Bite Issues: Causes and Solutions for Dental Discomfort

Dental occlusion issues?

Hello, I would like to ask about a sensation I sometimes experience where my teeth seem to be hitting against each other (specifically, the fixed upper and lower second incisors on the right side).
This feeling lasts for about 1-2 days and then disappears, but it reoccurs after some time.
While it doesn't severely impact my daily life, it can be inconvenient when eating and during times when I'm not speaking.
I'm curious about the possible reasons for this.
I also have misaligned teeth; could this be related?

EVA, 30~39 year old female. Ask Date: 2016/02/15

Dr. Huang Zhicheng reply Dentistry

Hello, teeth may experience occlusal interference leading to a phenomenon known as "biting" or "occlusal trauma." You can consult a dentist for occlusal adjustment.
However, if the tooth has periodontal disease and is swollen due to compromised resistance, periodontal treatment should be prioritized, and a differential diagnosis should be performed by the physician.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/15

More Info

Understanding bite issues and dental discomfort can be quite complex, as they often stem from a variety of factors, including dental alignment, occlusion (the way teeth come together), and even underlying dental health conditions. Based on your description, it seems that you are experiencing intermittent discomfort related to your bite, particularly with your upper and lower second incisors on the right side. This discomfort, which lasts for a couple of days and then subsides, can be attributed to several potential causes.

Possible Causes of Bite Discomfort
1. Dental Misalignment: If your teeth are not properly aligned, it can lead to uneven pressure when biting or chewing. This misalignment can cause certain teeth to hit each other prematurely, leading to discomfort. Since you mentioned that your teeth are not straight, this could very well be a contributing factor.

2. Occlusal Issues: Occlusion refers to how your upper and lower teeth come together when you bite. If there are discrepancies in your bite, such as overbite, underbite, or crossbite, it can lead to discomfort. When certain teeth make contact before others, it can create pressure points that may cause pain or discomfort.

3. Bruxism: If you grind your teeth or clench your jaw, this can lead to muscle fatigue and discomfort in the teeth and jaw. This is often exacerbated by stress and can lead to uneven wear on the teeth, further complicating bite issues.

4. Dental Work: If you have had recent dental work, such as fillings, crowns, or orthodontic treatment, it may take some time for your bite to adjust. Sometimes, dental restorations can be slightly higher than the surrounding teeth, leading to discomfort until adjustments are made.

5. Periodontal Issues: Gum disease or other periodontal issues can lead to changes in the way your teeth fit together. If the supporting structures of your teeth are compromised, it can affect your bite and lead to discomfort.

Solutions and Recommendations
1. Consult a Dentist: The first step in addressing your concerns should be to consult a dentist. They can perform a thorough examination, including X-rays if necessary, to assess your bite and overall dental health. They may also conduct a bite analysis to identify any discrepancies.

2. Orthodontic Evaluation: If your teeth are significantly misaligned, an orthodontic evaluation may be beneficial. Braces or other orthodontic treatments can help realign your teeth, improving your bite and reducing discomfort.

3. Occlusal Adjustment: If your dentist identifies that your bite is uneven, they may recommend an occlusal adjustment. This involves reshaping the biting surfaces of your teeth to ensure they come together properly.

4. Mouthguard: If bruxism is suspected, your dentist may recommend a custom mouthguard to wear at night. This can help protect your teeth from grinding and alleviate discomfort.

5. Good Oral Hygiene: Maintaining good oral hygiene is crucial. Regular brushing, flossing, and dental check-ups can help prevent periodontal disease and other dental issues that may contribute to bite discomfort.

6. Stress Management: If stress is a factor in your bruxism or jaw clenching, consider stress management techniques such as mindfulness, yoga, or other relaxation methods.

Conclusion
In summary, the discomfort you are experiencing with your bite could be related to dental misalignment, occlusal issues, or other underlying dental health conditions. It is essential to consult with a dental professional who can provide a comprehensive evaluation and recommend appropriate treatment options. By addressing these issues, you can improve your dental comfort and overall oral health. Remember, early intervention is key to preventing more significant problems down the line.

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