Post-Dental Cleaning Pain: Should You Monitor or Seek Further Care?

Q: Post-Dental Cleaning Pain: Should You Monitor or Seek Further Care?

Hello： It is recommended to seek a second opinion at a medical center. <br>If two or more doctors agree that there are no issues, it is advisable to relax. <br>Teeth are meant for long-term use and are considered consumables; one must accept that damage or loss may eventually occ

After having a dental cleaning following a cavity, is it necessary to continue monitoring for pain?

Hello, Doctor.
Around early October, I started experiencing a dull pain in one of my lower right molars.
I occasionally felt discomfort when using an interdental brush, so I visited a dental clinic.
The dentist diagnosed a small cavity and filled it.
Afterward, I felt some improvement, but it still felt off.
When I used an oral mirror to check, I noticed a brownish spot behind the molar, so I consulted the dentist again in mid-October.
The dentist said the brownish area was due to pigmentation, but since I still felt something was wrong, they took a full-mouth X-ray.
The dentist indicated that there were no cavities visible and suggested that it might be due to gum inflammation, especially since I hadn’t had a dental cleaning in over a year.

I underwent a dental cleaning, and I could tell the dentist spent extra time around the molar area, and the hygienist removed a lot of tartar.
After returning home, I felt much better and thought everything was fine.
However, two days later, after accidentally drinking a probiotic beverage, I experienced severe soreness, and the pain shifted to the area in front of the previous site (possibly the second molar).
It only started to improve the next day.
Now, I occasionally feel a dull pain at night when sleeping.
I read that it might take 3 to 4 days to gradually improve, but it has been 6 days.
Should I seek further medical attention?
Additionally, I noticed that there are some lines on the gum below the second molar, which I suspect might be marks from the water pressure being too strong during the cleaning.
Should I be particularly concerned about this? Lastly, if I need to see a doctor, is it necessary to go back to the same dentist? Thank you, Doctor.

AZ, 30~39 year old female. Ask Date: 2023/10/23

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to seek a second opinion at a medical center.
If two or more doctors agree that there are no issues, it is advisable to relax.
Teeth are meant for long-term use and are considered consumables; one must accept that damage or loss may eventually occur, but as long as you are careful, it should be fine.

Reply Date: 2023/10/23

More Info

Post-dental cleaning pain can be a common occurrence, and it’s important to monitor your symptoms closely. Based on your description, it seems that you have experienced a series of dental issues, including a small cavity, potential gum inflammation, and subsequent dental cleaning. Here’s a comprehensive overview of what you should consider regarding your current situation.

Understanding Post-Cleaning Pain
1. Normal Aftermath of Dental Cleaning: After a dental cleaning, it’s not unusual to experience some discomfort or sensitivity, especially if there was significant tartar buildup or if the cleaning was thorough. The gums may be inflamed or sensitive due to the cleaning process, which can lead to temporary discomfort.

2. Sensitivity to Temperature: The pain you experienced after consuming a lactobacillus drink could indicate heightened sensitivity in your teeth or gums. This sensitivity can arise from several factors, including exposed dentin, gum recession, or even minor trauma to the gums during cleaning.

3. Duration of Symptoms: You mentioned that it has been six days since your cleaning, and you are still experiencing some discomfort, particularly at night. While some residual sensitivity can last for a few days, if the pain persists or worsens, it may warrant further evaluation.

When to Seek Further Care
1. Persistent Pain: If the pain continues beyond a week or intensifies, it is advisable to return to your dentist for a check-up. Persistent pain could indicate an underlying issue, such as an infection or a problem with the dental work performed.

2. Changes in Gum Appearance: You noted that you observed lines or markings on the gum beneath your second molar, which could be a sign of irritation or trauma from the cleaning process. If these changes do not improve or if you notice swelling or bleeding, it’s essential to consult your dentist.

3. Sensitivity Management: In the meantime, consider using a toothpaste designed for sensitive teeth, which can help alleviate discomfort. Avoiding extremely hot or cold foods and drinks may also reduce sensitivity.

Choosing Your Dentist
If you decide to seek further care, it is not strictly necessary to return to the same dentist, although it can be beneficial. Your current dentist is familiar with your dental history and the recent treatments you’ve received. However, if you feel uncomfortable or want a second opinion, seeking care from another qualified dentist is perfectly acceptable. Just ensure that you provide them with your dental history for a comprehensive evaluation.

Conclusion
In summary, while some discomfort after dental cleaning is normal, persistent or worsening pain should not be ignored. Monitoring your symptoms closely and seeking further evaluation if necessary is crucial for maintaining your dental health. Additionally, maintaining good oral hygiene practices at home, including gentle brushing and regular flossing, can help prevent further issues. If you have any concerns about your symptoms or the appearance of your gums, don’t hesitate to reach out to a dental professional for guidance. Your oral health is paramount, and timely intervention can prevent more significant problems down the line.

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