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 become slightly 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 am 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 allow that tooth to rest.
Thank you for your response, doctor.

Zheng, 30~39 year old female. Ask Date: 2021/06/04

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return to the original clinic for a check-up to see if there is any fracture in the other tooth.
If not, please be sure to adjust your eating habits by chewing slowly and thoroughly.
You may switch to liquid foods (high-calorie, high-nutrition options like milk or soy milk) or blend solid foods in a blender before consuming.
Try to allow the loose tooth to rest (to reduce inflammation).
Once the crown lengthening procedure and the fixed prosthesis are in place, you can start eating on both sides.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/04

More Info


Dealing with tooth pain and mobility after prolonged one-sided eating can be quite challenging, especially when you are undergoing dental treatments such as root canal therapy and crown lengthening. The discomfort you are experiencing, including the slight mobility of your tooth and the pain while chewing, is not uncommon in such situations. Here’s a comprehensive approach to managing your symptoms and promoting healing.


Understanding Your Symptoms
1. Tooth Mobility: The slight mobility of your tooth may be a result of several factors, including the stress placed on it due to compensatory chewing on one side. When you avoid using the treated side, the opposite side may bear an excessive load, leading to discomfort and potential mobility.

2. Gum Sensitivity: The soreness in your gums could be due to inflammation, possibly exacerbated by the pressure from chewing on the opposite side. This can also occur if food particles are trapped around the treated tooth, leading to irritation.

3. Pain While Chewing: Pain during chewing can indicate that the tooth is under stress or that there may be underlying issues such as inflammation or even a need for further dental intervention.


Recommendations for Relief
1. Dietary Adjustments: Since you are unable to use the treated side, it’s crucial to modify your diet. Consider switching to softer foods that require less chewing. Foods like yogurt, smoothies, mashed potatoes, and soups can provide nutrition without putting strain on your teeth. If you must eat solid foods, try to cut them into smaller pieces and chew slowly.

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

3. Oral Hygiene: Maintaining excellent oral hygiene is essential, especially after dental procedures. Brush gently around the affected area and use a soft-bristled toothbrush. Floss carefully to avoid irritating the gums further. Consider using an antibacterial mouthwash to help reduce inflammation and promote healing.

4. Avoid Hard or Chewy Foods: Until your symptoms improve, avoid foods that are hard, sticky, or chewy, as these can exacerbate pain and mobility issues.

5. Regular Dental Check-ups: It’s crucial to keep your dentist informed about your symptoms. If the pain persists or worsens, or if you notice increased mobility of the tooth, return to your dentist for a thorough examination. They may need to assess the tooth for any complications related to the root canal or crown lengthening.

6. Resting the Affected Side: While it may be difficult, try to give the affected side a break. If you can manage to eat softer foods that require minimal chewing, it will allow the tooth and surrounding tissues to rest and recover.

7. Consider a Night Guard: If you have a habit of grinding your teeth, especially at night, a custom night guard may help alleviate pressure on your teeth and prevent further mobility or pain.


Conclusion
In summary, while it is not uncommon to experience discomfort and slight mobility in a tooth after undergoing dental procedures and compensating by chewing on one side, it is essential to take proactive steps to manage your symptoms. Adjusting your diet, maintaining good oral hygiene, and keeping in close contact with your dentist will be key to your recovery. If symptoms persist, do not hesitate to seek further evaluation from your dental professional. They can provide tailored advice and treatment options to ensure your oral health is restored effectively.

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