Tooth Pain: Is Your Gum to Blame? - Dentistry

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When a tooth hits something, it can be painful, but it feels like the gums are the ones causing the trouble?


Hello, doctor.
I have noticed some pain in my lower gums, which sometimes radiates to the area near my jaw.
When I eat, I occasionally feel pain when my bowl or chopsticks touch my teeth, or when I clench my upper and lower teeth together.
However, I had a dental cleaning a few days ago, and the dentist said I don't have any cavities.
Could this be related to the cleaning? Should I monitor the situation before seeking further medical attention? Thank you for your help!

Hong, 10~19 year old female. Ask Date: 2017/09/14

Dr. Zhu Guanyu reply Dentistry


Hi Hong,
Based on your description, it can only be speculated that you are experiencing chewing pain, which may be related to periodontal issues.
However, common adult-type periodontitis is positively correlated with age and is less frequently seen in younger individuals.
Therefore, it is suspected to be gingivitis, but a clinical oral examination is necessary for a definitive diagnosis.

Thank you for your message! Wishing you peace and health.
Sincerely,
Dr.
Kuan-Yu Chu
Director of Dentistry
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2017/09/14

More Info


Tooth pain can be a complex issue, often stemming from various underlying causes, including gum problems, tooth decay, or even issues related to the jaw. In your case, it seems that you are experiencing discomfort in your lower gums, which radiates to your jaw and is exacerbated by certain activities, such as eating or clenching your teeth. Given that you recently had a dental cleaning and your dentist indicated that you do not have cavities, it is essential to consider other potential factors that could be contributing to your pain.

One possibility is that the discomfort you are experiencing is related to gum inflammation or periodontal disease. After a dental cleaning, it is not uncommon for patients to experience some sensitivity or discomfort, especially if there was significant plaque or tartar buildup that was removed. This can lead to temporary inflammation of the gums, which may cause pain when pressure is applied, such as when eating or when your teeth come into contact with utensils. If your gums are inflamed, they may be more sensitive to touch and pressure, leading to the pain you described.

Another potential cause of your symptoms could be related to bruxism, which is the involuntary grinding or clenching of teeth. This condition can lead to muscle tension in the jaw and surrounding areas, resulting in pain that can be felt in the gums, teeth, and even the jaw. If you find yourself clenching your teeth, especially during stressful situations or while sleeping, this could be a contributing factor to your discomfort.

Additionally, if you have recently undergone dental procedures, such as a cleaning, your gums may be more sensitive than usual. It is essential to maintain good oral hygiene during this time, as any irritation or trauma to the gums can lead to increased sensitivity and pain. If you are using any new dental products, such as toothpaste or mouthwash, it may be worth considering whether these could be causing irritation.

Given your symptoms, it is advisable to monitor the situation closely. If the pain persists or worsens, or if you notice any additional symptoms such as swelling, bleeding, or changes in the appearance of your gums, it would be prudent to return to your dentist for further evaluation. They may recommend additional treatments, such as a deep cleaning, scaling and root planing, or even a referral to a periodontist if gum disease is suspected.

In the meantime, you can take some steps to alleviate your discomfort. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Additionally, practicing good oral hygiene, including gentle brushing and flossing, can help keep your gums healthy and reduce sensitivity. If you suspect bruxism, consider discussing this with your dentist, who may recommend a night guard to protect your teeth and alleviate jaw tension.

In summary, while your recent dental cleaning may have contributed to your gum pain, it is essential to consider other factors such as gum inflammation, bruxism, or sensitivity due to recent dental work. Monitoring your symptoms and maintaining good oral hygiene are crucial, and if the pain persists, seeking further evaluation from your dentist is recommended.

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