Tooth Pain and Mobility: Common Dental Concerns Explained

Toothache and tooth mobility issues?

Hello Dr.
Lin,
I sometimes experience tooth pain, specifically in the lower right molar area.
About a year ago, I visited a dentist, and after eating small foods (like sesame seeds), I would feel pain.
An X-ray showed no issues, and there were no cavities.
The dentist explained that there might be tiny cracks in the tooth, and resting would help.
Recently, I went to the dentist again for tooth pain, but this time it was in the upper right molar.
An X-ray again showed no problems and no cavities.

About six months ago, I started using dental floss and switched to an electric toothbrush.
However, sometimes when using dental floss, my upper left and upper right incisors feel slightly loose.
The looseness is infrequent and only occurs when using dental floss.
Recently, even without using dental floss, I notice slight looseness during daily activities, although it is not visible in the mirror.
The looseness fluctuates; one moment it may feel normal, and a few minutes later, it may feel loose, accompanied by a faint sound.
I would like to ask you:
(1) I experience tooth pain during times of extreme fatigue.
Does sleep affect teeth?
(2) Are dental floss and the electric toothbrush the main causes of tooth looseness?
(3) I have a habit of grinding my teeth.
In a relaxed state during daily life, do my upper and lower teeth come into contact? Is this caused by my teeth grinding habit?
Thank you, Dr.
Lin!

sam, 10~19 year old female. Ask Date: 2022/01/05

Dr. Lin Jiayong reply Dentistry

Hello, considering your age and the situation you described, there is a high likelihood that it is caused by nocturnal bruxism and tension-related clenching (during relaxation, the upper and lower teeth do not make direct contact).
I recommend consulting an oral surgeon for confirmation.
Using an occlusal splint along with muscle relaxants should lead to improvement.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/01/05

More Info

Dear Patient,
Thank you for your detailed inquiry regarding your dental concerns. It’s understandable to feel anxious about tooth pain and mobility, especially when the symptoms seem inconsistent and difficult to pinpoint. Let’s address your questions one by one.

1. Impact of Sleep on Dental Health: Yes, sleep can significantly affect your dental health. When you are extremely fatigued, your body may not function optimally, which can lead to increased sensitivity and pain perception. Additionally, lack of sleep can exacerbate stress and anxiety, which may lead to bruxism (teeth grinding). Bruxism can cause tooth pain, sensitivity, and even mobility due to the excessive forces exerted on the teeth and supporting structures. If you notice that your tooth pain coincides with periods of fatigue, it may be worthwhile to explore ways to improve your sleep quality and manage stress.

2. Role of Dental Hygiene Tools: Using dental floss and an electric toothbrush is generally beneficial for maintaining oral health, but improper technique can lead to issues. If you are experiencing mobility in your teeth while using dental floss, it may indicate that you are applying too much force or that there is an underlying issue with your periodontal health. It’s essential to use gentle pressure when flossing to avoid damaging the gums or causing trauma to the teeth. If your teeth feel loose or make sounds during flossing, it could be a sign of gum disease or other dental issues that need to be evaluated by a dentist.

3. Bruxism and Tooth Contact: If you have a habit of grinding your teeth, it is likely that your upper and lower teeth come into contact more often than they should, even when you are relaxed. This can lead to wear on the enamel, increased sensitivity, and potential mobility of the teeth. It’s important to address bruxism, as it can have long-term effects on your dental health. A dentist may recommend a night guard to protect your teeth from the forces of grinding during sleep.

In summary, your symptoms of tooth pain and mobility could be interconnected with your sleep patterns, dental hygiene habits, and bruxism. I recommend scheduling an appointment with your dentist to conduct a thorough examination, including periodontal assessment and possibly imaging if necessary. They can provide personalized advice and treatment options based on your specific situation.

Additionally, consider implementing stress-reduction techniques and ensuring you maintain a consistent oral hygiene routine without excessive force. If bruxism is confirmed, addressing it early can prevent further complications.

Take care of your dental health, and don’t hesitate to reach out for professional help. Your comfort and well-being are paramount.

Best regards,
Dr. Lin

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