Symptoms after a root canal: What to expect and when to worry

by A2 Dental Mallorca | Jun 14, 2025 | Sin categoría

A root canal, also known as endodontic treatment, is a procedure that allows a tooth affected by infection or deep decay to be saved. Although it is a safe and effective intervention, it is normal for patients to have doubts about which symptoms are normal after the treatment and which ones might indicate a problem.
At A2 Dental Mallorca, our specialist in Endodontics, Dr Anna Nilsson, explains what the post-operative period after a root canal is like, what discomfort may appear, and in which cases it is necessary to see the dentist.

What is a root canal and why can it cause discomfort?

A root canal is a treatment carried out when the pulp of the tooth, which contains nerves and blood vessels, is damaged or infected. It consists of removing the affected pulp, cleaning the root canal and sealing it with a biocompatible material to prevent future infections.
After the procedure, the tooth no longer has a nerve, so it should not hurt as it did before the root canal. However, since work has been done on the root of the tooth, it is common to experience slight discomfort during the first few days.

Normal symptoms after a root canal

The following symptoms are common and part of the recovery process:

1. Mild pain or sensitivity when chewing
   After a root canal, the treated area may be inflamed, which causes slight discomfort when biting or putting pressure on the tooth. This sensation usually improves within one or two weeks and can be relieved with painkillers prescribed by the dentist.
2. Swelling of the gum
   The gum around the treated tooth may be slightly swollen or tender due to manipulation during the procedure. This is temporary and subsides with anti-inflammatory medication and good oral hygiene.
3. Discomfort when brushing
   Some patients notice slight sensitivity in the treated area when brushing. It is recommended to use a soft-bristled toothbrush and avoid pressing too hard on the area until the sensitivity disappears.
4. Tooth feels different
   As it has been treated internally, the tooth may feel slightly different from the rest of the teeth during the first few days. This is a normal sensation and adjusts over time.

Symptoms that could indicate a problem

Although mild discomfort is normal, there are symptoms that may indicate a complication and require a visit to the dentist.

1. Severe pain that does not improve with painkillers
   If the pain is strong, persistent and does not improve with medication, it could be a sign of severe inflammation or a residual infection.
2. Severe swelling or abscess
   If the swelling does not decrease or increases over time, especially if there is a bump on the gum or discharge, it could be a sign of an infection that requires urgent attention.
3. Fever or general discomfort
   Fever may indicate a developing infection. In such cases, it is essential to visit the dentist to avoid complications.
4. Fractured tooth
   A tooth that has undergone root canal treatment is more fragile than a healthy tooth, so if it fractures, it may cause pain and compromise its preservation. In many cases, it is recommended to place a dental crown to protect it.

How long does It take for a tooth to heal after a root canal?

Recovery time varies depending on the patient and the complexity of the case, but in general:

• Mild discomfort: May last between 3 and 7 days.
• Chewing sensitivity: Can persist for up to 2 weeks.
• Mild swelling: Usually resolves in a few days with anti-inflammatory medication.
• Complete internal healing: May take several weeks, although the patient can usually return to normal life shortly after the treatment.

It is important to avoid chewing hard foods with the treated tooth until the dentist confirms that recovery is complete.

Can a root canal fail? Options if the pain persists

In some cases, a root canal may not fully resolve the problem. This can occur if:

• There are additional root canals that were not treated.
• The tooth has an undetected fracture.
• Reinfection occurs due to leakage in the tooth’s seal.

When a root canal is not successful, the possible options include:

1. Retreatment: The sealing material is removed, and the canal is cleaned again.
2. Apicoectomy: A minor surgical procedure is performed at the root tip to remove the infection.
3. Tooth extraction and implant: When the tooth cannot be saved, it is extracted and replaced with a dental implant as a definitive solution.

Aftercare following a root canal to prevent complications

For a smooth recovery, it is important to follow these recommendations:

• Take the prescribed medication as directed by the dentist.
• Avoid very hard or sticky foods during the first few days.
• Do not chew with the treated tooth until the dentist gives approval.
• Maintain good oral hygiene by brushing the area gently.
• Attend follow-up appointments to ensure proper healing of the tooth.

Is It better to extract the tooth or have a root canal?

Many patients wonder whether it is better to undergo a root canal or directly extract the tooth and place a dental implant. The answer depends on the specific case:

• If the tooth has a solid structure and can be saved, a root canal is the best option. Preserving natural teeth is always preferable when possible.
• If the tooth is too damaged or fractured, a dental implant may be the better solution, as it provides long-term stability.

At A2 Dental Mallorca, we use advanced techniques for endodontic treatment, such as rotary instrumentation, magnification-assisted endodontics, and thermoplastic sealing techniques to achieve the safest outcome for the patient. We also carry out a detailed study using internal 3D imaging of the tooth (CBCT or dental CT scan) to determine the best option for each patient, always prioritising the conservation of natural teeth when viable.

When to eee a dentist after a root canal

If you experience persistent pain, severe swelling, fever, or a fractured tooth after a root canal, it is important to see a dentist to assess the situation and avoid complications.

At A2 Dental Mallorca, we have specialists in endodontics and dental rehabilitation to ensure the best results in every treatment.
If you need more information or are experiencing discomfort after a root canal, book an appointment with us. We will evaluate your case and help you restore your smile’s health.

Dental Bone Graft: Does It Hurt? How Long Does It Take to Heal? Everything You Need to Know

by A2 Dental Mallorca | Jun 13, 2025 | Sin categoría

If your dentist has mentioned a dental bone graft, you’ve probably had the most common question: does this procedure hurt? It’s normal to feel some concern, as the idea of adding bone to the jaw can sound complex. However, the reality is that it’s a safe technique, with a well-managed recovery and great benefits for oral health.

At A2 Dental Mallorca, we explain in detail what a bone graft is, when it’s needed, what the postoperative period is like, and what care you should follow. We help you resolve all your doubts so you can face this treatment calmly!

What Is a Dental Bone Graft and What Is It Used For?

A dental bone graft is a procedure that consists of adding bone material to the jaw or maxilla with the goal of regenerating lost bone and improving its volume and density. This is essential when a patient does not have enough bone to place dental implants or suffers bone loss due to diseases such as periodontitis.

When is a bone graft needed?

· To place a dental implant when there is little bone available.
· To stop bone deterioration after a tooth extraction.
· In cases of bone loss due to advanced periodontal disease.
· To correct bone deformities in the jaw or maxilla.

This procedure restores the bone structure and allows the mouth’s functionality to be recovered, preventing problems such as the loss of adjacent teeth or premature ageing of the face due to bone resorption.

Does a dental bone graft hurt? Myths and realities

One of the most common concerns among patients is pain. The good news is that during the procedure, no discomfort is felt, as it is performed with local anaesthesia (and in some cases with conscious sedation for greater comfort).

And after the surgery?

After the procedure, it is normal to experience a bit of swelling or a feeling of pressure in the treated area; bruising may even appear, but not intense pain. In fact, many patients compare it to the common discomfort of a conventional tooth extraction.

Post-operative tips after a graft:

· Take the medication prescribed by the dentist: antibiotics, painkillers, and anti-inflammatories.
· Apply cold locally to the area during the first 24 hours to reduce swelling.
· Avoid chewing on the treated side for the first few days.
· Do not smoke or drink alcohol, as they hinder healing.
· Maintain proper oral hygiene without brushing directly over the graft site.
· To keep the wound area in good condition, it is recommended to apply chlorhexidine at 0.12% or 0.2%, in gel, spray, or mouthwash form.

The discomfort usually decreases within 3 days, although full bone recovery takes longer.

How long does it take for a bone graft to heal?

The healing of a dental bone graft is not immediate, as the bone needs to integrate with the patient’s natural bone tissue. This process, called osseointegration, can take between 4 and 6 months, depending on the type of graft and each individual patient.

Factors that influence recovery time:

• Type of graft: small grafts usually heal faster, while larger grafts will require more time.
• The patient’s health condition: smoking, having uncontrolled diabetes, or not following post-operative instructions can slow down or hinder healing.

During this period, it is essential to attend check-ups with the dentist to ensure that the graft is progressing properly before placing a dental implant.

Types of dental bone grafts: where is the bone obtained from?

There are different types of bone grafts depending on their origin. The specialist will decide which is the most suitable in each case:

1. Autologous graft: obtained from the patient themself (normally from the area near the one being treated, to avoid having two wounds, although sometimes it is necessary to obtain it from another donor site). It is the most biocompatible, but not always the best option for all types of regeneration.
2. Allogeneic graft: comes from a human donor. It is treated and sterilised before use. It is not commonly used in Dentistry.
3. Xenogeneic graft: comes from an animal source (usually bovine), treated to be compatible with human bone. It is widely used in Dentistry, as it does not require harvesting graft material from another donor area of the patient, making it a very minimally invasive type of graft for the patient.
4. Synthetic graft: biocompatible materials created in a laboratory to stimulate bone regeneration.
5. In some cases, the best graft is a combination of several types, for example: autologous with bovine xenograft. These combinations allow the benefits of the different types of grafts used to be combined. They are usually performed in large regenerations.

At A2 Dental Mallorca, we use the most advanced techniques to ensure safe and effective bone regeneration, tailoring each clinical case to the needs of the patient.

What is the post-operative period like after a dental bone graft?

The post-operative stage is key to the success of the graft. By following some basic care guidelines, recovery will be quick and without complications:

· Avoid intense physical activity during the first few days.
· Sleep with your head elevated (using a couple of pillows, for example) during the first few nights to reduce swelling.
· Do not rinse your mouth forcefully or spit during the first 24 hours.
· Follow a soft and cold diet during the first few days (purées, yoghurts, smoothies).
· Follow the hygiene guidelines recommended by your dentist.

When can I return to my routine?

· Most patients can resume their daily activities the following day.
· In the case of large grafts, 2–3 days of rest are recommended.
· Maximum swelling usually occurs in the first 48 hours and then gradually decreases.

If you experience intense pain, fever or abnormal swelling, it is important to consult your dentist to rule out infections or complications.

Is a bone graft worth it? Specialists’ opinion

If you have lost bone and need a dental implant, a bone graft is the best option to ensure long-term treatment success. Without adequate bone support, implants would not have the necessary stability, which could compromise their durability.

Moreover, this procedure prevents bone resorption and helps maintain facial structure, avoiding premature ageing of the face.

Do you need a dental bone graft? Book your consultation at A2 Dental Mallorca

If you’re concerned about bone loss or need a dental implant, at A2 Dental Mallorca we carry out a complete study of your case using advanced technology.

Call us or book your appointment online and receive the best guidance to recover your smile with confidence.

Tooth loss in adults: how to prevent dental loss due to Periodontal disease

by A2 Dental Mallorca | Apr 28, 2025 | Sin categoría

Tooth loss in adults is more common than it may seem and, in many cases, is caused by a silent disease: periodontal disease, also known as pyorrhoea. At A2 Dental Mallorca, specialists in periodontal health and advanced implantology, Directors Dr Anna Nilsson and Dr Alberto Rico explain what periodontal disease is, its symptoms, and the treatments available to prevent tooth loss.

Why do teeth fall out in adults?
Unlike children, for whom tooth loss is a natural process, in adults it is a warning sign of oral health problems. The most frequent cause is periodontal disease, a chronic inflammatory condition that affects the gums and the bone supporting the teeth.

According to the Spanish Dental Association, 8 million adults suffer from periodontal disease at various stages, and 2 million present with severe periodontitis. Globally, 750 million people are affected by this condition. These figures highlight the importance of prevention and early treatment to avoid dental loss.

What is Periodontal Disease and how does it affect the teeth?
Periodontal disease is a progressive infection that damages the supporting structures of the teeth. It originates from the accumulation of bacterial plaque, which over time calcifies and becomes tartar. The microorganisms present in plaque and tartar lead to the destruction of tissues, causing inflammation of the gums (gingivitis). If left untreated, the infection progresses and destroys the bone supporting the teeth, potentially leading to tooth mobility and eventual loss.

Stages of Periodontal Disease:

1. Gingivitis: This is the initial stage, where the gums become inflamed and may bleed, but the bone is not yet affected.
2. Early Periodontitis: At this stage, periodontal pockets begin to form and there is slight bone loss.
3. Moderate Periodontitis: Bone loss becomes more pronounced, the tooth starts losing support (loss of tissue attachment), and as a result, the gum is inflamed, may bleed when brushing, and periodontal pockets are present. Gum recession may also be visible, and teeth may begin to loosen.
4. Advanced Periodontitis: There is significant loss of tissue attachment around the teeth (both bone and gum), severe tooth mobility, and a high risk of tooth loss.

Warning signs: how do I know if I have periodontal disease?
It is important to pay attention to the early signs of the disease in order to prevent tooth loss:

• Bleeding gums when brushing or using dental floss
• Inflamed, red, or receding gums
• Persistent bad breath
• Gum or tooth sensitivity
• Loose teeth

If you notice any of these symptoms, it is essential to book a dental check-up to assess the health of your gums and prevent further complications.

Risk factors that increase tooth loss
Certain conditions can contribute to the development of periodontal disease:

• Poor oral hygiene, as the accumulation of bacteria and tartar facilitates the development of infections and bone loss.
• Smoking, because it reduces oxygenation of the gums and encourages bacterial growth.
• Uncontrolled diabetes, as it increases the risk of gum infections and accelerates bone loss.
• Stress, which can weaken the immune system and make the mouth more vulnerable to infections.
• Bruxism (teeth grinding or clenching) can accelerate damage to the bone and gums. While bruxism does not cause periodontal disease, it can aggravate and speed up its progression. Therefore, it is important to treat both periodontitis and bruxism.
• Genetic factors, as some individuals are genetically predisposed to periodontal diseases.

Treatments to prevent tooth loss in adults
At A2 Dental Mallorca, we offer the most advanced treatments to manage periodontal disease and prevent tooth loss:

• Professional dental cleaning
  In the early stages of gingivitis, a thorough cleaning removes plaque and tartar build-up, helping to prevent the progression of infection.
• Scaling and root planing
  If the disease has advanced, we perform a deeper cleaning using curettes and root planing to remove bacteria beneath the gum line, reducing inflammation and protecting the bone.
• Periodontal surgery
  In advanced cases, regenerative surgeries using gum or bone grafts can be carried out to restore lost support and prevent tooth loss.
• Periodontal maintenance
  Patients with a history of periodontitis must undergo regular professional cleanings and check-ups to maintain the stability of their gums and prevent relapse.

How to prevent tooth loss: tips for prevention
Prevention is key to maintaining a healthy mouth and avoiding tooth loss:

• Brush your teeth after every meal using fluoride toothpaste.
• Use dental floss and antibacterial mouthwash as complements to brushing.
• Avoid smoking, as it significantly increases the risk of periodontal disease.
• Follow a balanced diet rich in vitamins and low in sugars.
• Visit your dentist every six months for check-ups and professional cleanings.

Experiencing symptoms of periodontal disease? Don’t wait any longer

If you notice bleeding gums, tooth mobility, or inflammation, book an appointment at A2 Dental Mallorca.
Our team of periodontics specialists will assess your case and provide the most suitable treatment to help you maintain a healthy smile.

Call us or book your appointment online — protect your teeth in time. Your oral health is our priority!

Dental Implants in Mallorca: Interview with Dr Alberto Rico, Specialist in Implantology

by A2 Dental Mallorca | Apr 25, 2025 | Sin categoría

Dental implants have revolutionised modern dentistry, allowing patients to safely and effectively restore their smile and chewing function. At A2 Dental Mallorca, Dr Alberto Rico, a specialist in Advanced Oral Implantology trained at the prestigious New York University (NYU) and with experience at the Bränemark Osseointegration Centre, answers the most frequently asked questions about this treatment.

What exactly are dental implants and why are they such an effective solution?
Dental implants are small titanium structures that act as the root of a natural tooth. They are inserted into the jawbone and, once integrated, support a fixed prosthesis that replaces the missing tooth. They are the best alternative for restoring the function and aesthetics of the smile without affecting adjacent teeth, as traditional bridges do.

How long does it take for an implant to fully integrate into the bone?
The osseointegration period varies depending on the patient, the type of bone (bone density), and whether any additional bone regeneration treatment was required. It generally ranges between 3 and 6 months. However, thanks to advances in immediate loading, in many cases it is possible to place a fixed provisional tooth (or even a full arch) on the same day as the implant, allowing patients to regain their smile straight away and maintain their confidence throughout the process.

What is the “Implant and tooth in one day” technique?
This innovative technique, known as immediate loading, involves placing the implant and a fixed provisional crown during the same appointment. This is possible provided the patient has good bone quality and the implant achieves sufficient stability at the time of placement. At A2 Dental, we always perform a 3D Dental CT scan to determine whether the patient is suitable for this procedure.

Can all patients undergo immediate loading?
Not in all cases. For this technique to be successful, certain criteria must be met, including:
· Good bone quality and quantity to ensure proper implant fixation.
· High primary stability of the implant upon placement.
· Correct management of the soft tissues.
· Occlusal stability in patients with multiple missing teeth.
If these conditions are not met, delayed loading is recommended – meaning waiting for the full osseointegration period before placing the final prosthesis.

What if the patient doesn’t have enough bone for an implant?
In many cases, patients with bone loss can benefit from advanced techniques such as guided bone regeneration or the use of bone grafts. At A2 Dental, we assess each case individually using a 3D scan to determine the most suitable solution, avoiding the need for removable dentures wherever possible.

What is the postoperative period like after a dental implant?
The postoperative recovery is generally quick and minimally uncomfortable. We recommend:
· Following a soft diet for the first few days.
· Avoiding very hot or hard foods.
· Maintaining excellent oral hygiene to prevent infection.
· Avoiding smoking, as it hinders the healing process.

Why choose A2 Dental Mallorca?
At A2 Dental Mallorca, we combine cutting-edge technology with highly personalised care. Our team, led by Dr Alberto Rico, is committed to offering reliable, minimally invasive treatments that prioritise both function and aesthetics. Thanks to our experience and advanced diagnostic tools, we are able to tailor each treatment to the specific needs of the patient, achieving predictable and long-lasting results.

Thinking about restoring your smile with dental implants?
At A2 Dental Mallorca, we offer an initial consultation with our implantology specialist to assess your case and advise you on the best solution. Call us today or book your appointment online. Regain confidence in your smile with the highest quality and safety!

DO YOU THINK YOU HAVE HALITOSIS (BAD BREATH)? WHAT IS IT, AND WHY IS IT PRODUCED?

by A2 Dental Mallorca | Mar 7, 2021 | Sin categoría

FULL MOUTH REHABILITATION WITH IMPLANTS

by A2 Dental Mallorca | Nov 15, 2020 | Sin categoría