Gum problems
Hello, Dr.
Lin! I would like to ask about pain in my left lower nose area that radiates to my canine tooth when pressed.
The pain also occurs at the root of the canine when pressed, but I do not experience pain while chewing food.
Since my profession is a seafarer, I cannot seek immediate medical attention, so I would like to know what condition this might be! Also, what medications should I take to alleviate this issue? Thank you.
Pang Pang, 30~39 year old female. Ask Date: 2021/08/12
Dr. Lin Jiayong reply Dentistry
Hello: A common condition is that the canine tooth has already undergone pulp necrosis, and root canal treatment should be performed.
If treatment cannot be done temporarily, please prepare antibiotics and anti-inflammatory pain relievers to take on board.
If there is foul-smelling pus, then take antibiotics; if it is just pain, anti-inflammatory pain relievers can be taken.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/08/12
More Info
Hello! Thank you for your question regarding the pain you're experiencing in your canine tooth (often referred to as the "tiger tooth" in some cultures) and the surrounding area. Based on your description, it seems that you are experiencing localized pain when pressure is applied to the tooth, but you do not feel pain while chewing or eating. This type of pain can be indicative of several dental issues, and I will outline some potential causes and remedies below.
Possible Causes of Tooth Pain
1. Periodontal Issues: The pain you feel when pressing on the tooth could be related to periodontal disease, which affects the gums and the supporting structures of the teeth. Inflammation or infection in the gums can lead to sensitivity and pain, especially when pressure is applied.
2. Tooth Sensitivity: If the enamel of the tooth is worn down or if there are small cracks, it can lead to sensitivity. This sensitivity may not always be present during normal chewing but can be triggered by pressure.
3. Pulpitis: Inflammation of the dental pulp (the innermost part of the tooth containing nerves and blood vessels) can cause pain. This condition may not always present as pain during chewing, but localized pressure can elicit discomfort.
4. Sinus Issues: Given that you mentioned the pain is located near your nose, it’s also possible that sinusitis could be contributing to your discomfort. The roots of the upper teeth can be close to the sinus cavities, and inflammation in the sinuses can sometimes cause referred pain to the teeth.
5. Dental Abscess: An abscessed tooth can cause localized pain and sensitivity. If there is an infection at the root of the tooth, it may not always hurt while chewing, but pressure can cause significant pain.
Recommended Remedies
1. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. However, it’s important to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.
2. Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and cleanse the area, which may provide temporary relief.
3. Cold Compress: Applying a cold compress to the outside of your cheek near the painful area can help numb the pain and reduce swelling.
4. Avoiding Certain Foods: While you are experiencing pain, it may be wise to avoid very hot, cold, or hard foods that could exacerbate the discomfort.
5. Dental Consultation: Since you mentioned that you are a crew member and may not have immediate access to dental care, it is crucial to seek dental attention as soon as you can. A dentist can perform a thorough examination, possibly including X-rays, to determine the exact cause of your pain and recommend appropriate treatment.
Conclusion
While the remedies mentioned above may provide temporary relief, they are not substitutes for professional dental care. It’s essential to address the underlying cause of your tooth pain to prevent further complications. If you are unable to see a dentist immediately, try to manage the pain with over-the-counter medications and home remedies until you can get professional help. Remember, dental issues can escalate if left untreated, so prioritize seeking care when possible. Thank you for your question, and I hope you find relief soon!
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