I do understand how painful it was. It needs more accurate examination for diagnosis but normally there are quite a number of reasons causing the pain around lower back tooth.
There are two categories.
1. Gum-related
● Gum disease (gingivitis or periodontitis)
- this is a gum infection caused by poor oral hygiene
● Pericoronitis
- this is a gum infection caused by partially erupted widom tooth
● Periodontal abscess
- Gum infection casued by cracked tooth, reinfection of RCT, infection of nerves, etc.
- it often comes out as sinus tract.
● Traumatic lesions
- Scratches or damage by a foreign body
2. Tooth-related
● Tooth decay
- Decay also can cause pain to radiate to surrounding areas, especially when biting.
● Tooth grinding
- Grinding teeth can affect the periodontital ligament of tooth, or even can cause cracked tooth syndrome which could affect the necrotic nerve.
● Non-carious cervical lesions
- These occur because of abfraction or abrasion. This can cause pain especially when drinking cold drinks.
These are all from my experiences. Please do not hesitate to leave further questions. Thanks so much.
Warm regards,
Ryan Yun (Dr)
