Hi, I have come here today to see if I can find any information about what might be wrong.

I'm 27, male and have no known health problems.

Last Thursday my inlay fell off of my right side pre molar. I got in on the Monday just gone. My dentist re fitted the inlay and has the bite perfect so it seems. Any way I seem to have a problem with the molar behind the new inlay. Its become very achy. I have done the hot and cold test and there is no pain to either of them. They feel the same as my other remaining teeth when I put the hot and cold water on them. Also I can bite fine on both my inlay and the molar behind and not get any pain either.

My problem is the molar behind the inlay seems to keep aching and it also feels like its being pulled by my inlay tooth. There seems to be some pressure type feel to it. Now the molar in question seems to be ok health wise. My dentist said its fine and I had one of the x-rays where you can see every tooth and hold it up to a light board. He could not see anything wrong with my other teeth. Now one thing I notice is the molar seems to hurt when I press on one of the edges! Also on the edge at the bottom where the gum meets the tooth its feels very sensitive for no reason.

I'm currently taking amoxicillin as I had my upper wisdom tooth extracted 2 weeks ago and over the weekend it started to feel painful so my dentist gave me that to take 3x a day at strength 500mg. My worry is that what if I had an infection in that molar and having the inlay reset yesterday actually flared it up but the amoxicillin is calming it down?

I have had to see him about 4 times in two months and I just worrying I'm starting to annoy him I suffer from social anxiety and PTSD so going to the dentist is a big deal to me and I don't want him and his dental nurse to think I keep making everything up!

I will include some pictures and try to put a circle around where it hurts. If you need any more pictures or information then please ask.

Thank you.

P.s I have to admit I have been constantly poking it with my finger and tongue all day trying to find the pain. Could this possibly inflame the tooth behind?

1 is the inlay before it fell out on my pre-molar
2 This is after it had fallen out
3 This is it re fitted
4 This is me trying to explain where it hurts

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Ok looking back now and thinking about everything I am concerned this could of actually been an infection in my molar. When I tooth was open before the molar was sealed with the inlay I did notice a slight twinge when I was going to sleep one night but it was only a few times and then it went. I also noticed that the hole really stunk when the dentist was using the tool that blow with a bit of water to clean the hole out. My inlay also stunk quite bad to. Now yesterday and the day before I had quite a yucky taste in my mouth that smelt awful. What I;m thinking is, is it possible that the infection actually started to pick up yesterday and because I started taking the amoxicillin at 11am it didnt have a chance to really get fully infected? At the moment I am sitting here with hardly any pain at all and this is after taking my 5th tablet of amoxicillin. I was originally taking it for an infection on my upper extracted wisdom tooth extraction where the dentist thought I had a gum infection. Another thing I noticed is when It was quite painful last night the tooth molar behind the inlay felt like it has risen up out of place and it didn't feel right.

I'm not sure how it could of gotten infected though as I don't have any cavaitys in that tooth my dentist told me. Also what can I do now? The fact the infection maybe taken care of there is no way even if I went to the dentist he could tell I had an infection. So basically I'm thinking I'm going to have to wait until it gets infected again for him to see the problem and extract it.

On the other hand if it is actually the inlay that caused all this then maybe its gotten better because I have noticed the inlay tooth does not feel so tight anymore and I have also flossed in there quite a bit as at first I could not even get a bit of floss in there but I eventually forced it in and then the tooth felt a bit better.

I have to admit its rather scary as I have had an abscessed tooth before which was so painful it put me out for two days. I then had it removed, I have also suffered two gum infections from a wisdom tooth skin flap which were also painful.

Hi ocd27,

I will explain each photo as I see it and maybe this will help clarify some things.
BTW...thanks for posting the pics!

#1) You have some tartar buildup on both your molar and pre molar which can be irritating to the gum tissue especially if the tartar has migrated to below the gumline.

#2) This photo shows that the molar has a lot of plaque and hard tartar on the mesial surface (area of tooth in between the molar and pre molar). This indicates that you were not able to floss in here properly.
Also, do you see in photo #2 that large red area on the gumline between the molar and pre molar? That is your gum and the onlay was pressing tightly against that area. It appears that this tooth is severely broken and is missing the entire distal (back) portion of the tooth.

WHAT IS THE HISTORY OF THIS PRE MOLAR TOOTH? HOW DID IT BREAK? DID IT HAVE TWO ROOTS AND ONE WAS AMPUTATED?

#3) The onlay is very large in that it is replacing the entire distal portion of this tooth above the gum line.

#4) The discomfort you are feeling when you push on that area of your molar may be due to the accumulation of tartar that might be below the gum line. The fact that you feel the pain in your pre molar when you push here may be referred pain or it may be as you push here you are causing pressure on the pre molar at the same time which is being picked up by the fact that the pre molar is missing it's distal wall and the crown is pressing against the gum tissue.

Bryanna

Hi bryanna, Thank you for replying

Ok well I was eating on it about 7 years ago and some of the tooth broke off. My dentist then filled it with a metal filling. I think they're called allagram? Any way about a year ago the metal filling came loose and fell out. I personally believe this might of been from the fact the metal filling was attached to my molar. A year earlier I had to have a impacted wisdom tooth removed and the molar in front of it as the wisdom tooth had grew into it and damaged it Anyway When the filling fell out he said the only way he could save the tooth would be to give me an onlay filling, He decided to drill the tooth right down and then took an impression and i had a temp. I then went back and he fitted it It felt fine and I never had any problems with it. I was eating and it just came out with my food last Thursday. I went in to thursday and he re fitted it. What I dont understand is when he re fitted it he had to work on my bite again and file down the onlay which I didn't understand why because I thought it had been made to be a perfect fit. He even shaved a small bit of my upper molar to get the bite right.

I personally felt like the onlay was VERY tight and I couldn't even get any floss in between the teeth. I now cannot get any floss in between the premolar the the tooth in front of it as there is some of that bonding chemical there so its just solid.

My big concern is I am not sure IF I had an infection or not after the only was fitted. There was a terrible smell coming from the molar you said had a high tartar build up on and then it was having a deep dull ache which I could feel in the jaw. When I bit on the onlay and molar and food it felt like they were bonded together and the premolar was pulling the molar forward. It is possible that the infection did set in and that is the reason it became so tight? Infact when the tooth was aching most it felt raised and I was hitting it first when bitting but the strange thing is it didnt hurt to bite on!

I may sound like a wimp but I have had to be on amoxicillin 7 times in my life so far because of my teeth. I had had 4 abscess and they're awful. I seem to be prone to them even though I brush 2x a day and floss. I am worried I will become resistant.

Something does not feel right with my teeth since having my upper wisdom tooth removed on the 30th of dec 2013. I sometimes get a deep ache that last for a few seconds on my lower right wisdom tooth! I've been getting sensitive sharp pain in my upper front teeth the past week to. I keep getting a putrid taste in my mouth that comes and goes to.

Also I cannot ask to get my teeth cleaned from tartar as im on the NHS in england and They don't cover teeth cleaning. Also I cannot get a 2nd opinion as I live in a small town with 3 dentist and none are NHS and I cannot afford to go private.

Sorry for going on. My teeth situation is getting my down. If you would like more pictures I can provide them

Thank you

Hi ocd27,

The metal filling is called Amalgam and over time they corrode and break down. When an Amalgam filling comes loose and falls out of a tooth it usually indicates that there is decay underneath the filling and/or the filling was fractured. It may have felt like this filling was attached to your molar but it wasn't. I think what you were feeling was the filling covered the distal portion of the pre molar (back area of the tooth in between the two teeth) and it was probably bulky.

Okay.... your photos indicate that you are missing the wisdom tooth and the second molar on your lower ride side. I assume that is the area that you were referring to about extracting the impacted wisdom and second molar? I ask that because you mention pain in your lower right wisdom tooth... but it's been removed. Perhaps the pain in the wisdom tooth is on your left side? Is that the side you had the upper wisdom tooth removed in December? If that is the case, then you could be having referred pain from your upper jaw to your lower one either from the extraction process which may have caused a temporary strain on your TMJ joint and/or from an infection brewing in that wisdom tooth site. Did the dentist who extracted that tooth mention anything to you about a sinus exposure or perforation? When that occurs it can cause a bad breath odor and bad taste and it would need to be evaluated by the dentist.

I also think that your random pain, bad breath, feeling like your tooth is moving up in the gum may be caused (in part at least) by the build up of tartar because the gums are inflamed and irritated. The tartar also builds up in between the teeth making it difficult to floss properly. Do your gums ever bleed when you brush, floss or press on them?

Bryanna

Sorry I think sometimes when I type I don't explain myself very well. I'm not very well educated

Ok the onlay is on the right side. This is the same side that I have had my molar and impacted wisdom tooth removed. My upper wisdom tooth that was removed was on the upper left side and the wisdom tooth on my lower left side is the one that seems to randomly throb though now thinking about the referd pain you mention it's possible its coming from the pain i'm having at my upper left wisdom extraction side. I'm pretty sure I have a bone sliver in there as there is something sharp and it catches on my finger if I run it on the outside of my gum.

Yea I do notice now you tell me its tartar I seem to have a lot of it! I will attach two pictures and you will be able to see for yourself. Is there anyway I can get rid of all this tartar? As I cannot afford to have it removed by a hygienist.

Also I decided to do a hot and warm water test on the onlay tooth and my molar behind it. I got no pain or sharp feelings from the very warm water in either teeth but when doing the cold water I noticed a sharp pain that stayed with the water and took a few seconds to go when I spat the water out, I could not figure which tooth it was SO I decided to use a ice lolly. I put it onto my molar and got NO pain at all only a normal cold feeling but when I put it onto the onlay..well it was such a sharp pain! It made me jump. It does not hurt when I put the ice onto the only but the actually part of my tooth thats left. It was seemed to take about 5 mins for it to settle down after!

Thank you for taking the time to reply to me. I cannot have a conversation like this with my dentist. He seems very quiet and it polish so communication is not his strong point but I do appreciate the fact he has taken NHS patients on and I don't think hes a bad dentist..I think.

One of my big fears bryanna is getting infections in my teeth and then an abscess and losing the teeth, I have so far taken 9 tables of amoxicillin 500mg. I am atm still getting a dull ache and a tightness around this only. I'm also getting that same dull ache near that wisdom tooth. Is it safe to say that it might not actually be an infection causing either of these as I'm taking the antibiotic? I'm taking it every 8 hours to make sure its spread through the day. I have had these before and they work on me normally after 24 hours.

Pic 1 is of the wisdom tooth I talk about. There is a small flap but that was cut back and I always brush hard on that bit to make sure I get anything out of it. I have actually had the flap cut right back also.

Pic 2 and 3 is for you to get a better look at the onlay and the awful tartar That I thought was just staining.

P.S my gums did used to bleed but I brought a new smaller head toothbrush and started to brush softer but yes sometimes when I floss it can bleed quite a bit. It bleeds actually in between the onlay premolar and molar quite often.

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I don't believe it. ITS COMES OFF. Ah no that's it then Im going to lose this tooth now. He said if it comes off that will be it and there is no chance to save the tooth. He does no do RCT as he seems to be against it which I'm glad because I wouldn't have one. Way to many people I know Have had so much trouble from them.

Well I have to admit that It does not feel so painful anymore. There seems to be no pressure but the molar still seems a bit sore at the root. Could this be from the pressure? I have included a picture of the inlay and imo there looks like there was to much glue or cement at the back of it where the molar met it. Was this causing the pressure?

pic 1 one is top down view
pic 2 is so you can see the back bit attached to the molar

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