4/5/2024 0 Comments Occlusal trauma signs![]() She had a complaint of pain on those teeth. I had a new patient who came in a few years ago who had crowns placed on 2 adjacent lower molars 2 years before that. This pain can also cause pain on the opposing tooth since chewing works in pairs. It is now in “ hyperocclusion” or too much tooth structure hitting the opposing tooth. There is no place for the inflammation fluids to go but between the root and the bone, and that lifts the tooth out of the socket a bit. ![]() With inflammation there is increased swelling around the root. This extra pressure causes an inflammation on the ends of the root. The immediate treatment is to adjust the crowns to get the bite more comfortable and so it doesn’t stand out. On both of these patients I noticed large areas of dark blue marks that indicated that the patient was putting extra pressure on these teeth when chewing, and that can hurt a lot. But after time, they were still feeling something when they chewed.īesides making sure that the teeth look OK on an x-ray, I have the patient bite on articulating paper (that’s the blue carbon paper that makes marks on the teeth to see if a patient is biting too hard on the tooth). They had crowns placed on the teeth, as is recommended for strength and protection of these teeth. This week I have had 2 patients who have had root canal therapy. One common condition is occlusal trauma, which means that the bite is too high someplace. I ask them what is going on, try to isolate where the pain is coming from, find out how long they have had the pain and how often. When an emergency patient comes into my dental office with some unwanted dental pain, it is important to listen carefully to the patient. ![]() Pain on Chewing: It Could Be Occlusal Trauma
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