Ask a Dentist and Get Your Dental Questions Answered
I want to know do gums have nerves separate from the tooth. My tooth does not hurt but the gum is painful if food gets stuck in between my teeth, if i brush my teeth too hard, or if i use a water pik pressure around the tooth. If i have a root canal would that eliminate the gum pain or just tooth pain
Thanks. I'm a bit unclear. Are you saying, that even after a root canal or filling, it is still possible to have pain around the tooth in the gum? Would an extraction eliminate the pain around the tooth in the gum? What does one typically do if the separately innervated ligament/gum line is the real problem? Does the nerve in the bones have to be removed somehow or just covered better without taking out the tooth?
I do not really have much tooth pain or sensitivity.I was told that I have a cavity and some perio pockets (4-5 deep) around the tooth.
I mainly have pain around the lining or gum line of the tooth which makes me wonder if a root canal, root scaling/cleaning, or extraction would alleviate this. What is your opinion? I'm considering perio cleaning first, then extracting the tooth if this will stop my gum line pain around the tooth.
But if the ligament or gum nerves are exposed is there a way to close it and alleviate the pain?
I am really not sure of the nature of your pain.If you have no sensitivity at the gumline when touching the tooth itself and you have no sharp pains to the tooth,doing a root canal or extracting the tooth is not indicated.If you are having dull nagging pain around the tooth and you have not had a good thorough deep cleaning recently,that is where you should start. There is no indication at this point that this tooth either needs to be extracted or root canalled.Get you teeth cleaned and the cavities filled,then you can always go to plan B.You have not stated whether you have any missing teeth that have not been replaced.
Thanks. I do not have any missing teeth. The tooth which I'm referring to is the upper molar next to my wisdom tooth. It does have a deep cavity and perio pockets around it. The tooth itself has no pain/sensitivity that's why I was wondering how could my gum line be hurting so much when i apply pressure (touch, cleaning with water pik around and in between especially). I was trying to figure out where could the exposed nerve be located that's causing this.
I see. The wisdom tooth is actually super erupted. Since I'm more so having pain with the gum I will seek a periodontist that can possibly treat and clean first. Do you think that would be a good start and do you think that will cause more nerve damage/pain if they go digging around cleaning it? There is exposure somewhere around my gumline (front and in between teeth) which hurt really bad when food gets in or when I use my waterpik flosser.
Thank you. I have one last concern. Does having a missing tooth or extracting tooth cause bad breath usually?
Dr. Katz. Could you tell me if extracting an upper molar could cause damage to the sinus? Should a dentist extract an upper molar while the gum line is inflamed, extremely painful, or is causing pain in the face, throat, and ear?
I've been on amoxicillin for my upper molar tooth but now my tooth/gum (behind it and all around) is MORE painful (especially when i touch it with my tongue or chew food) to the touch. The back of my throat (tonsil area and sinus area all hurt now). Could an infection have spread and the amoxicillin not be strong enough? Will extracting a 2nd molar be more painful in this condition (when novacaine where's off? If my sinus gets damaged, will it heal itself or require surgery?
Dr. Katz. Its been a week since my tooth extraction on my upper molar. I went to the dentist for follow up regarding slight pain I was still feeling. He asked if I smoked. I replied NEVER. I asked him why and he said my site is not healing well. He irrigated and pulled stuff out and I began bleeding and in pain all over again. Is there anything I can do to help the tissue heal? What could be causing bad tissue and not healing?