Intermittent Pain in Back Teeth: Is It Wisdom Teeth? - Dentistry

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Intermittent pain in the back teeth can be quite perplexing, especially when it comes and goes without a clear cause. Based on your description, it seems that you have been experiencing this discomfort for the past two years, with episodes lasting about a week before subsiding, only to return after a few months. You mentioned that you have a history of cavities in your molars and that you had them treated, which adds another layer of complexity to your situation.

The pain you are experiencing could indeed be related to your wisdom teeth, especially if they are impacted or partially erupted. Wisdom teeth, or third molars, often emerge in late adolescence or early adulthood, and their growth can lead to various dental issues. If there is not enough space in the jaw for these teeth to emerge properly, they can become impacted, leading to inflammation, infection, and pain. This pain can sometimes radiate to adjacent teeth, making it difficult to pinpoint the exact source of discomfort.

However, it's also important to consider other potential causes for your intermittent pain. Since you have a history of cavities and dental work on your molars, it's possible that there could be residual issues from previous treatments. For instance, if a cavity was not completely removed or if there is a crack in the tooth that was not detected, this could lead to intermittent pain. Additionally, if the tooth has undergone root canal treatment, there could be complications such as reinfection or issues with the filling material.

Another possibility is that the pain could be related to bruxism, which is the grinding or clenching of teeth, often occurring unconsciously during sleep. This can lead to tooth sensitivity and discomfort, particularly in the molars, and can also contribute to muscle tension in the jaw.

To address your concerns, here are some steps you can take:
1. Consult a Dentist: Since you have already seen a dentist in the past, it may be beneficial to return for a thorough examination. Request X-rays to check for any signs of impacted wisdom teeth, cavities, or other dental issues that may not be visible during a regular examination.

2. Monitor Symptoms: Keep a diary of your pain episodes, noting when they occur, their duration, and any associated activities (such as eating certain foods or stress levels). This information can help your dentist identify patterns and potential triggers.

3. Consider a Specialist: If your dentist suspects that your wisdom teeth are the cause of your pain, they may refer you to an oral surgeon for further evaluation and possible extraction.

4. Pain Management: In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Applying a warm compress to the affected area may also provide relief.

5. Address Bruxism: If you suspect that you may be grinding your teeth, discuss this with your dentist. They may recommend a night guard to protect your teeth and alleviate pressure on your jaw.

In conclusion, while it is possible that your wisdom teeth are contributing to your intermittent pain, it is essential to conduct a thorough evaluation to rule out other potential causes. Regular dental check-ups and open communication with your dentist will be key in managing your dental health and addressing any issues that arise.