Who else, who less, everyone has ever suffered in their own
flesh the well-known toothache.
It is a pain can be very intense and can lead to the need
for rest because of the impossibility of enduring it.
In Propdental we explain everything about the symptoms and
treatment of toothache. This is a very useful information for you to understand
everything about this common dental pathology. As well as it will also help you
to know everything that will help you avoid the appearance of dental pain.
Contents
What is toothache?
What are the causes of tooth pain?
Symptoms of toothache
Diagnosis of toothache
What type of pulpitis or inflammation of the nerve is there?
Toothache What to take to relieve it?
What is the treatment for toothache?
Frequently asked questions about how to deal with a
toothache
The prevention of dental pain is the best treatment
What is toothache?
It is a constant pain whose intensity increases. It is one
of the most acute and intense pains you can have. Cold drinks, hot foods, or
chewing can increase pain.
If a tooth hurts you should go as soon as possible to your
dentist to determine the cause and establish the appropriate treatment for your
particular case.
The dentist treats the pain of the molars according to the
cause. Sometimes the origin is in the tooth, but in other cases the pain comes
from other reasons that have to be found in the dental clinic.
In other cases, toothache can be caused by different
reasons. So the dentist does an exploration of your mouth and an x-ray to see
what may be causing you pain and what is the most effective treatment to fix
it.
The traditional toothache is caused mainly by pulpitis,
known as the inflammation of pulp tissue.
Pulpitis can also occur due to trauma or other reasons such
as wear of parts or endoperiodental lesions, although these cases are rare.
When the pulp is inflamed it exerts a pressure on the nerve
of the tooth and the tissues around it.
Being surrounded by dentine, the cavity of the pulp can not
dissipate this pressure and that is when the increase in blood flow caused by
inflammation produces pain.
This can be manifested as a so intense and widespread
toothache that sometimes it is difficult to know which is the original piece of
it.
The most common causes of toothache are:
Dental caries.
Fracture of the tooth, dental fissure or traumatisms.
Diseases of the gums such as gingivitis and periodontitis.
A dental or periodontal abscess.
Diseases of the mandibular joint.
Symptoms of toothache
Toothache is a medical condition around the face and it
mainly appears due to the dental problem. It can be manifested by constant pain
in both the jaw, head and ear. The irritation of the dental nerve by an
infection is frequently the source of the pain.
As a general rule, toothache is due to inflammation of the
pulp of the tooth. A condition known as pulpitis that can be reversible or
irreversible. As a general rule, the dental pain will be more intense when
eating or drinking, especially when in contact with cold or hot substances.
At this time it is necessary to treat this problem because
otherwise the pulp of the tooth will become infected. The infection of the pulp
will cause a very intense, sharp and continuous pain, leading later to the
formation of an abscess in the area.
Finally we could name some of the main symptoms of
toothache, such as:
Chewing pain,
Sensitivity to both cold and hot food,
Bleeding around the tooth or gum,
And the swelling of the area and of the entire jaw.
Diagnosis of toothache
When you suffer a constant toothache it means that there is
a dental problem. And for that reason it is convenient to go to your dentist
for a personalized diagnosis that allows knowing the cause of the problem.
Although many times you think you know what the tooth is
causing you pain, the nerves of the teeth send erroneous messages to the brain.
So only your dentist can find the true cause of dental pain.
Through a clinical examination complemented with dental
radiography it is possible to detect pathologies such as caries, fractures or
other problems that may be the cause of pain.
What type of pulpitis or inflammation of the nerve is there?
We find two possible stages of pulpitis: reversible and
irreversible.
The first involves pain and transient sensitivity caused by
heat, cold, touch and sweet foods.
Dentists diagnose a reversible state when the pulp is still
alive and it is possible to eliminate the irritating agent. Generally, the
treatment of this type of toothache consists in the elimination of the caries
and the corresponding restoration with a composite filling, the pulp will be
healthy again and the pain will stop.
On the other hand, we consider that pulpitis is irreversible
when the pulp is damaged and can not be cured. The associated symptoms are a
persistent pain after exposure to cold or heat, but also a spontaneous pain for
no apparent and constant reason. In this case, the treatment will be through
endodontics and you can reach the extraction of the tooth when necessary.
Toothache What to take to relieve it?
Toothache according to the cause can be relieved with
analgesic medication. However, normally and if there is infection, the
analgesic has an increasingly shorter duration and it is necessary to take an
antibiotic.
Usually when there is infection, the antibiotic most
frequently used for toothache is amoxicillin. And clindamycin or pantomycin in
people who are allergic to penicillin.
In this sense, we want to insist that you should not
self-medicate. To know what is the most appropriate medication you should take
to relieve toothache in your particular case, you should go to your dentist.
What is the treatment for toothache?
The treatment will depend on the pathology of the tooth.
That is to say, if the tooth presents a decay, the decayed dental tissue must
be eliminated and a composite filling must be made. If the caries affects the
nerve it is necessary to do an endodontics and later to restore the tooth with
an incrustation or dental crown. And finally we must say that if the state of
the wheel has no solution will proceed to extract the tooth in a process known
as exodontia.
Special emphasis must be placed on the importance of
treating an infection as quickly as possible. Since not only are we facing one
of the most intense pains, but there is also the possibility that this
infection may spread.
Frequently asked questions about how to deal with a toothache
One of the main concerns of the patients of Propdental is to
know what are the causes of toothache and in this sense it must be said that
the causes are very diverse and depend on several factors.
As we have already advanced previously, it is necessary to
highlight the inflammation of the pulp as one of the most frequent causes in
the appearance of this pain, being a situation that occurs if there is a dental
caries.
In addition to this it must be said that toothache can also
appear after some dental treatments as an example after a dental obturation
since this intervention makes it possible to irritate the pulp.
Finally we finish this list of causes talking about a series
of general conditions that can be the cause of the appearance of toothache
being abscesses, ulcers or sinusitis.
Some of these examples as well as it should be noted that
teething in babies or children can be another cause of toothache.
The most frequently asked questions that people with some
type of dental pain usually have.
Toothache usually affects the nerve. The dental pain is
controlled with medication and the treatment varies depending on the
affectation of the tooth.
Very intense tooth pain
Question:
I went to the dentist for a small cavity, it did not hurt,
the dentist told me that I had to do a root canal.
In the second consultation, before the reconstruction, my
tooth began to hurt a lot.
I'm on antibiotics, anti-inflammatories and 10 mg diazepam. I
have been like this for days and it does not improve. I do not know what to do.
Sometimes I have to reinforce all this with tramadol because
the rest does not do anything to me. While the inflammation is increasing along
with the pain.
What I can do?
Answer:
It is not usual what happens to you because of it, my
recommendation is that you go without delay to an endodontist so that he will
value you correctly and if necessary, try.
Pain after extraction of molars
Question:
I extracted the third molars and today I have an intense
pain accompanied by a bad taste in my mouth. At times, a liquid with a strong
flavor oozes.
The analgesic that I am taking has an effect each time of
less hours. I have already washed the area carefully, although apparently in the
cavities it seems to be traces of trapped food.
Answer:
Both the inflammation as well as the discomfort after a
tooth extraction is normal and can be maximum between 24 and 72 hours. After
this period of time, both processes should be sent with the passage of days. If
not, you should go to your dentist to rule out an infectious process in the
treated area.
Hygiene by brushing is very important and key to proper
healing after dental extractions.
After 24 hours of the treatment, the treated area should be
carefully brushed with a soft toothbrush after each meal to avoid the
accumulation of food residues in it, which could originate or result in an
infectious process.
In addition, you should not smoke if you have this habit, as
this will lead to a significant delay in the healing process and an increase to
suffer an infection.
My tooth broke and the antibiotic does not take effect
Question:
I consult because my tooth broke and they have not been able
to remove it and I have an intense dental pain.
I'm taking antibiotic and anti-inflammatory but it does not
work for me.
What else can I take to mitigate the pain?
Answer:
This tooth should be removed quickly, or else the pain will
not stop completely (it is not a matter of taking more or less medication).
Antibiotics begin to show their effect after 72 hours or
three days from the start of administration.
Toothache due to infection that is constant and unbearable?
Question:
Since this morning I have a constant and unbearable
toothache, it hurts me to swallow saliva.
I have a headache and with slight symptoms of fever to which
I add that it hurts even to open my mouth.
And the part of the wheel leaves as a kind of liquid with a
bitter taste.
I went to the dentist and told them to take an ibuprofen,
but they told me that it is not convenient to take medication without a
prescription.
I am taking antibiotics from the toothache and the pain
continues. How many days are of medication?
Tomorrow I have a high school and I do not know what to do,
if I go to the dentist, or if I have to pass a little.
Answer:
You must follow the guidelines prescribed by your dentist.
And as he has advised you, you should not self-medicate.
The antibiotic will start to take effect immediately and the
discomfort should go down in a few days.
Then you must go to your dentist to treat the tooth,
otherwise the pain will return.
A cordial greeting and we remain at your disposal.
Red ball behind the tooth and it hurts?
Question:
I have a little red ball behind the lower left side of the
tooth and it hurts.
The pain is so much that I can not chew that side of
anything.
I'm worried, it looks very red and I do not know what to do.
Answer:
This little ball that you comment could be an abscess that
is an exteriorization of an infectious process that will cause great discomfort
or pain and inflammation.
You should go to your dentist as soon as possible to treat
the infectious process and if possible try to save the tooth.
Can a tooth be extracted if I am in pain?
Question:
I started with a tooth pain and I would like to know if with
this pain, the dentist can treat me.
Either extracting the tooth or making a filling.
Answer:
You should go to your dentist as soon as possible.
Not only to establish the treatment you need to perform as
well as to advise you what medication you should take to reduce pain.
It could be that the dental pain that you have is caused by
a decay that has affected the dental nerve.
Should I get a tooth out if I have no pain at the moment?
Question:
My dentist did an x-ray for a toothache and says he should
take it out.
At this time I have no pain and since I did not explain the
reason for the extraction, I doubt this treatment.
What should I do?
Answer:
A tooth should be removed when there is no possibility of
treatment.
And in your particular case, if I advise your dentist, you
should not delay in its extraction.
Although it does not hurt now either because you have taken
medication. If you did not treat the source of the pain, the tooth will hurt
again.
Some causes may indicate tooth extraction are:
Dental fracture up to the radicular level.
Sub-gingival caries that are impossible to fill.
Large infectious processes or cysts.
Cariada stone that began to hurt me to the ear?
Question:
I have a decayed tooth and recently my tooth started to hurt
and then my right ear began to hurt. Is that normal or not?
I have tried to stop the pain with everything, ibuprofen,
paracetamol and one that they gave me.
My question is if is the earache normal and why does it
happen and what do you recommend to take?
Answer:
The caries in your case in particular, has affected the
dental nerve safely.
And this process has derived or originated an infection that
is causing the earache.
This infectious process should be evaluated and treated
promptly by your dentist, as it can seriously affect not only your dental and
oral health, but also affect your general health.
You can not and should not delay your visit with your
dentist.
Under no circumstances should you self-medicate.
The medication is not a treatment in itself, but this is a
tool that in any case will allow us to perform the treatment that is required.
Did I have to go for a puncture because the dental pain did
not subside?
Question:
My tooth started to hurt and I went to the doctor and they
sent me antibiotics and analgesics.
To the days I had to go to puncture me because the pain of
teeth did not subside.
I've been on a fair week with the pills and sometimes I feel
discomfort, it's not pain, but it's a rare sensation.
I do not know what to do and I'm starting to scare.
Answer:
At this moment, in which the infectious load has slightly
remitted, the estimated dental treatment should be carried out, otherwise, the
infection and pain that are recurrent will return.
Do not delay your visit with your dentist.
Did a filling that fell out of me start to hurt?
Question:
A month ago I fell the filling of a tooth, for some reason
and because it did not hurt I did not take care of it.
Yesterday it started to hurt a lot and I went to the
dentist. He gave me an appointment for the extraction.
The fact is that I can not stand the pain anymore, I can not
eat, and when I talk it hurts.
They give me stitches up to my chin and last night I had to
go to the emergency room and they injected me.
Talk to the dentist and he will extract my tooth tomorrow.
It is dangerous?
Answer:
Your dentist will know if it is possible to do the treatment
or extraction of the tooth.
Or if it is not possible, he will give you a medication that
helps control the pain and infection in order to allow the extraction in a few
days.
All the molars hurt on one side of my mouth
Question:
I have had a toothache for 4 days on the upper right side,
all the teeth on that side hurt.
I do not have inflamed gums, I'm just very cold. Can it be a
cold product or should I visit the dentist?
Answer:
A cold does not cause a toothache.
The pain must be in one of the teeth and irradiate to the
whole area on that side.
You must visit your dentist to make a diagnosis of the cause
of the pain that you describe and can advise you on your treatment.
Pain in a crowded tooth?
Question:
For a few days I have been suffering from a pasty tooth from
last year. Yesterday my dentist did a reconstruction cleaning the area because
I had some cavities infiltrated in the old filling.
The point is that the pain persists. It is a pain that comes
in waves.
Not progressively, but suddenly and very sharply.
It goes up even to the temple and the eye area.
Is it normal for me to keep hurting even though they treated
me yesterday?
Can it be due to something else even outside the dental?
Answer:
The pain in the impacted tooth may derive from an occlusal
frame. This happens, for example, when the filling is too high and when the
teeth close, it hits prematurely, overloading the periodontal ligament.
Another cause is that the filling is very deep and this is
causing an inflammation of the nerve, causing a pulpitis.
As you can see, the pain that you have sporadically can
originate for several reasons. For this reason, I recommend that you go back to
your dentist and that he will value you and make a diagnosis at the dental
clinic.
Does a tooth hurt when I chew with it and when I drink cold
liquids?
Question:
I have a problem for about half a year and that is that I
have a tooth that hurts when I chew with it and when I drink cold liquids. It's
a pain of about half an hour and it goes away, it's moderate at times, it hurts
a lot and sometimes a little.
When I go to brush the teeth I see that on top of the tooth
that hurts there is a kind of white inflammation. What can be treated please?
Answer:
Surely this tooth has a caries that has reached the nerve,
which also, in addition to causing discomfort to chewing and cold.
I originate an infectious process that has been externalized
in the inflammation that you have and you comment on the gum (it is a dental
abscess).
In a case like yours, you should go immediately to your
dentist to plan the appropriate treatment for your particular case. An
infectious and inflammatory process can not only affect your oral health, but
also affect your overall health.
Pungent pain in a broken tooth and I can not even eat?
Question:
I have been suffering from pain in a tooth for 5 days. This
one is broken and I can neither eat nor drink water because the pain is sharp.
I'm taking antibiotics and anti-inflammatories, but it only relieves me at
times. What can I drink?.
Respuestas:
A medication regimen can never be prescribed without having
done a clinical examination and a medical history before.
A broken tooth is an entrance of bacteria into the inside of
it. Affecting both the nerve and the alveolar bone. This will cause an infectious
and inflammatory process that, if not treated quickly, will cause irreversible
damage to this tooth.
You should not delay your visit with your dentist anymore.
Your dentist will explain what is the most appropriate medication to control
the infection in your particular case.
And it will also explain what is the most recommended
treatment according to the severity of your particular case.
Pain in a tooth because of a very strong infection?
Question:
2 weeks ago I started with pain in a tooth I went to the
dentist, he gave me antibiotics, I finished them and I came back.
He told me that it is a very strong infection that sometimes
a sample is taken and analyzed to give the right antibiotic.
Then a fistula formed on my palate at the side of the tooth
with pain where according to it is draining everything bad, and the pain has
not completely gone away.
I could not do anything, first by the infection, then by the
fistula, and as the pain wants to return as intense as at the beginning.
What I do?
Answer:
Your dentist will control the infection until it stops
hurting and anesthesia can take effect.
That takes a couple of days and then will surely extract the
tooth that has the fistula.
Pain from a fissure in the tooth?
Question:
A tooth hurts when I take something cold. At the base of it
I have a kind of "crack" that is not visible.
When I touch it with my finger it hurts and it also hurts
when I eat sweet products.
Answer:
For what you comment could well be a fissure of the tooth
that affects the enamel and dentin, since you notice sensitivity with stimuli
such as sweet and certainly also cold.
It is convenient that you go to your dentist to assess the
state and depth of the fissure and estimate what will be the best treatment.
An acute and chronic sensitivity in a dental piece can lead
to a dental pulpitis or inflammation of the dental nerve, which can lead to the
death of this and a pulpal necrosis (it would require a re-treatment
treatment).
Pain in the jaw?
Question:
For a few months now I have a discomfort and pain in my jaw,
on the left side, every time I yawn or open my mouth a lot.
Last night for certain reasons I was very cold and the pain
was terrible, as I had never felt before.
I wanted to know what this could be due to and what the
possible solution would be.
I do not know if I have a relationship but I mention,
besides that I suffer constant headaches when my jaw bothers me a lot
Answer:
You present a pathology of the TMJ or temporo-mandibular
joint.
My advice is to consult with an ATM specialist. This can be
derived or aggravated by the paralysis of bruxism or the act of squeezing or
grinding the teeth.
Bruxism can cause joint pain, maxillary pain, pain and / or
noise or "clicks" when opening and closing the mouth, cervical pain,
headaches, dental wear, gingival retraction.
The treatment will consist in the majority of cases, in the
realization and use, of a superior rigid discharge splint.
The discharge splint should be worn or used normally at night
and it should also be checked and adapted periodically every six months.
My advice is that you do not delay your visit since this
pathology can worsen with the passage of time.
Gum pain
Question:
I started last night with slight pain in the gum at the end
of the last lower molar.
He did not look inflamed but when he touched his tongue it
hurt a little so he took an anti-inflammatory.
All day I forgot I had no discomfort, but in the afternoon
it started to hurt again.
And I see it a little inflamed, it does not come out neither
blood nor liquid or anything.
What should I do? Is it possible that it is an abscess?
Answer:
You must go to your dentist for it to review and treat
depending on the source of gingival inflammation.
In pain and inflammation in the gum may be due to gingivitis
or they may be discomfort of the eruption of the third molar.
To reduce inflammation of the gum you must maintain a proper
tooth brushing and oral hygiene of the area.
A cordial greeting and we remain at your disposal.
Mouth pain that passes to my ear
Question:
I've had a pain in my mouth for a couple of days, which
passes through my ear.
It starts in the molars, but it extends to the whole mouth.
It is a continuous pain that does not increase when I eat
and brush my teeth, it relieves me and helps it to disappear.
It is especially annoying at night, I have no bleeding or
anything like that when brushing.
I will go to the dentist as soon as I can, but now I am
traveling and I would like to know what I can be doing by taking ibuprofen.
Answer:
You could present an inflammatory and infectious process in
a tooth.
It is important that you go as soon as possible to your
dentist so that he can check you correctly.
Keep a scrupulous oral hygiene that will help reduce inflammation
in the area.
Pain after a root canal
Question:
I finished an endodontics about a month ago and 2 weeks ago
I started a pain in the tooth and teeth in front of that tooth.
It is like a pain in the lower left part of the jaw, besides
the pain I derive to the nerve of the ear and the nerve of the neck causing in
turn a cervical pain.
I went to my dentist and he told me that endodontics is
fine, he gave me muscle relaxants. It's been 6 days since I've been taking them
and I still have the same pain. That is, the dental pain has not happened to
me, what could be happening to me?
Question:
It happens the same to me. I had a root canal on the lower
jaw tooth. And now the nerve in the ear hurts and a point of the neck, just
below the occiput.
Also right at that point I feel like a small hard lump, I do
not know if it will be a cervical ganglion. I thought that doing the root canal
and lowering the infection would improve, but I'm getting worse.
Answer:
After the root canal treatment, pain is normal for a few
days. However, if the pain after endodontics with referral you should see your
endodontist as soon as possible.
A pain after the endodontics that does not subside after a few
weeks may indicate the failure of the treatment.
Tail pain in pregnancy
Question:
I am pregnant and two days ago I have an impossible pain, my
cheek got inflamed.
The wisdom tooth broke part of my gum and I can barely eat
and open my mouth.
I do not know what to do since I am at rest until the day of
delivery.
Question:
I am three months pregnant and the lower tailpiece is coming
out.
Is it possible that I can extract it for my state?
I can not stand the pain, my gums are very inflamed, it
hurts when I swallow and I can not even eat well.
Answer:
Dental treatments in pregnancy should be done in the second
trimester of pregnancy. The best thing if you are in the final phase of
pregnancy, is to do the treatment after giving birth.
In cases of urgency your doctor can authorize the dental
treatment or indicate a safe medication to palliate the pain.
The prevention of dental pain is the best treatment
The best treatment is always prevention, for this it is
important that you have a good oral hygiene technique. And also, to prevent
dental pain you should make regular visits to your dentist.
Visit your dentist regularly can allow early diagnosis of
caries or other diseases before they cause pain.
In conclusion, we find an oral pathology that is aggravated
by inaction and that can lead to an irreversible problem. Therefore, at
Clínicas Propdental we recommend carrying out a periodic review with the
dentist.
Your dentist can anticipate the onset of pain, prevent
infection and stop any dental disease in a timely and effective way.
If you have any doubts about dental pain you can consult
with the dentists of the Propdental Clinics in Madrid, Barcelona and Badalona.
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