Dealing with Pain from Long-Term Fixed Dentures: What to Do Next? - Dentistry

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Dealing with pain from long-term fixed dentures can be quite challenging, especially when the discomfort persists despite medication. It’s essential to understand the underlying causes of the pain and the appropriate steps to take for effective management.

First, it’s important to recognize that fixed dentures, also known as dental bridges or crowns, can sometimes lead to complications over time. These complications may include issues related to the supporting teeth, the gums, or the underlying bone structure. Given that your fixed dentures have been in place for several years, it’s possible that changes in your oral health, such as gum recession, bone loss, or even decay in the supporting teeth, could be contributing to your pain.

When you experience pain that is alleviated by medication but returns when you stop taking it, this may indicate an underlying issue that requires further investigation. Pain upon pressure suggests that there may be inflammation or infection in the area surrounding the fixed denture. This could be due to several factors, including:
1. Peri-implantitis or Peri-bridgeitis: This condition involves inflammation of the gums and bone around the dental implant or bridge. It can lead to discomfort and, if left untreated, may result in bone loss.

2. Crown or Bridge Failure: Over time, the materials used in fixed dentures can wear down, leading to cracks or fractures. If the crown or bridge is compromised, it may not distribute chewing forces evenly, causing pain.

3. Gum Disease: If the gums around the fixed denture are inflamed or infected, this can lead to pain. Gum disease can also affect the stability of the supporting teeth.

4. Nerve Involvement: In some cases, the pain may originate from the nerves in the area, especially if there has been any trauma or if the dental work is affecting the surrounding nerves.

Given these possibilities, here are some steps you should consider taking:
1. Follow Up with Your Dentist: Since you have already seen a dentist who suggested medication, it’s crucial to follow up with them. Explain your symptoms in detail, including the pain upon pressure and any other sensations you may be experiencing. They may recommend further diagnostic tests, such as X-rays or a CT scan, to assess the condition of the supporting teeth and surrounding bone.

2. Seek a Second Opinion: If your current dentist is unable to provide a satisfactory explanation or solution, consider seeking a second opinion from another dental professional. A specialist, such as a periodontist or an oral surgeon, may offer additional insights into the condition of your gums and bone.

3. Consider Non-Pharmacological Pain Management: While medication can help manage pain, it’s essential to address the root cause. In the meantime, you might explore non-pharmacological methods such as warm saltwater rinses, applying a cold compress to the area, or using over-the-counter topical anesthetics to alleviate discomfort.

4. Evaluate the Need for Replacement or Repair: If the fixed denture is found to be the source of the problem, your dentist may recommend repairing or replacing it. This could involve adjusting the fit, replacing the crown or bridge, or even considering alternative options like dental implants if the supporting teeth are compromised.

5. Maintain Oral Hygiene: Ensure that you are practicing good oral hygiene, including brushing and flossing around the fixed denture and supporting teeth. This can help prevent further complications and manage any existing gum issues.

In conclusion, while medication can provide temporary relief, it is crucial to address the underlying cause of your pain. Regular dental check-ups and open communication with your dentist are key to maintaining your oral health, especially with long-term dental work. If the pain persists or worsens, do not hesitate to seek further evaluation. Your comfort and health should always be the priority.