Tooth sensitivity or toothache?
Hello, Doctor.
Last month, I had a dental filling done on my upper left tooth, and the dentist also cleaned two slightly decayed molars next to it.
About a week ago, I felt food debris stuck between those two molars, and when I pressed on them with my tongue, I experienced a brief sensation of mild soreness.
I ignored it at first, but out of curiosity, I kept pressing on them daily to see what was causing the soreness, which persisted.
Yesterday, after pressing on them for a longer time, I noticed that the soreness lasted longer, and it started to affect my lower left and lower right teeth as well.
I went to see a dentist (a different one this time), and he said, "There is some minor decay; just cleaning it and applying medication will be fine." He also mentioned, "This is just a sensation that occurs during the growth process" (but he didn't specify what kind of growth).
After a while at home, I didn't feel anything when I pressed on it, but later that night, I felt soreness again.
I'm wondering why the dentist only applied medication and if I need to visit the dental clinic again.
Xiao Yu, 20~29 year old female. Ask Date: 2019/11/11
Dr. Lin Jiayong reply Dentistry
Hello: If the filling is uncomfortable, it is recommended to observe for a period of time and have the original treating dentist reassess the situation.
Additionally, please avoid providing physical stimulation to the tooth (such as poking with sharp objects) to allow the dental pulp nerves to rest and recover.
Thank you!
Reply Date: 2019/11/11
More Info
Tooth sensitivity after dental work is a common issue that many patients experience, and it can arise from various causes. Understanding these causes and potential solutions can help alleviate discomfort and guide you in seeking appropriate care.
Causes of Tooth Sensitivity After Dental Work
1. Dental Procedures: After dental work, such as fillings, crowns, or cleanings, it is not unusual for teeth to become sensitive. This sensitivity can be due to the exposure of the dentin layer of the tooth, which contains nerve endings. When the protective enamel is compromised or when dental work alters the tooth structure, sensitivity can occur.
2. Gum Recession: If the gums have receded, the roots of the teeth may become exposed. This exposure can lead to increased sensitivity, especially to hot, cold, or sweet stimuli. Gum recession can be caused by aggressive brushing, periodontal disease, or natural aging.
3. Residual Food Particles: As you mentioned, food particles can become trapped between teeth, leading to discomfort. If these particles are not removed, they can irritate the gums and contribute to sensitivity.
4. Underlying Dental Issues: Sometimes, sensitivity can indicate underlying problems such as cavities, cracks, or even pulpitis (inflammation of the dental pulp). If a tooth has been previously treated for decay, it may be more susceptible to sensitivity if the restoration is not properly sealed or if the decay was extensive.
5. Psychological Factors: Anxiety and stress can also heighten the perception of pain and discomfort. If you are overly focused on the sensitivity, it may feel more pronounced than it actually is.
Solutions for Tooth Sensitivity
1. Desensitizing Toothpaste: Using a toothpaste specifically designed for sensitive teeth can help. These products contain compounds that block the transmission of pain signals from the tooth surface to the nerve.
2. Gentle Oral Hygiene: It’s important to maintain good oral hygiene without being overly aggressive. Use a soft-bristled toothbrush and gentle brushing techniques to avoid further gum recession.
3. Regular Dental Check-ups: If sensitivity persists, it’s crucial to return to your dentist for a thorough examination. They may recommend additional treatments, such as fluoride varnishes or sealants, to protect sensitive areas.
4. Avoiding Triggers: If certain foods or temperatures trigger sensitivity, it may be beneficial to avoid them until the sensitivity subsides.
5. Addressing Underlying Issues: If your dentist identifies any underlying issues, such as cavities or gum disease, addressing these promptly can alleviate sensitivity.
6. Mindfulness and Relaxation Techniques: If anxiety is contributing to your discomfort, consider mindfulness practices or relaxation techniques to help manage stress and reduce the perception of pain.
Conclusion
In summary, tooth sensitivity after dental work can stem from various factors, including the nature of the dental procedures, gum health, and underlying dental issues. It is essential to communicate openly with your dentist about your symptoms and concerns. If the sensitivity persists or worsens, further evaluation may be necessary to rule out any serious conditions. Regular dental visits and good oral hygiene practices are key to maintaining dental health and minimizing sensitivity. If you feel that your current dentist is not addressing your concerns adequately, seeking a second opinion may provide you with more clarity and peace of mind.
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