Post-Teeth Cleaning Pain: Sensitivity and Swelling - Dentistry

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Post-cleaning tooth sensitivity or pain?


First, I had a cavity filled, and then I experienced quite a bit of bleeding during the teeth cleaning.
After returning home, the filled tooth occasionally has sharp pain, and the surrounding gums are slightly swollen.
Is this phenomenon only temporary?

Gwasd, 10~19 year old female. Ask Date: 2020/11/03

Dr. Zeng Guanghui reply Dentistry


Hello, if there is severe gingivitis and a lot of tartar, bleeding may occur after dental cleaning, and there may be sensitivity and pain.
However, as the gingivitis gradually improves, the pain will also slowly subside.
If there is sharp pain after a dental filling, it is important to return for a follow-up appointment with the dentist to check if the dental nerve is affected, and further treatment may be necessary.
Dr.
Tseng Guang-Hui, Director of Dentistry, Nantou Hospital.

Reply Date: 2020/11/03

More Info


Post-teeth cleaning pain, particularly sensitivity and swelling, can be a common experience for many individuals. After a dental cleaning, it is not unusual to encounter some discomfort, especially if you have had recent dental work, such as fillings or treatments for cavities. Here’s a deeper understanding of what might be happening and how to manage it.


Understanding Post-Cleaning Sensitivity
1. Gum Inflammation: After a cleaning, especially if it was thorough, your gums may be inflamed. This can lead to swelling and tenderness, particularly if there was pre-existing gum disease or if the cleaning removed plaque and tartar that had been irritating the gums.

2. Sensitivity from Cleaning: The process of scaling and polishing can expose areas of the tooth that may have been previously covered by plaque or tartar. This exposure can lead to temporary sensitivity, especially to temperature changes or pressure.

3. Recent Dental Work: If you had a filling or other dental work done prior to your cleaning, the area around that tooth may be more sensitive. The dental materials used in fillings can sometimes take time to settle, and the surrounding gum tissue may also be reacting to the procedure.

4. Blood Flow and Healing: The bleeding you experienced during the cleaning is often a sign of inflammation. As the gums heal, it’s normal to experience some discomfort. The body’s healing response can sometimes cause pain as blood flow increases to the area.


Duration of Symptoms
In most cases, the sensitivity and swelling should subside within a few days to a week. However, if the pain persists beyond this period or worsens, it may indicate a more serious issue, such as:
- Infection: If the pain is severe and accompanied by swelling, it could suggest an infection in the gum or tooth.

- Nerve Involvement: If the pain feels sharp or is radiating, it could indicate that the nerve of the tooth is involved, especially if the tooth was previously treated for decay.

- Improper Filling: If the filling was not placed correctly, it could lead to discomfort or pain when biting down.


Management and Recommendations
1. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the recommended dosages.

2. Salt Water Rinse: Rinsing with warm salt water can help reduce inflammation and promote healing in the gums.

3. Avoid Irritants: Try to avoid very hot, cold, or sugary foods and drinks that could exacerbate sensitivity.

4. Follow-Up with Your Dentist: If the pain persists or worsens, it’s crucial to return to your dentist for a follow-up. They can assess whether there’s an underlying issue that needs to be addressed, such as an infection or a problem with the filling.

5. Communication: Always communicate any discomfort or unusual symptoms to your dentist. They can provide tailored advice and treatment options based on your specific situation.

In conclusion, while some sensitivity and swelling after a teeth cleaning can be normal, it’s essential to monitor your symptoms. If they persist or worsen, seeking further evaluation from your dentist is the best course of action. Your oral health is vital, and addressing any concerns promptly can help prevent more significant issues down the line.

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