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Villa Rica, GA
A 63-year-old female asked:

dentist only: sharp pain runs up back of front tooth less than 1 sec. at a time for 2 days but not often. use night guard. checkup xrays dec. perfect. not loose. no gum prob. xrays good. root exposed?

4 doctor answers6 doctors weighed in
Dr. Mark Iacobelli
Dentistry 39 years experience
Jaw Joint Aclamation: If someone who wears a night guard appliance is clenching or grinding more severely than usual, lubricants can be forced out of the joint causing the bite to feel off in the morning when the appliance is removed. Additionally, arthritic changes in the joint can do the same thing. Have an evaluation by the dentist who fabricated your night guard.
Dr. Theodore Davantzis
Dentistry 40 years experience
Possibly...: What causes the sharp pain? Has the tooth been checked for vitality? Are there any restorations on the tooth, or hx of root canal therapy? Hard to give you meaningful advice without these answers and seeing the tooth and film(s). There may be a hairline fracture. Please get a second local opinion. All the best...
Dr. Jeffrey Briney
Dentistry 25 years experience
Root sensitivity: If all xrays are clear. Then most likely your symptoms are coming from exposed roots causing sensitivity to occur. Most patients that experience root sensitivity describe it as an "electrical" shock. Several options: 1) use a toothpaste that is designed for sensitive teeth like sensodyne. 2) bonding over the roots to cover the exposed areas. 3) laser therapy on the roots. Check with your dentist.
Dr. William Williams
Cosmetic Dentistry 46 years experience
Differential Dx: Could be atypical facial pain, irreversible pulpitis, ligament stress based on night guard wear/non-wear, fractured root, exposed root, or post-trauma reaction.

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Last updated May 20, 2016

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