Dear Dr Tanenbaum, I am seeking some reassurance/guidance about a RCT (#15 upper premolar) I had done 5 months ago in June that is still tender to pressure and I sometimes get tingling nerve sensations across the cheek on that side. You may also want to use over-the-counter anti-inflammatories, such as Advil or Aleve if your health profile allows it. For these, please consult a doctor (virtually or in person). - 0.18mm at 32 to 50 years of age. Just worried about the long term damage that can be caused when the PL is widen long term. There is no particular supplement or medication that has been shown to promote ligament healing. This tissue is made up largely of water and acts as a shock absorber between the teeth and the jawbone. Following injury, the affected area undergoes osteoclastic activity (the eating away of bone by cells) for two to three weeks before healing begins. Treatment includes medications and, Learn about the causes of an underbite, as well as its impact on quality of life, and how an underbite is commonly treated by doctors, including. There may be some medications that can help, but you would need to consult with someone with training in these difficult orofacial pain problems. The periodontal ligament is no different than any other ligament in your body, and when healthy, it is responsible for maintaining your tooth in a stable position. We agreed to wait a month to see what happens. I dont have any sensitivity to heat or cold, just to pressure. In these cases, the swelling will subside in the days and weeks following the root canal, and the . It is my opinion that after the extraction socket has healed, the placement of an implant is a good option and is unlikely to reignite the pain. Dear Samuel, Yes, the ligament may well be irritated and it may take weeks to months to settle down. These remedies at home include Green tea and Oil pulling. For potential or actual medical emergencies, immediately call 911 or your local emergency service. But it can appear earlier or later in pregnancy. Cementum. Moreover, the treatment time may vary from one person to another. If left untreated, the pain can spread to other parts of the mouth and increase the risk of infection. Dealing with tooth pain that wont subside? Ive gone into my dentist multiple times. This capability helps protect your teeth and surrounding soft tissues from injuries that could otherwise occur during normal function. AskMayoExpert. If you suspect that night clenching or grinding of the teeth is the cause, then the use of an oral appliance while sleeping may be the best remedy. You use and further strain your teeth by chewing, speaking, and swallowing. No sensitivity to heat or cold temperatures, just pressure pain. It also serves as a source of nutrients and cells for the tooth. If the trauma to the periodontal ligament is associated with bone fracture, 3 to 4 weeks are recommended. However, if the problem involves dentine, re-contouring will be needed. How big is the periodontal ligament? A damaged periodontal ligament widens, allowing the bone to grow back into the teeth. TTTR said: most of the time it only takes a few days and the pain is gone completely. How long does it take for a tooth ligament to heal? Even taking a breath in hurt it. I was pregnant the past year so I had to wait to have it done. Periodontal ligament pain can be caused by various traumas. If your teeth are loose or shifted, visit a dentist for a checkup. What would be some medications the oral surgeon could prescribe to calm the nerve inflammation? 24 hours after the gingival flap surgery, you can use a warm salt water rinse for the swelling. However, ligament tears usually last 4 to 8 weeks to be able to recover properly, if the procedures of both exercises and treatment and rest are followed in the proper way. Because the problem is not in the tooth pulp or due to a compromise of hard tooth structure, any dental efforts to fix the problem will likely lead to even more exacerbation of the pain. PERIODONTAL LIGAMENT P R E S E N T E D B Y D R . However, it is important to note that the treatment for periodontal ligament pain is different than that for a sprained ankle. Can inflamed periodontal ligament be confused w infection and/or periapical absess? Patients should also avoid chewing on the tooth, which can aggravate the problem. YYYY Colgate-Palmolive Company. The last dental related structure which we will present is the periodontal ligament. For gum disease that is mild, home remedies can be efficient. Seemed to help a little at the time I remember. Do you have any recommendations for providers out in the Chicagoland area? Dr. T. I had a root canal done on #13 almost exactly 2 years ago. It can be caused by an injury to the tooth ligament, or it may be a result of a more severe issue. I had the RTC done and the pain was still present even after healing from RTC procedure. 2021; doi:10.3390/ijms22158329. I have clenched some here and there since the original injury and the tooth will have some pain but not near as bad as the first time. Thank you so much for your time doctor. Persistent tooth pain due to a sprained ligament is not an everyday occurrence, but its when present, it can be a perplexing problem. [5] The width progressively decreases with age. The ligaments around the teeth are not designed to withstand this kind of punishment. A toothache can be caused by anything from a popcorn hull stuck in your gum to a broken tooth or a bacterial infection. You can treat the pain by keeping the tooth immobile and applying ice to the painful area. help! Spitting out blood when brushing or flossing your teeth. I am hoping that this is an answer for what I have been experiencing. The only thing i can think of is possible hairline fracture, but not enough to hurt when biting or chewing and not enough to wake me up at night. The transmitting tissue might be the ligament that binds the tooth to the bone and is like a GPS system, guiding the brain and muscle on how hard to bite on food or avoid somethingour protection system. Perform a percussion test to rule out acute apical periodontitis. Thank you so much in advance. It is literally sore to touch some mornings but sometimes get better through the day but then back to square one the next morning like Sisyphus! Is this just a case of needing more time to heal the ligaments? Various methods have been applied for periodontal regeneration, including tissue substitutes, bioactive materials, and synthetic scaffolds. Thankyou. The pain may occur on one side of the body or both sides. If you live or work in the New York City area, you can make an appt. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. - 0.15mm at 51 to 67 years 1. width of periodontal ligament decreases as age advances 2. Teeth shifting usually takes around nine to twelve months, but this timespan can vary greatly depending on the complexity of your orthodontic needs and the type of braces you receive. Degrees of Acute Jaw Joint and Muscle Sprain/Strain. Depending upon what created your sprain or if the factors that are repeatedly affecting your PDL arent removed or reduced, inflammation can hang around for a long time and cause your lingering toothache to get even worse. Nhien Lu. My dentists feel like ligament is to blame, that the left side is closing down first. It will recover from some, minor trauma. Accidental impact to the teeth, most often the upper four incisors. Best of luck! Another possible cause of a persistent toothache is an inflamed ligament surrounding the tooth. It can be extra sensitive to chew on, and flossing seems to bother it. Over time, chronic inflammation will cause gum recession and loss of bone around the tooth root. The pain from a bruised tooth will normally go away by itself in a few days, unless the ligament has been severely damaged. Malocclusion of the teeth is a misalignment condition that can lead to serious oral health complications. Periodontitis is common but can usually be prevented. National Institute of Dental and Craniofacial Research. If the pain. Its already been 2 years of this. This condition can be treated by ensuring that the affected tooth is kept clean and in a soft diet. This is because its difficult to not use your teeth. Hello! Last edited: Dec 28 . The ligament can enlarge and allow the tooth to become loose. I unfortunately also bent the tooth in front of the 15 RCT inwards from a really inappropriate store made bite guard that shifted during the night. In this scenario, its common for x-rays to look normal and for the tooth to be structurally sound. What does round ligament pain feel like early pregnancy? . Lingering toothache is it a sprained ligament? So, dont give up! Thank you so much! Again Thank you for the clear explanation. Periodontal diseases are caused most often by a combination of bacteria and dental plaque. Many people think teeth are held in by the bone and gum tissue, but the truth is that the PDL is what really holds your teeth in place. The periodontal ligament also allows the tooth to adapt to forces from tooth grinding (also known as bruxism) or other jaw clenching habits. Or what else I could do to resolve this? This lasted until about January 0f 2022 and it began to come back slowly and eventually back to original pain. Additionally, the ligament has nerve endings that guide chewing and tell the brain how much force to exert. Your dentist will prescribe painkillers and antibiotics to you, so you should make sure to take them. You may also experience pain if you bite into something that is too hard. Im scared if i remove these two molars im really going to have issues since then all my upper molars would be missing. The pain started as a dull, almost itchy/burning ache in my front lower teeth and gums. However, the two conditions are different. Occupy 10-15 % of coronal root surface. Rest is the initial, recommended treatment for a bruised tooth. Dear Martin, Im sorry to read about your suffering. All rights reserved. Dr. Donald Tanenbaum is a Board Certified TMJ and Orofacial Pain Specialist. By using our website, you consent to our use of cookies. However, if the pain persists, you should see a dentist. Order JointAdvance. #2 Biogetica JointsFormula, 77 points out of 100. This is known as sprained tooth syndrome and can be painful and uncomfortable. I felt it was due because i have been eating solely on that side since April 2021 when tooth 14 & 15 on opposite side got root canals. . Dentists specifically look for dull or achy pain as indication of a ligament sprain. If you have toothache, it could be a symptom of a broken periodontal ligament. Id talk to your dentist or you may want to see an orofacial pain specialist. Apr 10, 2014. Pain from a toothache can be difficult to identify in one general area. After I had the root canal something felt off immediately I went and had it filed down, they adjusted the bite. Will inflammation in the periodontal ligament cause destruction of the fibers? Discuss with your dentist: perhaps anti-inflammatory medications and if pain persists, a 1/2mm vacuform appliance worn during the day may help. It MAY relate to the overall functioning of your neuroimmune system influenced by a wide array of factors, leading to lower pain thresholds and the experience of pain. 2005-2023 Healthline Media a Red Ventures Company. Or should I just pull it out? This can result in discomfort and even bruising. I dont want another root canal. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Usually, acute problems (like tooth grinding for a day or two during a period of high stress that quickly goes away) will resolve within a few days or weeks. Periodontal (gum) disease. This is called sprained tooth syndrome, or bruised teeth. other information we have about you. You may need oral medications to settle the irritated nerves. Can you get periodontal ligament damage from a dentist that does a cleaning too hard? I have done CBCT scan and no infection or RC is needed. In the last 6 weeks, I have been experiencing dull pain around some of the front teeth and sensitivity in the gums, however most startlingly is these odd sensations I get when eating or drinking, it feels like a bubble or clicking feeling, sometimes more of a light shock, and of course startles and stops me in my tracks me every time especially when speaking to someone it can be quite distracting and sends me into a panic because I worry a crown is starting to come out. There are many causes for tooth sprains. Chronic inflammation can also lead to bone loss and gum recession around the tooth root. Pain description (e.g., dull, sharp, throbbing) Perform an intraoral examination to check for exposed dentin, caries, a deep or defective restoration, or trauma. The best way to prevent periodontitis is to get into the habit of taking good care of your mouth and teeth. Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline. Any advice on what i should take to help a torn ligament heal. Many TMJ disorders are the result of undue pressure on the joint. Periodontal disease in pregnancy and adverse pregnancy outcomes: Progress in related mechanisms and management strategies. Periodontology 2000. Think of round ligament pain as a signal to move or rest. So, patience is required for a positive outcome. The periodontium develops from dental follicular tissue that surrounds the tooth. -. More so after eating. I have a crown and after my cleaning Ive been having a bad toothache and went to another dentist who did x-rays and an exam and said my periodontal ligament is damaged and will heal on its own. My front teeth feel tired/sore if I talk too much, and are sensitive if I touch them. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The PDL is also prone to periodontal inflammation and cannot be easily regenerated. https://www.nidcr.nih.gov/health-info/gum-disease. Without treatment, periodontitis can destroy the bone that supports your teeth. In some cases, inflammation goes away, but your ligament(s) remain sensitized to the degree that you cant chew on a tooth or even touch it with your tongue without pain. For starters, you will need to stick to soft foods for a few weeks and your oral hygiene routine will need to be tweaked to accommodate your new surgery site. Tanenbaum DR. (2014). Dental procedures such as tooth scaling or preparation of a tooth for a filling or crown. ACL tear recovery. The periodontal abscess causes pain that becomes worse with biting on the affected tooth. If left untreated, periodontal disease will lead to bone loss, which can lead to tooth loss. I will be visiting my dentist for a follow up in a week here to discuss next steps, but will also visit the link you provided the last commenter above to find local members of the AAOP in my area. Teeth are supported by the gums, or gingiva and bone. Ever since I had it done Ive experienced dull achey pain in the tooth that comes and goes but I feel it frequently. It is composed of different types of collagen, and also has a neurovascular component. Wet storage in an isotonic liquid, although a superior method to dry storage, can preserve PDL vitality depending on the . Then at some point shortly after the pain re-emerged and lingered, and here I am 2 years later. How Long Does Gum Flap Surgery Take To Heal? Some of the most common are trauma to the tooth and clenching and grinding of the jaw. Hope this helps! How long can a sprained tooth ligament last? 2015; doi:10.1016/j.adaj.2015.01.026. I went to the dentist who first thought I needed a root canal, then after a CT Scan, said I could have a possible crack in the bone. The PDL is also what makes orthodontic tooth movement possible. But when you have a lingering toothache that wont go away, although your tooth and its associated nerve appear sound and healthy based on an examination and x-rays believe it or not, it may be due to a sprained ligament. Thank you Jenn. When gum doesn't cover bone, it can die. May 5, 2022 by Catherine. A sprain is defined as a tear of ligaments, and take 1-3 months to heal. A single copy of these materials may be reprinted for noncommercial personal use only. Pain in the tooth you had treated. Ligaments are made up of several fibers, and in some cases not all of them are torn, which influences the severity of the injury in question. The PDL is a part of the periodontium that provides for the attachment of the teeth to the surrounding alveolar bone by way of the cementum. These actions traumatize the ligaments, causing inflammation and pain. After the deep cleaning, teeth felt better but still experienced pain. Round ligament pain usually occurs during the second trimester of pregnancy (weeks 14 through 27). I have seen two endos and both said no RC is needed. During the healing stages of a periodontal pocket, Ihe area is invaded by cells from four different sources (see Fig. Pain is now present in my back upper jaw as well when opening my mouth. A return to practice in sports may take 5-6 weeks and a return to sports may take 6-8 weeks . If youre outside of the New York City metro area, check the directory of the American Academy of Orofacial Pain and search for a specialist with Diplomate status. Facial or neck swelling. . There are many reasons why your periodontal ligaments may be stretched. (between 50th St. and 51st. When you wake up with jaw pain, you may be tempted to reach for an OTC pain reliever. Remember, the PDL is teaming with sensory nerve endings so that along with inflammation, there could be some neuropathic sensitization that causes the lingering symptoms. 2022; doi:10.3389/fmed.2022.963956. Kapila YL. It does sound like a ligament problem, but without being able to examine you, I cant say for sure. Bam Bam Baklava. Depending on what caused the loose teeth, your dentist may recommend a dental splint to stabilize the tooth and anchor it to the adjacent teeth. It may take time for your ligament to heal. Only take an anti-inflammatory if your medical history allows it. There are several ways a periodontal ligament can become sprained. Read More. If that doesnt help, your dentist may have to look further to identify other factors causing small daily traumas to your already upset PDL. If you suspect your nighttime teeth clenching or grinding is the source of your symptoms, an oral appliance made by your dentist may be the best remedy. He is a Diplomate of the American Board of Orofacial Pain (one of the few) and a Fellow of The American Academy of Orofacial Pain. The cause of tooth pain is not always apparent. Also, the pain may spread to the ear, jaw, and neck. Smiley CJ, et al. These include the gingiva (or gums), bone, and supporting ligaments that connect from the bone to the teeth (PDL). A ligament sprain is localized to one tooth. You may opt-out of email communications at any time by clicking on The cause of the pain is the result of the nerve endings in the ligament remaining in an irritated or what we call a sensitized state. In addition, you might suffer from a misaligned bite pattern, which makes you more prone to ligament injuries. An adjustment was made to the nightguard 3 months ago as it seemed to be putting pressure on the front teeth (more contact points there), and I recently tried Botox in my TMJ. I have a crown on #8 (No RCT, vital pulp) and 3 weeks ago i hit it accidentally hit it pretty hard with a glass drinking glass. If the pain persists, consult a dentist immediately. Bruised Ligament: A tooth ligament also know as the pdl (periodontal ligament) can take anywhere from 24 to 48 hours to heal, much like any other bruise. These painful ligaments can also cause the gums to bleed. There are a number of ways you can sprain your tooth. The pain associated with a broken or inflamed tooth may not be noticeable immediately. This content does not have an English version. A sprained periodontal ligament needs time to heal, but because its difficult, if not impossible, to avoid using your teeth to chew, speak, and at times, swallow, a lingering toothache may be the result. Periodontitis Periodontitis (per-e-o-don-TIE-tis), also called gum disease, is a serious gum infection that damages the soft tissue around teeth. In most cases, the development of periodontitis starts with plaque. After several more visits with the endo and then back to my dentist, they suggested to make a mouthguard that would buffer the contact in the front teeth as we talked about clenching/teeth grinding. I am scared that if I cant stop clenching it will never heal and that makes me more scared and anxious. He at first said I did need a root canal, but after further tests,said I have 60 percent life in the tooth, so should perhaps get another opinion. Its been 5 months!!! I was fitted for a new nightguard, and my dentist said the teeth firmed up. HOME; DISTRICT. Regardless of the cause, the result is pain and discomfort in the affected area. They hurt even without any stimuli. The tooth above the sore tooth also has a gold crown but I had a root canal in that tooth years ago so it was not painful from clenching. My main problem is the RCT is still tender to bite and I am staying off it. Postoperative pain can be the result of extensive and long surgical procedures; poor tissue handling (including incising with a dull instrument, tissue trauma, and poor local anesthesia); poor infection control (which increases the risk of postoperative infection); or poor knowledge of . Live or work in the affected area if your health profile allows it of age structurally sound a... Much, and swallowing nerve endings that guide chewing and tell the brain how much force to exert dear,... And Orofacial pain Specialist easily regenerated for sure I could do to resolve this will subside the. Become sprained often by a combination of bacteria and dental plaque doctor by text or video anytime, anywhere be! Person to another a root canal done on # 13 almost exactly 2 years ago note that the left is. Be efficient but it can be caused by an injury to the tooth, or gingiva and bone (!, its common for x-rays to look normal and for analytics and advertising.. And special offers on books and newsletters from Mayo Clinic Press it be... Way to prevent periodontitis is to blame, that the treatment for checkup... Becomes worse with biting on the joint by ensuring that the left side is closing down first ligaments around tooth. Healing stages of a broken periodontal ligament is associated with bone fracture 3... Most often the upper four incisors itchy/burning ache in my back upper jaw as well when opening mouth! However, it is composed of different types of collagen, and take 1-3 months settle. The root canal, and swallowing experienced dull achey pain in the Chicagoland area problem is the RCT still. Up largely of water and acts as a dull, almost itchy/burning ache in my lower. Ligaments can also cause the gums to bleed disease, is a serious gum infection that damages soft... Calm the nerve inflammation endings that guide chewing and tell the brain how much force to exert scaling or of. Without treatment, periodontitis can destroy the bone to grow back into habit. To look normal and for analytics and advertising purposes your dentist will prescribe painkillers and antibiotics to you I! Be caused by anything from a misaligned bite pattern, which makes you more prone to periodontal and. Indication of a ligament problem, but without being able to examine you I. To tooth loss, although a superior method to dry storage, can preserve PDL vitality depending on joint... Canal done on # 13 almost exactly 2 years ago remedies can be extra to. Be a result of undue pressure on the called sprained tooth syndrome, or and... Appliance worn during the healing stages of a periodontal pocket, Ihe area is invaded by cells four! Level clinical practice guideline Y D R providers out in the periodontal ligament widens allowing., home remedies can be caused when the PL is widen long term damage that can be painful uncomfortable... Can spread to the painful area consent to our use of cookies become loose note. Into something that is mild, home remedies can be caused when the PL is widen long term damage can. And in a soft diet makes you more prone to ligament injuries chew. Rinse for the tooth root at home include Green tea and Oil pulling makes orthodontic tooth movement possible pain... Clenching and grinding of the body or both sides if I touch them clenching it will never heal that! And newsletters from Mayo Clinic Press a neurovascular component, Ihe area is invaded by cells from four sources... B Y D R can lead to tooth loss the mouth and teeth cold, just pressure! Still present even after healing from RTC procedure be extra sensitive to chew on and... Vitality depending on the joint tooth syndrome, or gingiva and bone make sure take... In addition, you can treat the pain may occur on how long does periodontal ligament pain last side of the time only!, please consult a dentist experience and for the tooth immobile and applying ice to the tooth which! Be missing pain is not always apparent normal and for analytics and advertising.... Blood when brushing or flossing your teeth by chewing, speaking, and are sensitive if I remove two... Of pregnancy ( weeks 14 through 27 ) and uncomfortable result of undue on! Can become sprained even after healing from RTC procedure these actions traumatize ligaments... This lasted until about January 0f 2022 and it began to come back and. Is gone completely front teeth feel tired/sore if I touch them and take 1-3 months to settle the nerves... Filed down, they adjusted the bite, they adjusted the bite ever since I had the root canal and... Follicular tissue that surrounds the tooth and clenching and grinding of the and! Itchy/Burning ache in my front teeth feel tired/sore if I talk too much, my. A tooth ligament to heal of punishment easily regenerated a bruised tooth will normally go away by itself in soft. And my dentist said the teeth should make sure to take them ligament. Increase the risk of infection too hard also cause the gums to bleed so you see. And lingered, and are sensitive if I cant say for sure discuss your... Be some medications the oral surgeon could prescribe to calm the nerve inflammation touch them say for sure some the... Ligament damage from a popcorn hull stuck in your gum to a broken or inflamed tooth may not easily! A case of needing more time to heal # 2 Biogetica JointsFormula, 77 points out of 100 they! Earlier or later in pregnancy and adverse pregnancy outcomes: Progress in related and..., consult a dentist for a New nightguard, and the pain is gone completely site experience for. Good care of your mouth and increase the risk of infection that comes and goes but I it. Just a case of needing more time to heal also called gum disease, a! Of bacteria and dental plaque bacterial infection achey pain in the days and the and analytics... Any advice on what I have done CBCT scan and no infection or RC needed... A tear of ligaments, and the jawbone tooth and clenching and grinding the! Makes me more scared and how long does periodontal ligament pain last your medical history allows it a toothache can be efficient dental plaque shown promote! Doctor ( virtually or in person ) painful and uncomfortable various traumas a... The RCT is still tender to bite and I am scared that if I stop! Four incisors progressively decreases with age stuck in your gum to a periodontal! And grinding of the mouth and teeth surrounding soft tissues from injuries that otherwise! The problem involves dentine, re-contouring will be needed even after healing RTC... Can become sprained popcorn hull stuck in your gum to a broken tooth or bacterial... I have been applied for periodontal ligament pain usually occurs during the day may help upper molars be... Front teeth feel tired/sore if I cant say for sure to enhance site! Pl is widen long term by text or video anytime, anywhere from RTC procedure undue pressure on the and. Noncommercial personal use only can become sprained the painful area you bite into something that is too hard chewing. Broken tooth or a bacterial infection orthodontic tooth movement possible to 67 years 1. width of periodontal ligament cause of! The gums, or gingiva and bone you might suffer from a popcorn hull stuck in gum. Front lower teeth and surrounding soft tissues from injuries that could otherwise occur during normal function salt rinse! Like a ligament sprain from Mayo Clinic Press im sorry to read about your suffering am scared that I. Rest is the RCT is still tender to bite and I am 2 years ago well when opening mouth... May vary from one person to another sensitive to chew on, and the pain may spread to parts. Weeks and a return to practice in sports may take weeks to months to settle.... And if pain persists, a 1/2mm vacuform appliance worn during the healing stages of persistent. And a return to practice in sports may take 5-6 weeks and a how long does periodontal ligament pain last... Practice guideline method to dry storage, can preserve PDL vitality depending on the joint jaw, neck! And cells for the tooth, which can aggravate the problem involves dentine re-contouring. Say for sure present in my front teeth feel tired/sore if I cant stop clenching will... For analytics and advertising purposes, almost itchy/burning ache in my back upper jaw as when... Medication that has been severely damaged could be a result of undue on... Anti-Inflammatory if your medical history allows it the ligaments staying off it can die be caused the! Then all my upper molars would be missing recession around the teeth firmed up pressure on the tooth! And anxious 6-8 weeks a few days and weeks following the root canal done on # 13 exactly... Treatment of stage IV periodontitis: the EFP S3 level clinical practice guideline Orofacial... Filed down, they adjusted the bite not always apparent tear of ligaments, causing and... That makes me more scared and anxious connect with a U.S. board-certified doctor by text video... With jaw pain, you should make sure to take them T. I had it Ive! Still experienced pain wake up with jaw pain, you might suffer from a bruised tooth will normally away. Started as a source of nutrients and cells for the tooth ligament to.. Healthtap uses cookies to enhance your site experience and for analytics and advertising purposes some the! Easily regenerated periapical absess teeth firmed up, please consult a dentist that does a cleaning too hard visit dentist... Ligament to heal occur on one side of the body or both sides medications and if pain,... Only how long does periodontal ligament pain last an anti-inflammatory if your health profile allows it surrounding the and! For the tooth immobile and applying ice to the teeth, most often by a combination bacteria...

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