Traumatized front teeth

Joined
Jul 20, 2021
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Hello,
I have a quick question about traumatized front teeth. I've already visited my dentist and they told me that the teeth don't looked cracked (although the bottom one may be a small chip) and that the pain I'm experinceing is probably due to impact trauma the teeth had. I recently bit on a fork while I was having dinner and 2 days later the gums surrounding the tooth swelled up (mainly on the back on the roof of my mouth). I have a history of gingivitis and so I origionally thought it was just a flare up from that but when I had more pain in the tooth and it was spreading to other teeth I became worried and went to go see the dentist.

Anyway so as I'm having dinner tonight I noticed I wasn't even able to bite on anything with the affected teeth and now the bottom tooth is starting to have more sensitivity (which wasn't there before). I'm just worried that they may have missed something in my check up as I was origionally worried about a cracked tooth. My main question is what differentiates the pain from a cracked tooth to just a traumatized tooth (as that's what the dentist told me my teeth are experincing). Also shouldn't they have done something to the tooth they suspected was chipped? They did say it was something they are going to moniter. They did spray some kind of liquid on the teeth (it tasted like mouthwash with a really bad after taste) but I'm not really sure what it was supposed to do so any help with that would be greatly appreciated

Ps. I generally have bad anxiety so when I hyperfixate on something I'll overthink it to death. So it is a possibility that I'm just over reacting but I thought another opinion wouldn't hurt
 

Dr M

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May 31, 2019
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Good day

If it is indeed a traumatized tooth, the periodontal ligament of the tooth could have become inflamed. In such a case, we usually advise a soft diet for about 2 weeks, with some anti-inflammatory medication. If the pain persists, then there is a possibility of irreversible nerve damage and/or a related gum issue.
Additional investigation is then needed.
 

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Joined
Jul 20, 2021
Messages
4
Thanks so much for the help, the pain had significantly subsided since yesterday but I am still experincing some sentivity especially after a meal and I can still feel there is inflammation on the roof of my mouth. I am a little more concerned about the chip in the bottom tooth than anything else right now but I am going back for a cleaning in a few weeks so I'll address all those issues then. Thansk so much for your help it really helped put my mind at ease .
 

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Joined
Jan 25, 2023
Messages
31
Good day

If it is indeed a traumatized tooth, the periodontal ligament of the tooth could have become inflamed. In such a case, we usually advise a soft diet for about 2 weeks, with some anti-inflammatory medication. If the pain persists, then there is a possibility of irreversible nerve damage and/or a related gum issue.
Additional investigation is then needed.
Would you please tell me which specialist I would see for a diagnosis Of constant biting pain pressure. Ligament issues? had a root canal (he did cone beam X-ray) & the Endo said it came out beautiful. My regular dentist said it is fine. No one sees a crack, but since even before the root canal I have had biting pain and pressure and now I still have it with my temporary crown. My dentist actually threw up his hands because he did not know what this could be, and told me that a periodontist would not even be the correct person to diagnosis. I am at my wits end. What do I do do?
 

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Dr M

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I would consider going to a Maxillo-Facial surgeon. They can investigate grinding, TM joint disorders and/or neuralgia.
 

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