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Periodontal Ligament Bruising?

User Level:
Patient
Posted by: sammyhill78  (1 years ago)
Hi,

I am experiencing sporadic pain/discomfort in one of my rear top molar teeth (Left side), after chomping down on a tiny bit of bone in a sausage around 9 days ago.

Initially there was no pain, then after 2 days sporadic and severe pain, then I saw the dentist the next day and they x-rayed my teeth and found nothing and said it is likely the periodontal ligament has been traumatised/bruised.
My other dentist said on the strength of those x-rays it is likely the above or even a fracture (but a crack didn't show up on x-ray).

Anyway, the pain turned to mild discomfort, which has now increased again to a bit of sporadic pain but nowhere near as much pain as a week ago. The pain has come back probably because, without being able to help myself, I started 'testing' the tooth (i.e. biting down on it), which I know I shouldn't have done. Incidentally, biting down on it doesn't give pain. The pain seems to come on its own accord.

What makes me think it is not the ligament bruising and is perhaps something else, is the sensitivity to cold. Cold air and cold drinks and very sweet drink (hot chocolate) cause the tooth to give a very brief shock of pain. Would bruising of the ligament cause this?

Anyway, I'm only writing because my dentist cannot fit me in for another 3 days (as it's the weekend coming up). The pain is not severe enough to get an emergency appointment, but it is enough for me to continue taking ibuprofen (as advised by dentist) and codeine/paracetamol.

Please see attached x-rays. The tooth in question, I think, is the one in front of the tooth with the filling (top row).

Thanks so much, I really look forward to your response

Sam
User Level:
Dentist
Hi,

I am experiencing sporadic pain/discomfort in one of my rear top molar teeth (Left side), after chomping down on a tiny bit of bone in a sausage around 9 days ago.

Initially there was no pain, then after 2 days sporadic and severe pain, then I saw the dentist the next day and they x-rayed my teeth and found nothing and said it is likely the periodontal ligament has been traumatised/bruised.
My other dentist said on the strength of those x-rays it is likely the above or even a fracture (but a crack didn't show up on x-ray).

Anyway, the pain turned to mild discomfort, which has now increased again to a bit of sporadic pain but nowhere near as much pain as a week ago. The pain has come back probably because, without being able to help myself, I started 'testing' the tooth (i.e. biting down on it), which I know I shouldn't have done. Incidentally, biting down on it doesn't give pain. The pain seems to come on its own accord.

What makes me think it is not the ligament bruising and is perhaps something else, is the sensitivity to cold. Cold air and cold drinks and very sweet drink (hot chocolate) cause the tooth to give a very brief shock of pain. Would bruising of the ligament cause this?

Anyway, I'm only writing because my dentist cannot fit me in for another 3 days (as it's the weekend coming up). The pain is not severe enough to get an emergency appointment, but it is enough for me to continue taking ibuprofen (as advised by dentist) and codeine/paracetamol.

Please see attached x-rays. The tooth in question, I think, is the one in front of the tooth with the filling (top row).

Thanks so much, I really look forward to your response

Sam


1. I have never heard of periodontal ligament bruising.
2. You need to get rid of your wisdom teeth.
3. Both first and second molars appear to have decay. Get this checked out.
4. White resin fillings in back teeth like this are bad news. They frequently leak, and cause symptoms like you are describing. Biting on something hard could have broken the bonded seal between teeth and resin.
5. A fracture is a possibility, but it would not top the list of my diagnoses.
Posted 1 years ago
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