How to Manage Tooth Pain and Inflammation After Biting Down on Bone - Dentistry

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Tooth fracture caused by biting down on hard bone?


Hello, doctor.
A few days ago, while eating barbecue, I bit into a small bone and cracked my tooth down to the root, approximately 3 to 5 mm deep.
It is currently inflamed and painful, but I cannot address it immediately.
What should I do to manage the inflammation and pain?

Lin, 20~29 year old female. Ask Date: 2020/11/18

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Lin: It is recommended to first clean the area thoroughly, use mouthwash for disinfection, and take antiseptic pain relief medication.
It is advisable to seek treatment from a dentist as soon as possible.
If the decay has reached the root of the tooth, extraction may be necessary.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2020/11/18

More Info


When dealing with tooth pain and inflammation after biting down on a bone, it’s essential to take a structured approach to manage your symptoms and prevent further complications. Here’s a comprehensive guide on how to address your situation effectively.


Immediate Steps to Take
1. Rinse Your Mouth: Start by rinsing your mouth gently with warm salt water. This can help reduce inflammation and keep the area clean. Saltwater is a natural antiseptic and can aid in healing.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. Follow the dosage instructions on the package, and if you have any underlying health conditions or are taking other medications, consult with a healthcare professional before taking any new medication.

3. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the pain. Use a cloth or an ice pack wrapped in a towel, and apply it for 15-20 minutes at a time.

4. Avoid Certain Foods: While your tooth is healing, avoid hard, crunchy, or sticky foods that could exacerbate the pain or cause further damage. Stick to soft foods that require minimal chewing.


When to Seek Professional Help
If the pain persists for more than a couple of days, or if you notice any of the following symptoms, it’s crucial to seek dental care:
- Severe Pain: If the pain becomes unbearable or does not improve with over-the-counter medications.

- Swelling: Significant swelling in your gums or face that does not subside.

- Fever: A fever may indicate an infection that requires immediate attention.

- Pus or Discharge: Any pus or discharge from the affected area could signify an infection.


Dental Evaluation
Upon visiting a dentist, they will likely perform a thorough examination, which may include X-rays to assess the extent of the damage to your tooth and surrounding structures. Depending on the findings, your dentist may recommend:
1. Root Canal Treatment: If the fracture extends to the root and has caused pulp damage, a root canal may be necessary to remove the infected tissue and seal the tooth.

2. Dental Crown: If the tooth is structurally compromised but salvageable, a dental crown may be placed to restore its function and appearance.

3. Extraction: In cases where the tooth is severely damaged and cannot be saved, extraction may be the best option.


Post-Treatment Care
After any dental procedure, follow your dentist’s post-operative care instructions carefully. This may include:
- Continuing to rinse with salt water.

- Taking prescribed antibiotics if an infection is present.

- Avoiding certain foods and activities that could stress the affected area.


Long-Term Considerations
To prevent future dental issues, consider the following:
- Regular Dental Check-Ups: Regular visits to your dentist can help catch potential problems early.

- Good Oral Hygiene: Maintain a routine of brushing twice a day and flossing daily to keep your teeth and gums healthy.

- Dietary Choices: Be mindful of hard foods that could damage your teeth.

Conclusion
Managing tooth pain and inflammation after biting down on a bone requires immediate self-care measures and professional evaluation if symptoms persist. By taking these steps, you can alleviate discomfort and protect your dental health. Always prioritize communication with your dentist regarding any changes in your symptoms or concerns about your treatment plan.

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