Uneven Cheeks: Dental Concerns and Possible Causes Explained - Dentistry

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The cheeks feel different on both sides?


Hello Doctor: In the past few months, I have noticed something in the gums of my left upper molar area, and the cheeks on both sides feel different when I touch them.
However, there doesn't seem to be anything visible from the outside or inside.
Sometimes it hurts when I press on it, and other times there is just a slight soreness.
Additionally, I had a filling in that tooth that fell out halfway, and I haven't gone back to get it fixed because I was very afraid of the dentist when I was younger and I have poor oral hygiene due to a love for sweets.
Doctor, could this indicate any problems?

Nìmíng, 10~19 year old female. Ask Date: 2011/10/24

Dr. Zhang Xiangyuan reply Dentistry


Dear online friend,
Based on your description: (1) If a dental filling has fallen out, you can ask a dentist to examine it and determine whether it can be promptly refilled or treated based on the situation.
(2) If there is pain or asymmetry upon palpation of the cheeks, it is advisable to visit a dental clinic for further examination by a dentist to assess how to proceed.
Maintaining oral hygiene is a habit that everyone should cultivate.
With the advancements in healthcare in Taiwan, there is also the benefit of health insurance coverage.
It is recommended that individuals have regular dental check-ups (approximately every six months).
For most people, visiting the dentist can be a daunting experience.
However, early detection and treatment of issues can save a lot of time and money, as well as reduce potential pain.
If you have any further questions or uncertainties, feel free to ask or visit a dental clinic.
I hope to have the opportunity to assist you.
Thank you.
Dental Clinic, Dr.
Chang Hsiang-Yuan

Reply Date: 2011/10/24

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the uneven appearance of your cheeks and the discomfort you're experiencing around your left molar. Based on your description, there are several potential dental issues that could be contributing to your symptoms, and I would like to provide some insights into what might be happening.

Firstly, the unevenness in your cheeks could be attributed to several factors, including dental issues, muscle tension, or even swelling due to inflammation. Since you mentioned that you have a partially filled cavity in your left molar, it is possible that the decay or infection in that tooth could be causing localized swelling, which may lead to asymmetry in your facial appearance. When a tooth is compromised, it can lead to inflammation in the surrounding gum tissue, which may cause discomfort and swelling that can affect the appearance of your cheeks.

Additionally, if there is an infection present, it could lead to the formation of an abscess, which is a collection of pus that can cause swelling and pain. An abscess can occur when bacteria invade the pulp of the tooth, leading to a severe infection that can spread to the surrounding tissues. This could explain the occasional pain and tenderness you feel when pressing on the area.

Another possibility is that the loss of the filling in your molar has led to further decay, which can exacerbate any existing issues and lead to increased sensitivity or pain. If the tooth is not treated, it may continue to deteriorate, potentially leading to more severe complications, including the need for root canal therapy or extraction.

Moreover, your history of poor oral hygiene and a diet high in sugar can significantly impact your dental health. Poor oral hygiene can lead to plaque buildup, which can cause gum disease (gingivitis or periodontitis) and tooth decay. Gum disease can also cause inflammation and swelling in the gums, which may contribute to the uneven appearance of your cheeks.

Given these factors, it is crucial to seek dental care as soon as possible. A dentist will be able to perform a thorough examination, possibly including X-rays, to assess the condition of your teeth and gums. They can determine if there is an infection, decay, or other issues that need to be addressed. Treatment may involve filling the cavity, performing a root canal if necessary, or even extracting the tooth if it is beyond repair.

In the meantime, maintaining good oral hygiene is essential. Brush your teeth at least twice a day with fluoride toothpaste, floss daily, and consider using an antibacterial mouthwash to help reduce plaque buildup. Avoid sugary foods and drinks, as they can contribute to further decay and gum disease.

In conclusion, the symptoms you are experiencing could be related to dental decay, gum disease, or an infection, all of which require prompt attention from a dental professional. I encourage you to schedule an appointment with a dentist to address these concerns and prevent any further complications. Taking action now can help restore your oral health and alleviate your discomfort.

Wishing you good health and a swift resolution to your dental issues.

Best regards,
Doctor Q&A Teams

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