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Medical Forum / General / Dentistry / October 2005Persistent front tooth pain
I've got pain in one of my top front anterior teeth. It comes and goes, but I've noticed a correlation with my teeth shifting, which has taken place within the last year. I've got an overbite and have had issues a long time ago with something like TMD; e.g. my jaw was locked for a few hours--but this was about seven years ago. I've been to an Endodontist who said the root is fine. I've been to a TMJ specialist who said I don't have any problems with my joints. He recommened seeing an Orthodontist. The Orthodontist didn't have much to say in regards to the pain. My question is: Do any of you dentists out there know if my shifting teeth could be putting pressure on this tooth, causing the pain? And if so, will ortho do any good at curing the pain? Thank you, Brandon Schultz > I've got pain in one of my top front anterior teeth. It comes and goes, > but I've noticed a correlation with my teeth shifting, which has taken [quoted text clipped - 13 lines] > > Brandon Schultz This is a theoretical answer. The answer is yes--shifting teeth certainly could put one or more into a position of overload from the bite. In your case though that really means little; if you've seen an endodontist, a TMJ specialist and an orthodontist and they can't say anything meaningful about the cause of your pain, then speculating about the cause is just that. I would hesitate to blindly recommend orthodontic treatment. If the tooth is carrying too much biting force it is generally very obvious. My question would be why your teeth have shifted. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 The TMJ specialist said that teeth shift in small increments over time. To me, it seems they have shifted fairly rapidly--but he insists that he doesn't see anything abnormal with my joints. Anyway, it doesn't seem to be very obvious to the doctors and dentists I've seen. I'm not sure where I need to go to next. > The TMJ specialist said that teeth shift in small increments over time. > To me, it seems they have shifted fairly rapidly--but he insists that > he doesn't see anything abnormal with my joints. Anyway, it doesn't > seem to be very obvious to the doctors and dentists I've seen. I'm not > sure where I need to go to next. There is usually a reason though. If you've seen the TMJ specialist just once, he doesn't have any idea when the shifting has taken place, nor whether it is still going on. This may need to be determined over time. Right now, one of these dentists should be able to tell you if this tender tooth is in hyperocclusion (too much pressure, whether from normal chewing or grinding/clenching) and if so at least make some kind of provision for remedying the situation. Are they just throwing up their collective hands? Steve Signature{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fcharset0 Arial;}} {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\f0\fs20 Remove "nospam" to reply\par } >> The TMJ specialist said that teeth shift in small increments over time. >> To me, it seems they have shifted fairly rapidly--but he insists that [quoted text clipped - 12 lines] > >Steve I think by now they are probably just throwing up. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com I almost get the sense they think I'm making it up. Which, I'm quite positive I feel pain. >The TMJ specialist said There is no recognized 'TMJ specialist' in dentistry period. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Perhaps I should have said an Oral Maxillofacial Doctor instead. I went to see a doctor, not a dentist. If you think you have some TMJ problems, you might want to see a dentist that uses NTI-tss. Dartos > Perhaps I should have said an Oral Maxillofacial Doctor instead. I went > to see a doctor, not a dentist. >Perhaps I should have said an Oral Maxillofacial Doctor instead. I went >to see a doctor, not a dentist. An Oral Maxillofacial Surgeon is first trained as a dentist. Many also have an MD -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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