Tooth Pain and Frequent Mouth Ulcers: Causes and Solutions - Dentistry

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Toothache and frequent mouth ulcers?


1.
Doctor, my back teeth don't hurt at all unless I bite down or grind them, and the dentist said there are no cavities and told me not to worry.
What could be the issue?
2.
I have frequently experienced mouth ulcers since childhood, even without biting my cheeks.
What could be the problem, and what kind of tests should I undergo? Which specialist should I see?

Niming, 10~19 year old female. Ask Date: 2016/05/09

Dr. Zeng Guanghui reply Dentistry


1.
Pain in the back teeth during chewing or grinding may occur if there are no cavities; this could be due to cracks in the tooth structure itself or sensitivity in the dental nerves.
2.
Mouth sores can result from sharp edges of teeth damaging the oral mucosa, but they can also be triggered by the immune system being compromised due to emotional or psychological stress, or lack of sleep, leading to damage of the oral mucosa.
It is advisable to consult an oral surgeon for diagnosis and treatment.

Reply Date: 2016/05/09

More Info


Tooth pain and frequent mouth ulcers can be frustrating and concerning. Let's break down the potential causes and solutions for each of your concerns.

1. Tooth Pain When Chewing or Grinding: The fact that your teeth do not hurt when at rest but do cause pain when you chew or grind suggests a few possibilities. One common issue could be related to temporomandibular joint (TMJ) disorders. This condition affects the jaw joint and surrounding muscles, leading to pain during movement, especially when biting down or grinding your teeth. Another possibility is muscle strain in the jaw due to bruxism (teeth grinding), which can occur unconsciously during sleep or stress. Even if your dentist has confirmed that there are no cavities, the pain could stem from tooth sensitivity or cracked teeth, which may not always be visible on X-rays.
To address this pain, consider the following steps:
- Soft Diet: Temporarily switch to softer foods to minimize strain on your teeth.

- Heat Therapy: Applying a warm compress to the jaw can help relax the muscles.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

- Stress Management: If stress is a contributing factor, techniques such as mindfulness, yoga, or even counseling may be beneficial.

- Dental Evaluation: If the pain persists, a more thorough evaluation by a dentist specializing in TMJ disorders may be necessary. They might recommend a bite guard to prevent grinding and alleviate pressure on your teeth.

2. Frequent Mouth Ulcers: Recurrent mouth ulcers, also known as aphthous ulcers, can be caused by various factors, including stress, hormonal changes, certain food sensitivities (like citrus or spicy foods), and nutritional deficiencies (such as vitamin B12, folate, or iron). In some cases, they can also be linked to underlying health conditions like celiac disease or inflammatory bowel disease.

To manage and prevent mouth ulcers, consider the following:
- Dietary Adjustments: Keep a food diary to identify any potential triggers. Avoiding spicy, acidic, or abrasive foods may help.

- Nutritional Supplements: If you suspect a deficiency, consult with a healthcare provider about taking supplements or adjusting your diet.

- Topical Treatments: Over-the-counter topical medications can provide relief and promote healing.

- Stress Reduction: Since stress can exacerbate ulcers, incorporating stress management techniques may be beneficial.

- Medical Evaluation: If ulcers are frequent and painful, or if you notice other symptoms (like fever or weight loss), it would be wise to consult a healthcare professional. A visit to a dentist or an oral medicine specialist can help rule out any serious conditions and provide tailored treatment options.

In summary, while tooth pain during chewing may indicate issues related to TMJ disorders or muscle strain, frequent mouth ulcers could be linked to dietary factors or underlying health conditions. A comprehensive approach that includes dietary management, stress reduction, and professional evaluations will be essential in addressing both concerns effectively. If symptoms persist or worsen, seeking specialized care is crucial for proper diagnosis and treatment.

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