Tooth sensitivity or tooth pain?
Hello, doctor.
A few days ago, I had severe tooth pain, but it has been easing up lately.
However, now my tooth feels swollen, and while it doesn't hurt, it is particularly painful when I apply vertical pressure or tap on it.
These issues arose after my recent visit to the dentist, where they used a temporary filling and advised me to observe the situation for a month.
Should I not return for a follow-up appointment directly? Please let me know your diagnosis.
Niming, 20~29 year old female. Ask Date: 2018/12/09
Dr. Zeng Guanghui reply Dentistry
If there is swelling and pain in the tooth, especially when applying vertical pressure or tapping, it may indicate acute inflammation at the apex of the tooth root.
You should consult a dentist to evaluate whether root canal treatment is necessary.
Reply Date: 2018/12/09
More Info
Tooth sensitivity can be a frustrating and uncomfortable experience, often leading to questions about when to seek dental care. Based on your description, it sounds like you have been experiencing significant pain in your tooth, which has since improved but has left you with lingering sensitivity, particularly when pressure is applied. This situation warrants careful consideration.
Tooth sensitivity can arise from various factors, including dental decay, gum recession, cracks in the tooth, or issues related to dental work such as fillings or crowns. The fact that you experienced severe pain initially suggests that there may have been an underlying issue that required immediate attention. The temporary filling placed by your dentist indicates that they are taking a cautious approach, allowing time to monitor the tooth's response before proceeding with more invasive treatment.
Given that you are now experiencing a sensation of pressure or pain when biting down or tapping on the tooth, it is crucial to assess the situation further. Here are some key points to consider:
1. Monitoring Symptoms: Since your dentist has advised you to observe the tooth for a month, it is essential to keep track of any changes in your symptoms. If the pain worsens, or if you notice swelling, increased sensitivity, or any other concerning symptoms, it would be wise to return to the dentist sooner rather than later.
2. Possible Causes of Sensitivity: The sensitivity you are experiencing could be due to several reasons:
- Inflammation: If there was an infection or inflammation in the pulp of the tooth, it could lead to lingering sensitivity even after the initial pain has subsided.
- Temporary Filling: Sometimes, temporary fillings can cause sensitivity, especially if they are not perfectly sealed or if they are in contact with the tooth in a way that creates pressure points.
- Underlying Issues: If there is decay that has not been fully addressed, or if there is a crack in the tooth, these could also contribute to ongoing sensitivity.
3. When to Seek Care: If you find that the sensitivity persists beyond a few days or worsens, it is advisable to return to your dentist. Additionally, if you experience any of the following symptoms, you should seek care immediately:
- Severe pain that does not improve with over-the-counter pain relief.
- Swelling in the gums or face.
- Discoloration of the tooth.
- A bad taste in your mouth or drainage from the tooth.
4. Potential Treatments: Depending on the underlying cause of your sensitivity, your dentist may recommend various treatments. These could include:
- Root Canal Therapy: If the pulp of the tooth is infected or inflamed, a root canal may be necessary to remove the damaged tissue and alleviate pain.
- Permanent Filling or Crown: If the temporary filling is causing issues, your dentist may replace it with a permanent solution.
- Sensitivity Treatments: If the sensitivity is due to exposed dentin or gum recession, your dentist may recommend desensitizing agents or fluoride treatments.
In conclusion, while it is good that your pain has subsided, the ongoing sensitivity you are experiencing should not be ignored. Keep a close eye on your symptoms, and do not hesitate to reach out to your dentist if you have any concerns or if your condition changes. Your dental health is paramount, and timely intervention can prevent more significant issues down the line.
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