Tooth Pain and Dental Concerns: Your Questions Answered - Dentistry

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Hello! Thank you for reaching out with your dental concerns. It sounds like you have several issues that need to be addressed, so let’s break them down one by one.

1. Facial Pain When Opening Your Mouth: The pain you feel in your right cheek when you open your mouth could be due to several reasons. One common cause is temporomandibular joint (TMJ) dysfunction, which can occur if there is strain or misalignment in the jaw joint. This can lead to discomfort when moving your jaw, especially during activities like chewing or yawning. Another possibility is muscle tension in the muscles that control jaw movement, which can be exacerbated by stress or grinding your teeth (bruxism). It’s important to consult with a dentist who can assess your jaw alignment and muscle function to determine the exact cause of your pain.

2. Old Silver Fillings: You mentioned that you have five silver fillings that have turned black and occasionally shed particles. Silver fillings, or amalgam fillings, can discolor over time due to various factors, including wear and tear, and they may also develop cracks or leaks. If these fillings are showing signs of deterioration, it may be wise to have them evaluated by your dentist. They can determine if they need to be replaced with newer materials, such as composite resin, which can match the color of your natural teeth and may provide a better seal against decay.

3. Wisdom Teeth: Regarding your question about wisdom teeth, it is entirely possible for some individuals to not develop wisdom teeth at all. This can be due to genetic factors, and many people are born without them. If you are 20 years old and have not experienced any discomfort or signs of wisdom teeth emerging, it is likely that you may not have them. However, it’s always a good idea to have a dental professional take X-rays to confirm their absence and ensure that there are no underlying issues.


Additional Considerations:
- Regular Dental Check-ups: Given your history of dental work and current concerns, it’s crucial to maintain regular dental check-ups. This allows your dentist to monitor the condition of your fillings, assess your overall oral health, and catch any potential issues early on.


- Oral Hygiene: Continue practicing good oral hygiene by brushing twice a day and flossing daily. This is essential for preventing decay and gum disease, especially around older fillings.

- Stress Management: If you suspect that stress or teeth grinding may be contributing to your facial pain, consider stress management techniques such as mindfulness, relaxation exercises, or even consulting with a healthcare professional for further advice.

In summary, while some of your concerns may be benign, it’s essential to consult with a dental professional who can provide a thorough examination and tailored advice based on your specific situation. Don’t hesitate to reach out to your dentist to discuss these issues further, as they can help you maintain your dental health and address any discomfort you may be experiencing. Thank you for your questions, and I hope this information helps you find relief and clarity regarding your dental health!