in the tooth:

If the patient is concerned about tooth pain and other negative manifestations after the installation of arsenic, it is worth contacting your doctor, since there can be many reasons for the unpleasant sensations. The dentist will accurately identify them and, if possible, eliminate them or tell you what to do.

Many dentists are completely abandoning the use of arsenic, replacing it with more modern drugs.

Why does a tooth hurt with arsenic?

In dentistry, it is not pure arsenic that is used, but a paste that is non-toxic to humans. Its main elements include arsenic anhydride, an antiseptic and anesthetic, a filler that helps make balls from the paste.

When arsenic blocks the nerve endings in the pulp, the pain that bothered the patient before treatment subsides. However, in some cases it may occur again (including when pressed). There are usually several reasons for this:

1. High sensitivity threshold.
2. Insufficient dose of arsenic.
3. Wearing the paste for too long.
4. Features of the patient's diagnosis. In some diseases, arsenic begins to act only on the third day after installation.
5. The occurrence of drug-induced periodontitis due to inflammation of dental tissues. The problem is characterized by swelling of the tooth, high fever and the development of an abscess.
6. Individual intolerance to arsenic or an unexpected reaction of the immune system to the active substance.
7. An allergic reaction that can provoke anaphylactic shock.
8. Necrosis of bone tissue due to incorrectly chosen dosage of the drug.
9. Inflammation and pain due to excessive toxicity of the substance.

Each of the reasons can manifest itself in different ways, but most often there is swelling of the tooth and swollen gums.

Arsenic, after contact with a diseased tooth, begins to act on nerve endings. This effect is necrotic, causing cell death and stopping the blood supply to the pulp. At the same time, the work of the nerve endings, which stop transmitting signals to the brain, also stops. As a result, the person begins to feel better and the toothache gradually stops.

After arsenic is added, discomfort and swelling may appear for other reasons. When pain relief was done incorrectly (the drug was administered incorrectly), swelling of varying degrees may appear. In this case, you should take a painkiller, and if the unpleasant feeling intensifies, then you need to call an ambulance or go to the hospital yourself.

What to do if pain occurs

To avoid or eliminate pain that has already appeared, you need to follow the advice of dentists:

1. You should not eat or drink for two hours after the procedure. This will help the filling harden, it will not crumble and will reliably cover the tooth cavity and the medicine in it.


2. To eliminate the sour taste after installing arsenic, it is recommended to use a soda solution. It has the ability to neutralize acid, which can cause burns to the oral mucosa.
3. To relieve pain, some doctors recommend drinking a glass of milk to remove all toxins from the body. Milk contains proteins that neutralize the effect of arsenic without interfering with its local work.
4. The arsenic filling should remain in place for as long as prescribed by the doctor. This period usually ranges from 1–2 days to 5 days. There is no need to try to remove the filling and medicine yourself; this should be done by a specialist.
5. If the pain is severe, you should take Nurofen, Ibuprofen or similar painkillers. You should take such pills only on the recommendation of a doctor.

Arsenic helps avoid dangerous diseases and complications in the oral cavity. However, the drug can cause some side effects, for example, poisoning of the body, the development of arsenic osteonecrosis, inflammation in the tissues, and blackening of dentin. Therefore, this drug should not be used to treat the teeth of young children and pregnant women. For them, alternative methods have been developed to eliminate the nerve and relieve pain in the pulp. Many dentists have already completely abandoned the use of this substance and use more modern formulations.

dental

When you don't need to whip up a fever

So, you were given arsenic, but your tooth hurts. There is no need to run to the doctor at the first moment. How long it will hurt depends on the individual properties of your body, because in the process of applying arsenic, part of it dies.

They put arsenic on a tooth, but it hurts because the reaction speed is not lightning fast. It takes time to kill a nerve ending. It is rational to ask how long a tooth hurts after arsenic during normal course and how long you can keep this medicine in the tooth.

Typically, this process takes about three days. Therefore, all this time you should not worry about what to do after taking arsenic, when your tooth hurts and ask the question “How long will this last?” What to do if the pain does not go away? If the pain after taking the arsenic medicine does not quench on its own and is very bothersome, you should take a painkiller.

All this time, the medicine causes necrotic processes in tissues. As a result, the doctor receives a completely devitalized pulp, in which there are no cells that would be able to sense pain. Now you can safely carry out the procedure to clean the tooth from the remains of soft tissue and perform a filling.

But things don't always go according to plan. You need to know how long you can tolerate and in what situation you should rush to the doctor for help.

Remember that the only correct answer to the question: “Does that tooth hurt that is normal with arsenic?” - yes, for most people this is true.

But in a specific case, you can evaluate your body when your tooth hurts after taking arsenic medicine.

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Why does pain occur?

Everyone knows that medicine is placed in the tooth so that after some time you can come to the doctor for treatment of a diseased tooth, without experiencing pain. The thing is that the medicinal substance that was put into the tooth contains arsenic. It is this substance that kills the nerve component of the pulp and blocks pain, but how long this takes depends on the individual characteristics of the person.

Although modern dentistry is moving away from using drugs with arsenic due to toxicity to the body, still in critical situations when the nerve needs to be “killed” as quickly as possible, the doctor can use a drug with this chemical.

If the tooth does not stop hurting after arsenic is applied, it means that the pathological process has spread to the tissues adjacent to the tooth. Such complications can lead to severe purulent and septic consequences.

It should be understood that immediately after applying the drug, the pain will not go away: the pain will gradually recede. Therefore, it is normal to experience discomfort immediately after the procedure. How long can this last? 1-2 days, no more.

Reasons for appearance

The reasons why a tooth hurts after a filling with arsenic has been placed may lie in the following pathologies:

• reaction to the drug;
• irritant effect;
• insufficient dosage of the substance;
• osteonecrosis (death of bone tissue);
• incorrect installation of the medicine;
• the inflammatory process was not limited to the pulp.

Reactions to the drug

This is an allergic response to a chemical. The thing is that arsenic has a strong toxic and allergenic effect, promotes the development of a local immune response in the form of pain, swelling, and inflammation. When this happens, you should immediately go to the doctor. You can replace the drug with arsenic with a drug with another active ingredient.

Irritant effect

As mentioned earlier, arsenic is quite toxic, causing disturbances in various types of cellular metabolism, which will lead to inflammation of the tissues that are located in close proximity to the diseased tooth. Especially when the temporary filling with arsenic was placed incorrectly. As a result, the tooth and nearby tissues hurt.

Insufficient dosage

In the case when the drug contains insufficient arsenic to necrosis the nerve of a certain tooth, then after the medicine is applied, the tooth still hurts. In this case, the intensity of the pain will decrease somewhat, but after some time the pain will return with the same intensity. The doctor will be forced to remove the drug and place as much arsenic into the canal as needed.

Osteonecrosis

A rather serious complication after the installation of a drug with arsenic is osteonecrosis. This means that under the influence of this aggressive chemical, the bone tissue of the tooth and jaw dies. Treating this condition requires a lot of effort and patience.

Incorrect medication installation

If the doctor made a mistake (the human factor has not yet been abolished!) when installing a temporary filling with arsenic, then all the aggressive qualities of this chemical will be reflected in the tissues surrounding the tooth.

Inflammation was not limited to the pulp

If a person consults a doctor too late about a toothache, then he may already develop complications that are not affected by the action of arsenic. It is very important how much time has passed since the first symptoms of the disease. Such diseases for which arsenic will not eliminate the pain symptom include:

• periostitis;
• periodontitis;
• periodontitis;
• abscess;
• phlegmon.

Periostitis is also called gumboil. This is an inflammatory process of the jaw periosteum. This disease manifests itself as swelling, gums and tooth pain. Over time, pus breaks into the oral cavity, which brings some relief to the general condition. This can occur against the background of medication placed in the canal.

Periodontitis develops against the background of caries, when the process is started and the tissues that are in close proximity to the tooth become inflamed.

Periodontitis is a process that develops as an outcome of pulpitis. Then the nerve already dies, and arsenic no longer affects it. Painful sensations are caused by the involvement of the ligamentous apparatus of the tooth in the process, through which it is connected to the jaw. Pain occurs when biting. As a result of this pathology, an abscess develops at the apex of the tooth root.

Abscess and phlegmon are severe purulent complications that develop with untreated dental pathology.

What to do

What to do when a tooth hurts after arsenic has been added? You should not think about this question, but immediately go to the doctor! Pain only indicates that the pathological process has gone too far, or that an error was made during treatment. All these factors require immediate assistance from a specialist.

If you need to relieve pain before going to the dentist, you should take non-steroidal anti-inflammatory drugs. This group of drugs includes the well-known Ibuprofen, Nurofen, Ketorolac, Diclofenac. In some cases, simple Analgin will do.

If the pain is unbearable, then you can try to extract the medicine from the tooth, but this must be done very carefully. It's best to wait until you see the dentist.

In the dental office, the doctor extracts the medicine and sanitizes the dental canals. If necessary, he will order an x-ray examination. Based on the diagnostic results, specific treatment is prescribed. In case of severe complications in the form of an abscess or phlegmon, the patient is sent to the department of maxillofacial surgery.

What not to do

If after putting arsenic in your tooth the pain does not subside, then you should not do the following:

• postpone going to a specialist;
• eat on the side of the diseased tooth;
• apply heat or rinse your mouth with warm solutions;
• uncontrollably take drugs of various groups.

If the pain does not go away even after installing a filling with arsenic, then the disease has already spread beyond the boundaries of the tooth. This means that more thorough examination and treatment is required.

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Why do they put arsenic in the tooth?

Many patients wonder why the doctor puts arsenic in the tooth, and what benefits this remedy brings. This is done with the aim of “killing” the nerve of the tooth, which causes the patient severe pain due to carious destruction or a number of other problems.

On a note! The idea of ​​putting arsenic on sore teeth dates back to the 19th century. Over time, experts in this field began to understand the detrimental effect this poison had on the soft tissues of the tooth if used in its pure form. They began to create compositions based on arsenic acid, which have a more delicate effect on the condition of the tooth.

Today, dentists use special pastes with low arsenic content. The product is placed in a cavity that has been previously cleared of accumulated caries. Only after this a temporary filling is applied. Normally, arsenic helps relieve pain after a certain period of time.

The procedure for installing such a product is very simple and short - the doctor administers anesthesia if the patient has severe pain. Then the pulp is opened and the dentin, which has already collapsed, is removed. Then a small ball of arsenic paste is placed. Once upon a time, dentists did this with a closed pulp, but due to the fact that in most patients the tooth began to hurt very much, this method was abandoned.

How long can you leave arsenic paste in your tooth?

Many people are concerned about how long you can walk around with arsenic? It all depends on the specific case, but most often single-rooted teeth require no more than 24 hours to eliminate pain, the rest - up to 2 days. The doctor, in turn, will set the time for the next visit.

You should not put it off, even if the pain has stopped, since it is extremely dangerous to leave such a paste in your tooth. If you do not go to the doctor for more than 3 days, serious complications may begin.

What are the dangers of using the product?

Modern drugs contain arsenic in very small doses. With a competent doctor’s approach, the use of such a remedy should not cause any complications and become just an intermediate step during dental treatment. Undesirable consequences can occur if arsenic gets into the stomach with saliva, which can only happen if the temporary filling is damaged. There are a number of other situations, but in most cases the patient tolerates such procedures easily and without discomfort.

If you follow all the doctor’s recommendations and do not keep the drug in the tooth for too long, complications will most likely be avoided. If you still feel an unpleasant metallic taste in your mouth after the doctor installed arsenic in your tooth, do not panic, even if there is a small open cavity visible in the filling.

To neutralize the effects of poison on the body as soon as possible, it is enough to take casein, a protein substance found in milk. It prevents acid from entering the blood. Of course, immediately after this you should contact your dentist to prevent complete damage to the filling, which will already entail a stronger effect of the poison.

What to do if the pain does not go away?

But many patients complain that they were given arsenic, and the tooth hurts even after a long time. There can be many reasons:

1. The dose of the product was chosen incorrectly - the paste was not enough to completely kill the nerve or it had an excessively high resistance to the effects of arsenic.
2. Exposure to arsenic paste is allowed for up to three days - often this period is enough to eliminate pain.
3. The drug could provoke a disease of the periodontal tissues, for example, periodontitis. In this case, swelling begins in the tooth area, in some patients the body temperature rises, and an abscess may form in the gum.
4. Necrosis of tissues that are located in the periosteum area develops. In rare cases, necrosis affects the jaw bones. This is an extremely dangerous condition that requires immediate intervention. As a rule, treatment takes a long time and is quite expensive for patients.
5. The patient has an individual intolerance to arsenic or other components contained in the paste. This may manifest itself in the form of an allergic reaction and swelling. In rare cases, patients experience anaphylactic shock. If the condition only worsens over time, then you should immediately call a doctor.
6. There are cases when the dentist places the paste on the pulp in the wrong way, which causes severe pain and swelling.

If the pain does not go away and the patient suffers for a long time, especially if the swelling increases, then a visit to the doctor is a must.

Arsenic in the tooth during pregnancy

In modern dentistry, arsenic paste is not used in women who are carrying a fetus, as well as in children with milk teeth. This is due to the following number of reasons:

• science has not yet had time to fully study exactly what effect the toxins of the drug can have on the developing fetus and what adverse consequences there may be;
• no matter how experienced and knowledgeable the dentist is, it will be very difficult for him to calculate the exact dose of arsenic for use on children’s teeth;
• there is a very high probability of accidentally removing the product from the tooth and then swallowing it by the patient, which can lead to serious complications;
• There are numerous studies that confirm that pastes containing arsenic have a destructive effect on dentin, as a result of which hard tissue begins to collapse.

Many patients wonder why, against the backdrop of negative consequences, arsenic continues to be one of the most commonly used drugs in modern dentistry. This is due to a number of reasons, including the individual intolerance of local anesthesia by many patients. In addition, other means of “killing” the dental nerve can also cause an allergic reaction or be prohibitively expensive.

How is it harmful?

Arsenic is, in fact, a powerful toxin. Today, many clinics refuse to use it in their practice, resorting to other methods. If the dentist incorrectly calculates the dose or any other complications arise, the use of arsenic paste can lead to the following consequences:

1. Dentin begins to darken, in some cases to blackness.
2. The pulp swells.
3. The periodontal tissues begin to become inflamed, which causes drug-induced periodontitis.
4. The tissues of the periosteum and bone become necrosis, i.e. Arsenic osteonecrosis occurs.
5. General poisoning of the entire body occurs.

Despite the risk factors described above, there is no consensus among dentists regarding the use of such a toxic substance. The use of more advanced bacterial control techniques in dental treatment is uncommon. Basically, other methods are preferred by specialists from expensive clinics, where they even try by any means not to kill the nerve, as well as the soft living tissues of the tooth.

As for free or relatively inexpensive treatment, the use of toxic pastes is widespread. In any case, the choice remains with the patients themselves, and if financial capabilities allow, it is advisable to give preference to more gentle methods of dental treatment.

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When should you not worry?

Installation of arsenic in the dental cavity occurs when the pulp is inflamed. The doctor must devitalize the soft tissue and then remove the nerve. At the last stage, a permanent filling is placed, and this problem will no longer bother the person. More often than not, the answer to the question “why does the tooth hurt after the procedure” turns out to be incorrect actions by the doctor.

So, if the patient has increased sensitivity, he can feel the entire process of tissue necrosis and at the same time experience pain. It is important to monitor its intensity and dynamics. That is, when pain is part of the norm, a person experiences it to a lesser extent, and over time it subsides. After all, the death of the nerve and soft tissue does not occur instantly.

And the analgesic effect of arsenic also does not appear in a second. This takes time and all this time the person will feel the inflamed tissue, which brought him to the dentist. And also these sensations indicate the death of nerve endings.

The necrotization process can occur within a day, but sometimes it lasts two to three days. The first day the tooth may ache, on the second these sensations will be simply unpleasant, and only on the third will complete pain relief occur due to the effects of arsenic. It is important to differentiate your feelings and not give in to panic. It's even better if you discuss possible reactions and what you should do in advance with your doctor.

Today, there is probably no person who does not know what it is. For many, a visit to the dentist is comparable to torture. Particular horror is usually inspired by the procedure of tooth extraction with arsenic, which, despite a whole list of possible consequences, dentists continue to use today. Fortunately, modern treatment methods allow this process to be completed without any discomfort. And in this review we will try to figure out why it happens that a tooth with arsenic hurts. In addition, we will find out what can be done to remove unpleasant sensations.

Use of arsenic in dentistry

So, what is it for? Humanity has known for a long time the properties of such a toxic substance as arsenic. This dangerous toxin is the main poison for many mice and insects. A dangerous dose for humans is 5 mg.

In dentistry, a paste based on arsenic anhydride is used. It also contains components such as camphor, thymol, anesthetics (novocaine, dicaine, tannin, lidocaine), astringents and fillers necessary to maintain the desired consistency. But what if arsenic in a tooth hurts? What to do? Let's try to figure it out.

When is arsenic used?

If the patient begins to feel pain when chewing, it means that the lesion has affected the soft tissues and the neurovascular bundle. This is the final stage of the disease, indicating that periodontitis or pulpitis has developed in the tissues. Pain in this condition is explained by the fact that the exposed nerve reacts particularly acutely to mechanical stimuli or an uncomfortable temperature environment.

The cytotoxic properties of arsenic are used in medicine to eliminate the sensitivity of nerve endings. The material in question is placed on the affected tooth in order to stop the blood supply to the pulp and achieve necrosis. As a result, the transmission of nerve impulses to the core of the incisor stops.

In modern medicine, there are several ways to extract the dental nerve, but one of the following two techniques is usually used:

1. Removal of the nerve without devitalization. Typically used in cases where urgent removal of soft dental tissue is required. During this operation, the doctor usually uses local anesthesia. All actions are carried out without neutralizing the living tissues of the incisor. This option is used quite rarely.
2. Treatment of the pulp contents of the tooth using a special paste for devitalization of soft tissues. This remedy is popularly called simply arsenic.

Removal of dental nerve

Many patients face this problem: they put arsenic, but the tooth hurts. What to do in this case? Why do dentists even use such a dangerous toxin as arsenic? When used correctly and in compliance with the dosage, it helps to provide reliable pain relief during the tooth depulpation procedure without the application of additional agents. The patient just needs to wait a while until the nerve dies. After this you can safely remove it.

But it happens that they put arsenic, and the tooth hurts even more. Many patients begin to panic about this situation, because they do not know whether unpleasant sensations should occur or whether this condition is not normal? Let's try to consider this issue in more detail.

Pain relief with arsenic: stages

Tooth sanitation using arsenic is carried out in several stages:

• At the preparatory stage, a qualified doctor, under local anesthesia, opens the pulp and removes damaged parts of dentin.
• After this, the canal is opened and cleaned.
• Then a small dose of a special paste with arsenic is placed into the open part of the chewing incisor, which is covered with camphor or phenol. Also at this stage, a temporary filling is installed to hold and protect the paste during chewing and salivation.
• After a certain period of time, the neurovascular bundle dies under the influence of the toxin. And this process can be quite painful. It takes from several hours to several days.
• During your next scheduled visit to a specialist, the doctor will remove the dead nerve and fill the canals.

As a rule, after the procedure, the doctor gives the patient a number of recommendations. So, you should not drink or eat for two hours after the procedure. This is necessary so that the filling acquires the necessary tightness and adheres well to the surrounding tissues. Additionally, it is important that the arsenic does not come into contact with anything other than the dental nerve. If these recommendations are not followed, the filling may be damaged, and the unpleasant consequence of this will be the release of toxin into the gastrointestinal tract.

How long does a tooth hurt after arsenic? Is this procedure dangerous for children? These and many other questions are usually of interest to patients. The arsenic-based paste itself does not pose any particular health hazard and can even be used by children. You can tell that the substance in question has entered your mouth by its sour taste. And such a simple and accessible substance as baking soda can neutralize the effect of harmful components. It will help protect the mucous membranes of the oral cavity from burns.

What to do if arsenic does get into the body? To neutralize the harmful effects of the toxin, just drink a couple of glasses of milk. This method of removing poisons from the body is quite effective.

Dentists do not recommend keeping a filling with arsenic on a tooth for more than 2-3 days. To remove one root, 24 hours will be enough. If we are talking about removing several roots, then you will have to wait longer with a temporary filling. If you miss these deadlines, aggressive substances from the filling can get into the neighboring sections of the incisor and damage them. The maximum period during which arsenic-based paste can remain in the dental canal is 7 days.

How to cope with unpleasant feelings

If you put arsenic on a tooth and it hurts, should you immediately rush to the dentist, or is this phenomenon quite normal? Experts say that if pain occurs, you should not immediately run to the doctor. Each body is individual and tolerates the nerve neutralization procedure in its own way. Arsenic actually kills part of the tooth, so in the standard course of events, the appearance of pain is quite normal. You can cope with unpleasant sensations before removing the temporary filling by using simple painkillers.

Is it possible to get rid of arsenic on your own?

Let's look at this in more detail. If a tooth with arsenic hurts, and the time limit for using the drug for medicinal purposes has already passed, and it is not possible to visit the dentist’s office, you can try to independently extract the paste with a dangerous toxin. Before performing this procedure, be sure to clean your incisors and wash your hands. You will also need tweezers and a medical needle. They must first be disinfected. You can boil the tools or treat them with potassium permanganate.

It is most convenient to remove a temporary filling at a mirror. The main thing is not to go too deep into the tooth cavity and not damage neighboring tissues.

A gray paste will be placed under the filling. You need to take it out as carefully as possible so that it does not crumble. After this, the tooth cavity is thoroughly washed with a soda solution or chamomile decoction. The incisor cavity must be closed with a cotton swab. Under no circumstances is this procedure a reason to postpone a visit to the dentist. If you do not visit a doctor as soon as possible, the decaying nerve will cause inflammation.

What happens if you miss deadlines?

What should you expect? Does a tooth with arsenic hurt if the timing of the temporary filling is not installed? If you leave the paste with the discussed component longer than the prescribed time, the toxin can destroy the periapical tissue. As a result, periodontitis will begin to develop. This condition can be extremely painful. After three days, the tooth will turn black and begin to decay. If such signs appear, under no circumstances should you postpone a visit to the dentist.

How dangerous is the toxin?

To finally answer the question at hand - what to do if you put arsenic in and your tooth hurts - you need to find out whether it is generally dangerous to use a paste with this element for dental treatment? There are a number of contraindications for which drugs based on this poison cannot be used. Its toxic properties, if individual characteristics or violation of the recommendations for use, can lead to quite serious complications. These include:

• pulp swelling;
• development of periodontitis;
• darkening of dentin;
• bone necrosis;
• intoxication of the body.

Restrictions

Why does a tooth hurt under arsenic? Many people hope that immediately after installing a temporary filling, all painful sensations will disappear. However, the remedy acts gradually. Despite the appearance of rather unpleasant sensations, in this condition you should not use anesthetics in large quantities. Also, doctors do not recommend heating the sore spot: this can lead to the development of inflammation. Try to limit the mechanical impact on the diseased tooth when chewing.

Possible complications

This point deserves special attention. What to do if a tooth with arsenic hurts for quite a long time? Prolonged aching pain can be a dangerous sign, signaling the onset of serious complications. One of the most common and severe is sepsis. In this case, the tooth will continue to hurt even after taking a strong painkiller. In this case, there is no need to be patient. The patient should consult a professional doctor as soon as possible.

If you have been given arsenic and the tooth hurts for a long time, then prolonged discomfort may be the result of an incorrectly selected dosage of the drug. Most likely, the doctor used less product than necessary. Perhaps the dental cavity was incorrectly treated with arsenic paste. Similar symptoms also occur if the filling was installed too tightly. Arsenic will also be ineffective for abscess, periodontitis, periodontitis, periostitis.

Serious pain can develop if the inflammatory process from the pulp spreads to the neighboring area. If, in addition to pain, the patient also experiences drowsiness, headaches and loss of strength, then most likely we are talking about intoxication. The exact cause of discomfort can only be determined as a result of an examination. The sooner you see a doctor, the better.

Feasibility of application

When can such a radical remedy as arsenic be used to remove the dental nerve? Typically, this toxin is used in cases where other painkillers are ineffective. It can also be chosen if alternative methods cannot be used for the patient due to health reasons. Arsenic is often used as part of emergency medical care when other methods of pain relief are not available. In addition, this method is very often used to treat baby teeth in children, since children are often afraid of injections.

Conclusion

Very often it happens like this: they put arsenic in, but the tooth hurts. What to do? The appearance of unpleasant sensations in this state is quite normal. The main thing is to remove the temporary filling in time and treat the tooth.

For many, going to the dentist with an acute toothache results in leaving the office with arsenic in the problem tooth. Further treatment in this case will be carried out only after a few days. Usually the doctor warns the patient who has been given arsenic that the tooth may hurt and explains what to do in this case.

Next we will talk about this substance and how it acts on a sore tooth. We will also discuss whether a tooth filled with arsenic paste should hurt, and in what case you should start worrying. And finally, let's look at the risks of using this toxic substance and what to do if the temporary filling falls out.

Application in medicine

Fortunately, long gone are the days when only a glass of vodka could save you from toothache, and treatment was reduced to complete tooth extraction. Today, dentists take an individual approach to each patient, selecting the most gentle methods. So, instead of getting rid of the diseased tooth, the doctor may decide to save it by removing only the affected part. In this case, arsenic is used for pain relief.

This is a toxic substance that, upon direct contact with nerve cells, causes their death. So after arsenic, the nerve in the pulp dies, and accordingly the tooth no longer hurts. In dentistry, pastes are used that contain such an amount of this substance that is safe for human health.

Additional Information. Dentists mainly resort to destroying the dental nerve with arsenic in cases of deep caries or its complication - pulpitis. To avoid this procedure, dental experts recommend treating teeth in a timely manner.

The essence of the procedure

Today, arsenic paste is applied only to exposed pulp. This way, complications such as swelling and acute pain can be avoided. Before this, the doctor uses a drill to remove the affected areas of enamel and dentin and, in most cases, administers anesthesia.

A small amount of paste is placed into the cavity formed in the tooth. A disinfecting swab is placed on top of it, which is covered with a temporary filling. The second visit will be scheduled in a day if single-rooted teeth are being treated, and in two days if the remaining teeth are being treated.

Important information! Under no circumstances should you walk for a long time with medicine containing arsenic in your tooth. How long can you keep it the maximum? No more than 3 days, sometimes 5. After this period, the dentin begins to darken, and complications may arise.

When you don't need to worry

When you put arsenic paste on a tooth and it hurts, this is quite normal. The fact is that the nerve is destroyed gradually. Nerve cells and pulp gradually become deprived of respiration, cease to be supplied with blood and die. This takes from 24 to 48 hours. For some people this is completely painless, while others have to take strong analgesics.

Additional Information. Any arsenic paste contains novocaine, dicaine or lidocaine. In the case when a person has a toothache with arsenic, the fact that an analgesic is present in the paste makes the symptom much weaker.

To determine whether you should be concerned, you need to analyze the situation as a whole. If you put in a paste with arsenic, and your tooth hurts, but nothing else happens, there is no need to worry. By the time you visit the doctor, the syndrome will completely subside. But the situation when other unpleasant symptoms appear should alert you. It is also dangerous if, instead of a gradual decrease in the intensity of the pain syndrome, it increases.

Causes for concern

As already noted, walking with arsenic for more than the prescribed time is dangerous. Sometimes the situation develops in such a way that even the necessary one or two days are not worth waiting. It is necessary to seek help from a dentist ahead of schedule if, after arsenic has been placed, not only does the tooth hurt, but also the following symptoms occur:

• Swelling of soft tissues. This is clear evidence of the development of an allergic reaction. If the arsenic paste is not removed quickly, the process can spread, resulting in difficulty breathing.
• Redness and pain of the gums. This means only one thing - the installation of the arsenic paste was carried out incorrectly, and the substance leaked out. In this case, you should remove the medicine from the gums and go to the doctor so that he can do the job better.
• Headache, nausea. These symptoms occur extremely rarely and indicate poisoning. This situation occurs in people with particularly sensitive bodies. There is only one salvation - get arsenic and kill the nerve in another way.

Note! You should definitely consult a doctor if the enamel in a tooth with arsenic begins to darken. This only happens if, after installing the paste, you do not show up for a long time to continue dental treatment. Today there are special means to restore the whiteness of enamel.

In a normally developing situation, the pain syndrome gradually subsides. If on the second day the tooth hurts even more after installing arsenic, only a doctor can determine the cause and understand what to do about it. Most likely, the inflammation has spread beyond the pulp. In this case, dental treatment will be more difficult and longer.

Negative consequences

The use of arsenic paste is contraindicated in the treatment of pregnant women and young children. In other cases, it is a completely safe remedy if the rules for its use are followed. A person who walks with it longer than the prescribed time is likely to face the following consequences:

• darkening of the enamel;
• pulp swelling;
• periodontitis;
• death of gum and bone areas;
• mild poisoning of the body.

If the paste is not installed properly, it may become dislodged and cause gum burns.

Additional Information. Recently, arsenic has been used less and less in progressive dentistry as a means to destroy the nerve. Instead, modern pastes with a more gentle composition are used. Or, at the doctor's discretion, the pulp is removed during the first appointment under strong anesthesia.

Arsenic fell out: procedure

If arsenic falls out of the tooth before visiting the dentist again, this is not a problem, but this fact gives reason to doubt the competence of the specialist. You should immediately rinse your mouth and see a doctor as soon as possible. It would be wise to find another dentist. It doesn’t matter how much time has passed since the first visit, but if the tooth still hurts, it means the nerve is not killed, and the doctor will then put arsenic again. If the dentist determines that the nerve has been destroyed, he will be able to immediately remove the pulp and complete the treatment.

After installing arsenic paste on a patient’s tooth, the doctor is obliged to give him the following recommendations:

• Do not eat or drink for the next two hours.
• If a sour taste appears in your mouth, rinse your mouth with soda solution or drink a glass of milk.
• To relieve pain, you should take an analgesic such as Nurofen, Diclofenac or Nimesil.
• It is better not to chew on the painful side.
• Do not apply anything hot or cold to the tooth.
• Show up for your appointment at the designated time.
• If, for important reasons, after installing the paste you cannot come for a second appointment at the appointed time, you must remove the paste from the tooth yourself. This can be done using a thick needle, after which you rinse your mouth with a soda solution.

Whether a tooth with arsenic installed in it hurts or not, the dental nerve and pulp die in any case. This is the main purpose of using this toxic substance. There is no need to worry about pain syndrome. But if the pain increases or other symptoms appear, you should immediately go to the dentist. The same must be done if the temporary filling covering the arsenic paste falls out of the tooth.