From Sensitivity to Pain: Dental Issues in Children

Q: From Sensitivity to Pain: Dental Issues in Children

Dear Anonymous Miss： Hello! Your teeth are quite special, as you still have primary teeth. <br>Generally, if a tooth cracks, it may initially cause sensitivity and can be difficult to detect. <br>As it continues to crack, the symptoms will become increasingly uncomfortable. <br>I

From sensitivity to pain?

Hello, Doctor.
I have a few teeth that are primary teeth, and one of them has had cavities and has been filled several times.
Around the end of January, I suddenly became particularly sensitive to cold items.
Brushing my teeth and rinsing with tap water causes a sharp pain.
I visited a doctor before the New Year, and they said there was no issue, just some sensitivity, and applied a desensitizing paste before sending me on my way.
Recently, it had improved a bit, but over the past few days, even though rinsing is less painful, when I bite down on that primary tooth, it hurts (not extremely painful, just a bit uncomfortable; I avoid hard foods because another primary tooth cracked when biting something hard).
It seems like my gums are also swollen (I've been going to bed later than usual due to the pain in the past few days).
Touching the gums near the primary tooth causes some pain.
I've also looked through Q&A on websites, so I would like to ask the doctor: Is it possible that there are tiny cracks in the tooth leading to infection? Or is it just due to lack of sleep? Thank you, Doctor, for taking the time to answer my questions.

Niming, 10~19 year old female. Ask Date: 2017/02/09

Dr. Huang Tingfang reply Dentistry

Dear Anonymous Miss: Hello! Your teeth are quite special, as you still have primary teeth.
Generally, if a tooth cracks, it may initially cause sensitivity and can be difficult to detect.
As it continues to crack, the symptoms will become increasingly uncomfortable.
If the crack is too deep, extraction may be necessary! Please communicate more with your dentist! Thank you! Wishing you safety! Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/02/09

More Info

Dental issues in children can be quite complex and multifaceted, especially when it comes to sensitivity and pain. Your concerns about your child's dental health are valid, and it's important to understand the underlying causes of these symptoms.

Firstly, sensitivity to cold and discomfort when biting down can indicate several potential issues. In children, especially those with primary (baby) teeth, sensitivity often arises from enamel erosion, which can be exacerbated by dietary habits, oral hygiene practices, and even the natural wear and tear of teeth. If your child has a history of cavities and has undergone multiple fillings, it is possible that the affected tooth has developed microfractures or has not been adequately sealed, allowing for sensitivity to cold stimuli.

The fact that your child experiences pain when biting down on that specific tooth could suggest a few possibilities. One common issue is the presence of a cracked tooth. Cracks can develop due to various reasons, including biting down on hard foods or even grinding teeth, which is not uncommon in children. These cracks can lead to inflammation of the pulp (the innermost part of the tooth containing nerves and blood vessels), resulting in pain or discomfort.

Additionally, the swelling of the gums around the affected tooth could indicate gingivitis or another form of periodontal disease, which can occur if plaque buildup is not adequately managed. In children, this can sometimes be overlooked, especially if they are not diligent about brushing and flossing. The inflammation could also be a response to the sensitivity and pain your child is experiencing, leading to a cycle of discomfort.

Another critical aspect to consider is the possibility of an infection. If there is a crack or a cavity that has penetrated deep enough to reach the pulp, bacteria can enter and cause an infection, leading to more severe pain and swelling. This situation would require prompt dental intervention to prevent further complications, such as abscess formation.

Regarding your question about whether the symptoms could be related to sleep deprivation, while lack of sleep can exacerbate pain perception and overall discomfort, it is unlikely to be the primary cause of the dental symptoms you described. However, stress and fatigue can lead to behaviors such as teeth grinding (bruxism), which can contribute to tooth sensitivity and pain.

Given these considerations, it is crucial to seek a thorough evaluation from a pediatric dentist. They can perform a comprehensive examination, including X-rays, to assess the condition of the teeth and surrounding structures. If a crack or infection is present, timely treatment will be necessary to alleviate pain and prevent further complications.
In the meantime, you can help manage your child's discomfort by encouraging gentle oral hygiene practices, avoiding very hot or cold foods, and possibly using a desensitizing toothpaste if recommended by your dentist. Additionally, ensuring your child maintains a balanced diet and stays hydrated can support overall oral health.

In conclusion, while sensitivity and pain in children's teeth can stem from various causes, it is essential to address these symptoms promptly with a dental professional. Early intervention can help prevent more severe issues down the line and ensure your child's dental health remains on track.

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