PDL strain/subluxated front tooth?

Joined
Apr 16, 2024
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From researching, I fear I've bruised the PDL in my top front tooth about 5 days ago.

I'm getting spontatenous zapping pains that shoot up into my nose. The tooth feels like it clicks or shifts when I press it with my tongue. Mildly sensitive to cold but not lingering.

At rest, I've got an odd pressure sensation around the tooth.

I know I should leave it be but I'm constantly fussing because I'm anxious.

I also grind my teeth at night but can't sleep with a night guard.

The clicking/shifting is making me really anxious that the tooth is coming loose.

Do I need to see a dentist? I've read about splints or x-rays for root fractures? Is it an emergency? I can't get an appointment until Monday.
 
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Dr M

Verified Dentist
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May 31, 2019
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How did you bruise your tooth? A clicking sound is not normal, and I would consider seeing a dentist to rule out any fractures. Why are you not able to sleep with a night guard? Is it a top or bottom one? Is it an over the counter one, or a custom made one made by a dentist?
 

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Joined
Apr 16, 2024
Messages
28
How did you bruise your tooth? A clicking sound is not normal, and I would consider seeing a dentist to rule out any fractures. Why are you not able to sleep with a night guard? Is it a top or bottom one? Is it an over the counter one, or a custom made one made by a dentist?
I saw a dentist - she tested for mobility (zero). She said the ligament is inflamed which is making it feel like it "clicks" slightly when pushed with tongue? Especially since it's fine in the morning and only starts after I've eaten.

It is a custom night guard but it's a sensory issue for me.
 
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