Talk to Dentist on Molar Pain
Asking for Self, Female, 23 years old, Shahdara
Hello Doctor,
My last molar on one side is swollen. The inside of it has turned white. It has been like this for about a week now.
Currently there is no pain, but I am unable to chew or eat anything on that side.
Kindly advise me on what I should do next.
Thank you.
Please visit our clinic. If you are located in Islamabad.
Asst. Prof. Dr. Sana Jalil Hasan - Dentist
BDS, FCPS (Operative Surgery), Dip. Aesthetic Medicine | Rawalpindi
21 Positive Reviews
kindly visit dentist near you
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Anonymous User
After a periapical radiograph we will decide to go for a root canal treatment or go for extraction.till that time use warm saline rinse s and painkiller to make you comfortable.
Use clove oil. And doctor paste
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Anonymous User
Eruption time of last lower molar is 21 years of age. If does not, we call it impacted tooth. You should consult your dentist as soon as possible, till then use warm saline to rinse the area.
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Anonymous User
Based on the clinical presentation of localized soft-tissue tumefaction (swelling) and leukoplakic/purulent transformation (whitening) adjacent to a terminal molar, the primary diagnostic considerations include:
1. Differential Diagnosis
Pericoronitis: Acute inflammation of the operculum (the mucosal flap overlying a partially erupted tooth). This creates a stagnation area that sequesters microbial plaque and food debris, leading to localized infection, tissue necrosis (which appears white), and mechanical trauma from the opposing maxillary molar.
Dentoalveolar Abscess: A localized collection of pus originating from either the dental pulp (periapical abscess via dental caries or trauma) or the periodontium (periodontal abscess via deep periodontal pockets). The white appearance typically denotes a fistulous tract or a localized purulent focus preparing to drain.
Hyperkeratotic Traumatic Ulcer: Chronic mechanical irritation of the swollen operculum or mucosa by the cusps of the opposing dentition, resulting in a fibrinaceous exudate and epithelial necrosis, which presents visually as a white pseudomembrane.
2. Clinical Pathophysiology of Functional Impairment
The inability to masticate (chew) on the affected side, despite the absence of acute nociception (pain), is primarily due to:
Trismus: Reflex spasms of the muscles of mastication (specifically the medial pterygoid and masseter) secondary to adjacent inflammatory exudate.
Mechanical Interference: The volume of the edematous tissue physically alters the occlusal plane, causing premature contact and pain induction during functional jaw closure.
Dr. Muhammad Siddique Arain - Dentist
BDS, RDS, OMSB (Muscat Oman), MCPS Family Dentistry | Muzaffar Garh
96 Positive Reviews
If you have any x Ray please send .see the molar position carrious lesion then decide either filling .RCT or extraction
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