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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Tenderness In The Front Upper Tooth?

I'm 45 years old, 6ft tall and I weigh 160lbs. I went to the dentist because I thought I may have an abscess tooth (tenderness, tooth felt loose and a small swollen vein coming from the tooth). After an x-ray, they determined the upper front tooth looked healthy, but my teeth needed a deep cleaning. I was given a full pan x-ray and a deep cleaning at my next visit. I was informed I needed one back tooth pulled and my wisdom teeth extracted. Otherwise, they saw no problems. Three weeks later, the upper front tooth is still bothering me .... same symptoms only not as uncomfortable as it was before the cleaning. What could the problem be?
Fri, 15 Jul 2016
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Dentist 's  Response
Hello,

I can understand your concern. It seems that the investigations and treatment procedure your dentist has followed is correct as the x-ray showed no pathology with the tooth and the deep cleaning has made you feel somewhat less uncomfortable. What you have is periodontitis or inflammation of the tissues surrounding the tooth including gums etc.

Periodontitis or Pyorrhea is a kind of problem that only dentist cannot solve it for you. It requires equal efforts from the patient at home. I would advise you to start using a mouthwash that contains Chlorhexidine (Chlohex). You can take about 15 ml of this liquid and should squish it around mouth undiluted for about a minute and then spit. No food or drinks should be taken for 30 minutes after its use and do not use it immediately after toothbrushing.

In addition, you can use gum paint (Gumex). It is a bottle containing oil like liquid. You should take about 2-3 drops of it and should massage your gums in the circular motion in the area that is bothering you. This should be done for 10 minutes every day.

You should also brush twice a day, floss every night and should gargle after each meal. Visit your dentist after 21 days of the initial appointment for follow up cleaning. Gum diseases take time to heal but proper care at dentist's office and at home can surely provide good results.

I hope this information helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon.

Best,
Dr. Viraj Shah
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What Causes Persistent Tenderness In The Front Upper Tooth?

Hello, I can understand your concern. It seems that the investigations and treatment procedure your dentist has followed is correct as the x-ray showed no pathology with the tooth and the deep cleaning has made you feel somewhat less uncomfortable. What you have is periodontitis or inflammation of the tissues surrounding the tooth including gums etc. Periodontitis or Pyorrhea is a kind of problem that only dentist cannot solve it for you. It requires equal efforts from the patient at home. I would advise you to start using a mouthwash that contains Chlorhexidine (Chlohex). You can take about 15 ml of this liquid and should squish it around mouth undiluted for about a minute and then spit. No food or drinks should be taken for 30 minutes after its use and do not use it immediately after toothbrushing. In addition, you can use gum paint (Gumex). It is a bottle containing oil like liquid. You should take about 2-3 drops of it and should massage your gums in the circular motion in the area that is bothering you. This should be done for 10 minutes every day. You should also brush twice a day, floss every night and should gargle after each meal. Visit your dentist after 21 days of the initial appointment for follow up cleaning. Gum diseases take time to heal but proper care at dentist s office and at home can surely provide good results. I hope this information helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon. Best, Dr. Viraj Shah