Pain occurs when the tongue presses against the hard palate?
Hello doctor, after I had my tooth filled, the dentist said that if I experience any more pain, I should return for a root canal treatment.
After getting home, when I press on a certain area of the filled tooth with my tongue, it hurts a lot, and I also feel a bit of discomfort when drinking water.
At other times, there is no pain.
Should I go back for another check-up?
Huang, 10~19 year old female. Ask Date: 2018/01/22
Dr. Zhu Guanyu reply Dentistry
Hello, based on your description, it is difficult to make an accurate diagnosis.
I recommend seeking medical attention for a complete examination.
Thank you for your message! Wishing you safety and health.
Sincerely, Dr.
Kuan-Yu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2018/01/22
More Info
After dental work, experiencing pain when pressing your tongue against the roof of your mouth, particularly in the area where a filling was placed, can be concerning. It is essential to understand the potential reasons behind this discomfort and when it is necessary to seek further dental evaluation.
First, it is not uncommon for patients to experience some sensitivity or discomfort after dental procedures, especially if a filling or root canal treatment was performed. This sensitivity can arise from several factors:
1. Inflammation: After dental work, the tissues around the treated tooth may become inflamed. This inflammation can lead to sensitivity when pressure is applied, such as when you press your tongue against the area.
2. High Filling: If the filling is slightly too high, it can create pressure on the tooth when biting or pressing against it with your tongue. This can lead to discomfort and may require adjustment by your dentist.
3. Underlying Issues: If the tooth was previously infected or had significant decay, there may still be some lingering sensitivity as the tooth and surrounding tissues heal. If the pain persists or worsens, it could indicate that the root canal treatment was not entirely successful, or there may be additional issues such as a crack in the tooth or an abscess.
4. Nerve Sensitivity: Dental procedures can sometimes irritate the nerves within the tooth or the surrounding area, leading to temporary sensitivity. This is often a normal part of the healing process.
Given your description, if the pain is localized to the area of the filling and occurs primarily when pressure is applied, it may not be an immediate cause for alarm. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, fever, or discharge, it is crucial to return to your dentist for a thorough evaluation.
Recommendations:
- Monitor the Pain: Keep track of the pain's intensity and frequency. If it remains mild and infrequent, you may choose to wait a few days to see if it resolves on its own.
- Avoid Pressure: Try to avoid pressing your tongue against the area until you can see your dentist. This may help reduce discomfort.
- Return to the Dentist: If the pain does not improve within a few days, or if you notice any new symptoms, it is advisable to return to your dentist. They may need to check the filling's height, assess for any underlying issues, or consider further treatment options.
- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort in the meantime, but ensure you follow the recommended dosages.
In conclusion, while some sensitivity after dental work is normal, persistent or severe pain warrants further investigation. Your dentist can provide the best guidance based on a clinical examination and any necessary imaging. It is always better to err on the side of caution when it comes to dental health, as early intervention can prevent more significant issues down the line.
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