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Pain on biting

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14th July sudden pain when eating food......it was like some hard thing come in food.....pain was very much.....applied toothpaste and then slept...tooth became sore
but no constant pain....now pain only on biting......at an angle. went to dentist, he said their is deep distal caries because of wisdom tooth....so removed wisdom tooth on 14th August.after
10 days stitches removed.....now biting pain increased..it is only when I bite down at that angle..and goes away instantly...on 3rd September I did temporary filling....doctor said evaluate for 21 days..if symptoms then rct..but there was no symptom apart from that biting pain..so permanent filling yesterday...doctor also said that decay was not as deep as indicated in x-ray...now there is permanent GIC filling...yesterday...but still that pain....it is 5/10...which only comes when I bite down.....bite adjusted and all..Percussion test were also taken. They tapped their instrument but no pain...
Answers (9)
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What you are describing sounds like there might be a fracture involved with the tooth or else nerve impingement. An endodontic cbct might be required with the concerned tooth. To rule out fracture and also its position with the nerve.
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I understand your concern but let me ask you few questions about pain on biting......
1.nature of pain- throbbing or dull constant pain ?
2.Describe pain ,whether with hot or cold food stuff or irrespective of food, only on biting?
3.duration -how much did it last ?
4.frequency - at how many times do you experience it?
5.do you chew from one side or from both sides ?
Next Steps
let me know about the same .
Health Tips
don't chew from that side .
maintain oral health through healthy habits and diet.
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First, please clarify whether the pain occurs when you bite down or when you release your bite. This distinction can help identify the possible cause.
From your history, the pain could be due to dental caries. The X-ray appears to show decay extending close to the pulp (the innermost part of the tooth containing nerves and blood vessels). Pain at a particular biting angle could also be associated with inflammation around the tooth.
Next Steps
Please visit an endodontist for a detailed evaluation and to determine whether root canal treatment (RCT) is required.
Health Tips
You can try gentle warm saline rinses 4–5 times daily, as there may also be gum inflammation around the affected tooth. You may apply a suitable dental gel around the affected area to see whether it provides temporary relief. Maintain good oral hygiene and avoid putting excessive pressure on the tooth while chewing.
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Hi,
Your history is classic for Cracked Tooth Syndrome / Cracked Cusp in the tooth next to wisdom tooth (usually lower 2nd molar). This is very common when there is distal caries due to wisdom tooth.
Why I say cracked tooth:
1. Sudden sharp pain on biting something hard
2. Pain ONLY on biting at a specific angle, and goes away instantly on releasing bite - this is the hallmark of a crack
3. Percussion test (tapping) is normal - because root is normal, crack is in crown
4. Pain persisting even after GIC filling and bite adjustment
5. X-ray is usually normal in cracked tooth - so decay may look less deep clinically
Removal of wisdom tooth was correct, but the 2nd molar that was in contact likely had a micro-crack already from before.
Next Steps (Very Important):
1. Please upload a clear present IOPA X-ray of the filled tooth.
2. Your dentist needs to do: Tooth Slooth / bite test, Transillumination test, and Staining test to confirm crack. CBCT does NOT show crack well.
3. Do NOT go for RCT immediately unless crack extends to pulp. Many cracked teeth are saved by a crown / overlay only.
Helpful Tips:
1. Avoid chewing hard from that side till diagnosis is confirmed - crack can propagate.
2. Avoid very cold / very hot food if it triggers pain.
3. If pain is exactly on biting and release, you need a full coverage crown with proper occlusal protection, not just a GIC filling. GIC is weak and will not hold a cracked cusp.
4. Visit an Endodontist for cracked tooth evaluation - they have special tools (microscope, tooth slooth) to confirm.
If you can tell me - is pain more on biting hard food vs soft food? And does cold water cause sharp pain for few seconds?
Share your X-ray here, I will guide you if you need crown or RCT + crown.
Hope this helps.
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