Managing Tooth and Mouth Pain: Traditional Chinese Medicine Solutions

Tooth and mouth pain?

Hello Dr.
Chang, I had a dental appointment on December 1st where I received a full-mouth X-ray.
The dentist informed me that my lower right third molar (wisdom tooth) is impacted and growing at an angle, which has caused decay in the adjacent second molar.
The dentist specifically advised me to see an oral surgeon to have the wisdom tooth extracted.
On December 8th, the oral surgeon removed the impacted lower right third molar.
After the stitches were removed on December 15th, I returned to the dentist on December 21st for treatment of the cavity and a filling.
Fortunately, the decay had not reached the dental nerve, and at that time, I felt no pain in my teeth or mouth.
However, three days after the extraction of the lower right third molar, I noticed a foul odor in my mouth.

On December 27th, I consulted the oral surgeon again to have my lower left third molar (wisdom tooth) extracted.
The day after the extraction, I began experiencing pain on the right side of my mouth, which felt like nerve pain.
The night before, the pain was so severe that I hardly slept at all.
The pain persisted until noon yesterday, and I took the non-steroidal anti-inflammatory medication and amoxicillin prescribed by the oral surgeon.
Although the nerve pain subsided, the area where I had the previous cavity filled began to hurt when eating or pressing on it.
My family is unsure how to address this with a doctor, as dentists typically recommend root canal treatment for painful teeth.
I am concerned that if I undergo a root canal on a tooth that was previously healthy, it may eventually lead to the tooth's deterioration.
Dr.
Chang, I am wondering if there are any traditional Chinese medicine remedies or acupuncture treatments that could help alleviate this unexplained dental pain.
Logically, since my cavity did not reach the dental nerve and I had no pain at that time, what type of traditional Chinese medicine should I consider for treatment, or would acupuncture be beneficial?

Xiao Jing, 20~29 year old female. Ask Date: 2021/12/30

Dr. Zhang Chunfang reply Traditional Chinese Medicine

The facial molars are associated with the kidney and bladder meridians.
You can apply pressure on the Hegu (LI4) and Jiache (ST6) acupoints gently to relieve discomfort, and combining this with acupuncture can yield better results.
Additionally, a traditional Chinese medicine spray, such as watermelon frost, can be applied topically to the affected area.
For further treatment, please consult a qualified traditional Chinese medicine practitioner.
Thank you for your concern; wishing you a swift return to health and happiness.
^.^

Reply Date: 2021/12/30

More Info

Managing tooth and mouth pain can be a complex issue, especially after dental procedures such as tooth extractions or fillings. In your case, it seems you are experiencing significant discomfort following the extraction of your wisdom teeth and subsequent dental work. While traditional Western medicine often relies on pain relievers and antibiotics, traditional Chinese medicine (TCM) offers alternative approaches that may help alleviate your symptoms.

Understanding Tooth Pain in TCM
In TCM, tooth pain is often associated with imbalances in the body's energy (Qi), blood, and organ systems. The teeth are believed to be connected to the kidneys and bladder meridians, and issues such as inflammation, infection, or improper healing can lead to pain. TCM practitioners may look for signs of heat (inflammation) or deficiency (lack of nourishment) in the body to determine the underlying cause of your pain.

Herbal Remedies
1. Anti-inflammatory Herbs: Certain herbs are known for their anti-inflammatory properties. For example, Huang Qin (Scutellaria baicalensis) and Dan Shen (Salvia miltiorrhiza) can help reduce inflammation and promote healing. These herbs can be taken as teas or in capsule form.

2. Pain Relief Herbs: Chuan Xiong (Ligusticum chuanxiong) is often used in TCM to alleviate pain, including dental pain. It can be combined with other herbs to enhance its effectiveness.

3. Cooling Herbs: If your pain is associated with heat (e.g., swelling, redness), cooling herbs like Bai Wei (Cynanchum atratum) can help clear heat and reduce pain.

4. Topical Applications: Some TCM practitioners may recommend herbal pastes or powders that can be applied directly to the gums or painful areas to provide localized relief.

Acupuncture
Acupuncture is another effective TCM treatment for managing pain. Specific acupuncture points can be targeted to relieve tooth pain and promote healing. Points such as Hegu (LI4), located on the hand, and Jiaosun (ST6), located near the jaw, are commonly used for dental pain relief. Acupuncture can help balance the body's energy, reduce inflammation, and improve blood circulation to the affected area.

Dietary Recommendations
In addition to herbal remedies and acupuncture, dietary adjustments can also play a role in managing tooth pain. TCM emphasizes the importance of a balanced diet to support overall health. Foods that are anti-inflammatory, such as ginger, garlic, and green leafy vegetables, can be beneficial. Avoiding overly spicy, hot, or cold foods may also help prevent aggravation of your symptoms.

Lifestyle Modifications
Stress and anxiety can exacerbate pain perception. Incorporating relaxation techniques such as meditation, deep breathing exercises, or gentle yoga can help manage stress levels and improve your overall well-being. Additionally, maintaining good oral hygiene and following your dentist's recommendations for post-operative care is crucial for preventing complications.

Conclusion
While TCM offers various methods for managing tooth and mouth pain, it is essential to consult with a qualified TCM practitioner who can provide personalized treatment based on your specific condition. Combining TCM approaches with conventional dental care may yield the best results. If your pain persists or worsens, it is crucial to seek further evaluation from your dentist or an oral surgeon to rule out any underlying issues that may require more intensive treatment.

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