wisdom tooth hurts when i bite down
Some teeth have cracks that do cause pain. Just to make things more challenging, sometimes these cracks are too small to show up on X-rays and can sometimes be under the gum. If the crack is visible, it is usually seen as a vertical hairline crack. These small, painful cracks are known as cracked tooth syndrome. The Cracks You Can See Looking in the Mirror Don t be confused Most adults have craze lines and they cause little concern because they only affect the outer enamel of the tooth and are painless. PAIN CAN BE UNPREDICTABLE Many people with cracked tooth syndrome have symptoms for months. Cracked tooth syndrome can also be a challenge to diagnose because the pain is not always predictable. It is most common in lower back teeth (molars) because these teeth absorb most of the forces of chewing. COMMON SYMPTOMS The tooth may hurt when you bite or chew, with mild or intense sensitivity. The pain does not usually linger, but disappears quickly when chewing stops. DonБt expect a constant ache, as you would if you had a cavity or abscess. The tooth may be sweet and temperature sensitivity; this sensitivity is caused when the crack is wide enough to allow sweets and temperature to reach under your enamel. You may find yourself chewing food on the opposite side of your mouth or avoiding certain foods on the affected side. WHAT CAN CAUSE THE TOOTH TO BECOME CRACKED? The chronic grinding of your teeth while sleeping. Bad Habits Such as chewing on ice, pens, pencils, hard candies, etc.
Trauma A blow to the mouth or an accident. Tooth Misalignment Some teeth receive more stress during chewing. Past Fillings Teeth with large fillings may be more likely to crack. PREVENTING PAINFUL CRACKS If you grind or clench your teeth, let us know. Grinding, or, can definitely increase your risk of cracked tooth syndrome. Comfort Dental can make you a, also called a bite splint, to alleviate the potential tooth damage from grinding your teeth. This will relieve the pain from grinding. For some people it can stop tooth sensitivity. The night guard can be worn during sleep. It also can be worn at other times, if clenching or grinding happens during waking hours as well. COMFORT DENTAL CAN HELP If you experience symptoms of Cracked Tooth Syndrome,
and will examine your mouth and teeth, focusing on the tooth in question. We may use an instrument called an explorer to feel for cracks in the tooth, as well as see if the crack shows up on an X-ray. Treatment depends on the size of the crack and the ability to remove the problem causing the crack. Minor cracks may be treated with a desensitizing agent, but without eliminating the cause, the crack can recur and worsen. The will typically keep the crack from opening and will alleviate the pain. We hope this information was helpful, and please let us know if you have additional questions. Comfort Dental is here in Lafayette to provide extraordinary dental care in an inspiring atmosphere Б with a caring staff! Treatment depends on the symptoms that you present with, but essentially the aim is to treat the infection and remove the cause.
Your dentist may consider the following: Draining. If pus is present this should be drained where possible. The infection can spread in various ways at the back of your mouth depending on the angle of the tooth, and the relationship to the other teeth, bone and muscle attachments. Sometimes it will point like a big spot or pimple either inside or (very rarely) outside the mouth depending on the path of the infection. This makes it much easier to drain. At other times it may be a firm swelling that is, or has the potential to impinge on the air-way and cause difficulty breathing. In these rare cases, referral to hospital and a general anaesthetic will be required. Cleaning/washing. The area will need to be cleaned out. To do this, the dentist is likely to wash under the gum with an antibacterial such as 'my dear Chlorhexidine', making sure any trapped food particles are removed. Sometimes they might use saline (salt water) to flush the rubbish out. If the dentist can get the area numb, they may use a scaler to clean down there as well, but because of the swelling in that area, this is not always possible or sensible if there is a lot of infection. Take out the top wisdom tooth. If the opposing wisdom tooth is through the gum and causing trauma on the bottom when you bite, it should be taken out. Top are amongst the easiest teeth in the mouth to extract- heavily impacted bottom ones are the teeth you hear the dodgy stories about.
Patients often say 'but it is the bottom one that hurts'- yes, but this will often relieve the pressure and the pain- let the infection subside and give room for the lower tooth to come through a bit more- allowing for an easier extraction later. Painkillers. You are going to want to take some painkillers such as Ibuprofen to help ease the pain and reduce the inflammation whilst it settles down. Your dentist can advise you on what is best. The chances are you will have already started taking something for a few days before actually going to the dentist in an attempt to avoid the visit. tut tut tut. Antibiotics. If the infection is showing signs of spreading (temperature is up, glands are hurting and you feel unwell) then antibiotics may be needed. If the swelling is considerable, access for cleaning will be very limited and an antibiotic can help settle things down- bear in mind it generally takes 24 hours to kick in. The most commonly prescribed antibiotics for this situation are metronidazole and amoxicillin- your dentist will complete the appropriate prescription and ensure they are suitable for you to take. In the vast vast majority of cases, this condition is managed routinely with your dentist. It can however, on occasions lead to a severe spreading infection that puts you at considerable risk, requiring hospital admission, intravenous antibiotics and perhaps surgery under general anaesthetic.
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