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What Causes Painful Premolar Teeth?

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Posted on Wed, 16 Jul 2014
Question: nullI have an odd problem in My premolar(Tooth#30,molar on bottom right side).It started with sensitivty to cold and hot.Later on I felt pain emitting out.I visited Dentist locally,they took bite-wing X-Ray and some others but did not show much.I have a composite tooth feeling in that premolar.Later on I felt pain in biting as well as the gum below the tooth wherein it connects to the tooth is in Pain.My dentist gave me painkillers and Amoxicillin 500 mg capsules.She also recommended scaling of the bottom right and right upper sections of the mouth.I have already completed those.After completing the course the pain and swelling has gone away but at the bottom of the molar in the gum area there is a hard lump like thing ,not visible externally,can only be felt by finger and painless unless I press it.If we look in mirror it does not show any visible swelling from outside.I am very worried.
doctor
Answered by Dr. Neha Sumra (1 hour later)
Brief Answer:
Go for deep scaling & gingival curretage.

Detailed Answer:
Hi

Thanks for writing in.

It seems to be periodontal abscess & needs gingival curretage & deep scaling.
Also take metrogyl 200 twice a day & warm saline rinses.
If still problem persists it might require Root Canal Treatment.
Visit your dentist & get treatment started.

Hope I answered your query

Wishing you good health

Regards
Dr. Neha Sumra
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Neha Sumra (1 hour later)
Deep Scaling is done already
Completed 500 Mg Amoxiciilin course as well.
I will do the saline rinses.This is going on for over 3 weeks now.I had my deep cleaning done last week.
doctor
Answered by Dr. Neha Sumra (4 minutes later)
Brief Answer:
Go for root canal treatment.

Detailed Answer:
Hi,

If your problem is not resolved by deep cleaning then go for root canal treatment of teeth.

Regards
Dr. Neha Sumra
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Neha Sumra (2 days later)
Hi
I went to the Endodontist today for an evaluation.
He tapped my tooth using an instrument and noted negative percussion.
The endo ice test was positive,I did not feel anything in the affected tooth.
He recommends root canal followed by crown,what is your thought?
doctor
Answered by Dr. Neha Sumra (3 minutes later)
Brief Answer:
Go for RCT followed by capping.

Detailed Answer:
If endo test is positive then you should go for RCT followed by capping.
Some times percussion may be negative but your endo test & symptoms suggest go for RCT.

Regards
Dr. Neha Sumra
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Neha Sumra (4 hours later)
I have uploaded a new X Ray for your review.

An additional concern in the lump few cms below the tooth in the gum area.its really sore and hard to press.Also the gum is tender there.
doctor
Answered by Dr. Neha Sumra (4 hours later)
Brief Answer:
It has developed abscess.

Detailed Answer:
There is infection in that tooth.
You have already gone for scaling & curretage but problem still persists.
Now go for RCT followed by capping if you want to save tooth.
Give some time between RCT & capping.

Regards
Dr. Neha Sumra
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Neha Sumra (12 hours later)
Does the new X-Ray show the abcess?
doctor
Answered by Dr. Neha Sumra (6 minutes later)
Brief Answer:
Yes there is abscess formation.

Detailed Answer:
There is abscess formation in that tooth.
If problem doesn't resolves by scaling & curretage then go for RCT followed by capping,

Regards
Dr. Neha Sumra
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Neha Sumra (10 hours later)
Hi,
Are there any symptoms of cracked tooth evident from the new X Ray?
doctor
Answered by Dr. Neha Sumra (37 minutes later)
Brief Answer:
No, there is no crack visible in x- ray.

Detailed Answer:
As such no crack line is visible on this x- ray.Rest can be checked clinically.

Regards
Dr. Neha Sumra
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
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Dr. Neha Sumra

Dentist

Practicing since :2011

Answered : 742 Questions

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What Causes Painful Premolar Teeth?

Brief Answer: Go for deep scaling & gingival curretage. Detailed Answer: Hi Thanks for writing in. It seems to be periodontal abscess & needs gingival curretage & deep scaling. Also take metrogyl 200 twice a day & warm saline rinses. If still problem persists it might require Root Canal Treatment. Visit your dentist & get treatment started. Hope I answered your query Wishing you good health Regards Dr. Neha Sumra