man experiencing tooth pain, bruised tooth

A Bruised Tooth: What is It and What Can You Do About It?

March 14, 2025 9:00 am

When you think of a bruise, you probably picture a black-and-blue mark on your skin. But did you know your teeth can bruise too? A bruised tooth isn’t as obvious as a skin bruise, but it can cause discomfort and potential long-term issues if left untreated. At Alma Dental Care, Dr. Serrano helps patients in Petaluma understand the signs of a bruised tooth and what to do next.

What Causes a Bruised Tooth?

A tooth bruise happens when the nerves and blood vessels inside the tooth experience trauma. Unlike a fracture or break, the tooth remains intact, but the internal tissues suffer damage. Common causes include:

  • A Sports Injury: A hit to the face during contact sports can impact a tooth without cracking it.

  • Accidents or Falls: Biting down too hard on something, falling, or a sudden impact can bruise a tooth.

  • Teeth Grinding (Bruxism): Chronic grinding or clenching puts constant pressure on teeth, leading to internal damage over time.

Signs of a Bruised Tooth

  • Tooth Discoloration: A bruised tooth may appear gray, yellow, or darker than surrounding teeth.

  • Sensitivity: Increased sensitivity to hot, cold, or pressure can indicate internal damage.

  • Mild Pain or Discomfort: A dull ache or tenderness when biting down may signal a bruise.

What Can You Do About It?

  • Give It Time: If the pain is mild, the tooth may heal on its own. Avoid chewing on that side.

  • Use Cold Compresses: Applying ice to the outside of the mouth can reduce swelling and discomfort.

  • Take Over-the-Counter Pain Relief: Ibuprofen or acetaminophen can help manage soreness.

  • See a Dentist: If discoloration, pain, or sensitivity persists, schedule an exam to rule out nerve damage or infection.

What if the Tooth Doesn’t Heal?

If a bruised tooth doesn’t heal, it may turn gray over time, a sign that the nerve inside has died. When this happens, the tooth can no longer repair itself and may require treatment to prevent infection. In most cases, a root canal is needed to remove the damaged pulp and save the tooth. A crown may also be recommended to restore strength and appearance.

Protect Your Smile at Alma Dental Care in Petaluma, CA

A bruised tooth might not seem like a big deal, but ignoring it could lead to bigger problems. Dr. Serrano at Alma Dental Care can assess the damage and recommend the best treatment to keep your tooth healthy. If you’ve experienced tooth trauma, don’t wait—schedule an appointment today!

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