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FAQ:  Pain - Gum and Mouth



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Question:
Pain in gums over root canal crowns: 5 years ago I had a root canal on tooth #14 which is above an implant. The 2 teeth next to it are also root canal/crowns.

About 7 months ago, I began to feel pain in the gums above the crowns, mostly over tooth #14. It felt like I had a canker sore between my cheek and gums.

It never hurt, though, during the day; only at night. X-rays showed no sign of infection, etc. After about 10 days, the pain went away. A week ago, it recurred.

The pain actually woke me up a couple of times during the night and I had to take advil which helped. I do grind under stress. Dentist checked my bite; way off! He filed a crown and every day pain was less and less but tender to the touch. It's not completely gone. What's going on? ...Visitor from North Andover

Answer:
You have a bite problem. It is unusual though, since the malocclusion occurs during sleep. It is normal for the lower jaw to shift during sleeping hours.

If the problem persists, it may be worthwhile for you to get a consult with a Prosthodontist with 15+ years experience. A TMJ specialist may be helpful, but they are harder to find.

A "solution" may be available in wearing an orthotic device that shifts or maintains an "ideal" position of the lower jaw during sleeping hours.

Editorial Staff

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