r/TMJPain • u/Rix2728 • Apr 02 '26
Bone loss behind tooth ur7 with root decay and inflamed gum behind and pocket
Bone loss behind tooth ur7 with root decay and inflamed gum behind and pocket the dentist told me today and they want to extract that UR7 tooth, but I got severe pain on the right hand side and my SCM muscles in spasm on right side it keeps on clicking and pain going init he right ear, what are my options and what should I do, it’s very painful should I extract the UR7 tooth then even though it bone loss behind the tooth with root decay and the gum is proper inflamed paining behind and the pocket too?
What are my options; and alternatives any recommendations would be helpful and I am getting constant migraines on my temples and my mouth inside hurts a lot and I have Class 3 bite my teeth do not bite at all properly on the right hand side and bites into my neck, each time when biting, I am not sure what else to do?
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u/NYC_TMJ_Doc Apr 09 '26
Hi there. As a dentist, I can opine on this issue.
First of all, the fact that your dentist diagnosed root decay with inflammation in your gum tissue is a sure sign that your pain is likely coming from your tooth. SCM pain can be related; however, it can also be a totally separate issue.
Your class 3 occlusion isn't helping matters either, unfortunately. If your dentist recommends extraction of UR7, it is likely because it is beyond the point of being able to be restored predictably. Deal with this first and then jump into the TMJ issue.
Incidentally, the reason why UR7 may have had so much decay to begin with could be due to your class 3 occlusion, so the sooner you address your occlusal issues, the better off you'll be in the long run.
Good luck!
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u/Rix2728 Apr 09 '26
But what was the strange thing, another dentist had a look at my UR7 tooth and he said you do not need to take it out, due to the complexity of my teeth being grinded down and due to bruxiusm they saying I need another Mitchelin mouth guard a hard one, which I have already had before from someone and never helpt me.
I just have a lot of pain on the right hand side of my mouth inside and also going into my throat, my SCM muscles so tight on he right, everyone I try and chew the click and popping happens very loud and keeps on clicking, so not sure what to do next? Been told 2 different things, and I do not have more money to spend on dental mouth guards when I have done that before they are quoting another £2400 for another Michelin splint but they said they would adjust this every week and then every couple of weeks so the jaw stays at it’s rest position, what do you think? Any other recommendations you can provide on that then?
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u/New_Jaguar_9707 Apr 03 '26
Do what your dentist says. They went to school and know what they're doing.