Dental Discomfort: Tongue Pressure on Upper Jaw Gaps - Dentistry

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The space between the tongue and the upper dental arch?


Hello, I have a slight unusual sensation in the gap between my upper right wisdom tooth and the adjacent molar (it's not painful or acidic, just a bit of pressure), which makes me want to push it with my tongue.
An X-ray showed no inflammation, but this area had previously experienced more severe periodontal disease.
Some nearby molars have slight mobility (though sometimes they don't), and my occlusion is normal.
The sensation I want to push with my tongue tends to fade when I'm focused on tasks.
The periodontal disease is considered mild, and I have had three outpatient treatments, with a follow-up scheduled in six months.
Thank you for your time in responding.

hwa, 60~69 year old female. Ask Date: 2022/03/26

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to have regular follow-up visits to manage the periodontal disease effectively and prevent further deterioration.

Reply Date: 2022/03/26

More Info


Understanding dental discomfort, particularly in relation to the sensation of pressure from the tongue on gaps in the upper jaw, can be quite complex. From your description, it seems you are experiencing a mild, non-painful sensation in the gap between your upper jaw molar and the adjacent tooth, which you feel compelled to touch with your tongue. This situation can arise from various dental issues, including previous periodontal disease, tooth movement, or even the natural anatomy of your teeth and gums.

Firstly, it’s important to understand that the sensation you are experiencing is not uncommon, especially in areas where there has been a history of periodontal disease. Periodontal disease can lead to changes in the structure of the gums and bone supporting the teeth, which may create unusual sensations or feelings of pressure. Even if your X-ray results show no signs of inflammation, the history of periodontal issues can still contribute to your current discomfort.

The fact that you feel the need to use your tongue to press against the gap may indicate a psychological or habitual response to the sensation. Many people unconsciously use their tongue to explore areas in their mouth that feel different or uncomfortable. This behavior can sometimes exacerbate the feeling of discomfort or lead to further irritation of the gums, especially if there is any underlying inflammation or sensitivity.

Additionally, the slight mobility of the adjacent molars you mentioned could be a result of periodontal changes or even the natural movement of teeth over time. Teeth can shift due to various factors, including the loss of supporting bone structure from periodontal disease, which can lead to gaps or spaces that were not previously present. This shifting can create a feeling of instability in the teeth, which might also contribute to the sensation you are experiencing.

To address your concerns, it is crucial to maintain regular dental check-ups, especially considering your history of periodontal disease. Your dentist can monitor the health of your gums and teeth, ensuring that any potential issues are addressed promptly. If you continue to experience discomfort or if the sensation worsens, it may be beneficial to discuss this with your dentist. They may recommend additional treatments, such as a deep cleaning or periodontal therapy, to help manage any lingering effects of your previous periodontal disease.

In the meantime, practicing good oral hygiene is essential. This includes brushing your teeth at least twice a day, flossing daily, and using an antibacterial mouthwash to help reduce any potential bacteria in the mouth that could exacerbate gum sensitivity. If you find that the sensation is bothersome, try to avoid using your tongue to press against the area, as this may lead to further irritation.

In summary, while the sensation you are experiencing is likely related to your dental history and the natural dynamics of your mouth, it is important to keep an open line of communication with your dentist. Regular check-ups and good oral hygiene practices will be key in managing your dental health and addressing any discomfort you may feel. If you have any further questions or concerns, don’t hesitate to reach out to your dental care provider for personalized advice and treatment options.

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