Biting the teeth?
Hello doctor, I would like to ask you a question.
I just took my stomach medication and mistakenly thought it was meant to be chewed.
As a result, I bit down on it and heard a loud crack.
The last tooth on the lower side where I bit has had a root canal treatment but hasn't been crowned yet.
Now I feel a slight pain in that tooth.
What should I do? Thank you.
Xiao Feng, 20~29 year old female. Ask Date: 2022/05/22
Dr. Lin Jiayong reply Dentistry
Hello: If there is no obvious damage to the appearance of the tooth (you can use your tongue to check for any roughness or irregularities), it is advisable 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 for inflammation relief.
If the symptoms improve, you may schedule an appointment with a dentist at your convenience.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/05/22
More Info
Dealing with tooth pain after an incident like biting down on a medication can be concerning, especially if the tooth in question has previously undergone root canal treatment. Here’s a comprehensive approach to understanding and managing your situation.
First, it’s important to recognize that the tooth you bit down on has already been compromised due to the root canal treatment. This means that the nerve has been removed, and the tooth may be more fragile than a healthy tooth. When you applied pressure by biting down, it could have caused trauma to the remaining structure of the tooth or the surrounding tissues, leading to the discomfort you are now experiencing.
Immediate Steps to Take
1. Assess the Pain: Determine the severity of the pain. If it is mild and manageable, you may choose to monitor it for a short period. However, if the pain is severe or worsening, it’s advisable to seek dental care promptly.
2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. Be sure to follow the recommended dosages on the packaging. If you have any underlying health conditions or are taking other medications, consult with a healthcare professional before taking any new medication.
3. Avoid Further Trauma: Until you can see a dentist, avoid chewing on that side of your mouth. Stick to soft foods and try to minimize any pressure on the affected tooth.
4. Cold Compress: Applying a cold compress to the outside of your cheek near the painful area can help reduce swelling and numb the pain. Use it for 15-20 minutes at a time.
When to See a Dentist
Given that you have a history of root canal treatment on the affected tooth, it’s crucial to consult with your dentist if:
- The pain persists for more than a few hours.
- You experience swelling, fever, or any signs of infection (such as pus or a bad taste in your mouth).
- You have difficulty opening your mouth or experience pain when moving your jaw.
Possible Causes of Pain
The pain you are experiencing could be due to several factors:
- Fracture or Crack: The tooth may have developed a fracture from the force of biting down, which can lead to pain and sensitivity.
- Inflammation: The surrounding gum tissue may be inflamed due to the trauma, leading to discomfort.
- Infection: Although the nerve has been removed, there can still be residual infection or inflammation in the surrounding tissues.
Long-Term Considerations
If the pain subsides, it’s still advisable to follow up with your dentist for a thorough examination. They may recommend placing a crown on the tooth to provide additional support and protection, especially since it has undergone root canal therapy. Crowns can help prevent further damage and restore function.
In summary, while mild pain after such an incident can sometimes resolve on its own, it’s essential to remain vigilant. If the discomfort continues or worsens, don’t hesitate to reach out to your dentist for an evaluation. They can provide the necessary treatment to ensure your dental health is maintained and prevent any potential complications.
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