Pain in Gums and Teeth: Is It Inflammation or Nerve Issues? - Dentistry

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Pressing the gums in the middle of the lower jaw will cause pain?


Hello doctor, I have a question.
When I press down on the middle of my gums with my mouth, it hurts, and I also feel nerve pain in my teeth.
Moving my mouth causes nerve pain in my teeth, so I can only eat with the teeth on the side, which is very uncomfortable.
Is this inflammation? I haven't been sleeping well at night, and I wonder if that is related.
Please reply when you see this, thank you.

Xiao You, 30~39 year old female. Ask Date: 2021/10/09

Dr. Lin Jiayong reply Dentistry


Hello: Pain is indeed one of the indicators of inflammation.
Staying up late can lead to immune system disruption, which may further contribute to inflammation.
However, to make a definitive diagnosis, it is necessary to obtain X-rays or a CT scan to understand the true condition.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/09

More Info


Pain in the gums and teeth can be a complex issue, often involving both inflammation and nerve-related problems. Based on your description, it seems you are experiencing significant discomfort in your gums and teeth, particularly when pressure is applied or when you attempt to eat. This could indeed indicate inflammation, but it may also be related to nerve issues, particularly if the pain is sharp or radiates to other areas.


Possible Causes of Your Symptoms
1. Gum Inflammation (Gingivitis or Periodontitis): If your gums are swollen, red, or bleed when you brush or floss, you may have gingivitis, which is an early stage of gum disease. If left untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss.

2. Dental Issues: You mentioned that you are experiencing pain when applying pressure to your gums. This could be due to dental problems such as cavities, cracked teeth, or issues with dental work (like fillings or crowns). If a tooth is decayed or has a crack, it can cause pain that feels like nerve pain.

3. Nerve Pain (Trigeminal Neuralgia): If the pain is sharp and sudden, it could be related to nerve issues, such as trigeminal neuralgia, which affects the trigeminal nerve responsible for sensation in the face. This condition can cause severe, shooting pain in the jaw, teeth, and gums.

4. Stress and Sleep Deprivation: You mentioned that you have been staying up late and not getting enough sleep. Stress and lack of sleep can exacerbate pain perception and may contribute to muscle tension in the jaw, leading to discomfort.

5. Referred Pain: Sometimes, pain in the teeth and gums can be referred from other areas, such as sinus infections or even tension headaches. If you have had recent sinus issues, this could also be a contributing factor.


Recommendations for Management
1. Dental Evaluation: It is crucial to see a dentist for a thorough examination. They can check for signs of gum disease, cavities, or other dental issues that may be causing your pain. X-rays may be necessary to identify problems not visible during a regular examination.

2. Oral Hygiene: Maintain good oral hygiene by brushing twice a day and flossing daily. This can help reduce inflammation and prevent further dental issues.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult with a healthcare professional before starting any medication.

4. Stress Management: Since you mentioned stress and lack of sleep, consider incorporating stress-reducing activities into your routine, such as mindfulness, meditation, or gentle exercise. Improving your sleep hygiene can also help your overall health and pain perception.

5. Follow-Up: If your symptoms persist or worsen, follow up with your healthcare provider. They may refer you to a specialist, such as an oral surgeon or neurologist, if nerve issues are suspected.


Conclusion
In summary, the pain you are experiencing in your gums and teeth could be due to a combination of inflammation and nerve-related issues. It is essential to seek professional dental care to determine the exact cause and receive appropriate treatment. Taking care of your oral health, managing stress, and ensuring adequate sleep can also contribute to alleviating your symptoms. Don't hesitate to reach out for help, as timely intervention can prevent more severe complications in the future.

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