[18F] Experiencing tooth pain with sensitivity to hot and warm foods

Patient Description

An 18-year-old female has been experiencing pulsating pain in an upper molar with a filling, particularly when consuming hot or warm foods and drinks. This issue has persisted for several months. The pain fluctuates but is currently rated at about a 6 out of 10 in severity. The affected molar has a large filling, and the patient has a total of six cavities with large fillings. There are no signs of swelling or pus around the affected tooth. The patient is not on any medications and has no other reported symptoms or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely diagnosis is:

  • Tooth sensitivity or pulpitis: This is a condition where the pulp inside a tooth becomes inflamed. This can be caused by various factors, including tooth decay, trauma, or large fillings. The pain is often triggered by hot or cold foods and drinks, and can be described as a pulsating or throbbing sensation.
    • Treatment typically involves managing the underlying cause. If the tooth decay is severe or the pulp is damaged, a root canal treatment may be necessary. In some cases, removing the tooth might be the best option.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Avoid hot or cold foods and drinks, as these can trigger the pain.
  2. Use a toothpaste designed for sensitive teeth. These toothpastes contain compounds that help to block the transmission of sensation from the tooth surface to the nerve.
  3. Maintain good oral hygiene. Brush your teeth twice a day and floss daily to prevent further tooth decay.
  4. Over-the-counter pain relievers, such as ibuprofen, can help to manage the pain. However, these should not be used as a long-term solution.

What you should look out for

You should seek immediate medical attention if:

  • The pain becomes severe or is not relieved by over-the-counter pain relievers.
  • You develop a fever or swelling in your face or jaw.
  • You have difficulty swallowing or breathing.

Please remember that while I strive to provide accurate and timely information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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7 mo ago


People Also Ask


What causes tooth sensitivity or pulpitis?

Tooth sensitivity or pulpitis can be caused by tooth decay, trauma, or large fillings that irritate the pulp inside the tooth. It often results in pain triggered by hot or cold foods and drinks.


How can I manage tooth pain at home?

To manage tooth pain at home, avoid hot or cold foods and drinks, use toothpaste for sensitive teeth, maintain good oral hygiene, and consider over-the-counter pain relievers like ibuprofen.


When should I see a dentist for tooth pain?

You should see a dentist if the pain becomes severe, is not relieved by over-the-counter pain relievers, or if you develop symptoms like fever, swelling, or difficulty swallowing or breathing.


What are the treatment options for severe tooth decay or pulpitis?

Treatment options for severe tooth decay or pulpitis include root canal treatment to remove the damaged pulp, or in some cases, tooth extraction if the damage is extensive.


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1 Comments


Anonymous#23658

7 mo ago

If there isn't anything on the x-rays, it could be that the enamel is worn and you're now through to the dentine (usually a more solid yellow color, not much shine to it compared to enamel), this can be from brushing too hard or you have gum recession and the root is exposed. Otherwise it can be a crack in the tooth - did the dentist have you bite onto anything to see if it hurt?

Rub sensitive "rapid relief" toothpaste over your teeth like a cream for 1 minute, don't rinse.

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