Dealing with Pain from Lower Dental Splint: What to Do Next?

Wearing an occlusal splint can cause pain in the lower anterior teeth?

I have never worn an occlusal splint before because I had root canal treatment on my upper four front teeth twenty years ago and did not get fixed braces.
Therefore, my dentist made the splint for my lower teeth to avoid damaging the upper front teeth.
After trying on the lower splint for the first time yesterday, I had to take it off and adjust it multiple times because I felt an itch near the middle of my lower teeth on the right side whenever I wore it.
No matter how the dentist adjusted the splint, it always felt itchy when I put it on, and it was only slightly itchy when I took it off.
This area of my lower teeth is generally more prone to itching.

I have to get the splint remade every few months, and each time it takes a few days to 1-2 weeks to adjust.
When I get it remade, it is itchy and there is mild pain when pressure is applied.
The dentist checked that area and found no issues.
I wear the splint at night without problems, but in the morning, I notice that the lower right middle tooth is very itchy.
Even after removing the splint, it remains very itchy.
When I press on each tooth, the first tooth on the lower right side is very painful to touch, and pressing harder causes significant pain.

What should I do now? Should I go back to see the dentist immediately? I am unsure how this situation will be handled, and I am concerned about waiting a long time for an appointment at the medical center.
Is there anything I can do in the meantime, or should I refrain from wearing the splint for a few days until the pain subsides and then test it again to see if it still hurts? I am worried that the frequent adjustments and wearing it all night may have caused inflammation.
I apologize for the lengthy message; I am just feeling anxious and would appreciate any advice you can provide.
Thank you.

Li Qiuqiu, 20~29 year old female. Ask Date: 2020/10/28

Dr. Zeng Guanghui reply Dentistry

Dear Miss Li Qiuchiu,
The discomfort caused by the occlusal splint may be due to issues with the periodontal tissues or the nerves of the teeth themselves.
It is recommended that you return for a detailed examination and treatment.

Sincerely,
Director Zeng Guanghui, Department of Dentistry, Nantou Hospital

Reply Date: 2020/10/28

More Info

Dealing with dental pain, especially after undergoing procedures like root canal treatment or while using dental splints, can be quite distressing. Based on your description, it seems you are experiencing discomfort and itching in the lower dental area, particularly around the middle right tooth after trying on a new splint. Here’s a comprehensive approach to address your concerns and provide guidance on what steps to take next.

Understanding Your Symptoms
1. Itching and Pain: The itching sensation you’re experiencing could be due to several factors. It might be a reaction to the material of the splint, irritation from the adjustments made, or even an underlying dental issue that needs to be addressed. The pain upon pressure indicates that there might be inflammation or sensitivity in that specific area.

2. Adjustment Period: It’s not uncommon for patients to feel discomfort when first using a dental splint. The adjustment period can vary, and it may take time for your mouth to acclimate to the new appliance. However, persistent pain or itching that does not subside after a few days is a cause for concern.

3. Underlying Issues: Given your history of dental work, including root canals and the absence of crowns on your front teeth, it’s essential to consider that there might be other underlying dental issues contributing to your discomfort. This could include issues like gum inflammation, tooth sensitivity, or even a potential crack in the tooth.

Recommended Actions
1. Immediate Consultation: Given that you are experiencing significant discomfort, it is advisable to consult your dentist as soon as possible. Explain your symptoms in detail, including the itching and pain when pressure is applied. If your dentist is unavailable, consider visiting an urgent dental care facility.

2. Temporary Relief: In the meantime, if the pain is severe, you can take over-the-counter pain relief medications, such as ibuprofen or acetaminophen, to manage your discomfort. However, avoid using the splint until you have consulted with your dentist, especially if it exacerbates your symptoms.

3. Avoid Further Irritation: If you suspect that the splint is causing irritation, it may be wise to refrain from wearing it until you can get it checked. This will help prevent further inflammation or discomfort.

4. Monitor Symptoms: Keep track of your symptoms, noting any changes in pain levels, itching, or other sensations. This information will be helpful for your dentist in diagnosing the issue.

5. Consider Material Sensitivity: If you have a history of allergies or sensitivities to dental materials, inform your dentist. They may need to consider alternative materials for your splint.

6. Follow-Up Care: After your initial consultation, follow your dentist’s recommendations for care and adjustments. If necessary, they may refer you to a specialist, such as an oral surgeon or a prosthodontist, for further evaluation.

Conclusion
Dental pain and discomfort can be complex, especially when multiple treatments and appliances are involved. It’s crucial to address these symptoms promptly to prevent further complications. Your health and comfort should always come first, so don’t hesitate to seek professional help. Remember, effective communication with your dental care provider is key to finding a solution that works for you. Take care, and I hope you find relief soon!

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