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FAQ:  Pain - Gum and Mouth


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Question:
I have been to six dentists for the same problem. It started about 2 1/2 years ago. My lower right side of my mouth started becoming painful. The last 3 teeth. I didn't know if it was the teeth or the gums. Each time I saw a dentist they would do x-rays.

They said that the crowns looked good and that they couldn't find the problem. One dentist suggested Prevident. That worked pretty good. I have been using it for 2 years now. Three months ago the pain got worse and my dentist decided that he should do a root canal on the tooth and the closest crown. It did not help.

I am still in pain but if I place the Prevident on the area it helps. What do you think the problem is? Why does the Prevident help? Should I get another root canal on the last crowned tooth? HELP!!!! I have spent 2300.00 and have no relief. ...Donna in CA

Answer:
Donna, if you are getting relief from using a high fluoride product such as prevident, it suggests root exposure sensitivity. After proper root canal treatment, you will have zero sensation from cold or heat or anything for that matter. Using a fluoride product on a root canal treated tooth will do nothing to help with pain control.

It is possible that the pain is from the last remaining, vital tooth (no root canal) or it could be from an upper tooth causing a pain referral. Assuming that the root canals were done properly and that you have had testing on all of the teeth in the area with no answers, I would look at the upper teeth and check your bite and TMJ for possible problems here.

If this root canal treatment was just completed, give it a few days and monitor. If still no relief, get some testing done on all of the other teeth and ask that your dentist check your bite (occlusion). You could be grinding your teeth at night as a result of life stress and causing pain. A night guard made from hard acrylic would really help if this is the case.

Monitor how your jaw feels in the morning upon waking; specifically the large muscles near the angle of your lower jaw, and your temporalis area above your ear. If sore or tired, you could be clenching at night and causing discomfort.

Editorial Staff

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