[26F] Experiencing tooth pain and gum recession

Patient Description

A 26-year-old female has been experiencing a dull ache in her molar for six months, which worsens with exposure to cold foods and drinks. The pain, rated a 4 out of 10, radiates to the molar above. She had a deep filling in the affected tooth due to a cavity six months ago, followed by severe pain that subsided after a few months, coinciding with the onset of significant gum recession. She has no visible holes or dark spots on the tooth, no swelling, fevers, pain with biting or chewing, or bad taste/discharge from the tooth. Her medical history includes hypothyroidism, diagnosed in 2016, and she is currently on Levothyroxine and Estarylla with no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

  • Dental Pulpitis: This is inflammation of the dental pulp, which contains the tooth's nerves and blood vessels. It can occur when a cavity reaches the pulp, and it can cause pain when consuming hot or cold foods or drinks. The pain can be a dull ache or a sharp, intense pain. A deep filling, like the one you had, can sometimes inflame the pulp, leading to pulpitis.

    • Treatment typically involves a root canal to remove the inflamed pulp, or extraction of the tooth if it can't be saved.
  • Gum Recession: This is when the margin of the gum tissue that surrounds the teeth wears away, or pulls back, exposing more of the tooth, or the tooth's root. Receding gums can be caused by a number of factors, including periodontal diseases (gum infections that destroy gum tissue), brushing too hard, and hormonal changes. It can also sometimes occur after dental procedures.

    • Treatment can include deep cleaning the affected area, or surgical procedures to restore gum tissue.
  • Tooth Sensitivity: This is a common dental problem that involves discomfort or pain in teeth when encountering certain substances and temperatures. It can be caused by gum recession, worn tooth enamel, or exposed tooth roots. It can also occur after a tooth has been filled.

    • Treatment can involve using desensitizing toothpaste, fluoride gel, a dental guard (if you grind your teeth), or procedures to correct gum loss.

Please note that these are potential explanations based on the information you've provided, and they may not be the exact cause of your symptoms. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

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

  1. Maintain Good Oral Hygiene: Brush your teeth at least twice a day, floss regularly to remove plaque from between teeth, and consider using a mouthwash to kill bacteria.

  2. Avoid Acidic Foods and Drinks: These can cause further tooth enamel damage and lead to more sensitivity.

  3. Use a Soft-Bristled Toothbrush: This can help prevent gum damage and wear on the tooth surface.

  4. Use a Toothpaste for Sensitive Teeth: This can help reduce pain and discomfort.

  5. Visit a Dentist: It's important to get a professional evaluation to determine the exact cause of your symptoms and the best course of treatment.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain that doesn't go away
  • Swelling in your face or cheek
  • Fever
  • Trouble swallowing or breathing

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

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People Also Ask


What is dental pulpitis and how is it treated?

Dental pulpitis is inflammation of the dental pulp, which contains the tooth's nerves and blood vessels. It can occur when a cavity reaches the pulp, causing pain with hot or cold foods or drinks. Treatment typically involves a root canal to remove the inflamed pulp or extraction of the tooth if it can't be saved.


What causes gum recession and what are the treatment options?

Gum recession occurs when the gum tissue surrounding the teeth wears away or pulls back, exposing more of the tooth or its root. It can be caused by periodontal diseases, brushing too hard, or hormonal changes. Treatment options include deep cleaning, or surgical procedures to restore gum tissue.


How can I manage tooth sensitivity at home?

To manage tooth sensitivity at home, use desensitizing toothpaste, avoid acidic foods and drinks, use a soft-bristled toothbrush, and maintain good oral hygiene. These steps can help reduce pain and discomfort.


When should I seek immediate dental care for tooth pain?

You should seek immediate dental care if you experience severe pain that doesn't go away, swelling in your face or cheek, fever, or trouble swallowing or breathing, as these could indicate a more serious condition.


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