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What Causes Severe Teeth And Gums Pain?

Posted on Fri, 14 Jul 2017

Question: I have pain in between 2 teeth and gums. In upper jaw both sides 1st molar tooth. Please find the attached x-rays. Please tell me the treatment for pain relief.

Answered by Dr. Honey Arora (41 minutes later)

Brief Answer:
Teeth are appearing fine.

Detailed Answer:
Hi..
Thanks for the query..

I have examined your x rays and I do not see any decay in your molar teeth..
Nor there is any specific bone loss..
However acute gum infection can cause pain that is not evident in x ray..
Can you please tell me that is the pain always present or does it occurs when you chew?
-Are your molar teeth loose or firm?
-Do you have any teeth grinding or clenching habit?
-Do you feel pain when you bite your teeth together?
-Do you experience any gum bleeding?
-As you visited the doctor, he must have also done a clinical examination, so what did he tell you to get done?
- Are you taking any antibiotics or just painkillers?

Please revert back with answers..

Regards..

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Honey Arora (15 hours later)

Please find input to your questions.

Can you please tell me that is the pain always present or does it occurs when you chew?
-Are your molar teeth loose or firm?
Firm.Not Loose.

-Do you have any teeth grinding or clenching habit?
No don't have any such habits

-Do you feel pain when you bite your teeth together?
No i don't feel any pain

-Do you experience any gum bleeding?
Occasionally.Out of 10 times 1-2 times i would see little leeding

-As you visited the doctor, he must have also done a clinical examination, so what did he tell you to get done?
Yes vistied 2 doctor.Doctor told there is bone Loss one doctor told to undergo Flap Surgery for gums and otehr doctor told me to do Deep Cleaning of Gums.So not sre what can be done next to confirm if it is problem with Gum causing this pain or Bone loss is causing this pain

- Are you taking any antibiotics or just painkillers?
ya i took Painkiller 3 times.this has been started 2 months back at that time pain was less but in past few days pain is more .

Thanks for your help

Answered by Dr. Honey Arora (54 minutes later)

Brief Answer:
Go for deep scaling.

Detailed Answer:
Hi..
Well, you should go for deep scaling as from these x rays I do not see too much bone loss.
As far as flap surgery is concerned, I would like you to send me images of your teeth including gums so that I can check if there is recession or not and can advise you that you should go for flap surgery or not..

Hope this helps..

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Honey Arora (6 hours later)

Thanks for your reply.Do you want me send directly the images of tooth and gums taken through phone or x-ray scan ?If it is x-ray scan which scan we should tell doctor to do?

Answered by Dr. Honey Arora (1 minute later)

Brief Answer:
Pictures from your phone.

Detailed Answer:
Hi..
I want you to click pictures of your teeth and gums where you have pain and upload it here and not x rays.

Regards..

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Honey Arora (46 minutes later)

Please find the attached toth images and let us know if deep cleaning of gums would solve this issue

Answered by Dr. Honey Arora (4 minutes later)

Brief Answer:
Yes, deep cleaning will help.

Detailed Answer:
Hi..
Yes, deep cleaning followed by antibiotics and painkillers will help..
Also gargle with antiseptic mouthwash..
Do warm saline gargles..
Massage your gums with metronidazole containing ointment/gel suitable for oral use..
Chew a Vitamin C pellet daily .

Hope this helps.

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

Above answer was peer-reviewed by : Dr. Raju A.T