Molar Pain: Causes, Symptoms, Treatment, and
Prevention
Molar pain is a typical dental
disorder that occurs to individuals of all ages. Molars are large, flat teeth
that are at the back of the mouth and they grind food. Because of their role
and status, they are more prone to different dental issues that may cause
discomfort or extreme pain.
This guide is a detailed look into the
causes, symptoms, treatment, and prevention of molar pain in a bid to give you
an in-depth understanding of how you can deal with and reduce this condition.
Causes of Molar
Pain
Molar pain may be caused by a variety
of reasons, starting with slight annoyances, and ending with severe dental
diseases. The most common causes are given below:
1. Tooth Decay
(Cavities)
·
Mouth bacteria
also produce acids which wear out the teeth enamel resulting in cavities.
·
The grooves and
fissures of the molars predispose them to this factor since they trap food.
·
Long holes may
expose the tooth nerve giving sharp or throbbing pain.
2. Gum Disease
(Periodontitis or Gingivitis)
·
The presence of
plaque can cause gum infection through inflammation.
·
Gum recession
causes the exposure of tooth roots that makes them sensitive and painful.
·
Severe gum
disease may also destroy the molar bone.
3. Impacted
Wisdom Teeth
·
Third molars
(wisdom teeth) do not have enough space to come out.
·
Compressed wisdom
teeth may exert pressure on other teeth, which may be painful, swollen and
infected.
·
Wisdom teeth that
have only partially erupted can trap food and bacteria to result in
pericoronitis (inflammation around the tooth).
4. Dental Abscess
·
Bacterial
infection of either the gums or the tooth pulp may create a pus-filled abscess.
·
The signs and
symptoms are intense and continuous pain, edema, fever, and foul mouth.
·
Should receive
dual dental care immediately to avoid spreading of infections.
5. Cracked or
Fractured Molar
·
A molar can crack
due to teeth grinding (bruxism) or chewing hard foods or because of trauma.
·
It is painful
when chewing or the hot/cold temperature is applied to the tooth.
·
A severe crack
can reach the root and the tooth has to be removed.
6. Bruxism (Teeth
Grinding or Clenching)
·
Prolonged
grinding breaks off enamel, which causes sensitivity and pain on the teeth.
·
It is frequent
when one is sleeping because of stress or the misalignment of teeth.
·
May result in
pain in the jaw (TMJ disorders) and molar pain.
7. Sinus
Infections (Sinusitis)
·
Upper molars
roots are near to the sinus cavities.
·
The pressure in
the sinus may resemble the pain in the teeth, particularly when the person
bends over or lies down.
·
Is normally
handled after the sinus infection is cured.
8. Temperature
Sensitivity
·
Bare dentin (as a
result of enamel wearing off or recessed gums) may result in agonizing pain
when hot or cold food is consumed.
·
Commonly
associated with cavities, gum disease or hard brushing.
9. Dental
Procedures (Post-Treatment Sensitivity)
·
Temporary
sensitivity can be caused by recent fillings, crowns or root canals.
·
Within few days,
pain should go away; the pain that lasts more than a few days might be a sign
of complications.
Symptoms
Associated with Molar Pain
Depending on the condition, molar pain
may have different signs. The common symptoms are:
·
Acute, ardent, or
persistent pain in the back teeth.
·
Sensitivity to
chewing or chewing down, which is an indication of a crack or cavity.
·
Hot, cold or
sweet food and drink sensitivity.
·
The gums or face
swelling up, posing a sign of an abscess or infection.
·
Foul taste or bad
breath, usually caused by an infection by bacteria. Severe pain in the head or ear, particularly in
the case of TMJ diseases or impacted wisdom teeth.
·
Either fever or
generalized discomfort, which is a sign of a systemic infection.
In case of more than a few days of
persistence or exacerbation, it is necessary to consult a dentist immediately.
Diagnosis of
Molar Pain
To establish the cause of molar pain,
a thorough examination will be done by a dentist which can include:
·
Visual
Inspection- Examining presence of cavities, cracks or inflammation of the gum.
·
X-rays - X-rays
can show decay under a tooth, abscesses or impacted teeth.
·
Percussion Test-
Rapping on the tooth in order to detect infection or inflammation.
·
Cold Sensitivity
Test -Testing the health of nerves.
·
Bite Test-
Finding fractures or misalignment problems.
Depending on the results, the dentist
will advise proper treatment.
Treatment Options
for Molar Pain
The management varies with the cause. There
are common approaches:
1. Dental
Fillings or Bonding
·
Applied on
cavities or smaller cracks.
·
The rotten part
is taken out and the tooth is filled up with composite resin or amalgam.
2. Root Canal
Therapy
·
This is necessary
in case of infected pulp of the teeth.
·
The dentist
extracts the infected tissue, flushes the canal and seals it.
·
Added protection
can be provided by use of a crown.
3. Tooth
Extraction
·
Needed in case of
severely damaged, infected or impacted molars.
·
It is standard to
have wisdom teeth removed in case they are crowding or infected.
4. Antibiotics
·
It is used in
treatment of bacterial infections or abscesses.
·
And should be
undertaken as prescribed to avoid reinfection.
5. Gum Disease
Treatment
·
Deep cleaning
Scaling and root planning to get rid of plaque and tartar.
·
In extreme cases,
surgery can be required.
6. Night Guards
for Bruxism
·
Custom-made
mouthguards inhibit night grinding of teeth.
·
They could also
be assisted by stress management methods.
7. Pain Relief
Medications
·
NSAIDs
(ibuprofen, naproxen) are prescribed over the counter to use to decrease pain
and inflammation.
·
Aspirin should
not be applied directly on gums, since it burns.
8. Home Remedies
(Temporary Relief)
·
Salt water rinse-
Decreases bacteria and inflammation.
·
Cold compress-
Numbness of pain and decrease in swelling.
·
Clove oil -
Toothache-cure.
·
Hydrogen peroxide
rinse-Assists in infection of gums (diluted with water).
Read Also: - Headache Types, Causes, Symptoms & Prevention: A Complete Guide
Preventing Molar
Pain
It is important to prevent molar pain
and its consequences with the help of preventive dental care. The important
strategies are:
1. Maintain
Proper Oral Hygiene
·
Use fluoride
toothpaste to brush twice per day.
·
Use floss every
day to eliminate the plaque between the teeth.
·
Bacteria can be
reduced by using antibacterial mouth wash.
2. Regular Dental
Check-ups
·
Make a visit to
the dentist in every six months to clean and check.
·
Proper diagnosis
of any dental problem early enough avoids intense pain in future.
3. Healthy Diet
Choices
·
Restrict sweet
and acidic foods which destroy enamel.
·
Consume
calcium-containing foods (dairy products, green vegetables) to make teeth
strong.
4. Protect Teeth
from Damage
·
Use a mouth guard
when playing sport, or when grinding teeth.
·
Do not chew ice,
hard candies or non-food items.
5. Address Wisdom
Teeth Early
·
Follow the
development of wisdom teeth using dental X-rays.
·
Extraction at an
early stage helps to avoid the pain caused by impaction.
6. Stay Hydrated
·
The water assists
in cleaning food particles and bacteria.
·
Avoids a dry
mouth, a factor that predisposes one to cavities.
When to See a
Dentist Immediately
Whereas home treatment can relieve
some of the molar pains, there are few indications which need immediate dental
care:
·
Major,
uncompromising agony
·
Facial or
Jaw swelling
·
Dysphagia or
dyspnea
·
Discharge of
pus or bad taste
·
Toothache
and fever
These symptoms can cause a serious
complication, such as systemic infections, when they are ignored.
Conclusion
Molar pain may become an important
part of everyday life as it is hard to eat, talk and even sleep. Being aware of
the causes, being able to identify symptoms, and receiving timely treatment are
the keys to relief and long-term maintenance of oral health. Molar pain can be
avoided by maintaining good oral health, regular visitations and early
treatment which will result in a healthy and pain free smile.
In case you have been having molar
pain that has not gone away, then visit a dentist as soon as possible so that
he can identify what is ailing them and offer the necessary treatment. Your
tooth can be saved and the further complications avoided with early
intervention.
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