Toothache in the upper molars on both sides?
Hello Doctor, since last week, I have been experiencing pain in my left and right teeth whenever I run or do push-ups.
I visited a dentist who diagnosed me with gum inflammation and prescribed medication for three days, but there has been no improvement.
I also saw a neurologist who mentioned that my first and second cervical vertebrae are slightly misaligned.
(Here is the X-ray taken by the neurologist: https://photos.app.goo.gl/R8v88zFE78BJJyKPA) I would like to ask if the pain is due to gum inflammation or if it is caused by the cervical spine issues.
Which specialist should I see? Thank you, Doctor.
Mr. Zhan, 20~29 year old female. Ask Date: 2022/04/12
Dr. Zeng Guanghui reply Dentistry
It is recommended to return for a follow-up appointment with a dentist for a detailed examination.
In addition to gingivitis, it is important to determine whether the pain could also be caused by inflammation of the dental nerves.
If necessary, an X-ray examination can be performed.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2022/04/12
More Info
Tooth pain can be a complex issue, often stemming from various sources, including dental problems, gum inflammation, or even issues related to the cervical spine. Based on your description, it seems you are experiencing pain in your teeth during physical activities such as running or doing push-ups, which could be indicative of a few underlying conditions.
Firstly, it is essential to consider the possibility of gum inflammation. Gum disease, or periodontal disease, can cause discomfort and pain in the teeth, especially when engaging in activities that increase blood flow and pressure in the head and neck region. If you have already seen a dentist who diagnosed you with gum inflammation and prescribed medication, it is crucial to follow up on this treatment. If the pain persists despite medication, further evaluation may be necessary. This could include a more comprehensive periodontal examination, possibly involving X-rays to assess the health of the bone surrounding your teeth and to check for any signs of advanced gum disease.
On the other hand, the involvement of your cervical spine, particularly the first and second cervical vertebrae, could also be a contributing factor to your tooth pain. The cervical spine is closely linked to the nerves that innervate the jaw and teeth. If there is any misalignment or instability in the cervical vertebrae, it could potentially lead to referred pain in the teeth. This is particularly relevant if you are experiencing pain during physical exertion, as certain movements might exacerbate the issue.
Given that you have already consulted a neurologist regarding your cervical spine, it would be prudent to follow their recommendations. If they suggested that your cervical spine may be contributing to your symptoms, you might benefit from seeing a chiropractor or a physical therapist who specializes in spinal alignment and rehabilitation. They can provide targeted treatment to address any misalignments or instability in your neck.
In summary, your tooth pain could be a result of either gum inflammation or cervical spine issues, or potentially a combination of both. It is essential to continue communicating with your healthcare providers. If your symptoms do not improve, consider seeking a second opinion from a periodontist for your gum issues and possibly a specialist in spinal health for your neck concerns. This multidisciplinary approach will help ensure that all potential causes of your pain are thoroughly evaluated and treated appropriately.
In the meantime, maintaining good oral hygiene is crucial. Regular brushing, flossing, and possibly using an antibacterial mouthwash can help manage gum inflammation. Additionally, if you experience any significant changes in your symptoms, such as increased pain or swelling, do not hesitate to seek immediate medical attention. Your health and comfort are paramount, and addressing these issues promptly can lead to better outcomes.
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