Can you advise me? I recently had a checkup and my dentist said everything is fine. I do know I grind my teeth sometimes at night because my husband mentioned it. Sometimes I feel myself clenching them too when I’m nervous. My dentist doesn’t think it is a big deal, but I’ve recently started having some pain. I don’t think it would be a cavity because my recent checkup said all was good. I keep feeling this pain on all my back lower teeth. It doesn’t last long, but it feels like something is pulling on it. What do you think it is? Do I need to go back to the dentist?
Please bear in mind I haven’t examined you myself. That being said, I can think of two things which could be an issue.
Possibility One: Bruxism
I am going to be blunt and tell you I feel like your dentist is neglecting some important issues.
I’m specifically concerned about the Bruxism you mentioned. If you are grinding and clenching your teeth, it is bad for your teeth as well as your temporomandibular joint (the jaw joint).
It worries me your dentist hasn’t addressed this. It can lead to TMJ Disorder or you can completely wear down your teeth and need to get dental crowns on all of them.
This could be one of the causes of the pain you are describing. The worst part of this is it would be so simple to protect your teeth that what you’re going through is completely unnecessary. As you can see on Dr. Root’s bruxism page, all it takes is a simple mouth guard that your dentist can custom fit to your bite.
I’m going to recommend you see a different than the one you’re currently seeing. It’s important you are seeing a dentist who understands Bruxism and can give you the care you need.
Possibility Two: Gum Disease
The second possibility for the pain you’ve described is gum disease. This is also urgent because if you’re feeling pain from gum disease, that means there has been significant bone loss and you are at risk of losing your teeth.
The priority should go to getting the gum disease under control. Your dentist will require extra appointments with deep cleanings in order to heal the gums. Once that is accomplished, you can move on to replacing any lost teeth.
The ideal tooth replacement option is dental implants. It is like having your own natural healthy teeth again. However, it does require good bone structure in your jaw. Gum disease eats away that bone, so it is very possible you’ll need some bone grafting first. Other patients opt for a dental bridge rather than dental implants.
Either is a good option. It just depends on your individual situation.
See a different dentist in order to get to the root of this pain and start on the right treatment.
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