Incisor pain
introduction
Patients often suffer greatly when an incisor hurts. An uncomfortable feeling that is often accompanied by the fear that the tooth will fall out or that it will look unattractive after a treatment. Missing front teeth are immediately apparent.
So the person concerned puts off his visit to the doctor and the pain gets worse and worse. Hence, a visit to the dentist should be considered no later than a week after the onset of pain be performed.
causes
A sore front tooth is not uncommon. The reasons are the same as for the other teeth, with one small peculiarity. Because of your exposed location they are particularly common in the jaw Trauma (Injuries) and Force effects of any kind affected. It can happen that the front teeth break off, knocked out or pushed into or out of the tooth socket (intrusion and Extrusion to be named.
The type of damage depends on the direction of force and its size. Apart from this special case, the usual causes of toothache also apply. This includes larger ones carious lesions, Secondary caries on an existing restoration, as well as a recently or badly placed one filling. Also one Inflammation of the tip of the root can lead to pain. Keep coming exposed tooth necks and a braces into consideration.
More about this at: Toothache - what are the possible causes?
Accompanying symptoms
There are usually many other symptoms associated with toothache. The signs of inflammation are typical here: swelling, reddening and increased temperature. If these symptoms occur, there is a high probability that the sore tooth has become infected. You should have this checked by your doctor as soon as possible to prevent the inflammation from spreading to the surrounding tissue.
Read more on the topic: Root inflammation
Swelling usually appears on the gums between the lip and tooth, less often on the palate. The redness is triggered by a rise in temperature and can be seen on the face. It often affects the cheeks or the area just above the tooth. Especially in the case of trauma, it is possible that soft tissues can be injured. In a hard fall, it happens every now and then that teeth or objects pierce the lip or the cheek. A laceration with strong blood flow is the result. The wounds must then be thoroughly cleaned and disinfected, otherwise they will become infected very quickly. The result would be reddening with pus formation.
diagnosis
Before the dentist takes a closer look at the painful tooth with his instruments, he will first ask the patient a few questions about the accompanying circumstances. It is interesting how long the symptoms persist, whether a certain event is related to it and whether this has occurred before. In the event of trauma, a special accident sheet must be completed in order to clarify certain claims. After that the tooth is considered, a Percussion- and Cold test carried out. Last but not least, the X-ray and the dentist begins treatment. In a percussion test, each tooth is carefully tapped with the rear end of the mirror. This light tapping shouldn't cause pain in healthy teeth. In the case of the cold test, the tooth is checked for sensitivity to cold with the help of a cotton ball that has been treated with ice spray. In a healthy tooth, this should trigger a slight pull.
therapy
If the incisor hurts, the correct diagnosis can only be made by the attending physician. Therapy takes place depending on the cause. Some therapy options are listed below:
Therapy for caries / secondary caries: Depending on the size of the carious lesion, the Caries removed, a filling in the cavity introduced and possibly a Crown be made. If the defect already extends to pulp (Tooth pulp), the dentist must perform a root canal treatment. In the Secondary caries you remove the old restoration together with the caries and then decide on the whereabouts of the tooth.
Read more on the topic: Root canal treatment on the incisor
Therapy for fractures / ruptures: Depending on the degree of the fracture, the dentist will try to preserve the tooth. Sometimes a simple filling is sufficient, in other cases the Splint of the tooth necessary. Thereby the tooth immobilizedso that it can solidify again. However, this takes several months and is often accompanied by a root canal treatment. However, if the tooth breaks badly, it has to away become (Extraction). Follow-up treatment is then carried out, with regular x-ray follow-up images of the current situation being taken.
Therapy for intrusion: A tooth that has been pressed into the tooth socket by the application of force can be replaced by a orthodontic measure (Clasp) to be brought back to the right place.
- Therapy for extrusion: A tooth that has been pushed out of the tooth socket is repositioned and then immobilized. Root canal treatment is necessary.
Duration of pain
The duration of the pain can be very different and depends on the cause. Usually harmless pain goes away within two or three days. However, if the episode lasts longer, you should, as a rule no later than one week after the onset of pain, go to the doctor. The cause can be determined and remedied there.
Incisor hurts when it's cold
Eating ice cream or drinking a cool lemonade often results in painful pulling of the tooth. A drag that lasts several seconds after the stimulus. Different triggers are possible for this.
An exposed tooth neck is sometimes enough to trigger this uncomfortable feeling. Pain then occurs when eating hot or cold, sweet or sour foods. Exposed dentin immediately transmits these stimuli to the cranial nerve and causes the sting. Then special toothpastes or a tooth neck filling help to alleviate the suffering. The toothpastes lie on the open dentin and virtually seal it. In this way, the stimuli can be reduced or no longer transmitted. An effect is achieved as long as the product is used. Tooth neck fillings made of plastic work in the same way - but permanently.
Read more on the topic: Pain in the neck of the tooth
Caries / secondary caries can also cause cold pain. A hole that reaches near the nerve can cause severe and long-lasting pain when you eat. The reason for this are the metabolic products that the bacteria excrete, as these irritate the pulp.
Incisor hurts to the touch
An inflammation of the tissues surrounding the tooth becomes Periodontal disease called. Untreated, this can spread more and more and after some time also affect the tip of the root. A Root tip inflammation, also Pulpitis called, which further destroys the tooth support system, is the result. Any kind of touch hurts at this stage, regardless of whether the tooth is dead or still alive. Sometimes a touch of the tongue is enough.
Initially, the pain only occurs after consuming hot or cold food. However, the more pronounced the inflammation, the greater the sensitivity to touch. The reaction is violent and long-lasting, and the pain often radiates into the tissue. Many patients report that cold is pain reliever. This type of pain should definitely be clarified by the dentist as it is a Root tip inflammation spreads further and further without treatment. In the early stages, the tooth can be saved with a root canal treatment. In the worst case, pus forms and it develops abscess. Exposed tooth necks are a harmless cause of pain to the touch. Therapy can be carried out as described in the previous section.
Incisor hurts when pressed
Pain on pressure arises in the incisor area Jaw closure or at Bite off. Depending on the position of the teeth, certain teeth, also in the anterior region, can be subjected to greater stress. These must then when biting together (especially at night Grinding teeth) and withstand more pressure while chewing. This creates these teeth overloaded and start to hurt. Often be here throbbing pain described, which can radiate to the ear. Cause is a irritated tooth nervethat only calms down when the constant stimulus is removed. This can be done by incorporating various restorations or prostheses. If it is only a small area that has too much tooth contact, it can be removed by grinding. Relief should be felt within a few days.
A rarer cause is atypical pain, which occurs in a Trigeminal neuralgia arises. Some teeth appear more sensitive to pressure than before. The dentist checks this type of pain by biting a cotton roll, which triggers a pain stimulus.
Pain in the front tooth and nose
Pain in the incisor can also often occur due to the anatomical proximity radiate up to the nose. This is not uncommon and will go away with the other symptoms. Some people even feel the root of the incisor in their nose. This can be anatomically designed, but it can also arise afterwards as a result of trauma. In the latter case, you can think about moving the tooth back to its original position. As long as there is no pain, however, this is a harmless finding. Treatment is only necessary if the tooth is painful.
Incisor pain after a stroke
Often a front tooth hurts after being hit on the face. The tooth can then get out of its Tooth socket detached become. He can fall out, wiggle or to fracture (to break), pieces of bones can also break off. Pain is caused by damage to the nerve or gums.
However, sometimes there is no apparent damage to the tooth. The only difference: it reacts sensitively to pressure or thermal stimuli. The tooth nerve was irritated at the blow. However, the pain disappears after a few weeks. However, it is important to go to the dentist and fill out an accident form so that you can later assert claims against the person responsible.
Incisor hurts after a fall
It is similar after a fall on the face. The force that acts on the tooth as a result of the fall is so great that teeth often break off or fall out completely. The treatment and the symptoms do not differ significantly from those of the blow, as both trigger typical incisor trauma. Here, too, it is important to have the accident sheet filled out in order to be covered in the event of long-term consequences.
Incisor hurts and wobbles
It is not uncommon for a sore front tooth to wobble. In this case, an appointment with the dentist is strongly recommended. An X-ray can be used to find out whether the tooth below the gums is fractured or whether there are loose bone fragments. Another reason for a wobbling tooth is root tip inflammation with pus formation. However, this disease is associated with the familiar signs of inflammation and is therefore easy to recognize. Once the diagnosis has been made, the correct treatment can then be initiated.
Find out more at: Incisor wobbles
