Tooth Root Pain: Is It Cavities or Gum Issues? - Dentistry

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What type of condition is pain at the root of a tooth?


Hello Doctor: Recently, I have noticed a slight pain in the upper right molar and the lower molar, but it is very mild and does not last continuously; it occurs intermittently.
The pain is located near the root of the tooth.
I initially thought it might be gum inflammation, but upon observation, I found that the gums are not red or swollen.
However, I have experienced bleeding during brushing on two occasions.
A friend recommended taking vitamin C for a week, suggesting that this condition would resolve, but I am still skeptical.
Could this be a cavity or a gum issue? If it is a cavity, would this condition require root canal treatment?

ES, 20~29 year old female. Ask Date: 2008/09/25

Dr. Cao Guoqing reply Dentistry


Please visit a qualified dental clinic for examination and treatment.

Reply Date: 2008/09/25

More Info


Tooth pain can be a complex issue, often stemming from various underlying causes, including cavities, gum disease, or even issues related to the tooth's root. Based on your description of intermittent mild pain in your upper and lower molars, it is essential to consider several factors to determine whether the pain is due to cavities or gum problems.

Firstly, the fact that you experience pain near the root area suggests that there may be an issue with the tooth itself, such as a cavity that has reached the pulp or nerve of the tooth. Cavities, if left untreated, can progress and lead to more severe pain, infection, and potentially necessitate root canal treatment. The intermittent nature of your pain could indicate that the cavity is not yet extensive enough to cause constant discomfort but is still affecting the tooth's nerve.

On the other hand, you mentioned that your gums do not appear red or swollen, which is a good sign that there may not be an active gum infection or periodontal disease. However, the fact that you experienced bleeding during brushing could indicate some level of gum irritation or gingivitis, even if it is not currently inflamed. Gingivitis can cause discomfort and sensitivity in the teeth, particularly when brushing or flossing, and it is essential to maintain good oral hygiene to prevent its progression.

Vitamin C is often recommended for overall health and can support gum health, but it is unlikely to resolve underlying dental issues such as cavities or infections. While it may help improve your immune response, it is not a substitute for professional dental care. If your symptoms persist, it is crucial to consult with a dentist for a thorough examination, including X-rays, to assess the condition of your teeth and gums accurately.

If a cavity is detected, the treatment may involve a filling, and if the decay has reached the pulp, a root canal may be necessary to save the tooth. Conversely, if gum disease is diagnosed, your dentist may recommend a deep cleaning or other periodontal treatments to restore gum health.

In summary, while your symptoms could be indicative of either cavities or gum issues, the best course of action is to seek professional dental evaluation. Early intervention is key in preventing more severe complications, and your dentist will be able to provide a tailored treatment plan based on their findings. Regular dental check-ups are essential for maintaining oral health and addressing any issues before they escalate.

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