Managing Tooth Pain: Solutions for Chewing Difficulties and Discomfort

The person who is eating is feeling weak?

Thank you for your detailed response last time.
I have decided to follow your advice and not undergo root canal treatment on the two rows of teeth on the left side that often feel sore and painful.
However, the pain issue keeps recurring, and for several days, I have been relying on painkillers to alleviate the discomfort.
Currently, the situation has worsened, and even the temporomandibular joint (TMJ) on the left side is painful.
The best way to describe it is "sour with pain, and pain with sourness."
Could this condition be related to my habit of biting hard objects? The dentist mentioned that my teeth are generally in good condition, but there is some wear and tear.
I have been advised not to chew on one side only.
The problem is that I have had a tooth extracted on both the upper and lower right sides, creating gaps in my occlusion, which is why I have been chewing primarily on the left side.
Now, it's become quite difficult; I can't even use the left side effectively when eating.

What do you suggest I do? I can't rely solely on a liquid diet.
Doctor, is there a solution? Are there any side effects from taking painkillers for so many days?

Xiānggō, 40~49 year old female. Ask Date: 2004/02/13

Dr. Liu Tiancai reply Dentistry

Hello! You have had one tooth extracted from both the upper and lower right sides, and it is best to get dentures to restore your bite, allowing you to use both sides for chewing.
This way, you won't rely solely on your left side for eating.
As for the wear on your teeth, it depends on the specific condition, so it is advisable to visit a specialist at a dental clinic to determine how to address your issues.
If you have been taking pain medication for several days and are still experiencing soreness, you may need to have your gums evaluated at a dental clinic.
This response is provided on behalf of Dr.
Peng Fu-Yu from the Dental Department of Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/02/13

More Info

Tooth pain, especially when it affects your ability to chew and enjoy meals, can be quite distressing. It sounds like you are experiencing a combination of discomfort in your teeth and jaw, which may be exacerbated by your chewing habits and the current state of your dental health. Here’s a comprehensive approach to managing your tooth pain and discomfort.

Understanding the Pain
The pain you describe as "sour with pain, and pain with sour" could be indicative of several underlying issues. Given that your dentist has noted some wear on your teeth, it’s possible that you are experiencing sensitivity due to enamel erosion or gum recession. Additionally, the pain in your jaw could be related to temporomandibular joint (TMJ) dysfunction, especially if you are favoring one side for chewing due to missing teeth on the right side.

Possible Causes
1. Tooth Sensitivity: This can occur due to enamel wear, cavities, or gum recession, exposing the sensitive parts of your teeth.

2. TMJ Disorders: If you are grinding your teeth or clenching your jaw, this can lead to pain in the jaw joint and surrounding muscles.

3. Missing Teeth: The absence of teeth can lead to an uneven bite, causing strain on the remaining teeth and jaw muscles.

4. Chewing Hard Objects: This habit can exacerbate wear on your teeth and lead to fractures or increased sensitivity.

Recommendations for Management
1. Dental Evaluation: It’s crucial to revisit your dentist for a thorough examination. They may recommend treatments such as dental crowns, fillings, or even a bite guard to protect your teeth from grinding and to help with jaw alignment.

2. Pain Management: While over-the-counter pain relievers can be effective, relying on them for an extended period can have side effects, such as gastrointestinal issues or liver damage (especially with acetaminophen). Discuss with your healthcare provider about the best pain management strategy tailored to your needs.

3. Dietary Adjustments: Since chewing on the left side is causing pain, consider soft foods that require less chewing. Foods like yogurt, smoothies, mashed potatoes, and soups can provide nutrition without exacerbating your discomfort.

4. Oral Hygiene: Maintain excellent oral hygiene to prevent further decay or gum disease. Use a soft-bristled toothbrush and fluoride toothpaste, and consider using a desensitizing toothpaste specifically designed for sensitive teeth.

5. Jaw Exercises: Gentle jaw exercises may help alleviate TMJ discomfort. These can include opening and closing your mouth slowly, moving your jaw side to side, and gently massaging the jaw muscles.

6. Avoid Hard Foods: Try to avoid hard or crunchy foods that can aggravate your teeth and jaw. Instead, focus on softer options that are easier to chew.

7. Stress Management: If you suspect that stress is contributing to teeth grinding or jaw clenching, consider relaxation techniques such as mindfulness, yoga, or even counseling.

8. Follow-Up Care: Regular follow-ups with your dentist are essential to monitor your dental health and make adjustments to your treatment plan as necessary.

Conclusion
Tooth pain and discomfort can significantly impact your quality of life, but with the right approach, you can manage your symptoms effectively. It’s essential to address the underlying causes of your pain, whether they are dental, muscular, or related to your habits. By working closely with your dental care provider and making some lifestyle adjustments, you can find relief and improve your overall oral health. If pain persists or worsens, do not hesitate to seek immediate dental care.

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