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The Root of Pain May not be the Tooth
If you have sensitive or sore teeth, you might think that they are to blame. But the truth might be that the source of your tooth pain is a result of something else entirely. In fact, your teeth could be victims of a more general problem. Unfortunately, some dentists may jump to the same conclusion that the tooth is the problem, and possibly even extract the nerve with a root canal or an entire tooth before considering other possible causes for sore and sensitive teeth.
What Else Could It Be?
There are actually many possible causes for tooth pain. The mouth is actually an extremely complex place, so that the cause of pain can be far removed from the pain itself. Sometimes the tooth is suffering from decay that must be rectified with either a tooth-colored filling or a porcelain crown, especially if you're also suffering from chronic bad breath or bleeding gums. On the other hand, it's entirely possible that tooth decay is just a contributing factor, or possibly unrelated. Problems in the tooth can sometimes be felt as headaches, and tooth pain can be a sign of problems elsewhere in the jaw.
TMJS? TMD? MPD?
Actually, all these acronyms refer to the same phenomenon. Temporomandibular joint syndrome (TMJS), temporomandibular joint disorder (TMD), and mysofacial pain dysfunction (MPD) refer to the same group of symptoms, including headaches, facial pain, and jaw pain, in addition to teeth grinding (bruxism) and sore teeth. If your sore teeth are accompanied by any of these other symptoms, you may be suffering from TMJ/TMD.
The temporomandibular joints (TMJ) are where our jaw connects to our skull. They are very complicated joints, located in front of our ears at a complex intersection of muscles, bones, and nerves. They are adjacent to the throat, spine, and ears and can affect all these adjacent systems.
TMD occurs when the TMJ is stressed or out of alignment. The stress most often results from “malocclusion” or bad bite, such as an overbite or underbite. TMD might seem a local condition, but it has far-reaching effects, including migraine-like headaches; pain in the face, neck, and shoulders, and numbness or tingling in the arms in addition to sore teeth.
Get a Second Opinion
Most dentists are trained and educated to deal with the teeth, so it’s not surprising they might assume teeth are responsible for dental problems. Sometimes they are right, but sometimes they are wrong. The best way to check any diagnosis is to get a second opinion. In this case, especially if your tooth pain is accompanied by any of the above symptoms of TMD, you want to seek out a dentist trained in thinking about the mouth and jaw as a unit composed of muscles, nerves, flesh, and bones. These are called neuromuscular dentists.
If your dentist tells you your tooth is to blame for your chronic pain, but the pain isn't localized or is accompanied by other pains and discomforts, get a second opinion, because the tooth might not be the root of your problem.
About the Author
If you are experiencing any kind of tooth discomfort, contact the experienced neuromuscular dentists at San Pablo Dental Care today.
A Root Canal Is Nothing To Fear
Many people cringe at the words "root canal," even though they don't usually understand what a root canal is, why they are sometimes necessary, or what happens during the process. Root canal treatment actually plays a vital role in preventing the loss of decayed teeth. They also help to prevent toxins and bacteria from entering the bloodstream through infected teeth, causing other negative health issues.
Although many people would rather not think about it, this treatment is often crucial to good health. The following paragraphs detail the root canal treatment process, outlining what to expect, the costs involved, and other important factors.
Extracting The Pulp
The inside of every tooth is filled with nerve tissue and pulp. When the pulp becomes damaged or infected, it begins to deteriorate. Once this begins, bacteria grows and multiplies. After a while, an abscess forms in the infected area. If the infection or abscess goes unchecked, a patient usually experiences facial swelling and sometimes even a hole in the infected tooth. During root canal treatment, the pulp is removed from the interior of the tooth, halting the infection and keeping bacteria from entering the bloodstream.
The Root Canal Procedure
Before starting the treatment, your dentist will usually take an x-ray of your infected tooth. The x-ray helps your dentist identify the location of the infection inside and around the jawbone. Then, your dentist will administer an anesthetic to numb the tooth and gums. After the anesthetic has taken effect, your dentist drills a hole into the infected tooth to form an access point for removing the pulp and bacteria. Your dentist will scrape the tooth cavity with several small files before flushing out remaining particles with water.
If your infection is severe, your dentist will use antibiotic medication before sealing the cavity with a paste and rubber mixture and placing a filling on top of the infected tooth. Finally, your dentist will place a crown over the tooth to protect and restore it as the final step in the root canal treatment procedure.
Is Root Canal Treatment Painful?
It does not hurt nearly as bad as people imagine. The aversion most people have is usually due to the anxiety exhibited by other people during the time leading up to having the procedure. Afterwards, patients often remark that the discomfort level is similar to a regular cavity filling procedure or that it was not painful at all.
Keep in mind that a root canal treatment is performed on a tooth with dead nerve tissue. Since the sensation of pain is delivered to people via nerve tissue, the treatment could actually be done without an anesthetic since the tooth's nerve tissue is dead.
The Costs And Other Factors
The price of a root canal treatment varies, depending on several factors. First, the treatment costs less on incisors than on molars. Second, the severity of the damage, decay, or infection can affect the cost with more severe cases costing the most. Third, the costs can differ dramatically based on the experience of the dentist performing the procedure. Consider than an endondontist with two extra years of root canal training may charge a higher fee.
Don't fear a root canal treatment. They can help save your teeth and are not as painful as many people believe. If you have a painful tooth, speak with your dentist about the possibility of root canal treatment.
About the Author
Christine O'Kelly is a writer for Smile In The City, an experienced dentist in New York with a team of specialists. This New York City dentist offers solutions such as dental implants, root canal treatment, and laser periodontal plastic surgery.


