Bite injury to the teeth?
Hello doctor, I would like to ask you a question.
I just took my stomach medication and thought it was meant to be chewed, but it wasn't.
I bit down and made a loud noise.
The last tooth on the lower side where I bit down had a root canal done previously but did not receive a crown.
Now I feel a slight pain in that tooth.
What should I do? Thank you.
Xiao Feng, 20~29 year old female. Ask Date: 2022/05/21
Dr. Lin Jiayong reply Dentistry
Hello: If there is no obvious damage to the appearance of the tooth (you can use your tongue to feel for any roughness or irregularities), it is recommended to observe it first.
You can apply a local ice pack (including ice cubes) to soothe the irritated dental pulp and periodontal tissues, and take NSAID medications.
If the symptoms improve, you can schedule an appointment with a dentist for further evaluation.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/05/21
More Info
Tooth pain following an incident where you accidentally bit down on a medication can be concerning, especially if the affected tooth has a history of root canal treatment without a crown. Here’s a comprehensive approach to managing your situation, along with some additional insights into dental health.
Immediate Steps to Take
1. Assess the Pain: First, try to determine the severity of the pain. If it is mild and only occurs when you bite down or apply pressure, it may be a temporary issue. However, if the pain is sharp, persistent, or accompanied by swelling, you should seek dental care as soon as possible.
2. Pain Management: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help alleviate discomfort. Follow the recommended dosage on the packaging, and be cautious if you have any underlying health conditions or are taking other medications.
3. Avoid Hard Foods: Until you can see a dentist, avoid chewing on the affected side and stick to soft foods. This will help minimize discomfort and prevent further irritation to the tooth.
4. Oral Hygiene: Maintain good oral hygiene by gently brushing your teeth and flossing, but be careful around the painful area. Rinsing with warm salt water can also help soothe any irritation and keep the area clean.
When to Seek Professional Help
If the pain persists for more than a couple of days, worsens, or if you notice any swelling or discharge, it’s crucial to see a dentist. They can evaluate the tooth for any potential complications, such as:
- Cracked Tooth: If the tooth has cracked due to the pressure from biting down, it may require a crown or other restorative treatment.
- Infection: Since the tooth has undergone root canal treatment, there’s a possibility of infection if the seal was compromised. An X-ray may be necessary to assess the condition of the tooth and surrounding bone.
- Need for a Crown: If the tooth is structurally compromised, your dentist may recommend placing a crown to protect it from further damage.
Understanding Tooth Pain After Root Canal Treatment
Tooth pain after a root canal can occur for several reasons:
- Incomplete Treatment: Sometimes, the root canal may not fully eliminate all the infected tissue, leading to lingering pain.
- Post-Operative Sensitivity: It’s common to experience some sensitivity after a root canal, especially if the tooth was not crowned. This sensitivity can be exacerbated by pressure or biting.
- Underlying Issues: If the tooth was previously damaged or if there are issues with the surrounding teeth or gums, this can also contribute to discomfort.
Preventive Measures
To prevent similar incidents in the future, consider the following:
- Crowns for Treated Teeth: After a root canal, it’s advisable to place a crown on the tooth to protect it from fractures and restore its function.
- Regular Dental Check-ups: Regular visits to the dentist can help monitor the health of your teeth and catch any issues early.
- Awareness of Medications: Always read the instructions for medications carefully to avoid accidental biting or misuse.
Conclusion
In summary, while mild discomfort after biting down on a medication may resolve on its own, it’s essential to monitor the situation closely. Utilize over-the-counter pain relief, maintain good oral hygiene, and avoid hard foods until you can consult with a dentist. If the pain persists or worsens, seek professional evaluation to ensure there are no underlying issues that need to be addressed. Taking proactive steps will help maintain your dental health and prevent future complications.
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