Dull Pain in the Right Cheek After Dental Work: Causes and Solutions - Dentistry

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Dull pain in the right cheek?


About three months ago, I had a dental filling on my upper right molar.
Since then, I have been sensitive to cold and cold air.
Now, I often experience discomfort and then a dull pain in the lower right side of my face while sleeping or resting, which lasts for about 5 to 10 minutes before resolving on its own.
I cannot pinpoint the exact location of the pain, only that it is in my right cheek.
What could be the cause of this? (I have previously been evaluated for temporomandibular joint issues, but I can open and close my mouth normally.)

Ms. Li, 20~29 year old female. Ask Date: 2016/04/08

Dr. Huang Zhicheng reply Dentistry


Hello, the situation described may indicate that the lower right tooth has a cavity that could potentially involve the nerve.
It is recommended that you visit a dentist for further examination and an X-ray.
Wishing you safety and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/08

More Info


Understanding dull pain in the right cheek after dental work can be quite complex, as there are several potential causes for this discomfort. Given your recent dental history, particularly the filling of the upper right molar, it is essential to consider various factors that could contribute to the pain you are experiencing.


Possible Causes of Dull Pain in the Right Cheek
1. Dental Sensitivity: After dental procedures, especially fillings, it is common for teeth to become sensitive to temperature changes. This sensitivity can manifest as discomfort or pain when exposed to cold air or cold foods. If the filling is deep or if the tooth was previously compromised by decay, the nerve endings may be more reactive, leading to sensations of pain.

2. Nerve Irritation: The dental procedure may have inadvertently irritated the nerves surrounding the tooth or in the jaw. This irritation can lead to referred pain, which is when pain is felt in a different area from where it originates. The dull pain in your cheek could be a result of this nerve irritation.

3. Temporomandibular Joint (TMJ) Issues: Even though you mentioned that your jaw opens and closes normally, TMJ disorders can still cause discomfort in the facial region. Stress, grinding teeth (bruxism), or changes in bite alignment after dental work can lead to muscle tension and pain in the jaw area, which may radiate to the cheek.

4. Sinus Pressure: The upper molars are located near the maxillary sinuses. If you have any sinus congestion or pressure, it can lead to discomfort in the cheek area. This is particularly relevant if you have experienced any recent colds or allergies.

5. Infection or Inflammation: Although less common, an infection in the tooth or surrounding gum tissue can cause localized pain that may feel like it is radiating to the cheek. If there was any trauma to the area during the dental work, inflammation could also be a contributing factor.


Solutions and Recommendations
1. Monitor Symptoms: Keep track of when the pain occurs and any associated activities (e.g., eating, exposure to cold air). This information can help your dentist identify the underlying cause.

2. Consult Your Dentist: Since the pain is localized and related to recent dental work, it is advisable to return to your dentist for a thorough examination. They may perform X-rays to check for any underlying issues such as decay, infection, or problems with the filling.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult your healthcare provider before taking any medication, especially if you have underlying health conditions.

4. TMJ Evaluation: If TMJ issues are suspected, consider seeing a specialist who can evaluate your jaw function and recommend treatments such as physical therapy, bite guards, or stress management techniques.

5. Sinus Assessment: If you suspect sinus issues, consider consulting an ENT specialist. They can evaluate for sinusitis or other conditions that may be contributing to your discomfort.

6. Oral Hygiene: Maintain good oral hygiene to prevent any potential infections. Regular brushing, flossing, and possibly using an antibacterial mouthwash can help keep your mouth healthy.

In conclusion, while the dull pain in your right cheek after dental work can stem from various causes, it is essential to consult with your dentist for a proper diagnosis and treatment plan. They can provide tailored advice based on your specific situation and help alleviate your discomfort effectively.

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