Molar pain
Hello, Doctor: A few days ago, I suddenly started experiencing sensitivity (pain) to hot and cold on my lower left molar, and I also feel pain when chewing food, but I don't feel anything when biting with my other normal teeth.
Could this be a cavity? Since I am currently in the United States and dental care is expensive, I won't be able to see a dentist in Taiwan until mid-May.
Is there anything I can do during this period to alleviate the pain? Will this affect my tooth negatively in the meantime?
xuesheng, 20~29 year old female. Ask Date: 2010/03/11
Dr. Zeng Guanghui reply Dentistry
Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following suggestions: The lower molars are very sensitive to hot and cold stimuli, causing pain.
Pain during chewing indicates inflammation of the periodontal nerves.
Generally, gum inflammation is mostly caused by dental caries; however, sometimes teeth may appear free of cavities but can still experience inflammation due to excessive chewing forces leading to cracks in the dental hard tissues.
It is advisable to consult a dentist for further evaluation and treatment.
During this time, please avoid consuming excessively hot or cold foods and refrain from chewing to help alleviate the pain.
Lastly, I wish you peace and happiness!
Reply Date: 2010/03/11
More Info
Tooth sensitivity, especially when it occurs suddenly, can be a sign of various dental issues, including cavities, gum recession, or even a cracked tooth. In your case, the sensitivity in your lower left molar to hot and cold stimuli, along with pain during chewing, suggests that there may be an underlying problem that needs to be addressed. While it is difficult to definitively diagnose the issue without a thorough examination, it is important to take steps to manage your discomfort until you can see a dentist.
Possible Causes of Tooth Sensitivity
1. Cavities: If there is decay in the tooth, it can expose the sensitive inner layers, leading to heightened sensitivity to temperature changes and pressure.
2. Gum Recession: If your gums have receded, the roots of your teeth may be exposed. The roots do not have the same protective enamel as the crowns of your teeth, making them more sensitive.
3. Cracked Tooth: A crack in the tooth can also lead to sensitivity, especially when chewing or when exposed to temperature changes.
4. Dental Procedures: If you have had recent dental work, it is possible that the sensitivity is a temporary side effect of the procedure.
Tips for Managing Tooth Sensitivity
While you are waiting to see a dentist, here are some strategies you can use to alleviate your tooth sensitivity:
1. Use Desensitizing Toothpaste: Over-the-counter desensitizing toothpaste can help block the transmission of sensation from the tooth surface to the nerve. Look for products that contain potassium nitrate or strontium chloride.
2. Avoid Extreme Temperatures: Try to avoid very hot or cold foods and beverages. Stick to lukewarm options to minimize discomfort.
3. Gentle Oral Hygiene: Use a soft-bristled toothbrush and brush gently to avoid further irritation to your gums and teeth. Be cautious with flossing as well; do not force the floss between your teeth.
4. Fluoride Rinse: Using a fluoride mouthwash can help strengthen tooth enamel and reduce sensitivity. It can also help with any potential decay.
5. Avoid Acidic Foods: Foods and drinks that are high in acidity (like citrus fruits, soda, and wine) can exacerbate sensitivity. Try to limit these until you can see a dentist.
6. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain temporarily. Make sure to follow the recommended dosage.
7. Avoid Grinding Your Teeth: If you have a habit of grinding your teeth (bruxism), try to be mindful of it, as this can worsen sensitivity and lead to further dental issues.
Potential Risks of Delaying Dental Care
While these tips can help manage your symptoms temporarily, it is crucial to understand that delaying dental care can lead to more significant problems. If the sensitivity is due to a cavity, it may worsen over time, potentially leading to infection or the need for more extensive treatment, such as a root canal. Additionally, untreated gum issues can progress and lead to periodontal disease.
Conclusion
In summary, while you manage your tooth sensitivity with the above strategies, it is essential to schedule a dental appointment as soon as you return to Taiwan. A dentist will be able to conduct a thorough examination, possibly including X-rays, to determine the exact cause of your sensitivity and recommend appropriate treatment. Remember, early intervention can prevent more severe complications and ensure the health of your teeth and gums.
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