Dealing with Oral Discomfort After Orthodontic Treatment: Solutions Explored - Dentistry

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After orthodontic treatment, the teeth may scrape against the oral mucosa?


Dear Dr.
Tseng,
Before orthodontic treatment, the alignment of my upper teeth was comfortable.
However, after completing the treatment, one of my upper teeth (the one next to the front tooth) has a rough and uneven occlusal surface.
When I naturally close my lips, it constantly rubs against the inner mucosa of my lower lip, causing persistent pain and discomfort, along with a significant foreign body sensation.

I have considered the following possible solutions: 1.
Reducing the size of the tooth and applying a veneer, or 2.
Adapting to it, but I am concerned about worsening my tooth sensitivity due to my existing periodontal disease.
I would like to know if adaptation is the only option available, or if there are other proactive treatment methods I could pursue.
This tooth has been in its current position for six months, and I still cannot adapt to it.
I am troubled by this every day, so I am reaching out for your advice.
Thank you!

Deb, 30~39 year old female. Ask Date: 2023/05/03

Dr. Zeng Guanghui reply Dentistry


Hello Ms.
Deb: If you frequently experience discomfort from friction on the inner mucosa of your lower lip, you should consider whether the alignment of your incisors is off.
It is recommended that if you have periodontal disease, you should first treat the periodontal condition before considering a follow-up appointment with an orthodontist for further examination.
Dr.
Tseng Guang-Hui, Nantou Hospital Dental Department.

Reply Date: 2023/05/03

More Info


Dealing with oral discomfort after orthodontic treatment can be quite challenging, especially when it involves issues like rough edges on teeth that irritate the oral mucosa. Your situation, where a tooth adjacent to your front teeth is causing discomfort by scraping against the inside of your lower lip, is not uncommon. Here’s a comprehensive approach to addressing your concerns.


Understanding the Issue
After orthodontic treatment, teeth can shift into new positions, which may lead to changes in how they contact each other. If a tooth has a rough or uneven surface, it can create friction against the soft tissues of the mouth, leading to irritation, pain, and a feeling of discomfort. This is particularly true if you have pre-existing conditions like periodontal disease or sensitive teeth, which can exacerbate the discomfort.


Potential Solutions
1. Dental Adjustment: The most straightforward solution is to have the offending tooth adjusted by your dentist or orthodontist. This could involve smoothing out the rough edges or reshaping the tooth to ensure it does not irritate the surrounding tissues. This procedure is typically quick and can provide immediate relief.

2. Orthodontic Retainers: If the discomfort persists, consider discussing the use of a retainer with your orthodontist. A retainer can help maintain the position of your teeth while providing a smoother surface that may reduce irritation.

3. Dental Bonding or Composite Resin: If the tooth is significantly rough or has an irregular shape, your dentist might suggest applying a layer of dental bonding material or composite resin to create a smoother surface. This can help alleviate the discomfort while also improving the aesthetics of your smile.

4. Mouth Guards: If you are prone to grinding your teeth (bruxism), a custom mouth guard can protect your teeth from excessive wear and reduce irritation to the oral mucosa. This is particularly useful if you experience discomfort during sleep.

5. Managing Sensitivity: Since you mentioned having sensitive teeth, it’s important to address this issue as well. Using toothpaste specifically designed for sensitive teeth can help reduce discomfort. Additionally, avoiding extremely hot, cold, or acidic foods may also alleviate sensitivity.

6. Regular Dental Check-ups: Given your history of periodontal disease, regular check-ups are crucial. Your dentist can monitor your gum health and ensure that any irritation or discomfort is addressed promptly.

7. Oral Hygiene Practices: Maintaining excellent oral hygiene is essential, especially when dealing with sensitivity and discomfort. Ensure you are brushing gently with a soft-bristled toothbrush and flossing daily to keep your gums healthy.

8. Consultation with Specialists: If the discomfort continues despite these interventions, consider consulting a specialist, such as a periodontist, who can provide targeted treatment for gum health and sensitivity issues.


Conclusion
In summary, while adapting to changes after orthodontic treatment can be uncomfortable, there are several proactive steps you can take to alleviate your symptoms. Start by discussing your concerns with your dentist or orthodontist, who can provide tailored solutions based on your specific situation. Remember, it’s important to address both the mechanical issues with your teeth and any underlying sensitivity or periodontal concerns to achieve the best outcome for your oral health. Don't hesitate to seek further evaluations if the discomfort persists, as your comfort and health should always be a priority.

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