After getting dental fillings, I have difficulty opening my mouth and feel a tightness, along with recent pain?
Hello Doctor: About a week ago, I went to the dental clinic to get a filling for a tooth that is the one before my left upper wisdom tooth, which had a deep cavity.
The dentist administered two cartridges of anesthesia before starting the procedure.
Prior to that, the tooth had a slight crack (due to a forceful bite that caused it to slightly fracture).
After the filling, the dentist used articulating paper for me to bite down, and I felt that the filled tooth was a bit high.
However, after biting down twice, I thought it might be due to the anesthesia, so I didn't mention it.
Once I got home and the anesthesia wore off, I noticed that I couldn't open my mouth wide on the left side without feeling tightness and pain.
Initially, I thought it was just an adjustment period after the filling, but a week later, it still feels the same.
I tried massaging the area, which helped a bit, but today the tooth started to hurt quite severely, and opening my mouth to a certain extent also causes pain.
I feel like something might be wrong, so I wanted to ask for your opinion.
Thank you.
P.S.
I have been slightly biting down on that tooth for a few days after the filling because I was worried about it.
Since I can't open the left side of my mouth very wide and the filled tooth is still uncomfortable, I often eat using my right side.
Wang Beiyu, 20~29 year old female. Ask Date: 2020/11/18
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Wang Beiyu,
Hello! Regarding your concerns, there are two issues to address:
1.
The inability to open your mouth may be due to an internal obstruction in the left temporomandibular joint, resulting in limited mouth opening.
2.
The discomfort in the left dental filling may indicate that the nerve has been affected, which requires further clarification.
I recommend that you visit a hospital for a detailed examination.
Take care!
Sincerely,
Dr.
Huang Tingfang
Director of Dentistry
Reply Date: 2020/11/18
More Info
After a dental filling, experiencing jaw tightness and pain can be concerning, especially if these symptoms persist for over a week. It’s important to understand that dental procedures, particularly those involving deep cavities or significant repairs, can sometimes lead to complications or discomfort that may not be immediately apparent.
Firstly, the tightness and pain you are experiencing could be attributed to several factors. One possibility is that the filling may have altered your bite. If the filling is too high, it can cause your jaw to misalign when you bite down, leading to discomfort and tightness in the jaw muscles. This misalignment can also result in excessive strain on the muscles and joints of the jaw, leading to pain, especially when opening your mouth wide.
Another factor could be related to the anesthesia used during the procedure. While local anesthesia is effective for numbing the area during the filling, it can sometimes lead to temporary muscle stiffness or soreness in the jaw, particularly if the mouth was held open for an extended period during the procedure. This discomfort usually resolves on its own, but if it persists, it may require further evaluation.
Additionally, if there was any trauma to the tooth or surrounding tissues during the filling process, it could lead to inflammation or irritation, which might manifest as pain or tightness. The fact that you mentioned the tooth had a slight crack prior to the filling could also indicate that the tooth was already compromised, making it more susceptible to pain after the procedure.
Given that you are experiencing significant pain and restricted jaw movement, it is advisable to return to your dentist for a follow-up appointment. They can assess the filling and your bite to ensure that everything is in proper alignment. If the filling is indeed too high, your dentist can easily adjust it to alleviate the discomfort.
In the meantime, here are some strategies to help manage your symptoms:
1. Warm Compress: Applying a warm compress to the side of your face can help relax the muscles around the jaw and reduce tightness.
2. Gentle Massage: As you mentioned, gentle massage of the jaw muscles can help relieve tension. Focus on the area around the jaw joint and the muscles that run along the side of your face.
3. Over-the-Counter Pain Relief: If the pain is significant, consider taking over-the-counter pain relievers, such as ibuprofen or acetaminophen, as directed on the packaging. This can help reduce inflammation and alleviate pain.
4. Soft Diet: Stick to softer foods that require less chewing until your symptoms improve. This can help minimize strain on your jaw.
5. Avoid Clenching: Be mindful of any clenching or grinding of your teeth, which can exacerbate jaw pain. If you notice this habit, try to consciously relax your jaw throughout the day.
6. Jaw Exercises: Once the pain subsides, gentle jaw exercises can help improve mobility and reduce tightness. However, these should be approached with caution and ideally under the guidance of a dental professional.
In conclusion, while it’s not uncommon to experience some discomfort after a dental filling, persistent pain and tightness warrant further investigation. Your dentist will be able to provide the best course of action based on a thorough examination. Don’t hesitate to reach out to them, as they can help ensure that your dental health is maintained and any issues are promptly addressed.
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