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Dr.Hans
Dr.Hans, Masters of Dental Surgery
Category: Dental
Satisfied Customers: 644
Experience:  11 years of clinical experience in diagnosing and treating problems in oral and dental health.
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Pain In My Front Tooth

Resolved Question:

I have had pain in my teeth for 4 days now. It i's not a constant pain. It comes and goes. The whole right side of my face was hurting, that has gone, but now one of my front teeth hurts. Its a dull pain, but hurts worse when I bite down or touch the back of the tooth with my tongue. Also, feels like the right side of my jaw is kinda sore.

Submitted: 6 years ago.
Category: Dental
Expert:  Dr.Hans replied 6 years ago.

Dear Customer,

Welcome to JustAnswer.

Can you give me a little detailed information about your condition?

Is there a cavity associated with any teeth?

Do you have a habit of clenching your teeth/grinding your teeth?

Is there any sensitivity to hot/cold?

Pus/abscess formation in any teeth?

Thanks















Customer: replied 6 years ago.

I don't think there is a cavity. I have had a filling done on the one that is now hurting. I don't know if I really have a habit of grinding my teeth. But some of the things associated with grinding teeth, such as jaw pain, and dreams of my teeth falling out. I have noticed that at times I do clinch my teeth together. There is slight sensitivity to cold. Hot doesn't bother me. No pus or abscess. At first it felt like it may have been my sinuses, but now I don't understand why my front tooth is hurting. Its a very dull pain, but worsens when my teeth touch at the bottom of the tooth or if I touch the back of the tooth with my tongue.

Expert:  Dr.Hans replied 6 years ago.

Dear cmd1,

Thanks for additional information.
Thanks a lot for your response and patience.

There are few more questions. Please answer them for me and I will get back to you as soon as possible!

When was the filling done? Was it a root canal or just a simple filling?

Does your front tooth look like it is worn out or appear shorter( look in the mirror for the edges of your teeth)?Do you feel that the edges are flattened or there is any loss of tooth structure at the edge(lower end of that teeth)?

Does the tooth hurt only when touched by your opposing tooth/tongue touch?
Has anyone never told that you grind your teeth(If at all,you do!)? Usually it is involuntarily grinding in sleep and the person is not aware of it.

Thanks













Customer: replied 6 years ago.
The filling was done a couple months ago ( I think around October, November) It was just a simple filling.

It's not shorter, feels like it may be thinner.

It hurts at all times, pain is actually getting worse. But it hurts severly if i touch it with my tongue.

No one has ever told me i grind my teeth. I was reading information on the internet, and i have some of those symptoms.





Expert:  Dr.Hans replied 6 years ago.

Hello cmd1,

Thanks for your response and patience.

I am sorry that you are having such a tooth ache and I have to tell you that your already filled tooth is not fine.

Your symptoms of dull lingering pain, sensitivity to cold, pressure from suction exerted by tongue are indicative of Irreversible Pulpitis (pulpal inflammation. The most common cause of Irreversible Pulpitis is bacterial involvement of the pulp.

You may be experiencing extreme sensitivity to cold or your tooth might hurt spontaneously without any external stimulus. You may have a dying nerve in your tooth and you might need a root canal therapy.

This probably means the pulp has been irreversibly damaged by deep decay or any crack/fracture of filling. What has happened is that the bacteria has penetrated beyond the dentine and inhabits the pulp. Now the nerve has died and has become necrotic. Spontaneous pain is also present because of the same reason.This sort of pain is the lingering pain. This pain from the infection may also be reach the other areas of the same arch (to other teeth on same side) and opposing arches. Sometimes, this pain can also radiate to angle of the mandible (lower jaw) and also sometimes to the ear. The prognosis of tooth is favourable if the pulp is removed and you undergo proper endodontic therapy and restoration.

I would like you get your tooth properly re-evaluated by your dentist. Preferably an endodontist. Also, get an x-ray made for the same tooth. Dentist can decide a treatment plan for you. This tooth probably needs a root canal.

You also told that the incisal edge surface is getting thinner. This might be due to daily physiologic wear and tear that takes place during biting or chewing or by your clenching habit. Well if you are aware of such a thing happening than try to minimize that and then finally stop the habit. In the long run, it can affect all your teeth and can cause other discomforts.

For your pain relief you can take Tablet Tylenol. It is an over the counter drug for pain relief.

Read more about it here.
http://en.wikipedia.org/wiki/Tylenol

Do not brush hard or chew hard food from that area.

I hope this answers all your questions.

Feel free to ask me further if you have any queries.

Take care.
Thanks



















Customer: replied 6 years ago.

At this time I do not have the funds to get a root canal. What should I do?

Expert:  Dr.Hans replied 6 years ago.

Dear Customer.
Thanks again for your response.

I can understand your situation. But do not worry. If funds are posing a problem, Then you can approach your local/state dental association for help.

You can contact them here:
http://www.ada.org/ada/organizations/orgdetail.asp?OrganizationID=377

Best would be to get your treatment done from the Dental School in your city.
Have a look at this site:
http://www.dentalclinicmanager.com/list-of-dental-schools.html

Thanks







Dr.Hans, Masters of Dental Surgery
Category: Dental
Satisfied Customers: 644
Experience: 11 years of clinical experience in diagnosing and treating problems in oral and dental health.
Dr.Hans and other Dental Specialists are ready to help you

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