Persistent Tooth Pain After Brushing: Causes and Remedies - Dentistry

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Persistent tooth pain after brushing?


Last night, after brushing my teeth before bed, I started experiencing severe pain (throbbing) at the junction between my gums and teeth.
Taking pain relievers (Tylenol) was ineffective.
I thought the pain would disappear after waking up, but it only lessened slightly.
As of now (noon), I can still feel the pain.
Is there any way to alleviate this pain?

Huang, 10~19 year old female. Ask Date: 2019/04/24

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Huang,
Hello! As mentioned, it may be a case of a laceration.
Please avoid consuming irritating foods such as hot, spicy, and salty items for a few days, and it should heal.
Take care! Brush your teeth gently! Please communicate frequently with your physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/04/24

More Info


Persistent tooth pain after brushing can be quite distressing and may indicate several underlying issues. The pain you are experiencing, particularly at the junction of the gums and teeth, could be attributed to a variety of factors, including gum inflammation, tooth decay, or even issues related to your brushing technique.


Possible Causes of Tooth Pain After Brushing
1. Gum Disease (Gingivitis or Periodontitis): If you have not been maintaining proper oral hygiene, plaque can build up along the gum line, leading to inflammation and pain. Gingivitis is the early stage of gum disease, characterized by swollen and bleeding gums. If left untreated, it can progress to periodontitis, which can cause more severe pain and even tooth loss.

2. Tooth Decay: Cavities can develop in areas that are difficult to clean, especially if you have not been brushing effectively. The decay can irritate the nerves in the tooth, leading to sharp pain when brushing.

3. Brushing Technique: Brushing too hard or using a hard-bristled toothbrush can cause trauma to the gums and enamel, leading to pain. It is essential to use a soft-bristled toothbrush and gentle circular motions to clean your teeth without causing damage.

4. Sensitivity: Some individuals experience tooth sensitivity due to exposed dentin or receding gums. This sensitivity can be exacerbated by brushing, especially if you are using a toothpaste that is not designed for sensitive teeth.

5. Dental Abscess: An abscess is a localized infection that can occur at the root of a tooth or in the gums. This condition can cause severe pain and swelling and may require immediate dental intervention.


Remedies for Tooth Pain
1. Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and kill bacteria. Mix about half a teaspoon of salt in a glass of warm water and swish it around your mouth for 30 seconds before spitting it out.

2. Cold Compress: Applying a cold compress to the outside of your cheek can help numb the pain and reduce swelling. Use a cloth-wrapped ice pack for 15-20 minutes at a time.

3. Over-the-Counter Pain Relievers: While you mentioned that acetaminophen (Tylenol) did not provide relief, you might consider trying ibuprofen (Advil) or naproxen (Aleve), which can help reduce inflammation and pain.

4. Avoid Certain Foods: Stay away from very hot, cold, or sugary foods and drinks, as they can exacerbate the pain.

5. Good Oral Hygiene: Continue to brush your teeth gently with a soft-bristled toothbrush and floss daily. Consider using a toothpaste designed for sensitive teeth.

6. Dental Visit: If the pain persists, it is crucial to see a dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the exact cause of your pain and recommend appropriate treatment.


Conclusion
Persistent tooth pain after brushing is not something to ignore. It can be a sign of underlying dental issues that require professional attention. Maintaining good oral hygiene practices and using the correct brushing technique can help prevent future problems. However, if the pain continues or worsens, seeking dental care is essential to address any potential issues before they escalate. Remember, your oral health is vital to your overall well-being, and timely intervention can save you from more severe complications down the road.

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