Dealing with Tooth Pain and Mobility After One-Sided Eating - Dentistry

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Chewing food on one side only has caused some teeth to feel loose and painful?


I have been undergoing root canal treatment and had a crown lengthening procedure, so I have been using the other side of my mouth to eat for the past three to four months.
Recently, I have noticed that one of my teeth feels slightly loose, and I experience pain when biting down on firmer foods.
Additionally, my gums around that tooth are quite sore.
I'm unsure if this is normal, as I even feel pain before going to bed after not eating.
I would like to know if there are any methods to alleviate this discomfort, as I am still unable to eat on the other side and cannot give that tooth a rest.
Thank you for your response, doctor.

Zheng, 30~39 year old female. Ask Date: 2021/02/07

Dr. Huang Tingfang reply Dentistry


Hello, there are many reasons that can cause gum pain and loose teeth, so it is difficult to determine the exact cause based solely on your description.
During this treatment period, it is advisable to avoid consuming hard or overly chewy foods, maintain good oral hygiene, schedule follow-up appointments for check-ups, and consult with your treating physician about your condition.
I hope these suggestions are helpful to you.

Reply Date: 2021/02/07

More Info


Dealing with tooth pain and mobility, especially after undergoing dental procedures such as root canal treatment and crown lengthening, can be quite challenging. It’s not uncommon for patients to experience discomfort or sensitivity in the teeth and gums, particularly when they have been favoring one side for an extended period. Here’s a comprehensive approach to understanding and managing your situation.


Understanding Your Symptoms
1. Tooth Mobility: The feeling of slight mobility in your tooth could be due to several factors. After a root canal, the tooth may become more brittle, especially if it has not been restored with a crown promptly. Additionally, if you are using one side of your mouth excessively, it can lead to increased stress on the teeth and supporting structures on that side, potentially causing discomfort and mobility.

2. Pain and Sensitivity: The pain you are experiencing when chewing or even at rest could be attributed to inflammation in the gums or the surrounding bone. This is often exacerbated by the pressure placed on the teeth during chewing, especially if they are not aligned properly or if there is an underlying issue with the tooth itself.

3. Gum Sensitivity: If your gums are sore, it could be a sign of inflammation, possibly due to food particles getting trapped or inadequate cleaning around the affected area. This can lead to gingivitis or periodontal issues, which can further complicate your dental health.


Recommendations for Relief
1. Dietary Adjustments: Since you are unable to chew on one side, it’s crucial to modify your diet. Opt for softer foods that require minimal chewing, such as smoothies, soups, and mashed vegetables. Avoid hard, crunchy, or sticky foods that could exacerbate the pain or mobility of your teeth.

2. Oral Hygiene: Maintaining excellent oral hygiene is essential, especially after dental procedures. Use a soft-bristled toothbrush and be gentle around the affected areas. Flossing is also critical; consider using dental floss or interdental brushes to clean between your teeth without causing additional irritation.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult with your dentist before taking any medication, especially if you have underlying health conditions or are taking other medications.

4. Warm Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and soothe your gums. Mix about half a teaspoon of salt in a glass of warm water and rinse several times a day.

5. Follow-Up with Your Dentist: It’s crucial to return to your dentist for a follow-up appointment. They can assess the mobility of your tooth, check for any signs of infection, and ensure that the root canal and crown lengthening procedures were successful. If necessary, they may recommend further treatment, such as a splint to stabilize the tooth or additional restorative work.

6. Avoiding Nighttime Eating: If you find that eating late at night exacerbates your pain, consider adjusting your eating schedule. Eating earlier in the evening can help reduce discomfort during the night and allow your mouth to rest.


Conclusion
In summary, while it’s not uncommon to experience discomfort and mobility in your teeth after extensive dental work, it’s essential to take proactive steps to manage your symptoms. Adjusting your diet, maintaining rigorous oral hygiene, and consulting with your dentist are crucial steps in addressing your concerns. Remember, your dental health is paramount, and timely intervention can prevent further complications. If your symptoms persist or worsen, do not hesitate to seek professional advice.

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