There is discomfort when pressing on the right side of the upper jaw?
Hello, I had a filling done on my upper right second incisor about a year ago, but it has become more sensitive since then.
Sometimes, when I exercise and my heart rate increases, I can distinctly feel the blood vessels around that tooth pulsating.
I consulted with my dentist afterward, and after taking an X-ray, they believed that the filling might be too deep and could be compressing the nerve.
They suggested that I should only consider root canal treatment if I experience significant discomfort or swelling in the future.
I also remember that after the filling, the right side of my upper jaw felt strange; when I press my tongue against it, I feel a tingling sensation, and pressing on the right side of my nose also produces a similar tingling sensation.
The discomfort seems to be closely related to the area of the filled tooth.
Could these symptoms be caused by the dental filling? Although I experience slight discomfort, it does not affect my daily life.
Do you have any recommendations for care or treatment?
Guo Guo, 30~39 year old female. Ask Date: 2019/05/10
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Guo,
Hello! (There is discomfort when pressing on the right side of the upper jaw.) You may need to have an X-ray to determine if there is pulp necrosis, which could require root canal treatment.
The trigeminal nerve can affect the surrounding tissues as well.
Please take care! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2019/05/10
More Info
It sounds like you're experiencing a range of discomforts related to your upper right jaw, particularly around the area where you had a dental filling done over a year ago. Based on your description, it is possible that the sensitivity and discomfort you are feeling could be related to the dental filling, especially if the filling was deep enough to potentially affect the nerve of the tooth.
When a dental filling is placed, especially in cases where there is significant decay, the dentist must sometimes go deep into the tooth structure. If the filling is too close to the nerve, it can lead to increased sensitivity, pain, or discomfort. This is often referred to as "pulpitis," which is inflammation of the dental pulp (the innermost part of the tooth containing nerves and blood vessels). Symptoms of pulpitis can include sensitivity to temperature changes, pain when biting, or even a throbbing sensation in the area.
The sensation of blood vessels pulsing around the tooth area, especially during physical activity, could indicate that the tooth is reacting to the increased blood flow and pressure in the area. This is not uncommon, particularly if there is inflammation present. The fact that you also feel discomfort when pressing on the area near your nose suggests that there may be some referred pain or sensitivity in the surrounding tissues, which could be due to nerve pathways that are interconnected.
Regarding your concerns about the upper jaw feeling "weird" and the acid sensation when you touch it with your tongue, this could be a result of several factors. Sometimes, dental work can lead to changes in how your bite aligns, which can cause discomfort in the surrounding muscles and tissues. Additionally, if there is any inflammation or irritation in the gums or surrounding tissues, it can lead to sensations of discomfort or sensitivity.
As for your question about whether this is likely caused by the dental filling, it is indeed a possibility. If the filling is too deep, it can lead to complications that might necessitate further treatment, such as root canal therapy. Your dentist's recommendation to monitor the situation and only seek further treatment if the discomfort worsens or if swelling occurs is a common approach. However, if the discomfort persists or worsens, it would be wise to follow up with your dentist for a more thorough examination.
In terms of care and treatment, here are some suggestions:
1. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. However, consult with your healthcare provider before taking any medication.
2. Oral Hygiene: Maintain good oral hygiene by brushing gently around the sensitive area and using a soft-bristled toothbrush. Flossing is also important, but be careful not to irritate the area further.
3. Avoid Triggers: If certain foods or activities exacerbate the discomfort, try to avoid them. For example, very hot or cold foods might increase sensitivity.
4. Regular Check-ups: Regular dental check-ups are crucial. If you notice any changes in your symptoms, such as increased pain, swelling, or changes in the appearance of the filling, make an appointment with your dentist.
5. Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another dental professional may provide additional insights or treatment options.
In conclusion, while it is possible that your discomfort is related to the dental filling, it is essential to monitor your symptoms closely and maintain open communication with your dentist. If the discomfort persists or worsens, further evaluation may be necessary to determine the best course of action.
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