Toothache – what to do

When faced with a toothache – what to do?

A toothache is a sign that one or more teeth have been damaged for some reason. The pain is caused by an inflamed nerve or infection in a tooth.

If you can no longer stand the pain and want to resolve it now, make an appointment or call: 932 237 198

Toothache - what to do


It varies how much it hurts and where in the mouth you feel when you have a toothache. It depends on what is causing the toothache.

These are common symptoms if you have a toothache:

– A sore throat that can become more intense and long lasting over time.

– Gnawing pain.

– A nagging pain that comes and goes.

Can also be affected in other ways:

– You have difficulty sleeping and eating.

– Becomes irritable, anxious and tired.

– It can be difficult to brush your teeth.

It can be hard to tell exactly where it hurts because the pain can radiate to a wider area, such as the opposite jaw or ear.

What can I do myself?

The best way to avoid toothache is to brush with fluoride toothpaste and eat foods that are good for your teeth. You should also have your teeth checked regularly by your dentist.

You can also do the following:

– Use a cavity preventative if you have frequent tooth decay. Ask a dentist or dental hygienist for advice or ask at a pharmacy.

– Use over-the-counter painkillers, which can help temporarily if your teeth hurt.

Examination and treatment

The dentist will examine the area of the mouth from which the pain is radiating. He or she will take X-rays to see between the teeth and the area around the roots.

You will often need several visits to the dentist after an emergency visit. This may be necessary to finish treating the tooth that is causing the problem.

The most common ways to treat toothache are root canal therapy or tooth extraction.

Occasionally antibiotics may be needed

Dental infections usually do not need to be treated with antibiotics. However, there may be times when a dental infection needs to be treated quickly with antibiotics, for example to prevent an infection from spreading to a larger area. Bacteria can also spread through the blood to the heart, for example.

So if you have a tooth infection, you need to take extra care if you have any of the following conditions:

– Impaired immune system,

– Problems with your heart valves,

– undergoing radiotherapy to the jaws,

– are taking medication for osteoporosis.

While taking antibiotics, you will be treated by your dentist for the cause of the dental infection.

What causes toothache?

A tooth consists of a crown and a root. The crown is the part that is visible in the mouth, while the root is attached to the jawbone. The crown is coated with enamel on the surface, but the main part of the tooth consists of a bone-like tissue called dentin. The innermost part of the tooth is called the dental pulp or dental nerve. It is made up of connective tissue, which contains blood vessels and nerves.

Toothache is usually caused by an inflamed or infected dental nerve. But there are other reasons why you may have a toothache. They are described below.

Holes in the teeth

A hole in a tooth that has reached almost or all the way to the nerve of the tooth contains bacteria that inflame the nerve. At first, the tooth often starts to smell bad. Then it has a more intense pain that does not go away.

The inflammation will spread through the root canal system of the tooth to the surrounding bone tissue if the tooth is not treated. The pain then becomes more severe and the tooth is often sore.

The area around the tooth and jaw may swell. The nerve and jaw of the tooth have become infected and pus has formed in the diseased tooth.

Infection under a tooth that is not rooted

In a tooth that has become inflamed in the dental nerve, the inflammation can spread to the tissue outside the root tip. This can build up where symptoms in the form of a dull, throbbing pain are present. The jaws may also swell.

Treatment involves cleaning and root filling the tooth. Sometimes you may need antibiotics and the dentist may also drill a hole in the swelling inside the tooth in the jaw to drain the pus.

Infection under a root canal tooth

Sometimes root canals become leaky and bacteria enter the area where the dental nerve has been removed. Bacteria can also remain in the tooth under the root canal. The bacteria can then spread through the root tip. The jaw outside the root tip can become inflamed and sometimes infected. It becomes sore and swollen, and you may feel pain.

Deep fillings

A tooth with a filling sometimes protects the dental nerve less than a healthy tooth. Both the reduced insulation and the drilling itself can cause burning or toothache. If you have deep fillings, the dental nerve can also be affected by a leaking filling.

The tooth can become inflamed, sore and painful when touching it if the filling becomes loose or is loose.

Pescoços dos dentes visíveis

The hard enamel of the tooth provides good protection for the tooth nerve, but the enamel stops at the gum line. If the gums recede, the tooth root can become visible. The root surface is porous and does not protect the tooth nerve as well as the enamel.

This is why you may experience burning when you eat hot or cold foods. The air that enters your mouth when you breathe in can also cause itching.

Dental lesions

A tooth damage caused by an accident or by biting a tooth can cause a toothache. Sometimes the bone and nerve of the tooth can become visible if part of a tooth has broken off. This makes the tooth sensitive to heat and cold and can also lead to pain.

Cracked teeth

Small cracks in the tooth can cause it to become infected. Deeper cracks can cause pain and soreness. This occurs because the dental nerve becomes inflamed.

Grinding or clenching teeth

Your jaw muscles work too hard if you grind or clench your teeth too much. you may have a pain in your jaw that feels like a toothache. you may wake up with a headache if you have been grinding your teeth during the night. Your teeth may be sore.

There is a risk that if you grind your teeth too hard and too often, you will wear down your teeth so much that your dental nerve will not be adequately protected. This can lead to toothache.

Infection of the gums when a new tooth erupts

When a tooth breaks through the gum, they can become infected. This is because it is difficult to keep clean during the time when the tooth is growing in. This is common when wisdom teeth emerge. It can also happen when children get their permanent teeth.

Pain after tooth extraction

Most often, it hurts after you pull a tooth. The pain often goes away in four to five days. Sometimes the hole after the tooth becomes infected. This can cause severe pain and fever.

Tooth loss

Loosening of the teeth does not usually cause toothache, but if it starts to hurt, it is because the gums and attachment around the tooth have become infected. The gums swell and become red. It can be very painful. The teeth can become sore and move around.

If left untreated, there may be further swelling and collections of pus.

A denture that chafes

After a few years, dentures often become too large against the base. The dentures may start to rub against the gums and may have sores that hurt.

Diseases that can be mistaken for toothache

There are diseases that can cause facial pain and can be mistaken for toothache. These include:

– sinusitis

– inflammation of the jaw

– facial nerve pain

– vascular spasm

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