Along with swelling, glossitis can change the color and surface texture of the tongue because the condition causes the small bumps on the surface to shrink, creating a shiny, red surface.

Severe cases of glossitis can be painful and affect the way a person talks or eats.

There are different types of glossitis, including:

• Acute glossitis. This often develops suddenly and can have severe symptoms.
• Chronic glossitis. Chronic inflammation of the tongue is often the result of an underlying condition.
• Atrophic glossitis also called Hunter’s glossitis. Here, the many of the tongue’s small bumps (papillae) shrink, which changes the surface of the tongue, making it appear glossy.
• Median rhomboid glossitis. A Candida yeast infection often causes this type of glossitis.

Symptoms

The symptoms of glossitis vary from person to person. They may also differ according to the underlying cause of the condition.

Common symptoms of glossitis include:

• a swollen tongue
• pain in the tongue
• burning or itching in the tongue
• change in the texture of the surface of the tongue due to the change in the size and shape of papillae
• different color of the tongue’s surface
• loss of ability to speak or eat properly
• difficulty swallowing

Causes

There is a variety of possible causes of glossitis, including:

Allergic reaction

When glossitis occurs due to an allergic reaction, a person is most likely to develop acute glossitis and have sudden tongue swelling and pain. An allergy to a particular food, drug, or specific irritant can cause this type of reaction.

Injury to the mouth

Injuries to the mouth, such as small cuts from braces or burns from hot food, might cause the tongue to inflame and swell.

When dental braces cause glossitis, a person is more at risk for chronic glossitis due to the risk of repeated injury to the mouth and tongue.

Diseases

Certain diseases can cause glossitis, especially those where nutritional deficiencies occur, such as celiac disease, protein-calorie malnutrition, and pernicious anemia.

Diseases that attack the immune system, such as Sjögren’s Syndrome, can cause changes in the mouth that lead to glossitis.

Infections

Bacterial, viral, and fungal infections can all cause glossitis. However, oral herpes, which is a viral infection, and fungal yeast infections are among the most likely infections to cause glossitis.

Nutritional deficiencies

Iron deficiencies occur when a person does not have enough iron in their blood. This can trigger glossitis since low levels of iron lead to low levels of myoglobin, a substance in the blood that plays a significant role in the health of all the muscles in the body, including the tongue.

When an infection occurs, it causes a pocket of pus to form in the mouth as a result of an overgrowth of bacteria. This infection often causes swelling, pain, and sensitivity in the area. Without treatment, the infection may spread to other areas of the jaw or even the brain.

Dental decay and cavities are very common. As one article notes, up to 91% of adults ages 20–64 have cavities. Also, around 27% of people in the same age group have untreated tooth decay. Treating tooth decay early is important to prevent complications such as tooth infections.

Anyone who experiences a tooth infection should see a dentist right away to prevent the infection from spreading.

One of the first things a dentist will likely recommend is an antibiotic to kill the infection. Some antibiotics work better than others for tooth infections, and there may also be some over-the-counter (OTC) pain medications to help with the symptoms.

When to use antibiotics for a tooth infection

Dentists will typically only recommend antibiotics in dentistry for tooth infections. However, not all infected teeth require antibiotics.

In some cases, a dentist may simply be able to drain the infected area, remove the infected tooth, or perform a root canal to fix the issue.

They tend to avoid recommending antibiotics unless they are absolutely necessary, such as when the infection is severe or spreading, or if a person has a weakened immune system.

How long do they take to work?

How long each antibiotic takes to work varies depending on many factors, such as the severity of the infection and how effectively the drug eliminates the infectious bacteria.

It is important for people to complete a full round of antibiotics, taking all of the prescribed medication exactly how the dentist says to take it. Although a person may begin to notice their symptoms go away after a couple of doses, completing the full round of antibiotics helps prevent the infection from coming back or getting stronger.

As the International Dental Journal study notes, the majority of acute infections resolve in 3–7 days.

Side effects

Although antibiotics can help clear up an infection to prepare a person for dental work, these drugs do have some possible side effects.

The side effects can vary with each type of drug. It is important to discuss any possible side effects from taking a drug with a doctor before moving forward with that particular treatment.

Most of the time, this sensitivity is normal and will resolve within a few days or weeks. A person should call their dentist right away if they have extreme pain, or if discomfort occurs with other symptoms, such as fever, redness, or swelling.

In this article, we look at the reasons why a person may have tooth sensitivity after a filling, how to treat it, and when to see a doctor or dentist. We also look at other possible causes of tooth sensitivity.

What should I expect after a filling?

A filling is a dental procedure that involves a dentist cleaning away any decay from the tooth and then filling the space with a new material.

After injecting a numbing agent around the tooth, the dentist will then clean out the decayed area of the tooth, usually with a dental drill. They will then fill the space with gold, silver amalgam, a composite, or porcelain.

For several hours after having a filling, a person’s face may still feel numb, tingly, itchy, or puffy. They may have difficulty eating, swallowing, talking, or moving their face.

Sometimes, dentists recommend that people avoid eating or drinking for a few hours, as this may result in a person accidentally biting their tongue or cheek.

Once the numbing agent has worn off, these feelings will go away. But, in the following days and weeks, a person may notice some new sensations as they adjust to the new filling.

Sensitivity in the filled tooth or area around it is one of the most common occurrences during this time.

What does sensitivity after a filling feel like?

When a person has a sensitive tooth, they may notice that certain triggers cause a temporary, uncomfortable sensation in the filled tooth or surrounding area. It may feel like a shock of cold or sudden pain that comes on quickly and goes away.

Factors that can trigger tooth sensitivity after a filling include:

• cold foods or drinks, such as ice cream, popsicles, or beverages with ice
• hot drinks, such as coffee or tea
• air hitting the tooth, such as when breathing through the mouth, which may be worse with cold air
• sugary foods, such as candy
• acidic foods and drinks, including fruit, juice, and coffee
• biting down when eating

Why do fillings cause tooth sensitivity?

ome sensitivity after a tooth filling is normal and temporary. Sometimes, however, sensitivity after a filling is due to other causes that need treatment or repair.
Short-term tooth sensitivity after a filling usually occurs because the filling procedure has aggravated or caused inflammation in the nerve inside the tooth.

Usually, the tooth’s outer layers — the enamel and cementum — protect the nerve from exposure. But fillings, especially deep ones, can get close to the nerve endings and cause irritation and uncomfortable sensations.

As the nerve heals, the sensitivity will go away. This may take a few days or weeks. Once the nerve has healed fully, a person should feel no difference between the filled tooth and the other teeth.

The hard and soft palates make up the roof of the mouth. The soft palate sits at the back of the mouth, behind the hard palate, which holds the teeth and gums.

The soft palate does not contain any bone but is a fleshy area that ends in the uvula. The uvula is the fleshy projection that hangs down from the soft palate and is visible when a person opens their mouth. The function of the uvula is to block the nasal cavity when a person is eating or drinking.

The soft palate comprises muscle and tissue, which make it mobile and flexible. When a person is swallowing or sucking, the soft palate completely separates the mouth from the throat, which helps keep food out of the respiratory tract. The soft palate is also known as the muscular palate or the velum.

The Centers for Disease Control and Prevention (CDC) say that fluoridated water has reduced tooth decay by about 25 percent. Fluoride treatments may offer even more significant benefits to protect teeth. These treatments can be beneficial to people at risk of tooth decay but may not be right for everyone.

In this article, we look at the benefits and side effects of fluoride and fluoride treatment, as well as treatment recommendations.

What is fluoride treatment?

Fluoride treatments are typically professional treatments containing a high concentration of fluoride that a dentist or hygienist will apply to a person’s teeth to improve health and reduce the risk of cavities. These in-office treatments may take the form of a solution, gel, foam, or varnish.

There are also some high-concentration fluoride treatments that people can use at home but only under the specific direction of a dentist.

The fluoride dentists use in these treatments is similar to the fluoride in toothpaste. However, the treatment contains much higher doses and may offer more rapid benefits.

Benefits of fluoride and fluoride treatments

Fluoride has several benefits for the teeth:

1. It helps the body better use minerals, such as calcium and phosphate. The teeth reabsorb these minerals to repair weak tooth enamel.
2. It joins into the tooth structure when teeth are developing to strengthen the enamel of the teeth, making them less vulnerable to bacteria and cavities for life.
3. It slows or even reverses the development of cavities by harming bacteria that cause cavities.

When taken together, these benefits may help to:

• reduce the risk of cavities
• slow the growth of cavities
• delay the need for expensive dental work
• prolong the life of baby teeth
• reduce the amount of time and money a person has to spend at the dentist

By preventing cavities and slowing the growth of bacteria, fluoride treatment may also:

• prevent gum disease
• reduce tooth pain
• prevent the premature loss of teeth

Fluoride treatments can improve oral health, which, according to the World Health Organization (WHO), is a major predictor of overall health. Poor oral health can cause a range of other health conditions, including cardiovascular disease.

According to the American Dental Association, abnormal bites become apparent between the ages of 6 and 12 years, when children get their adult teeth. Orthodontic treatment typically begins between the ages of 8 and 14 years. In some cases, an adult may consider getting braces.

Although everyone is different, most people experience some pain for a few days when they first get braces and after brace tightening. However, others may experience only mild discomfort that goes away within a few hours.

Keep reading for more information on whether braces hurt and what to expect while they are on the teeth.

Do braces hurt?

Each person will have a different experience with braces, but the following should provide a general idea of what to expect at each stage of the treatment process.

Getting braces

Some people may have to wear spacers, or separators, between their teeth for a week or two before getting braces.

These spacers may feel tight and sore for a few days, resembling the feeling of having food caught between the teeth, but the discomfort should go away.

When an orthodontist first fits the braces, a person will not usually experience any immediate pain.

An orthodontist will often attach bands around the back molars. This process may be temporarily uncomfortable because it involves some pressure and can pinch, but it is not painful.

Once the bands are in place around the molars, the orthodontist will clean or “etch” the teeth with a solution that tastes a bit sour. They will then wash this off and apply glue to the face of the top or bottom set of teeth or both.

A person may dislike the taste of the etch and glue, but these steps should not cause any discomfort or pain.

When the glue is in place, the orthodontist mounts brackets to each tooth individually, using blue light to harden the glue. Again, this part of the process should not hurt.

Finally, when the brackets are in place, the orthodontist will connect them all with a wire. They will attach each end of the wire to the bands around the molars in the back of the mouth. The final step is adding elastic bands to hold the wire in place.

Wearing braces

When the braces first go on, a person might not experience any pain or discomfort straight away. However, within a few hours, the gentle pressure that the braces put on the teeth will start to take effect.

The pressure of the braces slowly pulling the teeth into alignment can create pain and discomfort, which could last from a day or two to about a week.

Some things to expect during the first week include:

• sore gums
• scrapes or sores on the inside of the cheeks due to the metal brackets rubbing against them
• potential for cuts on the tongue if the person uses their tongue to feel the braces
• the teeth may feel sore, especially when eating food

After some time, a person may not notice their braces as much as their body adjusts. However, for braces to work, the orthodontist needs to tighten them periodically.

When an orthodontist tightens the braces, they may:

• replace the current wires
• place or tighten springs
• tighten bands on the braces to put additional pressure on the teeth

Typically, tightening occurs once a month or as necessary, depending on the person’s progress.

When tightening occurs, a person is likely to experience a level of discomfort similar to that when they first got the braces. In some cases, it may be less uncomfortable.

After tightening, many people only feel pain in the teeth and gums. The cheeks and tongue have usually adjusted to the braces by now, so new abrasions on these parts of the mouth are less likely.

Removing braces

Although everyone is different, braces typically stay on for about 1 to 3 years. When it is time to take the braces off, a person may experience some discomfort as an orthodontist removes them.

An orthodontist will remove the brackets, bands, and wires before cleaning the teeth to remove any glue. To complete the process, an orthodontist will fit the person for a retainer. A retainer is a device that helps keep teeth in their new position after braces.

People may need to wear a removable retainer for a set period after the removal of the brace, either during the day or just at night. The retainer should not cause any additional discomfort. Some retainers are permanent and will require an orthodontist to glue them to the teeth in a similar way to braces.

It is not uncommon for people to have trouble cleaning their teeth properly while wearing braces or a retainer. This difficulty can lead to cavities and tooth decay, which can be painful. Keeping the mouth as clean as possible with good oral hygiene and avoiding sticky, sugary foods can help prevent cavities and tooth decay.

Gingivitis is a non-destructive type of periodontal disease, but untreated gingivitis can progress to periodontitis. Signs of gingivitis include red and puffy gums, that bleed easily when the person brushes their teeth.

Gingivitis often resolves with good oral hygiene, such as longer and more frequent brushing, and flossing. In addition, an antiseptic mouthwash may help.

In mild cases of gingivitis, patients may not even know they have it, because symptoms are mild. However, the condition should be taken seriously and addressed immediately.

Types

There are two main categories of gingival diseases:

Dental plaque-induced gingival disease: This can be caused by plaque, systemic factors, medications, or malnutrition.

Non-plaque induced gingival lesions: This can be caused by a specific bacterium, virus, or fungus. It might also be caused by genetic factors, systemic conditions (including allergic reactions and certain illnesses), wounds, or reactions to foreign bodies, such as dentures. Sometimes, there is no specific cause.

Causes

The most common cause of gingivitis is the accumulation of bacterial plaque between and around the teeth. The plaque triggers an immune response, which, in turn, can eventually lead to the destruction of gingival, or gum, tissue. It may also, eventually, lead to further complications, including the loss of teeth.

Dental plaque is a biofilm that accumulates naturally on the teeth. It is usually formed by colonizing bacteria that are trying to stick to the smooth surface of a tooth.

These bacteria might help protect the mouth from the colonization of harmful microorganisms, but dental plaque can also cause tooth decay, and periodontal problems such as gingivitis and chronic periodontitis, a gum infection.

When plaque is not removed adequately, it can harden into calculus, or tartar, at the base of the teeth, near the gums. This has a yellow color. Calculus can only be removed professionally.

Plaque and tartar eventually irritate the gums, causing gum inflammation around the base of the teeth. This means that the gums might easily bleed.

Other causes and risk factors

Changes in hormones: This may occur during puberty, menopause, the menstrual cycle, and pregnancy. The gingiva might become more sensitive, raising the risk of inflammation.

Some diseases: Cancer, diabetes, and HIV are linked to a higher risk of gingivitis.

Drugs: Oral health may be affected by some medications, especially if saliva flow is reduced. Dilantin, an anticonvulsant, and some anti-angina medications can cause abnormal growth of gum tissue.

Smoking: Regular smokers more commonly develop gingivitis, compared with non-smokers.

Age: The risk of gingivitis increases with age.

Poor diet: A vitamin-C deficiency, for example, is linked to gum disease.

Family history: Those whose parent or parents have had gingivitis have a higher risk of developing it too. This is thought to be due to the type of bacteria we acquire during our early life.