Pediatric Dentistry
Recently, I have been experiencing pain in my upper right teeth whenever I go down the stairs or shake my head.
I do not feel sensitivity to hot or cold, and eating does not cause pain.
What could be the reason for this?
Wei, 10~19 year old female. Ask Date: 2023/10/21
Dr. Zeng Guanghui reply Dentistry
Hello Wei,
It is possible that the dental nerve has become necrotic, leading to an infection at the root apex and even causing damage to the jawbone.
It is recommended to consult a dentist for further diagnosis and treatment.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital
Reply Date: 2023/10/21
More Info
Tooth pain in children can be a complex issue, often stemming from various causes, including dental development, structural anomalies, or even external factors. In your case, the pain you are experiencing in the upper right tooth when moving your head or going downstairs, without sensitivity to temperature or pain while eating, suggests a few potential underlying issues.
One possibility is that the pain is related to the way the tooth is positioned or how it interacts with surrounding teeth. This could be due to a developmental anomaly, such as an abnormal tooth shape or position, which can lead to discomfort when the jaw is in motion. For instance, if the tooth is slightly misaligned, it may not fit properly with the opposing teeth, leading to pain during certain movements.
Another potential cause could be related to the periodontal tissues surrounding the tooth. If there is inflammation or irritation in the gums or the supporting structures of the tooth, it can lead to pain that is exacerbated by movement. This is often seen in cases where there is a buildup of plaque or tartar, which can lead to gingivitis or other periodontal issues.
Additionally, the pain could be a result of referred pain from another area in the mouth or jaw. Sometimes, pain from one tooth can manifest as discomfort in another due to the interconnected nature of the dental and nervous systems. For example, if there is an issue with a nearby tooth, it might cause discomfort that feels like it is coming from the upper right tooth.
Given that you mentioned there is no sensitivity to hot or cold, it is less likely that there is a cavity or decay present, as these conditions typically cause heightened sensitivity. However, it is still essential to have a thorough examination by a dentist. They may recommend X-rays to rule out any underlying issues that are not visible during a standard examination.
In terms of solutions, if the pain is due to a structural issue or misalignment, orthodontic treatment may be necessary to correct the positioning of the teeth. If the pain is related to gum inflammation, improved oral hygiene practices, including regular brushing and flossing, can help alleviate the symptoms. Additionally, using a warm saltwater rinse can reduce inflammation and promote healing in the gums.
If the pain persists or worsens, it is crucial to seek professional dental care. A dentist can provide a more accurate diagnosis and recommend appropriate treatment options, which may include dental fillings, orthodontic intervention, or other procedures depending on the specific cause of the pain.
In summary, tooth pain in children can arise from various factors, including developmental anomalies, periodontal issues, or referred pain. While the absence of temperature sensitivity may indicate a lower likelihood of decay, a thorough dental examination is essential for accurate diagnosis and effective treatment. Regular dental check-ups are vital in maintaining oral health and addressing any issues before they escalate.
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