Why Do My Teeth Hurt After a Dental Cleaning?

Tooth sensitivity after dental cleaning?

A few days ago, I went to the dentist due to tooth pain, and they diagnosed me with gum inflammation.
They performed a dental cleaning and advised me to brush my teeth more thoroughly, especially the back teeth, and prescribed medication for me.
At that time, I also mentioned that I was experiencing pain in my front teeth.
The dentist suggested a root canal treatment and also cleaned my front teeth, but did not perform the root canal.
Although I have only been taking the medication for one day, I feel that its effects do not last long; the pain starts again a few hours after taking it, and it comes and goes unpredictably.
Both the area with gum inflammation and the tooth that needs a root canal are painful.
Initially, the tooth that was supposed to undergo root canal treatment was not very painful when I visited the dentist, but since the dental cleaning, I feel that the pain is worse than the pain from the gum inflammation, which is quite exaggerated.
Brushing my teeth only slightly alleviates the pain.
I would like to know why this is happening.

Niming, 20~29 year old female. Ask Date: 2023/04/19

Dr. Zeng Guanghui reply Dentistry

1.
If there is soreness in the teeth after a dental cleaning and medication is effective, it indicates that the dental pulp may be inflamed, and root canal treatment is recommended.
2.
If the teeth are even more painful after the cleaning, it may be due to the exposure of the tooth roots after tartar removal, leading to increased sensitivity and pain.
If the inflammation of the dental pulp does not improve, root canal treatment is advised.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/04/19

More Info

Experiencing tooth pain after a dental cleaning can be concerning, and there are several reasons why this might happen. First and foremost, it’s essential to understand that dental cleanings, while generally safe and beneficial, can sometimes lead to temporary discomfort or pain, especially if there are underlying dental issues.

1. Gum Inflammation: If you had gingivitis or periodontal disease prior to your cleaning, the cleaning process might have disturbed inflamed gum tissue. When plaque and tartar are removed, it can expose sensitive areas of the gums that may have been previously covered. This exposure can lead to discomfort or pain, especially when brushing or eating.

2. Sensitivity: Many people experience increased tooth sensitivity after a cleaning. This is often due to the removal of plaque and tartar, which can leave the tooth surface more exposed. If you have receding gums or worn enamel, this sensitivity can be more pronounced. It’s common for patients to feel discomfort when consuming hot or cold foods and beverages after a cleaning.

3. Underlying Dental Issues: If your dentist suggested a root canal (nerve treatment) for one of your teeth, it’s possible that the tooth was already compromised before the cleaning. The cleaning might have exacerbated the pain if the tooth was already infected or inflamed. The cleaning process can sometimes irritate the nerves in the tooth, leading to increased pain.

4. Technique and Tools Used: The tools used during a dental cleaning, such as ultrasonic scalers, can sometimes cause discomfort, especially if the dental hygienist is working on areas that are already sensitive or inflamed. If the cleaning was particularly thorough, it might have caused some temporary trauma to the gums or teeth.

5. Post-Cleaning Care: After a cleaning, it’s crucial to follow your dentist’s aftercare instructions. This may include using a soft-bristled toothbrush, avoiding certain foods, and possibly using a desensitizing toothpaste. If you are not following these recommendations, it may prolong discomfort.

6. Medication Effects: If you were prescribed medication for inflammation or pain, it’s important to take it as directed. If the pain persists despite taking medication, it may indicate that the underlying issue has not been resolved, or that additional treatment is necessary.

Recommendations:
- Follow-Up Appointment: If the pain continues or worsens, it’s essential to schedule a follow-up appointment with your dentist. They can assess whether there are any complications from the cleaning or if the tooth requiring a root canal needs immediate attention.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult your dentist before taking any medication, especially if you have other health conditions or are taking other medications.

- Oral Hygiene Practices: Maintain good oral hygiene by brushing gently with a soft-bristled toothbrush and using dental floss. Avoid aggressive brushing, which can further irritate sensitive gums.

- Desensitizing Products: Consider using toothpaste designed for sensitive teeth. These products can help reduce sensitivity over time.

In summary, while it’s not uncommon to experience some discomfort after a dental cleaning, persistent or severe pain should not be ignored. It’s crucial to communicate with your dentist about your symptoms and follow their recommendations for care. They can provide the best guidance tailored to your specific situation and ensure that any underlying issues are addressed promptly.

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