Post obturation pain

female patient complaining of pain and tenderness after obturation of 46 .now what can be done?

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Certain factors may influence the progression of postoperative pain, such as a history of preoperative pain and the need for retreatment. Although microorganisms are usually regarded as the most common cause of postoperative pain, other causes include mechanical or chemical injury to pulpal or periapical tissues. There is a clear indication of interactions between periapical tissues and microorganisms, because flare-ups are more likely to occur in necrotic cases than in vital cases. This could indicate a clear relationship between pulp status and postoperative pain, even after successful endodontic therapy. So better proceed for re-treatment doc.
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Chances are high that there is missed canal in distal root.Remove GP as obturation is not adequate and negotiate missed canal in distal aspect.Once you find it establish patency with all the 4 canals and carry on the procedure.
Poor rct, short obturation in both mesial and distal roots. Check the periodontal status as well. Go for re rct along with medication.
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ADVISABLE... 1. FRESH. IOPA 2. TREATMENT. AS. PER. X. RAY. WINDING
Re RCT due to short obturation less bmp , periapical infection present
Incomplete BMP...residual infection at apex...need re -rct...
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Short obturation..go for re RCT doctor.
Thank you doctor
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Short obturation Do Rerct
Occurance of secondary caries seen. Underobturation of mesial root, Adv-re rct
I agree
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