After a recent filling, mild sensitivity for a few days is common, especially to hot, cold or pressure. But the combination you describe — pain when drinking (likely thermal or fluid pressure) and a squeaking/grating feeling during chewing — raises a few possibilities:
Likely causes (ranked by probability)
The image shows a lower molar area with visible gum irritation, tissue swelling, and darkened debris around one tooth. The surrounding gingiva appears inflamed and possibly infected. There are also signs of decay or necrotic tissue that may indicate an advanced tooth infection or abscess formation.
“My back teeth hurt and smell bad. I noticed dark spots and some swelling around the gum area.”
After close examination of the photo:
Visible dark spot (cavity) on one molar — likely tooth decay or caries.
Upon zooming in at 100%, the molar region (likely third molar or second molar area) shows grayish-black necrotic tissue, possibly indicating infection or tissue death. There is yellowish exudate or pus, a clear sign of acute infection. The gum tissue around the infected site appears inflamed. The adjacent tooth structure is partially covered by infected tissue with visible gum swelling. This can be a sign of pericoronitis, abscess, or developing dry socket (if post-extraction).
In this dental case, decay is visible near the cervical area — the region where the crown of the tooth meets the gum line — rather than on the chewing surface or fissures. Cervical caries are often overlooked, but they can progress silently and cause significant tooth sensitivity or even nerve damage if untreated.
“My child complains of pain and discomfort at the back teeth. The gums look irritated and there’s a dark spot on the tooth.”
Upon detailed zoom examination of the image:
The lower molar shows visible brownish decay, possibly from a large cavity or broken filling.
Upon examining the dental X-ray, it shows a partially erupted third molar (wisdom tooth) that is horizontally impacted against the adjacent second molar. This type of impaction is known to cause several complications if left untreated.
Impacted mandibular third molar(s) (wisdom tooth/teeth) with a mesio-horizontal / mesioangular impaction — the crown is tipped toward the second molar and is at least partially covered by bone/soft tissue.
The impacted crown is in close proximity to the distal surface/roots of the adjacent second molar → this raises risk of decay/resorption of the second molar and increased surgical difficulty.
Plaque and tartar aren’t the same thing — but they’re closely related! Understanding how they form and how to treat them is key to maintaining a healthy, confident smile.
Plaque is a soft, sticky film made up of bacteria, food particles, and saliva that forms on your teeth every single day.
You can usually feel it as a fuzzy layer when you haven’t brushed in a while.
“May bilog sa ngalangala (palate) na lumalabas ang mabahong nana sa harap ng gilagid, sa parte kung saan dati akong pinastahan. Matagal na, at hindi na nawawala kahit anong linis. Tuwing pinipisil ko, may lumalabas na nana.”
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