Dr. Muzaffer Hussain Parray
Dentistry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am 60 years old. I have pressure on the front teeth above the gum line for about 1/4 to 1/2 inch. The dentist thought it was due to replacing caps with new ones, affecting the bite and causing pain on the gum above the tooth. My gums are tight, and I have visited an Endodontist for a second opinion. X-rays again show infection. My teeth feel tight, and today, between the front teeth, a small whitehead appears and pops like a small pimple. It is not an abscess, no foul odor, etc. I am rinsing with saltwater and peroxide. It is annoying. Please help.
Hi,
Welcome to icliniq.com.
As per your detailed query, you have apical periodontitis. This is due to the high points on caps. When you close your teeth, your opposite side puts pressure on the teeth, which are now becoming annoying. Because the pressure is at the tip or apical portion of the root, you feel pain inside the gums, and there is now a draining sinus.
You need to take antibiotics and pain killer like NSAID (non-steroidal anti-inflammatory drugs) because they help in inflammation.
My suggestion is to either get the cap removed or get it trimmed so that the high point, which is causing it, will go off.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Thank you doctor,
X-rays done by two different doctors showed no indication of fracture or infection.
Hi,
Welcome back to icliniq.com.
Then you need to visit a periodontist because it is due to stress. When there is more pressure on your periodontium (tissue around the tooth root), there are chances of inflammation.
My opinion is to take the above medication for five days, at least Augmentin and get your crown readjusted as soon as possible. There is also no need to worry because it is not any dangerous situation. It will heal within days after taking medicines and getting your prosthesis adjusted.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dentistry
Related Questions
I have tooth pain when I eat but X-ray shows nothing. Is RCT required?
I have tooth pain. Should I get root canal treatment for this?
Why is there sensitivity in the teeth where caps were placed?
I fixed my temporary crown back with toothpaste and now my tooth hurts. Why?
My husband always loses his tooth after a root canal. What should he do?
Are You a Good Candidate for Dental Implants?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
