Why Does My Lower Wisdom Tooth Hurt When Hit by the Upper One?

Wisdom teeth, also known as third molars, are often the source of various dental issues. One of the most common concerns people face is why their lower wisdom tooth might hurt when hit by the upper wisdom tooth. In this article, we will explore the reasons behind this discomfort and provide guidance on what you can do to alleviate the pain and prevent further complications.

Understanding the Impaction and Malpositioning

The primary reason for pain in wisdom teeth is their improper positioning or impaction. Since wisdom teeth often do not erupt completely into their functional position, they may become stuck in the jawbone or partially emerge. As a result, they can come into contact with or impinge on the gums, cheeks, and neighboring teeth, leading to discomfort and pain. It is essential to consult a dentist to assess the condition of your wisdom teeth and determine the best course of action.

Malpositioning and Compression

Most likely, there is still some gum or soft tissue covering the wisdom tooth, which can be crushed or compressed when the upper wisdom tooth hits it. This compression can cause inflammation, leading to a condition called pericoronitis. Pericoronitis occurs when the soft tissue around a partially erupted tooth becomes inflamed due to food particles and bacteria getting trapped under the flap of gum tissue covering the tooth.

Trauma from Occlusion (TFO)

If the lower wisdom tooth has erupted completely, the pain could be due to trauma from occlusion, or TFO, which occurs when the upper and lower wisdom teeth come into contact and cause injury to the soft tissues or the tooth itself. TFO can be caused by various factors, including:

Supraerupted upper opposite tooth Gum or soft tissue covering the tooth Caries or fracture of the lower wisdom tooth Necrosis of the pulp due to trauma or pressure

It is important to visit a nearby dental clinic to get a check-up and receive appropriate treatment. Until you can see a dentist, gargling with salt water can help reduce inflammation and relieve pain.

Consulting a Dentist for Proper Diagnosis

As the pain and discomfort continue, it is crucial to consult a dentist for a thorough examination and diagnosis. They may recommend:

Antibiotics to treat any infection Antalgics to relieve pain Fluoride treatments to prevent caries Dental procedures such as extraction or referral to an oral surgeon

Ignoring the pain and complications associated with wisdom teeth can lead to more significant issues, such as infections, abscesses, and damage to adjacent teeth. Regular dental check-ups and proper dental hygiene are essential in managing and preventing these issues.

Managing Pain in the Short Term

In the meantime, while waiting for your dental appointment, here are some tips to help manage the pain:

Gargle with a warm salt water solution several times a day Avoid chewing on the side where the pain is located Use over-the-counter pain relievers such as ibuprofen or acetaminophen as directed on the label Avoid smoking and alcohol, as they can delay healing and increase the risk of complications

Additionally, maintaining good oral hygiene is crucial. Brush your teeth gently, especially around the affected area, and floss carefully to keep the area clean and free from food particles that can contribute to inflammation.

Conclusion

While wisdom tooth pain can be uncomfortable, understanding the underlying causes and seeking professional dental care can help alleviate your symptoms and prevent further complications. If you are experiencing pain when your lower wisdom tooth is hit by the upper one, it is essential to consult a dentist for a proper diagnosis and treatment plan. With proper care and attention to your oral health, you can manage and resolve this issue effectively.