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Pain After a Big Cavity Filling? Signs You May Need a Root Canal

May 20, 2025

Getting a cavity removed is never an easy affair. Besides the discomfort of staying still for a long period of time, if the tooth decay is close to your tooth’s nerve, even with anesthesia, the pain can be noticeable. However, if it continues months after the cavity removal, it could be a sign that you need to visit an emergency dentist in Charleston for a root canal.

When decay reaches the pulp chamber, your tooth’s nerves can be infected, causing discomfort and pain. Here are some signs you need endodontics to remove all that’s infected and protect your tooth!

Woman with a Toothache Needing to See a Emergency Dentist in Charleston

5 Signs That Indicate You Need a Root Canal

1. Lingering Sensitivity to Hot or Cold

Sensitivity following a filling is normal, but if it persists for several seconds or longer (especially over weeks), it may be a sign of infection or inflammation of the nerves.

2. Swollen or Tender Gums

Gum tissue swelling, puffiness, or tenderness close to the afflicted tooth may indicate an infection that has spread from the pulp into the surrounding tissues.

3. Tooth Discoloration

When the tooth appears gray or darkened, it may indicate that the nerve has died or is dying, frequently necessitating a root canal.

4. Drainage or Pus Formation

The presence of pus, a foul taste in the mouth, or signs of an abscess (a bump on the gum) indicates a serious infection that typically requires immediate intervention.

5. Spontaneous or Throbbing Pain

If pain arises without provocation or wakes the patient up at night, the infection could have progressed beyond the filling site into the tooth’s nerve.

Illustration of a Root Canal from the Emergency Dentist in Charleston

Find an Emergency Dentist in Charleston That Performs Root Canals

Many patients dislike root canals due to the pain associated with this procedure. However, endodontics is the best option available before dental extraction, allowing us to remove all of the infections and restore your tooth to optimal condition.

If you have persistent pain after a filling restoration, you may need one, too. Contact North Rivers Dental today, and let’s work together to protect your smile!

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This was my first visit, and I am truly impressed!  The facility is very inviting in every way, the staff is outstanding, kind, & professional, and I am happy to say that I have found my dental home place! 😊  Thank You!

Deborah A..

It brings happy tears to my eyes knowing that my smile is fixed. Dr. Jake worked for 2 1/2 hours repairing old, cracked fillings, sealed between my teeth. This weighed on my confidence for three years and I barely ever wanted to talk. My teeth are restored back to their original state and it’s unbelievable what a patient, and kind dentist can do for one’s confidence. I owe ya one, Dr Jake!"

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Scheduled my elderly mother a new patient visit and every single staff member we were in contact with was EXTREMELY helpful and so sweet! I’m thinking of switching myself! We couldn’t be happier with this office!

Alison F.

I have been going to Dr Emerson at North Rivers Dental for years now and every time I go I never had a bad experience. Thank you all!

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10/18/2019

I have been going to North Rivers for 10+ years, I have always received excellent care, the staff is helpful and very friendly.

Glenn J.
10/28/2019

Dr Cates is exceptionally talented in the dental profession. Everyone at North Rivers Dental are so helpful and friendly.

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09/09/2019

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