Why Do I Have Pain Weeks After a Tooth Extraction?

Last month, my dentist sectioned my upper right molar into three pieces before extracting it. It was a fractured root canal tooth that the dentist couldn’t save. Since the extraction, I’ve had late afternoon and evening pain that ibuprofen doesn’t relieve. I feel pain on the side of my face, too. It throbs into my ear. My dentist said that if it persists, she can prescribe an antibiotic. Shouldn’t she try to figure out the cause instead of just prescribing meds? Thanks. Avery from NV

Avery,

It’s normal to experience discomfort after a tooth extraction for about a week. However, if the pain persists and worsens, especially for weeks, see a dentist.

What Causes Persistent Pain After Tooth Extraction?

A latent infection in the extraction site is one potential cause of persistent pain after a tooth extraction. An infection may require antibiotic treatment.

Another potential cause could be pain from an adjacent tooth or a nerve. In your case, the numbness you’re experiencing might indicate pressure on a nerve.

Schedule an Exam and X-ray

We recommend scheduling a follow-up appointment with your dentist to assess the situation. She can examine and x-ray the area, rule out any potential complications, and recommend appropriate treatment.

If your dentist determines you have an infection, an antibiotic like clindamycin may help. Take all the medication as prescribed to prevent a recurring infection. If you are considering tooth replacement and want a dental implant, notify your dentist so that she can create a treatment plan for an implant.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post. Read how he strives to provide some of the best dental care in Rocky Hill.

 

Why Did Teeth Whitening Make the White Spots Look Worse?

and the white spots looked worse. My dentist recommended another brand of whitening. I’m nervous about how my teeth will work. Are there alternatives to improve the white spots without bleaching my teeth again? Thanks. Myra

Myra,

Advanced cosmetic dentistry training is crucial for treating teeth discoloration. A dentist without this expertise may not fully understand the underlying causes of discoloration and may recommend ineffective treatments.

Do Teeth Whitening Products Work for White Spots?

Teeth whitening products are generally ineffective for improving white spots. While whitening products can lighten stains embedded in teeth, they do not address uneven discoloration or spots caused by other factors.

What Causes White Spots on Teeth?

Decalcification is often a cause of white spots on teeth. The spots often occur around brackets on braces. Factors that can cause decalcification include:

• Trapped food debris or bacteria beneath braces or around brackets
• Plaque buildup, which can deplete calcium from teeth
• Calcium deficiency

What Are the Treatment Options for White Spots on Teeth?

A cosmetic dentist can recommend several treatments for white spots, including:

• Remineralization: Fluoride treatments or remineralizing gels can help improve teeth over time.
• Microabrasion: This treatment involves removing discolored tooth enamel and applying an abrasive substance to smooth the surface.
• Dental bonding: A cosmetic dentist can apply a bonding material to replace areas of decalcification and blend it with the surrounding tooth color.

Consulting an Advanced Cosmetic Dentist

We recommend scheduling an appointment with an advanced cosmetic dentist to determine the best treatment. They can assess the cause of your white spots and provide personalized treatment recommendations.

 

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist sponsors this post.