The main causes of toothache

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If you experience toothache, the person’s stable and calm condition is disturbed. Naturally, everyone tries to remove it or drown it out. But, any pain is a signal that speaks of a malfunction in the body. This signal allows you to detect the pathology at an early stage and see a doctor. What does toothache tell us? What causes pain? When can I be patient, and when is an urgent visit to the dentist inevitable? Let’s get this straight.

Localization and nature of toothache

It’s hard to make a mistake with the pain in your mouth. A person can easily characterize where and what hurts. Painful sensations can differ in intensity (sharp and strong or weak and nagging) and frequency (for example, night – then another test). Toothache can affect both one tooth and several in a row, on one or at once on both jaws. Pain can give to the temple, affect not only the eye and ear, but also cause migraines. And the trigger (trigger) of such sensations does not necessarily become hot tea or cold ice cream. Sometimes a person describes their appearance as “out of the blue.”

Let’s try to summarize the types of toothache:

  • The nagging sensations are dull and not intense.
  • Shooting, sharp, in the form of sharp impulses, causing suffering.
  • Sharp, unexpected, independent of the time of day.
  • Long-term, “background” is tolerable, so the patient postpones the appeal to the doctor.

Each of the above types of pain indicates a particular pathology. With a timely visit to dentistry there is every chance to keep a beautiful smile and healthy teeth. Otherwise, the unpleasant consequences will not be long in coming.

Diagnosis of toothache. Features of complications in the absence of treatment

The correct diagnosis can be established only after a check-up of the mouth. The dentist should analyze the complaints, get information about the accompanying ailments, the trauma suffered and find out the nature of the pain. After that, prescribe adequate treatment

A visual examination by a doctor may include the following manipulations:

  • exposure to the tooth with light tapping movements to determine the localization of pathology;
  • Figuring out the reaction to heat exposure;
  • Investigating the state of the enamel with a special lamp or laser;
  • Studying the condition of dentures if there are any;
  • X-ray diagnostics to identify pockets of inflammation, root fractures and other hidden problems;
  • A 3D ct tomographythat allows you to get a three-dimensional model of the organ, look at the internal structure of the bones, revealing tumors and cysts.

Whatever the toothache – strong, mild, pulling, sharp, appeared today or lasts for several days – make an appointment with the dentist. Even if the pain has subsided and does not manifest itself at all, it is impossible to cancel the visit. Some insidious diseases (such as pulpitis) can behave in a variable way: after a sudden aggravation, there may be some relief. However, do not wait for the next attack or hope that the disease has passed on its own, and the pathological process has stopped.

Note! Before you visit dentistry, do not take pain-relieving drugs – analgesics (pills, injections). This will “smear” the symptoms, and the doctor will be difficult to diagnose, not to mention the correct treatment regimen because of the dulling of the signs of painkillers.

Reasons why a tooth can hurt

The appearance of toothache often becomes a surprise, because it can occur even if the teeth look completely healthy. In any case, feeling the painful sensations in the teeth, you need to immediately visit the dentist.

First, the specialist will find out the cause of pain (increased sensitivity, tooth decay or something else). There are several types of causes of toothache:

  • bacterial (gum disease, pulpitis, tooth decay);
  • Mechanical damage to the enamel;
  • common diseases.

Consider the most common causes of toothache in more detail:

caries. Toothache when enamel is destroyed

The most common cause of toothache is diseases caused by the reproduction of bacteria that can destroy tooth enamel from the outside and inside.

Many people have tooth decay, and not all of them know about it. The disease manifests itself in the form of darkened spots on the surface of the teeth. Interestingly, at first the spots are white and can stand out on the background of the darker surface of healthy enamel – this is the stage when bacteria still destroy the shell of the tooth products of their life.

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As tooth decay progresses, bacteria are introduced deeper and deeper to the center of the tooth, the disease center becomes wider and can cover neighboring teeth. Once in the mineral layer and reaching the soft dentin, the carious process accelerates.

At the climax of tooth decay, if the disease is not treated properly, bacteria penetrate the pulp, covering vascular and nerve tissue, causing the tissue to become inflamed. That’s how pulpit develops. Treatment of this disease consists in cleaning the soft insides of the tooth, decontamination of the tooth cavity and filling, sometimes (in particularly neglected situations) requires the removal of the affected nerve.

pulpitis. The dental nerve hurts

Pulpit is an inflammation of the vascular-nervous beam in the tooth. Pulp (vessels and nerves of the tooth) swells and touches the walls of the chamber, which is why the pressure on the nerve endings. Hence there is a severe pain, increasing every day. A common cause of pulpit is tooth decay, which progresses too much due to lack of timely treatment. Microbes, toxins and other harmful substances from there make their way to the nerve and malicious interact with its tissues.

Powerful painkillers will help to get rid of acute pain quickly. But for a full and high-quality treatment it is necessary to turn to qualified specialists. How do dentists cope with the infectious process affecting the nerve of the tooth?

  1. Use anesthesia for the affected area;
  2. Reveal a pulp camera;
  3. Nerve removed;
  4. Clean the channels that are at the root;
  5. Do the washing of channels, then seal;
  6. Place the seal on the crown

The pain in pulpit and tooth decay is different. With tooth decay, it is not strong, amplified by the consumption of cold and hot drinks and dishes, inhalation of cold air. The pain in pulpit is acute and unbearable, appears in unexpected moments, for example, in the middle of the night, can be given in whiskey, cheeks and nose (when the tooth is struck on the upper jaw), ear and neck (when the tooth is reflected on the lower jaw). In pulpit pain is kept, not calming down and not weakening, for a long time, at the tooth decay of the stimulus (example: sweet gets on the tooth, affected by tooth decay – tooth ache, remove sweet – the pain recedes).

Another possible cause of pain – diseases caused by untreated or neglected tooth decay or pulpitis – cysts, granulomas, periostitis (a vicious gum in addition to symptoms of pulpitis or tooth decay), periodontitis (swelling of the gums, mucous, sometimes – parts of the face, often with all the absence of pain syndrome).

Teething wisdom tooth and the appearance of pericoronitis

During the growth of the last in a row of teeth people face severe pain that affects the cheeks, jaw and even throat. Toothache when the tooth grows nagging and pulling, can be accompanied by pain in the head and neck, as well as pericoronitis – inflammation of gum tissue, due to the lack of available space on the jaw. The tooth can be cut through under the gum hood correctly and incorrectly. In the first case, the gum hood is cut to facilitate its development and save the patient from torment.

Incorrect cutting of the wisdom tooth is caused by the lack of space in this area of the gum. Its further growth will be accompanied by severe pain, inflammation, complications and may even lead to death. To avoid this, doctors advise to immediately remove the malicious tooth, not to allow it to develop further.

In this case, you should immediately contact the surgeon. Independent treatment will not bring results, but will only bring closer the development of sepsis, phlegmon, and in the worst case – a lethal outcome.

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gingivitis. Inflammation of the gums

Gums can be affected by diseases such as periodontosis or periodontitis. In such inflammations there is bleeding and pain in the gums, and chewing food becomes especially painful. Most patients perceive these sensations as toothache. Such diseases can lead to the nakedness of the dental roots, which explains the hypersensitivity. If the infection is rapid or has not been noticed in time, the pathogenic bacteria can penetrate even the pulp, which can lead to the loss of a tooth, or even several.


Periodontitis is characterized by inflammation of the tissues around the tooth root. Inside the canal remains the dead pulp and its pus content flows to the gum. This provokes severe acute pain, which does not allow even to touch the tooth. It is difficult for the patient to chew food and drink too cold/hot drinks.

Periodontitis is an aggravation of gingivitis, periodontitis, pulpit. Another cause of the ailment may be poor oral hygiene, bad habits, and sloppy surgical effects.

You can’t get rid of pain during periodontitis yourself, you need urgent and mandatory medical intervention. Doctors will open the canal for a certain time to allow the thus to get out. Thanks to soda/soy rinses, the microbes will begin to die, and therefore the inflammation will stop.

ARVI, sinusitis, sinusitis

Bacterial and viral diseases such as sinusitis or sinusitis affect the mucous membranes of the sinuses, which is dangerous for teeth because of their close proximity to the jaw.

Such inflammation can lead to pain in the upper row of teeth. A similar situation can happen with the lower jaw, if a person fell ill with anguine or pharyngitis, for example, as such inflammations affect lymph nodes.

Injuries, tooth root fracture, cracks and chipped

Chipped fillings, injuries to the area of the dental roots and cracks in the enamel can be the consequences of mechanical damage caused by bruises or chewing too hard food. In this case, the patient may experience pain not only from injury, but also because of inflammation, which occurs as a result of penetration of infection in the pulp through cracks. Pain in this case can be acute, dull, strong or weak, so it is necessary to undergo X-rays or orthopantomogram (OPTG) to determine the exact cause of the disease.

Bleaching procedures and pastes with abrasive particles

Teeth whitening can lead to their hypersensitivity (hyperesthesia). This happens during the procedure because the removal of the bacterial layer is followed by a violation of the mineral composition of the enamel. If this happens, all teeth usually suffer, but the most damage is done to the front, as they are in the visible zone, and they are bleached especially carefully.

Hard toothbrush and high blood pressure while cleaning

Everyone knows that brushing should be done twice a day for 2 minutes,but few know that it is also important to choose a toothbrush of the right level of rigidity and not put too much pressure on the teeth during the procedures. Performing these conditions is very important for the health of the teeth and mouth. If you ignore these factors, you can easily damage the enamel, which will lead to a numbing pain in the teeth or increased sensitivity to high and low temperatures.

Overcooling and inflammation of the facial nerves

Inflammation of the trigeminal nerve is a well-known and unpleasant ailment. Undoubtedly, spending time outdoors is very useful for the health and immunity of people of all ages. But long walks, when the value on the thermometer exceeded -20 and the absence of a cap in windy weather can lead to such painful and a footing pathology as inflammation of the dental nerves.

Common diseases

In the turbulent rhythm of modern life, not everyone can stay fully healthy. A large information load leads to chronic fatigue, stress and neurological disorders. These ailments affect the brain: it begins to transmit distorted nerve signals that can get to the teeth and cause a little pain. In this case, you need to go first not to the dentist, and to a psychotherapist or neurologist.

Pain in the lower jaw or in the lower molars can be justified by the cervical chondrosis. This pathology appears in people who lead a sedentary lifestyle, mainly at the computer. The head is in one position for a long time, which causes the spine to warp and leads to the clamping of blood vessels/nerves, and all this has a very negative effect on the sensations in the teeth.

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Negatively affect the condition of the teeth affect the pathology of the stomach. For example, when heartburn, stomach acid enters the mouth and destroys the enamel. Because of this, dentin is bare, which leads to increased sensitivity of the tooth.

Lack or wrong intake of vitamins, eating disorders

It is known that acids can cause hyperesthesy, accompanied by pain in the teeth. It is best for children, the elderly and people with sensitive enamel to give up food with vinegar and citric acid. To consume vitamin C should only if necessary and with non-acid products (e.g. rosehip broth). By the way, there is more vitamin C in the broth than in the same lemon.

Berries, fruits, vegetables, greens, cottage cheese, eggs and nuts are essential components of a healthy person’s diet. Because of their absence, the mineralization of the enamel deteriorates, and therefore the oral mucosa suffers. Without beneficial and beneficial substances in the body enamel is destroyed: it becomes thin, susceptible to cold and hot, acutely reacts to solid food.

The imaginary acute toothache really exists! Many thought that she was a fantasy of overly emotional and impressionable people. However, there is a scientific explanation for this. After the removal of the tooth, the nerve endings of the gums in its place begin to actively recover, which leads to phantom sensations. This condition can last for several weeks and passes on its own.

Why a tooth is splaying under a filling

The seal, delivered a few years ago (6-7), could be squeezed and spoiled by external factors. The tooth will ache with live pulp and disturbed seal position. Pain also occurs in the following cases:

  • Pain after a short period of time after a doctor’s appointment is most likely a medical error, for example, the canal is not well cleaned, the rest of the infection inside, the breakdown of the tool during the procedure;
  • Pain after a large number of time after the doctor’s appointment – a violation of the hemerty of the old filling.

In any case, you can not get rid of such a disease yourself. Call your dentist in time to avoid triggering an inflammatory pathological process.

Hurts and reeling root tooth: what to do

Most often, the root tooth begins to stagger due to developing periodontitis – inflammation of the gum, accompanied by a violation of dental attachment.

This pathology requires mandatory medical care. However, the following gels will help temporarily relieve the pain and dull the inflammation in the wobbling of the root tooth: Kalgel, Holisal, Komistad.

Why a dead tooth fell sharply

A lot of people think a dead tooth can’t hurt? But what does the expression “dead tooth” mean? This tooth with dead or removed pulp. Yes, because of periodontitis the nerve dies, but remains inside the pulp, which eventually begins to decompose. From there, the ping is directed to the root, causing the tissue around to become inflamed. And so there is a sharp pain.

There are several reasons why a dead tooth becomes particularly sensitive (due to complications) before and after treatment:

  • Low-quality treatment and cleaning of dental channels;
  • Medical disorders in fillings: the edges of the filling are too excreted outside the root;
  • Not all tooth canals have been cleared, some of them are missed or not completed;
  • The appearance of allergy to the material from which the filling is made

It is important to understand that the disease in the tooth after treatment is a normal and natural process. It is called post-plover syndrome, which lasts for several weeks (1-2). If it really is him, the pain will subside every day. However, if the pain does not disappear and even increase daily, it is a significant reason to repeat the appointment at the doctor.

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