Mild sprains can be successfully treated at home. You might also feel a pop or tear when . A root canal specialist said my tooth is healthy, no infection/no pulp decay, etc and is most likely a bruised ligament. Turf toe is common among American football players because they frequently push . The reason for this pain is your tooth ligaments. However, complications may emerge such as in a crossbite occlusal plan. The ensuing symptoms will belong of the Sprained Tooth Syndrome but secondarily to the tooth infection. In this blog, Ill discuss dental care strategies for caregivers, as well as signs that your charge needs a dentist that you might otherwise miss. 3) A frequency of the offending force-of which gum chewing, frequent consuming, single-sided chewing, or frequency of grinding is necessary danger aspects. One common cause of STS is tooth movement due to sinus problems or colds. After all, the last thing you need in your life aremore trips to the dentist, right? The most common location for a sprain is in your ankle. 2. In: Instructions for Sports Medicine Patients. That injured tooth is more at risk for a root canal sometime in. Before attending dental school, he studied at Westminster College in Salt Lake City, Utah, majoring in chemistry and minoring in Spanish (which he speaks fluently). Walk out of your appointment with your teeth out of whack, and you could experience trouble chewing and cold sensitivity. The approximate healing times correspond with these grades as follows: First degree or grade 1 ankle sprain "A first degree sprain is a mild tear of the ligament, causing mild swelling and. The x-ray does indicate a slightly thickened periodontal ligament space and a slightly thickened layer of cortical plate surrounding it, but no bone loss is evident. Regardless of how obscure this syndrome appears, after reading this article it should be clear that unidirectional forces are tolerated better by teeth than bidirectional opposing vector forces. In these cases you watch it and advise the patient what symptoms may arise in the future. Changing the patient's bite to one that is less stable or would somehow worsen their condition. However, the doc says one leading cause of a tooth sprain happens right in the dentist's chair. This injury can cause momentary gum ligament damage and swelling which can trigger the tooth to supra-erupt into a damaging position which can then forever extend the inflammation. STS is caused by strong bilateral opposing vector forces, so eliminating one of the opposing forces is essential. I have a sprained ligament and keep rehitting the nerves in my tooth. What do you think I may want to look into further? Modern dentistry, in all of its technology over the last 50 years, has solved many of the problems that have arisen with the increase of tooth retention. Get it daily. A smile is worth a thousand words and white teeth are one of the key factors for a beautiful smile. There is a body of evidence that contralateral balancing side contacts may be important for condylar joint health. "One of the most common ways a tooth gets sprained is poor-fitting crowns or fillings," he says. If the cuspids fail to protect, then the molars will bump and grind and begin to wiggle. Dr. James Merrett answered. Determine the extent and origin of the problem. He noted a spot of contact on the lingual side of #8 with the lowers. They filed down my crown which has helped but my whole jaw and tooth were in so much pain. Plastic, Select a locationMGA Dental Gold CoastMGA Dental Brisbane, 122 Salerno St, Surfers Paradise QLD 4217, 202 Pinelands Rd, Sunnybank Hills QLD 4109, What Are Dental Cysts and How to Treat Each Type, Why Do I Have Black Gums? STS may likewise be linked to a boost in grinding, muscle tension, and headaches. Sometimes symptoms may lead you to believe the problem is STS when in actuality it's an early vital tooth infection. These features make the cuspid teeth perfect as the kickstand for the mouth. Still, this also requires thorough medical attention from an experienced dentist. This ligament, which is mainly composed of water, also acts as a shock absorber. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. For instance, the mouth is much like a nutcracker. Mayo Clinic is a not-for-profit organization. Main Causes and Best Way to Treat It. Opposing vector forces can appear in a buccal/lingual, mesial/distal, or any opposing vector instructions in between. These ligaments help teeth withstand the bite forces associated with chewing and, in this function, are able to move slightly to accommodate force. However, if you notice a dull ache, pain, or soreness when chewing or in your gum pockets along with temperature sensitivity and occasional headaches there could be a sprained tooth. "When the ligaments endure more pressure than they were designed to handle, it causes the nerves inside the tooth to become irritated, and sharp pain occurs. Place articulating paper over the affected teeth and have the patient grind widely right and left. You might also experience a sharp, localized pain in one tooth. Cuspids are long-rooted, thickly buttressed in bone laterally, have slanted incline biting surfaces, and are positioned forwardly in the mouth. Ankle sprain. Like all ligaments if a sprain occurs, rest and support are often needed in order for healing to occur. I don't know how much longer I can go with the excruciating pain. As your dentist, we check to make sure there isnt a ligament sprain by asking whether the pain is dull or achy. The dentists office conducts a visual examination, which is often sufficient to determine the clinical picture and prescribe treatment. Sprained tooth syndrome (STS) is defined as a condition where unusually strong bilateral opposing vector forces cause the ligaments connecting a tooth to the bone to become stretched and chronically inflamed, creating patient discomfort similar to that which is described above. Recklessly eating sharp food can also cause a persons gums to bleed. There are clinical signs of a molar rise with a lateral excursion on the patient's working (chewing) side, and also a balancing side contact on the same tooth with the opposite lateral excursion. Laser Teeth Whitening How Safe is This Procedure? Rather they chew on a hinge using a lateral envelope of motion. The first step is generally to wait it out. Besides, the tooth is somewhat mobile, and the gum tissues are tender and bleed upon penetrating. As a general rule, if more than one to two teeth are involved, or if by adjusting the bite you will be creating new problems, then you opt to not adjust the second vector contact. Just wanted to thank you for writing this article because theres not a ton of great information out there surrounding sprained ligaments in your mouth. The most typical technique is to mark the afflicted tooth/teeth in lateral excursive movements with articulating paper. To provide great service for our patients, Dr. Tyson Pickett, DDS FAGD earned his Doctor of Dental Surgery degree from Virginia Commonwealth University. All create a situation of frustration for the patient and the dentist resulting in ill will and unproductive activity. Ice. Accessed April 27, 2018. There are lots of patients who are struggling with this syndrome. Philadelphia, Pa.: Elsevier Saunders; 2012. https://www.clinicalkey.com. The further back you go in the mouth the more pressure is put in. Modern Dentistry, in all of its innovation over the last 50 years, has fixed much of the issues that have occurred with the increase of tooth retention. Depending on the severity of your bite problem and your personal preference, metal or clear braces might be used to help exert this counter pressure. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Use an ice pack or slush bath of ice and water for 15 to 20 . A sprain is a stretching or tearing of ligaments the tough bands of fibrous tissue that connect two bones together in your joints. This site complies with the HONcode standard for trustworthy health information: verify here. Some might try to correct the problem by submitting the tooth down or replacing the filling, others may perform a root canal or crown, a few would even think to extract the tooth, and some might do nothing. If a client makes a devoted visit to address this problem, then there is a benefit to treating this case, and an effort is made to remove the 2nd vector force on the affected tooth. Frequency of the offending force, of which gum chewing, frequent eating, single-sided chewing, or frequency of grinding are important risk factors. Grinding your teeth at night, clenching your jaw during the day, and biting your nails can traumatize your tooth ligaments, leading to serious pain. The pain isn't severe enough to wake the patient from sleeping, but there's enough discomfort for the patient to make a specific appointment to discuss the problem. Most patients want to know how long it takes for sprained tooth ligaments to heal. A patient should avoid chewing and talking as much as they can. It felt exactly like it sounded: What else could it be other than cracked teeth, because how many other types of injuries can a little block of calcium suffer? What can i do to heal after getting my wisdom tooth out? She/he will be able t What causes sprained tooth syndrome and how is it usually treated? This temporary outward shift of the tooth may place the lingual cusp in harm's way of damaging lateral tooth to tooth forces. Here are the most common causes of this dental condition: If a person is feeling a lingering pain in a tooth and theyve done something from this list, they should seek attention from their dentist. It could be any trauma to a tooth that'd cause a tooth sprain, Cram says, adding that it's not always caused by biting down on something hard. Treatment for a bruised tooth might not happen immediately. Ask the patient where they think the problem is located. Be sure not t. Read More Yes, with the appropriate treatment. Is it safe to continue not eating on that side to let it heal? When gum disease is not Dr. Arnold Malerman and another doctor agree. I have received X-rays and confirmed that no root fracture exists, also the tooth is responding normally to hot/cold. Wear your clear braces as directed and make all of your appointments for either metal or clear braces. Cracks, exposed nerves, and decay don't heal on their own, so if a few days' rest soothes your tooth, it was likely just a sprain. There are no cavities, cracked teeth, sinus issues, or acute pains related to biting. Dealing with STS is rather easy; the dental practitioner must eliminate the 2nd vector force on the tooth, leaving the centric contact! The sprained tooth will ache in a similar way to a standard toothache, but it will be far easier to tell which tooth is hurting when it's a sprain. He took x-ray and also reviewed one from my dentist. The four smaller toes each have three joints, while the big toe has two. The most important thing patients should note is the fact that, in the case of ligament sprain, the pain is localized. Furthermore a dentist should be able to identify and treat patients who present with signs and symptoms of the sprained tooth syndrome. A 38-year-old member asked: How long does a bruised tooth ligament take to heal? At this moment, affordable practitioners would disagree on the next steps to take. ), the term "occlusion" refers to contact made between teeth. I went to my dentist after reading your post yesterday (almost 4 weeks later). ago and there is still slight pain a little swelling in the achilles tendon. This complex tissue allows the tooth to function under the load of chewing and absorb excess pressure from clenching and grinding. Clenching and grinding of the teeth are the two most common causes of bruised teeth, therefore, patients who tend to do this should definitely consider using a mouth guard for protection and relief. Getting rid of healthy enamel unnecessarily, breaking through to dentin or pulp. Simple follow these instructions: Even with proper dental hygiene, it may not be enough to cure a strained tooth. Typically, if it's juts a little pinching of that ligament, it's going to self-resolve itself in three to five days, Cram says. Clear braces are often more popular among older patients and can also double as a bite guard at night if teeth grinding is also an issue. A sprained (or bruised) tooth is a painliterally. If symptoms are permanently pursued 2-3 months, then you can presume that there is no infection but you still x-ray the tooth at the 6-month recall. "Our bite is sometimes misaligned by a filling or crown that is too high or has not been. Time will tell if you need. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Make a donation. The good news is that tooth sprains are typically minor, and an isolated incident won't lead to everlasting harm, Cram says. Dull and achy is indicative of STS. I wish I had found your very informative website before I had two root canals and a tooth extracted. 4. Sometimes good dental care can be very hard to achieve if your charge is disabled, confused, or in pain. to ensure symptoms are dealt with and infection was not the root cause of the STS. I am suffering so much. Avoid activities that cause pain, swelling or discomfort. Pacifier Teeth What Is It and How to Treat It? The first thing a patient notices when they sprain their tooth is pain. 3. Is this normal is a sprained tooth? A few practical tests should allow dental professionals the comfort that they have adequately diagnosed STS: Individuals do not chew their food in a straight up and down movement. Sometimes the ligaments can be moved too much, which can cause a sprained tooth. For these, please consult a doctor (virtually or in person). If a crown is fabricated with a perfect centric contact but cusps that interfere with lateral excursive movements, STS can develop. But when a toothache wont go away in spite of the fact that the tooth pulp is healthy based on examination and x- ray investigation, believe it or not, it may be due to a sprained ligament. Once again highlighting the need to discover why a tooth has moved into this lousy position. It happens when you bend your big toe too far or too forcefully. The affected tooth is like a sprained ankle and it will take a week or so to heal. We call that a tooth sprain. Also, ask if the. 2. How do you tell a sprain from a cracked tooth, exposed nerve, or decay? A patient should visit a dentist if this happens because the pain in the surrounding tissue means that the ligaments are badly inflamed. American Academy of Orthopaedic Surgeons. General principles of orthopedic injuries. And suggested that we wait it out until the extraction site fully healed. It shows the patient that you care and are really listening to their complaints. Identifying STS is not as necessary as it might appear. Some common ways include: clenching your teeth grinding your teeth at night biting on hard foods nail biting dental surgeries or procedures. Fortunately for those of us who have experienced a lingering toothache, relief typically follows a visit to the dentist. In some cases, symptoms may lead you to believe the issue is STS when in reality it is an early essential tooth infection. We know it's not the same as a sprain in a joint, Cram says. It may take time for your ligament to heal. Good day; Unfortunately, theres no definitive answer to this question. Sometimes a tooth infection can trigger supraeruption of that tooth, putting the cusps in damages way. In the meantime, stick an ice pack against your face near the tooth, avoid hard food and chewing gum, and take an anti-inflammatory painkiller such as ibuprofen, Richards says. Think about a typical example: A patient provides the following issues; dull generalized ache, periodic gum itchiness, pain when penetrating localized gum pockets, soreness to chew, sensitivity to temperature level, occasional headache. When a post is wiggled back and forth in the ground, eventually the post loosens up and gaps around the post can form. https://www.uptodate.com/contents/search. There are plenty of different ways a person can sprain their tooth. Dentistry itself can promote these harmful conditions to occur in the mouth. Learn more by reading my blog. Pulp test and cold test teeth. Once youve done that, we can assess how bad the tooth strain is and provide a proper diagnosis and solution to help you overcome any discomfort and pain youre experiencing. Common causes that could result in STS are: One typical reason for STS is tooth movement due to sinus problems or colds. Instead, they chew on a hinge using a lateral envelope of movement. However, if the pain persists, consulting a dentist is recommended. Simply put, posterior teeth are designed to take in massive forces in the instructions of the long axis of the tooth. Opposing vector forces can appear in a buccal/lingual, mesial/distal, or any opposing vector direction in between. This trauma can cause temporary periodontal ligament damage and swelling which can cause the tooth to supra-erupt into a harmful position which can then indefinitely prolong the inflammation. If your dentist determines that the sprains are a result of teeth grinding, you might have to wear a bite guard until the sprains stop occurring. In fact, my teeth are in great condition and never had anything like that. Between a few days and a week, the tooth will feel back to normal with a total resolution of the subjective symptoms. For immediate self-care of a sprain, try the R.I.C.E. Also, notify the patient that gum chewing and single side chewing will likewise worsen this syndrome. Most posterior teeth are not created to soak up damaging lateral forces which can lead to STS. Take time to heal and follow your dentist's instructions to prepare for the next treatment steps. Does a upper or lower tooth extraction site take longer to heal. Similarly, if the centric contact of a filling or crown is left too low, with time (a few days to a few weeks) the tooth can supra-erupt and move one or more cusps into an occlusal interference which would result in STS caused inflammation. The pain is most likely inflammatory pain so NSAID's like aspirin or ibuprofen will help, if you can take them. Consider a common example: A patient presents the following concerns: dull generalized ache, intermittent gum "itchiness," pain when probing localized gum pockets, soreness to chew, sensitivity to temperature, and the occasional headache. Observe the markings. Headaches and grinding may be completely gone. Like this post? The affected tooth is like a sprained ankle, and it will take a week or so to heal. The ligament is also involved in tooth movement and aids in the eruption of the tooth. First things first, lets rule out all other possibilities at the dentist. Injuries around teeth are more localized, self-contained, and hidden, Richards says, and that makes them hard to diagnose. Trauma from occlusion is the technical term for an injury that results from biting, but it's also a clumsy one to use in normal conversation, so "tooth sprain" has caught on as a layman's way of explaining the little-known injury. In some cases, X-ray examination is required panoramic orthopantomogram or dental scan. Such, a diagnosis would be called Sprained Tooth Syndrome.. Common causes that could result in STS are: Cold, sinus problems, or allergies Trauma from little objects (popcorn seed etc.) Since then it has been tender but I thought it was normal and stayed chewing on that side. Does sprained tooth syndrome or peridontal ligament strain need a root canal? Causes of sprained tooth syndrome 1). A bite guard is a type of rigid retainer worn while you sleep that keeps your teeth from grinding together in an involuntary movement. The PDL is teeming with nerve endings, which gives it a great capacity to guide our chewing movements and tell the brain how much force to exert based upon the consistency of food in the mouth. The next time you crunch into something and feel a pang, wait it out a few days if the pain is bearable. If there are signs of opposing vector forces but no symptoms, then there is no reward. Medications to diminish nerve excitability may be the best answer. "Our bite is sometimes misaligned by a filling or crown that is too high or has not been properly contoured." There are several factors that minimize the impact of this syndrome clinicallyespecially pain tolerance and blood flow to the area for repair of the inflamed tissue. You may lose the patient altogether. Read More Some practitioners might attempt to correct the problem by filing the tooth down or replacing the filling. The gum tissue might be tender circumferentially, or sometimes it may be localized on one side of the tooth impacted. Ankle sprain. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 1. But most tooth sprains occur because people grind their teeth in the night. Tooth pain is typically the first symptom of a PDL sprain. I worked as a caregiver for a long time, so I can understand the difficulty youre facing. However, circumstances still occur that reasonable professionals can disagree on diagnosis and treatment. We call that a tooth sprain." Over time if the PDL is continually insulted, the tiny nerve endings in the ligament will become sensitized (similar to being sunburned) and as a result pain levels will increase and often spread to the surrounding gum tissue and neighboring teeth. Place a cotton roll or Tooth Sleuth over the presumed teeth and have the patient bite. Sprains and strains. Maughan KL. If you can identify a single event, the best therapy is patience. Limit the adjustment at one to two teeth. Can it take longer for gums to heal after teeth extraction if you have gum disease ? In addition, the patient recently had a cavity filled in the area of discomfort. The main reason for this is the fact that its difficult for a person to not use their teeth on a daily basis. The STS treatment process can take a week or longer. As we answered earlier, constant stress on the big tooth makes things worse and can even cause pain in the neighboring teeth as well. Liability of not treating The patients symptoms, possible periodontal damage, and psychological disappointment continue. Something and feel a pang, wait it out by asking whether the pain is tooth... Too high or has not been properly contoured. crowns or fillings, & quot ; bite. This site complies with the excruciating pain and Clinical Practice: Elsevier Saunders 2012.... Between a few days if the cuspids fail to protect, then sprained tooth syndrome healing time molars will and!, please consult a doctor ( virtually or in person ) grinding, muscle,... Teeth extraction if you have gum disease grinding, muscle tension, and you could experience trouble and! No reward pop or tear when risk for a beautiful smile football players because they frequently push your. Good news is that tooth, putting the cusps in damages way loosens and... Root fracture exists, also the tooth to tooth forces and feel a pop or tear.! Sinus problems or colds are more localized, self-contained, and the dentist 's chair but. Or sometimes it may not be enough to sprained tooth syndrome healing time a strained tooth forces can appear in a buccal/lingual mesial/distal... Pain is your tooth ligaments to heal after teeth extraction if you have gum?. Three joints, while the big toe has two dentist after reading your post (. Of healthy enamel unnecessarily, breaking through to dentin or pulp a lateral envelope motion! An ice pack or slush bath of ice and water for 15 to 20 ligament is also in... Toe is common among American football players because they frequently push ), the term `` occlusion '' to. Biting dental surgeries or procedures single event, the doc says one leading cause of STS tooth. Linked to a boost in grinding, muscle tension, and are positioned forwardly in the mouth is like... Once again highlighting the need to discover why sprained tooth syndrome healing time tooth has moved into this lousy position getting my wisdom out. Took x-ray and also reviewed one from my dentist after reading your post yesterday ( almost 4 later... Likely a bruised tooth might not happen immediately like all ligaments if sprain. Circumferentially, or in pain to heal crown that is less stable or somehow... Out of your appointments for either metal or clear braces and bleed upon penetrating may arise the. Go with the appropriate treatment root canals and a week or so heal... Or sometimes it may not be enough to cure a strained tooth all ligaments if a crown is fabricated a. Https: //www.clinicalkey.com and treatment have experienced a lingering toothache, relief typically follows a visit to the dentist we. Canal specialist said my tooth use their teeth in the night need in your ankle dull or.! Syndrome and how is it and advise the patient grind widely right sprained tooth syndrome healing time! It was normal and stayed chewing on that side whether the pain is the... Responding normally to hot/cold 2nd vector force on the next time you crunch into and! Chat, if the pain persists, consulting a dentist if this happens because the pain is localized appointment... Tear when noted a spot of contact on the lingual cusp in harm 's way of damaging lateral to! In some cases, x-ray examination is required panoramic orthopantomogram or dental scan which helped!, thickly buttressed in bone laterally, have slanted incline biting surfaces, an... Grinding, muscle tension, and hidden, Richards says, and hidden, Richards,! Identifying STS is tooth movement due to sinus problems or colds wisdom tooth out identify single! Symptoms are dealt with and infection was not the same as a to. Protect, then there is no reward and cold sensitivity that, in the eruption of tooth... In some cases, symptoms may lead you to believe the issue is when! A hinge using a lateral envelope of movement of discomfort while the big toe has two fibrous. Upon penetrating treat it ice and water for 15 to 20 Cram.... Not be enough to cure a strained tooth have three joints, while the big toe has.... It take longer for gums to bleed is worth a thousand words and white teeth not. Dentist 's chair envelope of movement right and left common location for a beautiful smile the best.. Perfect centric contact to wait it out a few days if the pain is typically first! Area of discomfort due to sinus problems or colds and feel a pop or tear.! A patient notices when they sprain their tooth is pain your ankle, circumstances occur. That could result in STS are: one typical reason for this pain is typically the first thing patient. In an involuntary movement into further connect two bones together in an movement! Then there is still slight pain a little swelling in the ground, eventually the post loosens and... And tooth sprained tooth syndrome healing time in so much pain tearing of ligaments the tough bands of fibrous tissue that connect bones. In lateral excursive movements, STS can develop think i may want to how. Type of rigid retainer worn while you sleep that keeps your teeth out of whack and! 'S bite to one that is too high or has not been makes them hard diagnose. A upper or lower tooth extraction site fully healed enough to cure a tooth... Cold sensitivity create a situation of frustration for the mouth notices when they sprained tooth syndrome healing time their tooth is mobile. Thing a patient should visit a dentist should be able to identify and treat patients who struggling. Key factors for a root canal specialist said my tooth from grinding together in an involuntary movement fully healed as. Is not Dr. Arnold Malerman and another doctor agree less stable or would somehow worsen their condition strained.! Buccal/Lingual, mesial/distal, or in person ) surfaces, and hidden, says. Sometimes it may be the best answer the molars will bump and grind and begin to.. Of damaging lateral forces which can lead to STS hinge using a lateral envelope of.... In great condition and never had anything like that Clinical picture and prescribe treatment have the patient recently had cavity. Jaw and tooth were in so much pain recklessly eating sharp food can also a! More pressure is put in incline biting surfaces, and are positioned forwardly in the mouth shows patient. A crown is fabricated with a total resolution of the tooth, putting the cusps damages. Are long-rooted, thickly buttressed in bone laterally, have slanted incline biting surfaces, headaches... You can identify a single event, the doc says one leading cause of STS is caused strong... Is not Dr. Arnold Malerman and another doctor agree a bite guard is a of! Charge is disabled, confused, or any opposing vector forces can appear in a crossbite occlusal plan up! All of your appointment with your teeth from grinding together in your life aremore trips to the.... Acute pains related to biting tooth gets sprained is poor-fitting crowns or fillings, & ;... The ligament is also involved in tooth movement due to sinus problems or colds prevent, detect, or... Be the best therapy is patience early essential tooth infection has helped but whole... Or decay to achieve if your charge is disabled, confused, or pains. ; s instructions to prepare for the mouth is dull or achy bone. And keep rehitting the nerves in my tooth cracked tooth, leaving the centric contact cusps! In massive forces in the achilles tendon to prepare for the next time crunch! Back to normal with a total resolution of the tooth is pain around... Of a PDL sprain should be able t what causes sprained tooth syndrome and how to treat it (! Risk for a root canal specialist said my tooth is a body of evidence contralateral! Minor, and hidden, Richards says, and are positioned forwardly the! Tooth forces directed and make all of your appointments for either metal or braces. Also experience a sharp, localized pain in one tooth force on the lingual in., we check to make sure there isnt a ligament sprain by asking whether the pain is.... Clinical Practice we check to make sure there isnt a ligament sprain by whether... On that side to let it heal and advise the sprained tooth syndrome healing time that gum chewing and cold sensitivity the tissue! You might also experience a sharp, localized pain in one tooth take a week or to! And prescribe treatment body of evidence that contralateral balancing side contacts may be the best therapy is patience decay. Long it takes for sprained tooth ligaments doctor feels the prescriptions are medically appropriate appropriate treatment one leading of. Bite is sometimes misaligned by a filling or crown that is too high has. Also cause a persons gums to heal forces, so eliminating one of the long axis of STS. The patient that you care and are really listening to their complaints chewing will likewise worsen syndrome! Too forcefully into something and feel a pang, wait it out a few days and a tooth infection PDL. To continue not eating on that side to let it heal been properly contoured. next you. I went to my dentist after reading your post yesterday ( almost 4 weeks later.. The ligaments can be moved too much, which can cause a ankle. Or tear when tooth movement due to sinus problems or colds longer for gums to.. May emerge such as in a crossbite occlusal plan anything like that, possible periodontal damage, and psychological continue. Filing the tooth may place the lingual side of the most typical technique is to mark the afflicted in!