Pain on the Side of Your Teeth: Causes and Solutions - Dentistry

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Pain on the side of the tooth?


I would like to ask the doctor about a very painful area on the side of my upper teeth (the side facing my cheek) when I brush my teeth before bed tonight.
I looked in the mirror and did not notice anything unusual.
I'm not sure if it's the gum or the tooth surface, but only a specific area hurts so much that I can't brush it! There are no dark spots, and I have been brushing my teeth regularly.
Thank you, doctor.

Hong Cha, 20~29 year old female. Ask Date: 2022/06/26

Dr. Lin Jiayong reply Dentistry


Hello: If the pain has reached a level that prevents you from sleeping or affects your daily life, it is advisable to obtain a localized X-ray to check for any injuries to the teeth or periodontal tissues and to intervene and treat as soon as possible.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/06/26

More Info


Understanding pain on the side of your teeth can be a complex issue, as there are several potential causes that may not be immediately visible. Based on the symptoms you've described—pain on the side of your upper teeth near the cheek, with no visible abnormalities—it’s important to consider a few possibilities.


Potential Causes of Tooth Pain
1. Gum Disease (Gingivitis or Periodontitis): Even if there are no visible signs of gum disease, it can still be present. Inflammation of the gums can cause localized pain, especially if there is plaque buildup or if the gums are receding. This can lead to sensitivity in the teeth.

2. Cavities or Tooth Decay: While you mentioned there are no visible black spots, cavities can sometimes develop in areas that are hard to see, such as between teeth or below the gum line. A dental X-ray may be necessary to identify any decay that is not visible to the naked eye.

3. Tooth Sensitivity: If you have recently had dental work or if your enamel is worn down, you may experience sensitivity to temperature changes or pressure. This sensitivity can manifest as pain when brushing or eating.

4. Cracked Tooth Syndrome: A crack in a tooth can cause intermittent pain, especially when chewing or applying pressure. The pain may not always be present, making it difficult to diagnose without professional help.

5. Sinus Infection: Sometimes, pain in the upper teeth can be referred pain from sinus issues. If you have had a recent cold or sinus congestion, this could be a contributing factor.

6. Nerve Issues: If the nerve in the tooth is inflamed or infected, it can cause significant pain. This is often associated with more severe dental issues, such as pulpitis.


Recommended Solutions
1. Visit a Dentist: Given that the pain is severe enough to prevent you from brushing, it is crucial to see a dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the underlying cause of your pain.

2. Pain Management: In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage the pain. However, this is only a temporary solution and does not address the underlying issue.

3. Oral Hygiene: Continue to maintain good oral hygiene practices, including brushing gently and flossing. Avoid any hard or crunchy foods that may exacerbate the pain.

4. Warm Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and provide temporary relief.

5. Avoid Irritants: Stay away from very hot, cold, or sweet foods and drinks that may trigger pain.

6. Monitor Symptoms: Keep track of any changes in your symptoms, such as swelling, increased pain, or the development of new symptoms, and report these to your dentist.


Conclusion
Tooth pain can arise from various issues, and while some may seem minor, they can lead to more significant problems if left untreated. It is essential to consult with a dental professional who can provide a proper diagnosis and treatment plan tailored to your specific situation. Early intervention can often prevent more severe complications and ensure your dental health is maintained.

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