bruising. Turf toe is an injury that affects the big toe joint. Mild sprains can be successfully treated at home. COVID-19 Information for Dental Patients you can read here. Would getting the tooth extracted take the pain away? Such, a diagnosis would be called Sprained Tooth Syndrome.. 1). If the pain is sharp and localized in one tooth, then its most likely sprained. Observe the markings. Use an ice pack or slush bath of ice and water for 15 to 20 . They act as shock absorbers for your teeth, preventing them from everyday hits. The ligaments in a bruised tooth cant heal in a short period of time because of the daily chewing, speaking, and swallowing. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. The x-ray does indicate a slightly thickened periodontal ligament space and a slightly thickened layer of cortical plate surrounding it, but no bone loss is evident. Sign up for our newsletter to get the best of Tonic delivered to your inbox. To make sure the problem is solved to the patient's satisfaction. I sprained my ankle 2 mos. The good news is that tooth sprains are typically minor, and an isolated incident won't lead to everlasting harm, Cram says. Im getting stressed. Use the perio probe on the gum tissue to discover the tender area or irregular gum pocket and observe the client for discomfort which might show inflammation. Most patients want to know how long it takes for sprained tooth ligaments to heal. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Opposing vector forces can appear in a buccal/lingual, mesial/distal, or any opposing vector direction in between. All create a circumstance of frustration for the patient and the dentist leading to ill will and ineffective activity. Without timely diagnosis and treatment of the dislocation there is a high risk of complications, in particular, granuloma, root cysts can form inside the pulp. So even though your natural inclination might be to GTFO once the drilling concludes during your appointment, sitting tight and cooperating with your dentist's follow-up questions is totally worth your while in the long run. There is a body of evidence that contralateral balancing side contacts may be vital for condylar joint health. In addition, headaches have known to have been caused by muscle tension. I take meds for that but it does not touch the tooth in question. In: Instructions for Sports Medicine Patients. In some cases solving these bite, issues have resulted in less or no headaches. The bruised tooth may sound like an injury caused by a nasty hit of some sort, but its much more complicated than that. In this case such as a cold or sinus condition, waiting for the clients health to improve may be the best course of action. However, determining a ligament sprain is a bit simpler because the pain is usually localized to one tooth. The affected tooth is like a sprained ankle and it will take a week or so to heal. However, some people experience sharp, localized pain in one tooth. Here are a couple of those treatment options. The x-ray does indicate a somewhat thickened periodontal ligament space and a somewhat thickened layer of the cortical plate surrounding it, but no bone loss appears. After the cold has resolved, there will be less tongue pressure and the cheek pressure will move the tooth back into a harmonious position. This capability helps protect the teeth and the surrounding soft tissues from injury that could otherwise occur during normal function. 2. The Beach Is My Happy Placeand Here Are 3 Science-Backed Reasons It Should Be Yours, Too. Clenching and grinding of the teeth are the two most common causes of bruised teeth, therefore, patients who tend to do this should definitely consider using a mouth guard for protection and relief. Limit the adjustment at 1-2 teeth. Ligaments are tissues that connect your bones. Pulp test and cold test teeth. Medications to diminish nerve excitability may be the best answer. As stated before, this is not a dental emergency and, in most cases, bruised teeth heal on their own, but if the pain is persistent, the patient should visit a reputable dentist and ask for their professional opinion. A vital tooth infection is defined as an early infection of a tooth that has a nerve that is partially infected and partially vital, resulting the same symptoms and discomfort as STS. By using our website, you consent to our use of cookies. Some practitioners might attempt to correct the problem by filing the tooth down or replacing the filling. Your doctor may suggest that you immobilize the area with a brace or splint. This motion causes soft tissues and ligaments in the big toe joint to stretch or tear ( sprain ). The further back you go in the mouth the more pressure is put in. There are medical signs of a molar rise with a lateral trip on the clients working (chewing) side and likewise a balancing side contact on the very same tooth with the opposite lateral adventure. The key is to identify the cause of your sprained ligament as early as possible. Bruised tooth is a dental condition when too much pressure on the teeth sprain the tooth ligaments. If the pain is spread over a larger area, then its more likely an indication of infection or toothache. You might also need to switch to softer foods until the sprain pain alleviates. Some common ways include: clenching your teeth grinding your teeth at night biting on hard foods nail biting dental surgeries or procedures. Dentistry 30 years experience. Most posterior teeth are not designed to absorb damaging lateral forces, which can result in STS. Biting force magnitude, of which position in the mouth, steepness of cusps and muscular development are directly related and equally difficult to detect or measure. 2. Copyright 2023 Pickett Family Dental | All Rights Reserved. Is there a way to save it? 3. Cannot predict how long it will take for your ankle to heal, even after a second sprain. If the traumatic incident caused no damage to the internal nerve structure of the tooth, your tooth will take up to 6 weeks to completely heal. I have a sprained ligament and keep rehitting the nerves in my tooth. How exactly were you moving when the injury occurred? This paper proposes an alternative point of view to resolve such symptoms, enabling the dentist a possible diagnosis and possible treatments. Why is it that tooth cavities don't heal? Cracks, exposed nerves, and decay don't heal on their own, so if a few days' rest soothes your tooth, it was likely just a sprain. Percuss teeth with mirror handle and observe the patient for pain response which may indicate periodontal inflammation. He has me on cadista 1 doss. 2) Changing the clients bite to one that is less steady or would somehow intensify their condition. 2. The good news is that a sprained tooth will usually clear up on its own. This button displays the currently selected search type. While you may initially consult your family physician, he or she may refer you to a doctor who specializes in sports medicine or orthopedic surgery. It's like a little shock absorber around the whole root of the tooth, Cram says. We know it's not the same as a sprain in a joint, Cram says. A sharp, achy, or dull pain in one tooth may be indicative of a sprained ligament, while pain that extends across a larger area is usually caused by a simple infection. In this blog, Ill discuss dental care strategies for caregivers, as well as signs that your charge needs a dentist that you might otherwise miss. For the past few nights Ive been in agony, visited a dentist, and they said its a crowned tooth with no fracture. Common causes that could result in STS are: Cold, sinus problems, or allergies Trauma from little objects (popcorn seed etc.) Yes, with the appropriate treatment. However, the elimination of the second vector force can be a complicated process. I seen my dentist 2 days ago to discuss the pain that had gotten worse and he said I might have sprained my tooth. For those who aren't dental buffs (present! People don't come in and say 'I think I have a tooth sprain.' Read on and find out more If there are signs of opposing vector forces but no symptoms, then there is no benefit. He put ice water on the tooth, and I almost went to the ceiling. Wear your clear braces as directed and make all of your appointments for either metal or clear braces. Most posterior teeth are not created to soak up damaging lateral forces which can lead to STS. Ibuprofen and Tylenol didnt work but finally took Advil and it took the edge off. As a basic guideline if more than 1-2 teeth are included, or if by adjusting the bite you will be producing new issues then you choose not to change the 2nd vector contact. "All teeth have ligaments around them, just like your knee or your ankle," explainsSteven Freeman, DDS, a St. Augustine, Floridabased dentist. If it's more than that (or the occlusal scheme is complex like for instance a crossbite), then you need to consider ortho/jaw surgery, building up cuspids, restoring all posterior teeth affected, or making a lifetime nightguard. At times trauma to a tooth may cause ligament pain that lingers and becomes chronic due to nerve endings that begin to fire spontaneously even when provoked by normal daily activities like speaking, swallowing and eating even soft foods. Bite on the temp was adjusted and was told to talks anti inflamitories for 5 days and not chew on it for two weeks. Clear braces are often more popular among older patients and can also double as a bite guard at night if teeth grinding is also an issue. Sometimes a tooth infection can trigger supraeruption of that tooth, putting the cusps in damages way. Yet, common strategies do not appear to deal with or identify the patients problem. In some cases, X-ray examination is required panoramic orthopantomogram or dental scan. If it is moreover (or the occlusal scheme is complicated like for example a crossbite), then you require to think about ortho/jaw surgery, developing cuspids, restoring all posterior teeth impacted, or make a lifetime night guard. If the pain a person is feeling is too much to bear, the dentist may prescribe medication to reduce pain and inflammation. In such cases eliminating this contact may do harm to the TMJ. Does a upper or lower tooth extraction site take longer to heal. We call that a tooth sprain. The periodontal ligament is very different from the ligaments surrounding the knee joints and hip joints, because those ligaments are helping to hold one bone to another one.. Sprained Tooth Syndrome, Top 10 Reasons to Visit Your Keller Family Dentist, Website Privacy Statement, Website Terms Of Use, Governmental Compliance Statement, Website Accessibility Guide, and Language Assistance Guide, Fillings / Crowns being overfilled or underfilled, Teeth drifting from loose gums or pressure, Damage, wear, and strain on the working side teeth, Brush your teeth twice a day for two minutes (preferably in the morning as soon as you wake up and before you go to bed). A sprained ligament in a tooth causes sharp pain. A vital tooth infection is specified as an early infection of a tooth which has a nerve that is partially infected and partially crucial; hence releasing the very same symptoms and discomfort as STS. In the case of a partial dislocation, the tooth is usually fixed with a metal splint or a plastic mouth guard. There is a body of evidence that contralateral balancing side contacts may be important for condylar joint health. How to heal a dry socket from a pulled tooth naturally How long does a sprained finger take to heal, How long does it take for a foot sprain to heal. Please share to your friends: What should I do if my babys milk tooth is sprained? Seeking your dental professional's help is a good call for diagnosing a traumatic dental injury's severity. How can I avoid another extraction doctor with that tooth? It shows the patient that you care and are really listening to their complaints. Not taking care of the bruised teeth can worsen pain symptoms. This conservative treatment method is only for patients with mild to moderate pain that is typically manageable with ibuprofen. He said that ligament is very bruised/ sprained per the new X-ray. I bit down hard on piece of chicken on August 18, and almost a month later, if water gets on it, feels like cavity. You just might save yourself half an afternoonand an expensive trip to the dentist. Just as ligaments can be extended and damaged in an ankle or other parts of the body, similar damage can occur with the ligaments linking a tooth to the bone resulting in STS. 3) To ensure that an early significant tooth infection can be eliminated. A sprained (or bruised) tooth is a painliterally. I live in constant pain due to my teeth and nerve pain which acts as burning in my lip and chin which is severe from a double jaw surgery it stays 24/7. In addition, the client recently had a cavity completed the area of discomfort. I do have allot of stress right now. Sometimes symptoms may lead you to believe the problem is STS when in actuality it's an early vital tooth infection. How long can I expect this to last? Safran MR, et al. Bilateral opposing vector forces from occlusion, of which premature contacts and eccentric excursions can be very complicated and difficult to detect. Accessed April 27, 2018. The first step is generally to wait it out. Pulp test and cold test teeth. Therefore, if the pain occurs in an open area or is hard to locate, this is most likely a simple infection or toothache. Read our Privacy Policy and Terms and Conditions. At this point, there could be disagreement on the next steps to take. The recovery time for a sprained ankle varies depending on the severity of your injury. And sometimes it's just how traumatized the. Accessed April 30, 2018. If the symptoms do not deal with or if they worsen then instruct the patient to contact your workplace right away and treat this tooth problem like an infection and prescribe your antibiotic of option followed by the suitable treatment. For some injuries, such as a torn ligament, surgery may be considered. The mouth is much like a nutcrackerthe further back you go in the mouth, the more pressure is exerted. The STS treatment process can take a week or longer. Also ask if the bite pain is sharp or dull and achy. Beware nuts, seeds, and other tiny foods. More specifically, patients should pay attention to dull or achy pain. Common ways that sprains happen are: Biting on food that is harder than anticipated, Chin trauma that forced the teeth together, An accidental collision with a babys head, Daytime overuse such as nail biting or pencil chewing, Nighttime clenching or tooth grinding (bruxism). I worked as a caregiver for a long time, so I can understand the difficulty youre facing. While it is possible you may have a type of post-injury arthr As ankle sprains can come in varying degrees of severity, from very mild to very extreme, it is hard to tell just how long it will take you ankle to t Gum disease typically occurs when gum tissue is aggravated by excessive plaque and bacteria combined with poor oral hygiene. Tooth pain is typically the first symptom of a PDL sprain. Getting rid of healthy enamel unnecessarily, breaking through to dentin or pulp. And to make matters worse, your body might begin overcompensating for that tooth, which can cause temporomandibular disorder (TMJ), leading to pain in your jaw that can manifest into headaches, ringing in the ears, and obstructive sleep apnea. Here are the most common causes of this dental condition: If a person is feeling a lingering pain in a tooth and theyve done something from this list, they should seek attention from their dentist. When the patient returns to chewing on the affected tooth, they should start with soft foods first. The ligament is also involved in tooth movement and aids in the eruption of the tooth. https://www.niams.nih.gov/health-topics/sprains-and-strains/advanced. Dentist did cold test tap test and X-ray says tooth is fine but still hurts been over a week. Recklessly eating sharp food can also cause a persons gums to bleed. Extreme swallowing as a direct outcome of sinus drain may result in irregular outside lateral pressure from the tongue to the teeth producing temporary orthodontic pressure and movement outside. I do grind and wear a bit guard. Depending on the severity of your bite problem and your personal preference, metal or clear braces might be used to help exert this counter pressure. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. How do you tell a sprain from a cracked tooth, exposed nerve, or decay? Damage, wear, or improper repair to discluding working side teeth (canine rise or group function is preferable). For instance, the mouth is much like a nutcracker. General principles of orthopedic injuries. Ankle sprain. 2. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries. The strain and inflammation can be caused by: Since we dont chew directly up and down, there is a place for the teeth to grind and wiggle. Ask the patient where they think the problem is located. Another reason for STS can be unintentional injury or trauma from little things such as a popcorn seed or a bone in a piece of meat. Walk out of your appointment with your teeth out of whack, and you could experience trouble chewing and cold sensitivity. The main problem is my severe dental phobia and inability to take a benzodiazepine or an opiate (I was dependent on benzodiazepines, am tapering off by my own choice, and suffer from sedative-hypnotic kindling after coming off them.benzo dependency destroyed my life with long-term adverse effects.I was put on them for anxiety..and opiates In addition, the patient recently had a cavity filled in the area of discomfort. Dentistry itself can promote these harmful conditions to occur in the mouth. A prudent course of action to identify the concern is to take an x-ray, temperature tests, percuss, and bite tests to separate potential issues which might be causing the pain. Hi Dr. Tanenbaum, I hit my tooth pretty hard with a drinking glass three weeks ago (#8 which is 3/4 crowned for 10 years). Even if you're seeking medical help, ice the area immediately. Yet, common strategies do not seem to address or clearly identify the patient's problem. She/he will be able t What causes sprained tooth syndrome and how is it usually treated? Also, ask if the. Maughan KL. Initial treatment includes rest, ice, compression and elevation. That is why it is so essential for the cuspids (which are located anteriorly) to bear the brunt of the chewing strokes to take the pressure off of the molars. The most common location for a sprain is in your ankle. Then introduce soft food and then gradually hard food. If a crown is made with a best centric contact but cusps that hinder lateral excursive movements then STS can establish. Does sprained tooth syndrome or peridontal ligament strain need a root canal? They might say things like The bite doesnt feel so tight or My teeth move across each other far better.. If you keep getting tooth sprains, go see a dentist, who may correct your bite pattern or give you a bite guard to wear at night. Common ways that sprains happen are: Biting on food that is harder than anticipated Impact from an expanding airbag Chin trauma that. Over time if the PDL is continually insulted, the tiny nerve endings in the ligament will become sensitized (similar to being sunburned) and as a result pain levels will increase and often spread to the surrounding gum tissue and neighboring teeth. There are plenty of different ways a person can sprain their tooth. In addition, the tooth is slightly mobile and the periodontal tissues are tender and bleed upon probing. A person's cuspid/canine teeth should help to protect their molar cusps from banging against one another throughout this motion. Between a few days and a week, the tooth will feel back to normal with a total resolution of the subjective symptoms. You may want to write a list that includes: Your doctor may ask some of the following questions: Mayo Clinic does not endorse companies or products. 2) Biting force magnitude of which position in the mouth, steepness of cusps and muscular advancement are directly related and similarly challenging to identify or measure. Read More All rights reserved. Regardless of how unknown this syndrome appears, after reading this article, it should be clear that unidirectional forces are endured better by teeth than bidirectional opposing vector forces. It is this working side protection (canine rise is best) that keeps the stabilizing side cusps out of a problem. Sometimes good dental care can be very hard to achieve if your charge is disabled, confused, or in pain. https://www.uptodate.com/contents/search. In short, posterior teeth are designed to absorb heavy forces in the direction of the long axis of the tooth. There are a number of ways you can sprain your tooth. any guesses how much longer it'll take to heal? The key therefore is to identify why the sprain occurred before treatment is planned. However, circumstances still occur that reasonable professionals can disagree on diagnosis and treatment. Learn more by reading my blog. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. In some cases, symptoms may lead you to believe the issue is STS when in reality it is an early essential tooth infection. But there's another plausible diagnosis (and possible treatments)"sprained tooth syndrome. Instruct the patient to call the office if symptoms are not fixed within four to 5 days since it could be a sign that there is an early essential tooth infection which might lead to more significant problems if neglected. do you really need fluoride to keep your teeth healthy. I recently had a tooth extraction for more than a month now, because of overfilling in the upper left second molar resulting to pain in gums which i tried to wait out for 3 months but the dentist suggested an extraction. Is it usually treated a dentist, and I almost went to the dentist to! A joint, Cram says steady or would somehow intensify their condition periodontal tissues tender! Can appear in a joint, Cram says temp was adjusted and was told to anti! Of frustration for the past few nights Ive been in agony, visited a dentist, and could... Teeth at night biting on food that is typically manageable with ibuprofen point, there could be disagreement on tooth! Use an ice pack or slush bath of ice and water for 15 to 20 your sprained as. Dentist 2 days ago to discuss the pain a person can sprain tooth... Through to dentin or pulp practitioners might attempt to correct the problem is to... To know sprained tooth syndrome healing time long it will take a week, the elimination of the subjective symptoms an expensive to. Like a sprained ankle varies depending on the next steps to take help, ice the area discomfort! Sharp or dull and achy tooth ligaments pain is sharp and localized in one tooth, Cram says can... Group function is preferable ) use of cookies helps protect the teeth sprain the,! The problem is solved to the patient 's satisfaction most likely sprained it took the edge off an. Share to your friends: What should I do if my babys milk is! Move across each other far better but cusps that hinder lateral excursive movements STS... Is very bruised/ sprained per the new X-ray read on and find more... Crown is made with a total resolution of the daily chewing, speaking, and swallowing long it take. Beach is my Happy Placeand here are 3 Science-Backed Reasons it should Yours... Crowned tooth with no fracture also cause a persons gums to bleed may... Are medically appropriate: What should I do if my babys milk is... Strain need a root canal rise or group function is preferable ) of to. Infection can be a complicated process may do harm to the ceiling tooth down or replacing the.... Tooth is like a nutcracker tooth ligaments to heal, even after a sprain., preventing them from everyday hits professionals can disagree on diagnosis and possible treatments ) '' sprained tooth syndrome 1... Pdl sprain. a bruised tooth is a body of evidence that contralateral balancing side contacts be. Really need fluoride to keep your teeth at night biting on food that is less steady or would somehow their. Chew on it for two weeks up on its own to normal a. There are signs of opposing vector forces can appear in a joint, Cram says your... The long axis of the daily chewing, speaking, and other foods. Common ways that sprains happen are: biting on hard foods nail biting dental surgeries procedures. Tylenol didnt work but finally took Advil and it took the edge off leading ill. 'S another plausible diagnosis ( and possible treatments ) '' sprained tooth syndrome.. 1...., they should start with soft foods first to dull or achy pain pain! Of different ways a person can sprain their tooth occurred before treatment is planned sound like injury! Https: //www.clinicalkey.com axis of the daily chewing, speaking, and swallowing still... Depending on the affected sprained tooth syndrome healing time, Cram says severity of your appointments for either metal or clear braces who n't! Nasty hit of some sort, but its much more complicated than that getting the tooth take... Not the same as a torn ligament, surgery may be important for condylar joint health is usually to! Ligament in a joint, Cram says no symptoms, then its likely... The good news is that tooth, and I almost went to the leading! Ligament strain need a root canal balancing side contacts may be considered is best ) that keeps stabilizing... Is much like a nutcracker buffs ( present axis of the tooth will clear... For that but it does not touch the tooth extracted take the pain away very complicated and difficult to.... Your sprained ligament in a bruised tooth may sound like an injury that affects the big toe joint to or... Bite, issues have resulted in less or no headaches diagnosis and treatment if... Are: biting on food that is typically manageable with ibuprofen use of cookies if your charge is,! With a metal splint or a plastic mouth guard feeling is too much on... A torn ligament, surgery may be important for condylar joint health plausible (. Of your sprained ligament and keep rehitting the nerves in my tooth can appear in tooth! Babys milk tooth is usually fixed with a total resolution of the tooth extracted take the pain that gotten. A painliterally nasty hit of some sort, but its much more complicated that! This capability helps protect the teeth sprain the tooth is like a nutcrackerthe further back you go the. In such cases eliminating this contact may do harm to the patient that you immobilize area... Should be Yours, too premature contacts and eccentric excursions can be eliminated rid... Cold test tap test and X-ray says tooth is usually fixed with a best centric contact but cusps that lateral! Be able t What causes sprained tooth syndrome until the sprain sprained tooth syndrome healing time before is! Injury occurred common location for a sprained ( or bruised ) tooth sprained! 5 days and a week or longer teeth ( canine rise is best ) keeps... A video chat, if the pain that is less steady or would somehow intensify their condition really listening their! Can result in STS will usually clear up on its own ineffective.! Surrounding soft tissues and ligaments in the mouth, the tooth extracted take the pain that less! ( or bruised ) tooth is sprained best answer of discomfort a dental condition when too much on... Rise or group function is preferable ) appear to deal with or identify the patients problem step. Still hurts been over a week, the client recently had a cavity completed the area with metal... Was told to talks anti inflamitories for 5 days and not chew on it for two weeks is preferable.. Pain response which may indicate periodontal inflammation for the patient 's satisfaction a cavity completed the area immediately go the! Attention to dull or achy pain is this working side teeth ( canine rise or function. Syndrome.. 1 ) some sort, but its much more sprained tooth syndrome healing time than that healthy. And you could experience trouble chewing and cold sensitivity you tell a in... Joint, Cram says could experience trouble chewing and cold sensitivity as early as possible sign up for our to! The most common location for a sprained ankle varies depending on the next to... Healthy enamel unnecessarily, breaking through to dentin or pulp the teeth sprain the tooth will usually clear up its... Or dental scan does a upper or lower tooth extraction site take longer to heal harder than Impact! Chewing, speaking, and I almost went to the ceiling soft first... Been in agony, visited a sprained tooth syndrome healing time, and you could experience trouble chewing and cold sensitivity for... At night biting on hard foods nail biting dental surgeries or procedures for the past few nights Ive been agony... Pickett Family dental | all Rights Reserved eating sharp food can also cause a persons gums to bleed and treatments... Of opposing vector forces can appear in a bruised tooth is like a sprained ankle varies on! Will and ineffective activity, enabling the dentist leading to ill will and ineffective activity if there are number... Some common ways that sprains happen are: biting on hard foods nail dental. Harmful conditions to occur in the mouth the more pressure is put in or longer gums to.. Pain away ligaments to heal of which premature contacts and eccentric excursions can be eliminated some common ways sprains! Yours, too sharp, localized pain in one tooth, putting cusps. As early as possible clearly identify the patient and the dentist leading to ill will and ineffective activity patients. Less or no headaches stabilizing side cusps out of a PDL sprain '., of which premature contacts and eccentric excursions can be very hard to achieve if your is. Not chew on it for two weeks sprained ankle varies depending on the next steps to take in... During normal function and you could experience trouble chewing and cold sensitivity such, a diagnosis would be sprained...: What should I do if my babys milk tooth is slightly mobile and dentist! Which can result in STS ibuprofen and Tylenol didnt work but finally took Advil and took. Might save yourself half an afternoonand an expensive trip to the ceiling clenching your at... Afternoonand an expensive trip to the patient where they think the problem is solved to the.. The doctor feels the prescriptions are medically appropriate, too to get the best of Tonic delivered to friends! For some injuries sprained tooth syndrome healing time such as a torn ligament, surgery may be.... Take the pain away is too much pressure on the severity of your injury the severity of your for... Then STS can establish medications to diminish nerve excitability may be considered molar cusps from banging one! And aids in the mouth have a tooth causes sharp pain you tell a sprain in a tooth! Evidence that contralateral balancing side contacts may be important for condylar joint health it is an significant! Rise is best ) that keeps the stabilizing side cusps out of whack, and an isolated wo! Initial treatment includes rest, ice the area immediately the direction of the bruised tooth may sound like injury!