Pain is a four letter word in dentistry. We are not teeth treaters but we treat people. We are also called dental surgeons for a reason. Our training, and education, involves an understanding of anatomy of most of the body including the brain and its neuroanatomy. The bio-chemical interactions in the body have a bearing on our surgical treatments and how the body reacts to it.
Dentistry contains oral medicine, as the everything is connected. The mouth often is an early warning barometer of health issues. It is important to we are trained in recognising general medical issues such as diabetes, asthma, heart problems, anaphylaxis, medication interactions and so. Occasionally, medical emergencies arise, and need to be recognised.
Now to referred pain.
Referred pain can come from many sources.
Types of Pain – Referred (Read it to find out if you have it) – Part 1
The moment Jesus had to die.
God wanted us to have a rest day to enjoy his creation and his relationship with us. The Sabbath was just that. However, the ruling priesthood (The Pharisees) made rules that gave them power over the people. Jesus said “The Sabbath was made for man, not man for the Sabbath”.
In the passage below (Mark 2:23 to 3:6) is the moment he had to die.
Jesus is the Lord over the Sabbath
ANZAC DAY 2025 – 110 years
This Anzac Day is 110 years since the Gallipoli landing in Türkiye and we commemorate all Australians & New Zealanders who have served in times of peace and war.
Commemorative services on this day are held at dawn – the time of the original landing in Gallipoli.
The 25th of April was officially named Anzac Day in 1916.
On the 25th of April 1915, Australian and New Zealand soldiers formed part of the Commonwealth of countries expedition that was tasked to capture the Gallipoli peninsula. They became known as Anzacs and the way they conducted themselves is now part of the soul of our countries continues to this day.
We continued the series Types of Pain – Referred (Read it to find out if you have it) – Part 3 – Medical Condition
Damage or injury to the nerves can cause neuropathic pain. This could be a sharp, burning sensation or numbness and tingling. Injury or disease can damage the nerve fibres, disrupting or distorting the pain signals the nerves send to and receive from other parts of the body. Sometimes, non-pain stimuli can feel like pain, which can be mild to severe. Damage to the nervous system affects the senses, so people may have changes in the way they experience touch, temperature, movement, and pressure.
This is where the detective work needs to be done carefully. The nerves to the upper and lower teeth and jaw have a common nerve trunk going to the brain. It is called the trigeminal nerve. It is also known as the fifth cranial nerve. It has three main trunks. One trunk goes to each jaw and the third trunk ends around the eye. Pain in teeth if it becomes severe enough, can “travel”. The pain perception extends beyond the site of the culprit tooth to along the nerve on which supplies it. Generally, if a lower tooth nerve is inflamed greatly the pain is felt to travel to the ear. In the upper teeth the pain can go up the side of the face. However, if the intensifies then the pain is felt in the opposite jaw. In extreme situations the pain travels along the third trunk to be experienced around the eye. It is rare that the pain to cross to the opposite side of the face.
Sometimes the pain can be perceived to go to a tooth that has had pain in the past. Don’t worry it gets worse. As the upper teeth roots are close to the sinuses, an inflamed sinus can refer pain to the upper back teeth. Occasional very inflamed ulcers can be often mistaken as tooth ache. Rarer conditions such cysts, tumours, and nerve diseases can also give rise to pain. Even a cracked filling or decay on one side of the mouth may cause discomfort on the opposite side. This occurs by simply overloading one side by the avoidance of the tooth on the other side. With any jaw joint pain, we always make sure there is no decay in the mouth. A hole in a tooth may cause to the bite to be thrown out.
May also saw the Dentist at Large – Sky, Sea, Mountains – Part 1 – SKY
Pain Relief – Part 1 began the month with Pain relief is not always about popping pills.
Pills are very helpful; and the way they work, very complex.
However, in some situations, a painkiller won’t even work. Here is an example:
A high spot on a filling can cause sensitivity to hot, cold and biting. The jaw muscles find it annoying and will grind at it till its worn, especially at night. Basically, it’s self-inflicted trauma, and once adjusted the sensitivity should subside unless there are other issues.
Check the blog for other examples. Then June also brought us more of this series on Pain relief to round off the month.
Pain Relief – Part 2 – Drainage / Antibiotics
Abscess An abscess is a fluid fill space in the body that contains pus. However, more importantly, it means the tissue structure in the abscess has been destroyed by the micro-orgasms and the body’s response to it. That means there is no blood supply within the abscess to carry nutrients and the body’s defence cells into the “battle”. Even any medication that is given to the patient such as antibiotics, or painkillers may not work. The pressure can start to build up and cause significant pain especially in an enclosed space, like bone. So, to relieve pain the abscess needs to be drained. There is an expression, “never let the sun set on pus.”
Pain Relief – Part 3 – Antibiotics / Medications
Myth Buster – Antibiotics are not painkillers. Not all pain is relieved by painkillers. Here is an example – Exposed dentine surfaces – this can become very sensitive and even painful. The moral of the story is the dentine is not meant to be exposed AT ALL to the hostile environment of the mouth, period!
Pain Relief – Part 4 – Medications / Lesions
Lesions Summary- Basically, a lesion is region the body that has suffered damage from an injury or disease, such as a wound, ulcer, abscess, or tumour. The blog will at look at the mouth. Please read it on.
Pain Relief – Part 5 – More Medications / Lesions
Let’s explore more lesions and medications for their relief of pain.
Erosion lesions – are where some of the surface layer of the tissue has been lost without exposing the next layer of the body.
Gastric reflux’s acidity erodes hard and soft tissue. That means even the surfaces of teeth are acid eroded. This can cause a loss of the enamel of the teeth to exposure of the dentine causing sensitivity. The enamel has softened, so it wears away.
If you’d like to book an appointment with the dentist at Seymour Dental then call us in Dulwich Hill, Sydney on (02) 9564 2397 or
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Happy New Year – Highlights of 2025 – Part 2 – July to September