Hi good morning. I am 45 year old. For the last couple of days I have been feeling pain in my lower molar teeth in the extreme left. I can feel both sensitiveness and pain. It agggratves in the night and interfere with sleep. Kindly suggest some medicine or topical to get rid of this. This is first time in my life I am facing this issue.

Dr. Seema GambhirDentistyrs exp

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Pain that aggravates in the night and interferes with the sleep are indications of pulpitis. It is a condition where the pulp layer of a tooth gets inflamed which is most commonly due to bacterial infection (decay/ caries). Sometimes the externally sound tooth structure may also have an inner decay. If the pain is continuous or even in the absence of stimulus than it may be irreversible pulpitis. You must get dental xray done for a better opinion about any procedure required. For sensitivity you can use desenistizing tooth paste avoid sweets, too hot and too cold food and beverages elevating your head or using an extra pillow may give some relief as it reduces the blood pooling. Keep your oral cavity clean. Brushing twice daily and warm salt water rinses will help. You may contact me using code sg38f5 for further discussion.  

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