Occlusal Pain: When to Seek Dental Advice - Dentistry

More Info

---

When it comes to occlusal pain, particularly after dental procedures or due to underlying dental issues, it is essential to understand the potential causes and when to seek further dental advice. Based on your description, it seems that you are experiencing discomfort in the lower right back teeth, which may be related to previous dental work, such as the extraction of your wisdom tooth, or possibly due to misalignment of your teeth.

Occlusal pain can arise from various factors, including:
1. Dental Misalignment: If your upper teeth are misaligned, they may not fit properly with your lower teeth, leading to uneven pressure during biting or chewing. This can cause discomfort or pain in the affected teeth.

2. Gum Inflammation: As you mentioned, your dentist previously suggested that the pain could be due to gum inflammation. Gingivitis or periodontal disease can cause discomfort in the gums and surrounding teeth, especially when pressure is applied.

3. Previous Dental Work: If you have had recent dental work done, such as fillings or crowns, it is possible that the occlusion (the way your teeth come together) has been altered, leading to discomfort. Sometimes, dental restorations may need adjustments to ensure proper occlusion.

4. Tooth Sensitivity or Damage: If there is a crack or fracture in the tooth, it may not be visible on an X-ray but can still cause pain, especially when pressure is applied. Tooth sensitivity can also be a factor, particularly if the enamel is worn down or if there is gum recession exposing the tooth root.

5. Bruxism (Teeth Grinding): If you grind your teeth, especially during sleep, this can lead to muscle fatigue and pain in the jaw, as well as discomfort in the teeth themselves.

Given that you have already consulted with a dentist and had X-rays taken without any significant findings, it may be tempting to wait and see if the discomfort resolves on its own. However, if the pain persists or worsens, it is advisable to seek further evaluation. Here are some steps you can take:
- Monitor Symptoms: Keep track of when the pain occurs, its intensity, and any other symptoms (like swelling or changes in gum color). This information can be helpful for your dentist.

- Consult Again if Necessary: If the pain continues or if you notice any new symptoms, such as swelling or fever, it is important to return to the dentist. They may want to perform additional tests, such as a CT scan, to get a more detailed view of the area.

- Consider a Second Opinion: If you feel uncertain about the diagnosis or treatment plan, seeking a second opinion from another dental professional can provide additional insights and options.

- Maintain Oral Hygiene: Continue to practice good oral hygiene, including brushing and flossing regularly, to help minimize gum inflammation and prevent further issues.

In conclusion, while it is possible that your symptoms are related to gum inflammation or minor occlusal issues, persistent pain should not be ignored. It is always better to err on the side of caution when it comes to dental health. If you have any doubts or if the discomfort continues, do not hesitate to consult your dentist again for a thorough evaluation. Your oral health is crucial, and addressing any issues early can prevent more significant problems down the line.