tooth-painPainful sensations around the tooth are called toothache. The pain generally occurs from within the tooth or the gums and adjoining bones. Toothache may aggravate with changes in the weather or other causes.

Causes – Following are the major causes of toothache:

  1. Abscessed tooth – It occurs due to infection that affects from within the tooth. The effect spreads to the adjoining bones and the gums.
  2. Cracked or damaged tooth – Fracture in the tooth can result in exposure of the sensitive dentin or the pulp. The fracture line may penetrate deep into the tooth and cause pain as and when pressure is put on the tooth when the patient bites or chews the food. It is known as cracked tooth syndrome.
  3. Dental work – The tooth may become more sensitive after undergoing a deep or large filling. Crowning may also result in this condition. The nerves may be affected because of dental work.
  4. Grinding or clenching –Known as bruxism and often done in unconscious manners; this habit may cause big damage to the teeth that start giving pain.
  5. Gum disease or infection – This is also one of the major reasons of toothache.
  6. Exposed root surfaces – Exposure of these surfaces also results in toothache.
  7. Sinusitis – Inflammation from the sinus cavities may result in toothache.
  8. Third molars, i.e. the wisdom teeth – Many persons do not possess enough space for these teeth. This is also the cause of toothaches.

Symptoms – Those suffering from toothache may suffer from constant and sharp pains or throbbing. Swelling around the tooth is also its sign. Headache or fever and foul-tasting drainage from the infected tooth are also the symptoms of toothache.

The dentist should be consulted as and when toothache lasts longer than one or two days. He or she may recommend asking the medical history and conduct physical test. Your jaws, throat, tongue, ears, sinuses and nose etc may also be checked with X rays etc.

Treatments – The dentist may suggest suitable medicines or the following treatments:

  1. Cavity filling – The dentist may fill the cavity or possibly extract the tooth.
  2. Root canal – This process may be needed if the cause of toothache is infection of the tooth’s nerve.
  3. Antibiotics – The dentist may recommend use of antibiotics if the bacteria have caused infection. It may be suggested for getting rid of swelling and fever.
  4. Phototherapy with a cold laser may be advised for reducing painful sensations and inflammation due to toothache.

Following remedies are useful in preventing toothache:

  1. Good oral hygiene practices are helpful for all.
  2. Brushing the teeth on daily basis twice a day is good.
  3. Fluroide-containing toothpaste may be used.
  4. Avoid smoking and drinking in excessive manners.

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