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Posts for tag: tooth pain

By Raul A. Montalvo, D.D.S.
June 02, 2020
Category: Dental Procedures
Tags: tooth pain  
ToothPainHereAreSomePossibleCauses

“My tooth hurts…or maybe more than one. Or, it might be my gums.”

If you're having trouble describing the pain in your mouth, don't feel bad. Although our body's pain mechanism is great for alerting us to a problem, it can't always tell us the true cause and location of that problem.

That's especially true of tooth pain. It could be a sign, for instance, of decay within a tooth's inner pulp. When under attack, the nerves in the pulp often send out pain signals that could be sharp, dull, continuous, intermittent, seeming to come from one tooth or several.

If this is the case, depending on how deep the decay is, you could need a filling to resolve the problem or, if it's more extensive, possibly a root canal treatment to save the affected tooth. If you need a root canal, after removing the pulp's diseased tissue, the procedure calls for filling the empty pulp chamber and root canals to prevent future infection.

Another possibility for the pain is gum disease that has also infected the tooth. Gum disease usually begins with the bacteria in dental plaque, a thin biofilm that builds up on tooth surfaces, which infect the gums. If not treated promptly, the infection can advance below the gum line to the tooth roots and supporting bone. From there, it could invade the tooth and travel through the root canals to the interior pulp.

In this scenario, we'll need to treat the gum disease by removing plaque and tartar (hardened plaque) deposits from all tooth and gum surfaces. This is usually done manually with hand instruments or ultrasonic equipment, but it may also require surgical access to infected areas around the roots. If the tooth's nerve has become involved, we may also need to perform a root canal treatment as described above.

There are three key points to take from these two tooth pain scenarios. First, the only way to determine the true cause of your pain (and what treatment you'll need) is with a dental exam. Second, the sooner your pain is diagnosed and you begin treatment, the better your outcome—so see your dentist at the first sign of pain or other symptoms like swollen or bleeding gums.

And finally, you may be able to prevent these and other dental problems by removing disease-causing plaque through daily brushing and flossing and professional teeth cleaning every six months. Prevention through effective oral hygiene may help you avoid a future bout of mysterious tooth pain.

If you would like more information on treating tooth pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain.”

By Raul A. Montalvo, D.D.S.
February 18, 2019
Category: Oral Health
Tags: tooth pain  
TheDetailsAboutYourToothSensitivityPaincantellyouaLotAbouttheCause

Tooth sensitivity can be quite uncomfortable. But the glancing pain you feel may be more than an irritation — it may also be telling you there’s a deeper problem that needs attention.

As with other types of oral pain, tooth sensitivity can be a symptom for a variety of problems. Some of them are relatively minor, while others require immediate attention. It’s important to pay attention to the details about your tooth sensitivity and what they might be indicating you should do about it.

For example, your teeth may be sensitive to hot or cold foods or beverages. If it’s just a momentary pain it generally doesn’t mean an emergency — it could be a small area of decay on a tooth, a loose filling or an exposed root due to gum recession or overaggressive brushing. Besides seeing us for treatment for any decay, you can adjust your brushing habits to more gentle pressure with a soft-bristled brush. Fluoride toothpaste has also been shown to reduce this kind of sensitivity.

If, however, the pain from hot or cold substances lingers, then decay or some form of trauma may have affected the pulp, the innermost layer of a tooth. The pulp is rich in nerve fibers and can become inflamed and irritated from the decay or injury. You should visit us as soon as possible: you may require a root canal treatment that will not only relieve the pain but also save the tooth.

If you notice a sharp pain when biting down on food, it’s possible you have a loose filling or even a cracked tooth. As with inner decay, a fracture requires immediate attention. A loose filling should be easy to repair, but if it’s a fracture you may need extensive treatment to save the tooth or, if beyond salvage, have the tooth removed to make way for dental implant or similar restoration.

The key point is not to delay seeking treatment, especially if the pain is persistent, severe or long-lasting. The sooner you visit us about your tooth sensitivity, the sooner you’ll have solutions to stop the discomfort.

If you would like more information on tooth pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Pain? Don’t Wait!

By Raul A. Montalvo, D.D.S.
June 23, 2018
Category: Oral Health
Tags: tooth pain   toothache  
3TypesofToothPainandWhatTheyMightbeTellingYou

Physical pain is never pleasant or welcomed. Nevertheless, it’s necessary for your well-being—pain is your body telling you something isn’t right and needs your attention.

That fully applies to tooth pain. Not all tooth pain is the same—the intensity, location and duration could all be telling you one of a number of things that could be wrong. In a way, pain has its own “language” that can give us vital clues as to what’s truly causing it.

Here are 3 types of tooth pain and what they might be telling you about an underlying dental problem.

Sensitivity to hot or cold. If you’ve ever had a sharp, momentary pain after consuming something hot like coffee or cold like ice cream, this could indicate several causative possibilities. You might have a small area of tooth decay or a loose filling. You might also have an exposed root due to gum recession, which is much more sensitive to temperature or pressure changes. The latter is also a sign of periodontal (gum) disease.

Acute or constant pain. If you’re feeling a severe and continuing pain from one particular area of your teeth (even if you can’t tell exactly which one), this could mean the pulp, the tooth’s innermost layer, has become infected with decay. The pain is emanating from nerves within the pulp coming under attack from the decay. To save the tooth, you may need a root canal treatment to remove the decayed tissue and seal the tooth from further infection. You should see your dentist as soon as possible, even if the pain suddenly stops—that only means the nerves have died, but the decay is still there and threatening your tooth.

 Severe gum pain. If there’s an extremely painful spot on your gums especially sensitive to touch, then you may have an abscess. This is a localized area of infection that develops in the gums either as the result of periodontal (gum) disease, or an infection spreading from the tooth pulp into the gum tissues. You’ll need to see a dentist immediately for both pain relief and appropriate treatment (including a possible root canal) to heal the abscessed tissue.

If you would like more information on tooth pain and how to treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Pain? Don’t Wait!

By Raul A. Montalvo, D.D.S.
January 29, 2018
Category: Oral Health
Tags: tooth pain  
BeforeweExtractThatProblemToothLetsConsiderSavingit

Even though an implant is now as close to life-like as modern dentistry can produce, it won’t surpass the function of your own natural tooth. That’s not to say implants are an inferior choice—in fact, it’s often the best one if a tooth is beyond reasonable repair. But first, let’s consider saving your existing tooth.

We first need to know why your tooth is diseased—more than likely either from tooth decay or periodontal (gum) disease. Although different, these infections both begin with bacteria and can eventually lead to tooth loss.

While your mouth is teeming with millions of harmless bacteria, a few strains that live in dental plaque (a thin biofilm on your teeth) can cause disease. As they proliferate—feeding mostly on leftover sugar—they produce acid, which can erode the protective enamel on teeth. This can create cavities, which must be cleared of decayed material and filled.

Sometimes, though, the decay spreads deep within the pulp and through the root canals putting the tooth in danger. We may be able to save it, though, with a root canal treatment. In this common procedure we access the pulp chamber and clean out all the diseased or dead tissue. We then fill the empty chamber and root canals with a gutta percha filling and then seal the tooth. We later cap the tooth with a crown to further protect it.

Dental plaque can also give rise to a gum infection that triggers chronic inflammation. The inflammation can cause the gums to weaken and detach from the teeth to form large, infection-filled voids called periodontal pockets. This could lead to bone deterioration, further loosening the tooth’s hold.

But we can effectively treat gum disease by removing the plaque, which is fueling the infection. We normally do this with special hand instruments, but may also need to use surgical measures for more advanced cases. After plaque removal the inflammation subsides, giving the tissues a chance to heal and strengthen. We may also need to provide further assistance to these tissues to regenerate through gum or bone grafting.

These efforts can be quite involved, but if successful they could give your tooth another lease on life. And that could be a much better outcome for your dental health.

If you would like more information on the best treatment choices for your dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Save a Tooth or Get an Implant?

By Raul A. Montalvo, D.D.S.
January 06, 2018
Category: Dental Procedures
CharlizeTheronBackinActionAfterDentalSurgery

When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.

"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."

Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!

“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”

Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.

Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.

Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.

Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.

If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”



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