Tooth pain

The most common reason, for a visit to the dentist, is pain in your teeth which can be acute (short duration high intensity) or chronic (long duration, dull pain) in nature.

What causes tooth pain?
  • Cavity /Decayed tooth: Tooth decay starts from the outermost layer of the tooth called enamel and then proceeds to inner layer called dentin and reaches the soft part inside the tooth called pulp. The deep cavity can cause irritation of the small any nerve endings inside the pulp leading to pain. If the pain is ignored at this stage, the cavity and bacteria can further spread to the end of the tooth roots leading to infection (abscess) and swelling of jaw and face
  • Fractured tooth: Tooth fracture can be a result of any trauma to the face such as accident or fall. It can lead to the exposure of the pulp inside the tooth and tooth pain.
  • Tooth brush abrasion: Improper brushing technique or using very hard bristle toothbrush can lead to wearing of the enamel and dentin exposing the pulp and the result is tooth pain.
  • Clenching habit: Para-functional habits such as bruxism (subconsciously grinding the teeth) can lead to attrition of enamel, dentin leading to pulp exposure and pain.
What are the treatments for tooth pain?

At Root 32 dental clinic, our specialist doctors take sufficient time listening to our patients, understanding the exact cause of your tooth pain, followed by thorough clinical examination. Most of the time it requires a low exposure digital X-ray of your tooth to understand the extend of damage to your tooth.

Once the correct diagnosis is made, we always follow the most conservative measures to treat your tooth, which means the first preference is to always try to retain the natural teeth.

In the conservative approach, the options of treatments are Dental fillings and Root Canal Treatment.

Dental filling

If the pain is mild and the X-ray reveals that the decay or fracture has still not reached the pulp, your tooth can be restored using a bio-mimetic tooth coloured filling.

What happens in tooth filling?

The decayed portion of the tooth is carefully removed and is prepared to receive the filling materials. Post this, the appropriate filling material is used to restore the function and aesthetics of the tooth. At Root32, we use high quality materials such as 3M ESPE, Tokuyama, GC, Ivoclar etc. which makes the filling both durable and aesthetic.

Root canal treatment

If the pain is continuous and the X-ray reveals that the cavity or fracture has caused damage/infection to the pulp and root canal, it would require thorough cleaning of the root canals and filling that goes till the end of the root canal. Most of the time, the root canal fillings are followed by a cap/crown that protects the filled tooth.

Will Root canal treatment cause pain?

No. Root canal treatment does not cause pain, rather it gives you pain relief. With the advance in technology and proper use of anaesthesia Root canal treatment is a completely painless experience for our patients.

Will you extract my tooth for Root Canal Treatment?

Never! One of the biggest advantages of root canal treatment is that it avoids tooth extraction and preserve the natural tooth.

In cases where the conservative approach is not possible, where the extent of damage to the tooth is severe due to decay and infection, the option is to do tooth extraction. This is done to prevent the infection from spreading to the surrounding bone leading to the loss of bone structure.

Tooth extraction:

Tooth extraction is the process of painlessly removing the tooth by giving local anaesthesia. At Root 32, we are equipped with latest treatment methods to make your extraction painless and also follow it up with the latest tooth replacement options such as high-quality dental implants and fixed bridges.

Gum pain

Gum is the foundation or protective tissue that holds the tooth in position inside your jaw. Gum disease can start as bleeding gum which can lead to irritation and pain in your gum or loose tooth.

What to do for gum pain?

At Root 32, our experienced doctors and gum specialists examine and diagnose the extent of damage to your gum tissues.

The various gum treatments include:

  • Teeth cleaning
  • Gum cleaning and root planing
  • Gum surgery and bone graft
Teeth cleaning

Sometimes the gum pain or irritation can be due to plaque or hard deposits stuck on your teeth and a simple procedure like teeth cleaning can solve it.s

Gum cleaning and root planing

If the hard deposits on your teeth extends deep under your gum it will not be possible to remove all of them by doing a simple cleaning. Such situations demand a deep gum cleaning to remove the deposits and infected tissues and bacteria under the gum to get rid of the pain.

The deep cleaning can be done either by opening the gum through a minor surgery or by using lasers. At Root 32, we are equipped with high grade medical lasers that can make your gum treatment bloodless and quick, with shortest recovery time.

Gum Surgery and Bone graft

Long standing gum pain and infection can lead to loss of supporting bone structure inside your gums. This would need a gum surgery and placement of artificial bone graft material to grow your bone and gums to the maximum possible levels.

Jaw pain/TMJ pain

The temporomandibular joint (TMJ) acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw. TMJ disorders - a type of temporomandibular disorder or TMD - can cause pain in your jaw joint and in the muscles that control jaw movement.

The exact cause of a person's TMJ disorder is often difficult to determine. Your pain may be due to a combination of factors, such as genetics, arthritis or jaw injury. Some people who have jaw pain also tend to clench or grind their teeth (bruxism), although many people habitually clench or grind their teeth and may never develop TMJ disorders.

In most cases, the pain and discomfort associated with TMJ disorders is temporary and can be relieved with self-managed care or nonsurgical treatments. Surgery is typically a last resort after conservative measures have failed, but some people with TMJ disorders may benefit from surgical treatments.

Signs and symptoms of TMJ disorders may include:
  • Pain or tenderness of your jaw
  • Pain in one or both of the temporomandibular joints
  • Aching pain in and around your ear
  • Difficulty chewing or pain while chewing
  • Aching facial pain
  • Locking of the joint, making it difficult to open or close your mouth

TMJ disorders can also cause a clicking sound or grating sensation when you open your mouth or chew. But if there's no pain or limitation of movement associated with your jaw clicking, you probably don't need treatment for a TMJ disorder.

How to diagnose TMJ pain

At root 32, our specially trained doctors evaluate the functions of different muscles of the jaw and the condition of your upper and lower jaw teeth and their articulation to understand the disease. Full mouth x-rays aid in the diagnosis of joint alterations.

Treatment for TMJ pain
  • Medications are prescribed to keep the pain in control
  • Physiotherapy include different exercises to strengthen the muscles and ligaments around the joint
  • Soft splint or mouth guards
  • Correction of existing fillings or crowns
  • Orthodontic treatment
  • Surgical correction
Wisdom tooth pain

Wisdom teeth are the teeth in the extreme corners of your upper and lower jaw. The normal time of eruption of wisdom tooth is 18 to 21 years. Due to the reduced size of the jaw bone and the lack of space most of the time wisdom teeth are either not erupted or partially erupted. Partially erupted wisdom teeth can lead to food impaction and infection causing severe pain. The solution is surgical extraction of the wisdom teeth that gives you permanent relief from pain.

How difficult is wisdom tooth extraction?

Depending on the case, wisdom tooth extraction can be simple and quick or quite difficult. Extracting partially erupted lower wisdom teeth is more complex than extracting fully erupted teeth, and it thus may require surgical extraction.