Sudden Tooth Pain After Biting Chicken Bone: Is It Cracked? - Dentistry

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If you bit into a chicken bone and suddenly experienced sharp pain in your tooth, is it possible that it has cracked?


Hello, Dr.
Lin.
While I was eating, I unexpectedly bit into a small chicken bone with my upper left second molar, and I felt a sudden sharp pain in the tooth, but it returned to normal immediately.
This has happened several times in the same spot, where I feel a brief pain and then it goes back to normal.
Could my tooth be cracked?

Zuo Shou Xiang, 50~59 year old female. Ask Date: 2021/01/27

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended that you visit a medical facility to have an X-ray taken to confirm whether there is any injury or inflammation of the dental pulp.
Thank you! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/27

More Info


When you experience sudden tooth pain after biting down on a chicken bone, it can be concerning, especially if it happens repeatedly in the same area. The immediate sharp pain followed by a quick return to normal sensation could indicate a few possibilities regarding the health of your tooth.

Firstly, it's important to understand that teeth are quite resilient, but they can be susceptible to damage from hard objects, such as chicken bones. The sudden pain you felt could be a sign of a few different issues:
1. Cracked Tooth: A crack in the tooth may not always be visible, especially if it's small. The pain you experienced could be due to the crack causing irritation to the nerve inside the tooth. If the crack is deep enough, it could lead to more severe pain, sensitivity to temperature, or even infection.

2. Dental Pulp Injury: The sudden pain could also indicate that the dental pulp (the innermost part of the tooth containing nerves and blood vessels) has been injured. This can happen even without visible cracks. If the pulp is damaged, it can lead to inflammation or infection, which may require more extensive treatment.

3. Tooth Sensitivity: Sometimes, the enamel (the outer layer of the tooth) can be worn down or damaged, leading to increased sensitivity. This sensitivity can be exacerbated by biting down on hard objects.

4. Gum Issues: The pain could also be related to gum irritation or inflammation, especially if the bone fragment caused trauma to the surrounding gum tissue.

Given that this has happened multiple times in the same location, it is advisable to seek a dental evaluation. A dentist can perform a thorough examination and may recommend an X-ray to check for any underlying issues such as cracks or pulp damage. X-rays are particularly useful in diagnosing problems that are not visible to the naked eye.

In the meantime, here are some steps you can take to manage your situation:
- Avoid Hard Foods: Until you have a definitive diagnosis, try to avoid hard foods that could exacerbate the issue.

- Pain Management: Over-the-counter pain relievers can help manage any discomfort you may experience.

- Good Oral Hygiene: Maintain good oral hygiene by brushing and flossing regularly to prevent any potential infections.

In conclusion, while the pain subsided quickly, it is essential to have a dental professional assess your tooth to rule out any serious issues such as cracks or pulp damage. Early intervention can prevent more significant problems down the line, including the need for root canal therapy or tooth extraction. If you notice any changes in your symptoms, such as persistent pain, swelling, or sensitivity, seek dental care promptly.

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