Experiencing tooth pain when biting down can be an alarming and uncomfortable feeling. Whether it’s a sharp pain in your upper or lower teeth or a dull ache that persists, tooth pain can be a sign of an underlying issue that requires attention. It’s important to understand the different factors that could be causing tooth pain and how to address them. In this blog, we’ll explore the common causes of tooth pain, including gum disease, tooth decay, sensitive teeth, and more. We’ll also discuss possible treatments and steps you can take to prevent tooth pain from occurring in the future.
Understanding Tooth Pain When Biting Down
Tooth pain when biting down can vary from mild discomfort to severe, sharp pain, making it difficult to eat or drink. The pain may occur in one specific tooth or in multiple teeth, such as the upper and lower teeth. It may also be triggered by chewing, talking, or even tapping the tooth. Regardless of the severity, tooth pain, when biting down, should not be ignored.
When you experience pain while biting, it could be due to an issue with the tooth, surrounding tissue, or even the jaw. Understanding the root cause of the pain is crucial for determining the best course of action.
Common Causes of Tooth Pain When Biting Down
There are several potential causes of tooth pain when biting down. Some are minor issues that can be easily fixed, while others may indicate a more serious problem that requires dental intervention. Below, we’ll break down the most common causes of this type of tooth pain.
1. Tooth Decay
One of the most common causes of tooth pain when biting down is tooth decay. When bacteria accumulate on the surface of your teeth, they can begin to break down the enamel, leading to cavities. Over time, these cavities can become larger, reaching the tooth’s sensitive inner layers. This can cause pain when biting or chewing, especially if the tooth has large cavities or has developed into an abscessed tooth.
2. Cracked or Damaged Tooth
A cracked tooth is another common cause of pain when biting down. Hairline fractures or cracks can be difficult to detect, but they often lead to sharp pain when pressure is applied to the tooth. If the crack extends into the tooth root, it can cause severe pain. A damaged tooth can also become more susceptible to infections, which may lead to tooth abscesses or even a root canal.
3. Tooth Sensitivity
Tooth sensitivity is a common issue affecting many people, especially those with exposed roots or gum recession. The root surface may become exposed when the enamel wears down, or the gums recede. This can lead to sensitivity to hot, cold, or pressure—such as biting down. The pain may be sharp and sudden, but it usually subsides once the pressure is relieved.
4. Periodontal Disease and Gum Disease
Gum disease, or periodontal disease, can cause pain when biting down. This condition occurs when bacteria in the mouth infect the gums, leading to inflammation, swelling, and even tooth loss. When the gums recede, or the surrounding tissue becomes infected, it can cause pain when chewing or applying pressure to the teeth. In more severe cases, untreated bacterial infections can lead to abscessed teeth or tooth roots that may need to be treated with a root canal.
5. Loose Filling
A loose filling can cause discomfort when biting down. Fillings are designed to restore teeth that cavities or other issues have damaged, but they may become loose or damaged over time. When this happens, the exposed tooth can become more sensitive to pressure, leading to tooth pain when biting down.
6. Teeth Grinding
Teeth grinding, or bruxism, is another cause of tooth pain when biting down. This condition often occurs while sleeping, and the pressure from grinding can wear down tooth enamel, leading to tooth sensitivity, pain, and even tooth fractures. Over time, grinding can also damage the tooth roots, which can cause pain when biting or chewing.
7. Dental Abscess
A dental abscess is a pocket of pus that forms around the root of a tooth due to an untreated infection. This condition can cause severe tooth pain, swelling, and fever when biting down. If left untreated, a dental abscess can lead to more serious complications and may require a root canal or tooth extraction.
8. Sinus Infection
A sinus infection can sometimes cause tooth pain, particularly in the upper teeth. The sinuses are located near the roots of the upper teeth, so inflammation from a sinus infection can pressure the tooth roots, causing pain when biting down. This pain is often mistaken for a dental issue but typically resolves once the sinus infection is treated.
9. Dental Injuries
Accidents or dental injuries can also cause tooth pain when biting down. A blow to the mouth, a fall, or any trauma to the teeth can lead to cracks, fractures, or damage to the surrounding tissue. This can result in pain when pressure is applied to the tooth, and the injury may need immediate attention from a dentist.
Symptoms to Watch For
If you’re experiencing tooth pain when biting down, there are several symptoms to look out for that can help you identify the underlying cause:
- Sharp pain when biting down, especially on one tooth
- The tooth hurts when pressure is applied or when eating hard foods
- Pain in the upper or lower teeth
- Sensitivity to hot or cold temperatures
- Swelling or redness around the affected tooth
- Abscessed teeth with noticeable pus or swelling
- Tooth sensitivity that persists after removing the stimulus (cold or heat)
- Loose or damaged fillings that may cause discomfort
- Pain that gets worse over time or with chewing
If you’re experiencing any of these symptoms, seeing a dentist for an evaluation is important. Delaying treatment can lead to further damage or more serious complications.
Treatment Options for Tooth Pain When Biting Down
The treatment for tooth pain when biting down depends on the underlying cause. Below are some of the most common treatments for the causes mentioned above:
1. Root Canal
If the pain is caused by deep tooth decay or damage to the tooth root, a root canal may be necessary. During this procedure, the dentist will remove the infected or damaged tissue from the inside of the tooth and seal it to prevent further infection. A root canal can save a tooth that would otherwise need to be extracted.
2. Dental Fillings
If cavities or a loose filling causes tooth pain, your dentist may recommend replacing the filling or restoring the tooth with a new one. This will help seal the tooth and prevent further decay or sensitivity.
3. Gum Disease Treatment
If the pain is due to gum disease, your dentist may recommend a deep cleaning procedure called scaling and root planing. This removes plaque and tartar below the gum line and helps reduce inflammation. In more advanced cases of periodontal disease, additional treatments or surgery may be required.
4. Cracked or Broken Tooth Repair
Your dentist may recommend a crown, filling, or even extraction for a cracked or broken tooth, depending on the extent of the damage. Addressing cracked teeth as soon as possible is important to prevent further pain or complications.
5. Teeth Grinding Treatment
If teeth grinding is causing tooth pain, your dentist may recommend a mouthguard to protect your teeth from further damage. In some cases, relaxation techniques or dental treatments to realign the teeth may also be recommended.
6. Antibiotics for Infections
If a dental abscess or untreated bacterial infection is the cause of your tooth pain, your dentist may prescribe antibiotics to help clear the infection. In more severe cases, the abscess may need to be drained or treated with a root canal.
7. Pain Management
While waiting for treatment, over-the-counter pain relievers such as ibuprofen can help manage tooth pain. Applying a cold compress to the affected area can also help reduce swelling and relieve pain.
Preventing Tooth Pain When Biting Down
Preventing tooth pain when biting down starts with good dental care. Here are a few steps you can take to keep your teeth and gums healthy:
- Brush gently with a soft-bristled toothbrush to avoid aggressive tooth brushing, which can cause gum recession and sensitivity.
- Use fluoride toothpaste to strengthen tooth enamel and prevent tooth decay.
- Avoid grinding your teeth by wearing a nightguard if necessary.
- Visit your dentist regularly for check-ups and cleanings.
- Address any dental issues, such as cavities or gum disease, promptly to prevent complications.
- Maintain a healthy diet and avoid sugary snacks that contribute to tooth decay.
Conclusion
Tooth pain, when biting down, can be caused by various issues, ranging from tooth decay and cracked teeth to gum disease and dental abscesses. Identifying the cause of the pain and seeking prompt treatment is essential to resolving the issue and preventing further damage. Practising good dental care and seeing your dentist regularly can reduce your risk of experiencing tooth pain and maintain a healthy, pain-free smile. If you’re experiencing tooth pain, don’t delay—schedule an appointment with your dentist as soon as possible to get the care you need.
References
https://www.sensodyne.com/en-us/understanding-tooth-sensitivity/why-teeth-hurt-biting/
https://www.healthline.com/health/dental-and-oral-health/my-tooth-hurts-when-i-bite-down-or-touch-it
https://www.verywellhealth.com/tooth-hurts-when-i-bite-down-5323174
