We have all experienced the feeling when a sudden sense of pain strikes our teeth while drinking a cold refresher. The least fortunate have also encountered long-term, throbbing pain which makes the day really hard to endure.There are numerous types of toothache. The most frequent type is the shrewd pain which occurs while eating cold or hot food and it strikes like a lightning. The cause can be – among others – incipient dental caries or damage to the dental filling. We can also experience this feeling after dental interventions. If it doesn’t disappear after four weeks, we should turn to our dentist. The intense pain during chewing can be a sign of caries or even of damage to the pulp.The cause of the pain which lasts for more than 30 minutes can be serious damage to the pulp. If even touching the teeth triggers intense pain, the problem might be caused by the contagious disease of the gum.To clarify the cause of toothache, we should contact our dentist as soon as possible. Until the examination we can ease the pain with painkillers containing ibuprofen, gels with local analgesic effect or cold poultice pressed on our jaw.
This article will answer the following questions:
- What can be the cause of toothache?
- Dental diseases
- Gum diseases
- Diseases which can cause toothache
- When to turn to a doctor?
- How to ease the pain?
What can be the cause of toothache?
Dental caries, the inflammation of the root, a chipped tooth, damage or detachment of the filling and tooth grinding can all cause pain.
The initial symptom of caries can be intense pain experienced while eating cold or hot food. A revealing symptom is the discolouring of the affected tooth, unpleasant breath odour or swollen gums. We should turn to a dentist as soon as possible – if the inflammation also affects the deeper layer of the tooth, it can lead to the inflammation of the root.
The inflammation of the root is a disease accompanied by very intense pain and it is caused by bacterial infection. Its symptoms can include fever, bitter taste, red, swollen gums, swollen face in the affected area and the pain getting stronger during chewing. To end the infection, local antibiotic treatment and later root canal treatment might be necessary.
In case of chipped teeth or detached filling, the main problem is the evolvement of bacterial infection, because the uncovered pulp loses its protection.
In the beginning, tooth grinding involves jaw pain in the morning. In case of lasting grinding, the teeth can be damaged and they will be more susceptible to bacterial infections.
By starting therapy as soon as possible, we can prevent serious complications like tooth loss or the expansion of the bacterial infection.
The inflammatory diseases of the gum are usually caused by bacterial infection. If you don’t seek treatment, this can lead to constant pain as well as tooth loss.
After eating, bacteria can spread in the pieces of food stuck to the teeth and dental plaque can occur. From this, bacteria can easily infect the gum and cause inflammation.
There are factors which facilitate the development of gum inflammation. During hormonal changes – in case of pregnancy, during puberty or menopause – we are more susceptible to the disease. A change resulting in the reduced defensive capabilities of the immune system also increases the probability of the disease, for example in case of HIV infection or cancer such as leukemia. In case of diabetes, the disease can develop more easily due to the circulatory disorder. The side effects of some medicines can also make us more susceptible to gingivitis, and smoking is not recommended either if we would like to avoid the disease.
The symptoms of gingivitis are bleeding, swollen, aching gums, bad breath and moving teeth.
Treatment depends on the graveness of the disease and we should turn to a specialist to establish the appropriate therapy. During and after the treatment we should ensure sufficient oral hygiene to make the chances of a return of the disease as small as possible.
Diseases which can cause toothache
In case of angina pectoris, the heart does not receive a sufficient amount of blood and the organism signals the problem with a typical chest pain. In some cases this chest pain can spread to the teeth and the jaw as well. If we feel weakness, dizziness or nausea besides chest and tooth pain, we should turn to a cardiologist.
In case of sinus infection, we can experience pain in the upper set of teeth, especially in the molars. If the pain is accompanied by general adynamia and nose congestion, we should visit our GP in order to establish an exact diagnosis.
The pain originating from ear inflammation can radiate to the teeth on the affected side. We should visit our GP to start treatment as soon as possible.
When to turn to a doctor?
We should always turn to a doctor in order to find out what causes the pain. In some cases, an immediate intervention is required.
We cannot postpone the examination if:
â¢ the pain lasts longer than 1 or 2 days
â¢ the pain is very intense
â¢ you experience fever or earache
â¢ the pain is stronger when opening the mouth
â¢ pain is caused by chipped tooth or an injury to the jaw
How to ease the pain?
Until we get to the examination at the dentist’s, we can ease our pain in several ways. Painkillers containing ibuprofen or paracetamol ease our pain for 6 hours. It is important that we take the pills according to the instructions for use and we shouldn’t chew on them in the painful area.
We can also use a gel with local analgesic effect which makes the affected area a bit numb for a while. However, it is important that we only use this method for a short time.
We can put cold poultice on the outside of our jaw, which also eases pain. We should not use this method for more than 15 minutes at once, we should rather apply the poultice for shorter periods several times.
Traditional healing methods to ease the pain include:
â¢ Put a bunch of cotton soaked in oil to the painful area and chew on it. It will make the painful area numb.
â¢ Chew clove or rinse with clove oil. Besides its antibacterial effect it also numbs the sensitive teeth. In a similar way we can also use onion or garlic.
â¢ Rinse with salty water. Put a teaspoonful of salt in 250 ml of warm water and keep it in your mouth for 30 seconds before spitting it.
â¢ Soak a sterile bunch of cotton in a drink high in alcohol (vodka, brandy) and put it on the sensitive area.
It is best to avoid tooth and gum diseases. We should brush our teeth regularly, twice a day, using floss for more effective cleaning and rinsing with water or mouthwash.