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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Front Teeth Hit Each Other, Painful, Affecting Speech, Had Fillings Replace, Jaw Pain

I have a dental question. My front teeth hit against each other and cause a lot of pain and affect my speech. This began after having a number of fillings replaced. I have jaw pain as a result of restricting how I speak to avoid my teeth from hitting. I have seen some dental specialits but they indicate my teeth are fitting correctly. However, there is does not resolve my pain.
Sat, 20 Oct 2012
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Dentist 's  Response
your suspicion seems to be right. it seems the way the upper and lower teeth interact with each other is not correct . this is also causing jaw discomfort. get yourself examined by an occlusion specialist as this is an intricate matter and not all dentists understand occlusion very well.
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,
have your restorations overfilled?can you feel any high points on them?
visit your dentist and get yor restorations checked and get corrected if there is high points as it can interfere with your occlusion or bite.
get your molar occlusion and spacing b/w upper and lower front teeth checked by you dentist.if there is spaces less than 1mm between incisal tips of front teeth,get it corrected by your orthodontist.ie minimum overjet should be1-2mm in case of anterior teeth.
also check the path of occlusion and traumatic bite.
get scaling done by your dentist to remove calculus deposition.
regards
dr.bindiya

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Dentist Dr. Udaykumar Bondre's  Response
Hello & welcome,

Front teeth if hitting each other & paining immediately after getting the fillings replaced, then no doubt the newly placed fillings are having high points on them.

If there are high points, then pain & discomfort will go on increasing with time & there might be vertical bone loss due to constant trauma to the tooth caused by pressure by higher fillings.

Even the higher fillings are more prone to get cracked or split as they are exposed to heavier loads due to early contact with the opposing tooth or filling .

Visit your dentist as soon as possible & check the newly placed fillings for proper height adjustments which can be done by dentist by clearing those high points with air roaters.

You can go for second opinion to remove these high points.

Use of mild painkillers is expected until the teeth are treated & pain is removed.

Take care.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I would like to know whether you have this problem before getting your teeth restored or after getting filling? If its after restoration done then it can be due to high-points due to overfilling.In this case you might be feeling pain while closing teeth.You need to get your restorations checked in that case.
But if its not due to filling then you might be having low occlusion clearance i.e. less overjet & less overbite.In that case you should consult orthodontist & get it corrected.

Take Care
Regards
Dr.Neha
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Dentist Dr. Geoffrey Ward's  Response
Hello and thank you for your question.
You are right, your teeth are hitting together, if you had fillings replaced and you started to notice this, the fillings were put in with high contact points which are causing trauma to your teeth. These need to be reduced by the dentist. If the dentist is not seeing anything wrong with your teeth then you should go to an occlusion specialist to be evaluated for your problem.

Best wishes and good health

Dr. Ward
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Dentist, Periodontics Dr. Avinash BS's  Response
Dear donna.molzan

I understand that you are having this problem after getting your fillings replaced . This can happen when there is discrepancy between your old fillings and new fillings or if there are any missing teeth which are not replaced. However if fillings are fine you need to consult an orthodonrtist to correct your condition. If at all any teeth are missing then please get it replaced at the earliest .

Regards
Dr.avinash
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1 Doctor agrees with this answer

Dentist, Prosthodontics Dr. Shivangi Gajwani Jain's  Response
Hi Donna,
Teeth hitting against each other usually occurs if the teeth are not in perfect harmony with each other. but as you have mentioned that your specialists feel that your teeth are fine so the other cause can be bruxism: it is a condition which is missed often. it means periodic and consistent unintentonal grinding of teeth. it is habitual and increases under stress resulting in jaw and tooth pain. It is difficult to stop on your own as it mostly happens while sleeping. The only way to stop it, is by wearing a night/mouth gaurd. this will stop your teeth from hitting against each other and the pain in your jaw will immediately reduce. i am quite certain that this is the solution to your problem. Please consult your dentist for the fabricaion of the same.
Regards
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Front Teeth Hit Each Other, Painful, Affecting Speech, Had Fillings Replace, Jaw Pain

your suspicion seems to be right. it seems the way the upper and lower teeth interact with each other is not correct . this is also causing jaw discomfort. get yourself examined by an occlusion specialist as this is an intricate matter and not all dentists understand occlusion very well.