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Posts for tag: tooth pain

By ason A. Dunville, D.D.S, P.C. General Dentistry
December 29, 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.”

By ason A. Dunville, D.D.S, P.C. General Dentistry
December 09, 2018
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 ason A. Dunville, D.D.S, P.C. General Dentistry
June 23, 2017
Category: Dental Procedures
Tags: tooth pain  
OnlyaDentalExamcanIdentifytheRootCauseofYourToothPain

A toothache means you have tooth decay, right? Not necessarily — your pain could be signaling a number of potential causes. Determining where, how much and how often it hurts will help us find out the cause and apply the appropriate treatment.

A single symptom, for example, can mean many things. A twinge of tooth pain as you consume hot or cold foods might indicate localized tooth decay easily repaired by a filling. But it could also mean the tooth's root surface has been exposed as a result of periodontal (gum) disease — aggressive plaque removal and maybe even gum surgery might be necessary. Or it could be a sign of inner pulp decay: in this case you'll likely need a root canal treatment to save the tooth.

Pulp decay can also announce itself with a very sharp and constant pain radiating from one or more teeth. You shouldn't hesitate to see us for an examination — even if the pain goes away. Pain cessation most likely means the nerves in the pulp have died. The infection, however, still exists, so you'll still probably need a root canal treatment.

If you notice severe, continuous pain and pressure around a tooth, particularly about the gums, you may have a localized, inflamed area of infection called an abscess. An abscess can be the result of gum disease, but it might also stem from a foreign body like a popcorn husk, getting stuck below the gums. We'll need to conduct a complete dental examination to determine the cause and how to treat it.

Finally, a sharp pain when you bite down could mean many things such as a loose filling or a fractured (cracked) tooth. The latter especially requires immediate attention to save the tooth.

These are just a few of the possible causes behind mouth or facial pain. Although all of them are serious, a few are true dental emergencies and can't wait if we're going to save a tooth. The sooner you see us, the sooner we can help relieve the pain, minimize any damage and avert disaster.

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 “Tooth Pain? Don't Wait!

By ason A. Dunville, D.D.S, P.C. General Dentistry
December 20, 2015
Category: Oral Health
Tags: tooth pain  
TheTypeofToothPainYouHaveCouldbeTellingYouWhatsWrong

As with the rest of the body, tooth pain is an indication that something’s wrong. While the exact cause requires a dental exam, the location, quality and duration of the pain could narrow the possibilities. With that in mind, here are 3 types of tooth pain and what it might be telling you.

Sensitivity. Pain or discomfort when you eat or drink cold foods or bite down could mean you have a small area of decay in the tooth, a loose filling or an exposed root surface from gum recession. Dental work to repair a decayed tooth or filling could alleviate the pain; in the case of gum recession, you may need to reduce overaggressive brushing or seek treatment for periodontal (gum) disease, the two main causes of the condition.

Dull or lingering pain. A dull ache in the rear sinus area could indicate a problem with a back tooth — they share the same nerve pathways as the sinuses, so you may be feeling referred pain. In the case of lingering pain after eating or drinking something hot or cold, there may be decay within the inner pulp chamber of the tooth that’s damaging or even killing the nerve tissue. If so, a root canal treatment might be in order.

Sharp pain. That sudden, excruciating pain when you bite down could mean you’re experiencing advanced decay, a loose filling or possibly a cracked tooth. If the pain seems to radiate from the gums — and they’re swollen and sensitive — you may have developed an abscess brought on by periodontal (gum) disease. In all these cases, appropriate dental treatment like decay removal and filling, root canal treatment or plaque removal may be necessary, depending on the cause and extent of the problem.

Regardless of what kind of pain you’re feeling, you should see us as soon as possible — in many situations waiting will only make the problem worse. The sooner we discover the cause, the sooner we can begin the right treatment to solve the issue and alleviate your pain.

If you would like more information on the causes and treatment of 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 ason A. Dunville, D.D.S, P.C. General Dentistry
July 15, 2013
Category: Oral Health
Tags: tooth pain   sensitive teeth  
GettingtotheRootofToothSensitivity

An icy cold beverage on a hot day or a steaming cup of cocoa on a frigid day are some of the simple pleasures in life. So why do they sometimes seem to turn against you and send sharp, sudden pain shooting through your teeth?

When pain affects your teeth, it's because the nerves within the very center portion, the “pulp,” are reacting to a stimulus such as temperature, pressure changes, or acidic or sugary substances. In healthy teeth, the pulp is protected from stimuli. Above the gum line, a layer of enamel encases and protects the visible portion of tooth (crown). Below, the gums (gingiva) and a thin layer of “cementum” protect the root portion. Neither of these contains nerves. However, directly under the enamel and cementum, surrounding the interior pulp, is the “dentin.” This layer contains nerve fibers that can relay sensations to the nerves in the pulp, which respond as they are designed to — with an unpleasant feeling that tells you something's wrong.

That feeling can range from a momentary pang, to prolonged dull throbbing, to downright excruciating distress. The nature of the pain depends on the type and degree of stimulus. The only way to be certain of what's causing the pain is with a professional dental examination. However, your symptoms can hint at some possible sources.

Fleeting sensitivity triggered by hot and cold foods generally does not indicate a serious problem. It may be due to any of the following:

  1. a small area of decay in a tooth,
  2. a loose filling,
  3. an exposed root surface resulting from gum recession (often due to improper or excessive brushing), or
  4. temporary pulp tissue irritation from recent dental work.

To help alleviate root sensitivity, make sure the tooth is free of dental bacterial plaque by brushing gently no more than twice a day. Fluoride-containing toothpaste made for sensitive teeth might help. Fluoride and additives such as potassium nitrate or strontium chloride help relieve sensitivity. Try using the toothpaste like a balm, gently rubbing it into the tooth surface for about 10 minutes. If the sensitivity is related to recent dental work, it should resolve within a few days to a week or two, depending on the extent of the work you had done. A mild over-the-counter pain reliever may help in the meantime.

No matter what the reason, if the sensitivity persists or worsens, please come see us. Together we'll get to the root of the underlying problem and resolve it so you can get back to enjoying the foods and beverages you love, no matter what the temperature!

If you would like more information about tooth sensitivity and ways to prevent or 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 articles “Sensitive Teeth” and “Tooth Pain? Don't Wait!