Tooth Sensitivity and Burning Sensation After Dental Work

Tooth sensitivity and burning sensation in the cheek after dental filling?

Initially, I felt an unusual sensation around the gums of my lower front teeth, specifically 3 to 4 teeth.
Biting into things would elicit a strange feeling that wasn't exactly painful but was bothersome enough to keep me aware of its presence.
There was no significant sensitivity to hot or cold (about a month ago).
I visited the dentist for a check-up and cleaning, and after taking X-rays, the doctor said there were no apparent issues and suggested I try using a sensitive toothpaste for observation.
After returning home, I felt that the sensation was spreading from the gums of my lower left front tooth (three weeks ago).

Then, I encountered a second issue! I started experiencing pain in the third molar from the back on the upper left side, which worsened with biting.
During my second follow-up visit, the dentist couldn't identify any problems but treated a cavity that had been discovered during the cleaning, which was bleeding and had not been filled.

This led to a third issue! The affected tooth had previously been filled with silver amalgam, and the dentist recommended replacing it with a composite resin due to the pain, and I received anesthesia for the procedure.
However, the next day, I experienced a persistent burning sensation in my left cheek, although there was no swelling (about a week ago).

All three issues have been ongoing, and I've lost my appetite.
The dentist advised me to return in a month, but there has been no improvement, and I'm very worried since the doctor still cannot identify any problems.

oh my god!, 30~39 year old female. Ask Date: 2021/02/26

Dr. Zeng Guanghui reply Dentistry

1.
After dental cleaning, if there was a significant buildup of tartar, the teeth may exhibit sensitivity symptoms once the cleaning is completed.
2.
If sensitivity occurs after dental cleaning and subsequent filling of cavities, an X-ray should be taken to assess whether the original cavities were deep and close to the dental pulp.
It is advisable to consult with the dentist to determine if further treatment is necessary.
Dr.
Tseng Kwang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/02/26

More Info

Tooth sensitivity and discomfort following dental work can be concerning and may arise from various underlying issues. Based on the symptoms you've described, it appears that you are experiencing a combination of sensitivity, a burning sensation, and discomfort in multiple teeth after dental procedures, including a cleaning and fillings. Let's break down the possible causes and considerations for your situation.

Understanding Tooth Sensitivity
Tooth sensitivity can occur for several reasons, particularly after dental treatments. Common causes include:
1. Enamel Erosion: The outer layer of your teeth, known as enamel, can wear down due to various factors such as aggressive brushing, acidic foods, or grinding your teeth. When enamel is compromised, the underlying dentin becomes exposed, leading to sensitivity.

2. Dental Procedures: After procedures like fillings or cleanings, it is not uncommon to experience temporary sensitivity. This can be due to the manipulation of the tooth structure, exposure of dentin, or even the materials used in fillings. For instance, silver amalgam fillings can sometimes cause galvanic reactions if there are other metals present in the mouth, leading to a sensation similar to an electric shock.

3. Gum Issues: If you are experiencing discomfort around the gums, it could indicate gum inflammation or periodontal disease. This can lead to sensitivity in the teeth adjacent to the affected gums.

4. Nerve Irritation: Dental work can sometimes irritate the nerves within the tooth, especially if the decay was deep or if the tooth was previously treated. This can lead to lingering sensitivity or discomfort.

Burning Sensation
The burning sensation you mentioned, particularly after the placement of a new filling, could be attributed to several factors:
1. Material Reaction: Some dental materials can cause a burning sensation if they are not properly sealed or if they interact with the surrounding tissues. This is particularly true for certain metals or resins.

2. Inflammation: If there is inflammation in the gums or surrounding tissues, it can lead to a burning sensation. This inflammation could be due to the dental work itself or an underlying condition.

3. Nerve Involvement: If the nerve inside the tooth is irritated or inflamed, it can lead to sensations of discomfort, including burning.

Recommendations
Given your ongoing symptoms, here are some steps you might consider:
1. Follow-Up with Your Dentist: Since your symptoms have persisted and you are experiencing discomfort, it is crucial to return to your dentist for a thorough evaluation. They may need to take additional X-rays or perform tests to assess the health of the affected teeth and surrounding tissues.

2. Discuss Sensitivity Toothpaste: Using a toothpaste specifically designed for sensitive teeth can help alleviate some discomfort. These toothpastes contain compounds that help block the transmission of sensation from the tooth surface to the nerve.

3. Monitor Symptoms: Keep track of when your symptoms worsen or improve. Note any specific triggers, such as hot or cold foods, which can help your dentist diagnose the issue more effectively.

4. Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another dental professional may provide additional insights or treatment options.

5. Avoid Irritants: Until you can see your dentist, try to avoid very hot, cold, or acidic foods and beverages, as these can exacerbate sensitivity.

Conclusion
Tooth sensitivity and discomfort after dental work can arise from various factors, including the nature of the dental procedures, the materials used, and underlying dental health issues. It is essential to maintain open communication with your dentist and seek further evaluation if your symptoms persist. By addressing these concerns promptly, you can work towards alleviating your discomfort and ensuring the long-term health of your teeth and gums.

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