HomeAnswersDentistrydental infectionsI have worsening dental pain that has no evident cause. Why?

What would cause someone to experience tooth pain frequently?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 6, 2023
Reviewed AtFebruary 2, 2024

Patient's Query

Hi doctor,

I have been experiencing on-and-off dental pain for a while now, and it is seriously getting worse each day. It is affecting my front left tooth and bridge and affecting me mentally. I have been to numerous dentists, and they have all said it is fine with X- rays to prove it. What could be the reason for pain?

Thank you.

Hi,

Welcome to icliniq.com.

I saw your query, and it seems like your gums are inflamed may be because of improper brushing around your bridge.

You can use a soft toothbrush and use dental floss twice daily.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

My gums are pink, and there is no bleeding or swelling. I have slight movement in my left front tooth, too, but my X- ray from three weeks ago shows no sign of concern. I have SRA in that tooth, but a dentist told me it would be rare for it to come out.

Thank you.

Hi,

Welcome back to icliniq.com.

I feel for you as you have this troublesome situation and the root anomaly you are talking about will be fine.

The main concern here is the pain you feel on and off.

If we deduct the probability of gum disorder, then just the pulp pathology will be left behind.

Now, for the pulp pathology, I want you to take an X-ray and talk to a dentist. He may suggest a root canal of the said tooth, and you can also put a beautiful crown of zirconium over it.

I think it will settle the problem permanently.

I hope it would help you, and feel free to ask anything. I understand your situation.

You may try a desensitizing toothpaste with a soft toothbrush twice daily.

And have an Advil (Ibuprofen) just for two to three days. You will feel a bit more relaxed.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Dentists have told me that my anxiety could be the cause, and psychological pain could be that I am assuming my teeth are moving. I worry about eating and sleeping and avoid the food I need to chew.

Thank you.

Hi,

Welcome back to icliniq.com.

Psychology and anxiety might be strong reasons.

You have to work on it. I want to assure you that if your tooth does not hurt and you are comfortable, you can freely eat anything you like.

You have to take some psychiatrist help to overcome this anxiety. The doctor may suggest anxiolytics.

Thank you.

Patient's Query

Hi doctor,

Every time I leave the dentist after getting reassurance that the pain ends. I do not want to assume that I need constant reassurance, but my tooth moves slightly when I knock the back of it with my bottom teeth.

Thank you.

Hi,

Welcome back to icliniq.com.

I am just saying that it might be psychological and not that it is for sure.

Now, as you are saying that it moves when I push the back of my tooth, I want to say that tooth mobility does not assess that way.

It happens to everyone, even to me.

If the tooth is mobile, then it also moves slightly vertically if you push it with the bottom tooth, and I am sure that would not be the case with you.

I do not want to put it this way, but you have to ignore the mobility issue for a while, and we can talk after some days to see if this helps.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Hi,

Welcome back to icliniq.com.

Get well soon and do inform me after a couple of days.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Sheheryar Khan
Dr. Muhammad Sheheryar Khan

Dentistry

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