Toothache
Articles Oral Hygiene دکتر هادی درویش پور 0 user comments 30 October 2018

Toothache

Tooth pain is usually caused when the nerve of a tooth is irritated; but it can also have another reasons. The most common reason of toothache is inflammation in the dental pulp due to deep decay.  Toothache can impact sleeping, eating and another daily activity.

Following are some common reason for toothache:

  • Tooth infection
  • Periodontal disease
  • Dental plaque
  • Tooth decay
  • Dentin sensitivity
  • Tooth abscess (including apical abscess, periapical abscess, pericoronal abscess and periodontal abscess)
  • Tooth damage
  • Cracked tooth
  • Imperfect dental restoration and putting a crown on tooth surface or dentin sensitivity
  • Temporomandibular disorder (TMJ)

Tooth infection

If tooth decay is left untreated in early stages, it ends up reaching the infection and decay may extend to the tooth deep. Tooth infection can enter into the mouth surrounding through the pulp of cracked or broken tooth.

In this condition, the available bacteria can grow in end of the root and reach to the bone holder and cause abscess. Infection can permeate into the tissues between gum and root that causes periodontal abscess. More addition, the nerve of a tooth may cause infection in dental crown or in a deep restored tooth. When tooth decay gets deeper, it will be closer to the nerve and more possibility endanger the tooth’s nerve.

What is the reason of toothache?

Normally, toothache occurs from the inflammation of central portion of the tooth called pulp. Tooth pulp contain nerve ending that are very sensitive to pain. Any pulp inflammation or pulpitis can be caused by any things that contact with tooth.

The most common reason for toothache are as follow:

  • Deep decay
  • Tooth sensitivity to liquids and hot/cold foods
  • Tooth sensitivity to hot or cold weather
  • Dental press in orthodontic process
  • Hidden wisdom tooth
  • Pregnancy
  • Gum inflammation
  • Periodontal disease
  • Wasted gum and exposing tooth root with the created gap
  • Broken tooth
  • Imperfect dental restoration and any damage or break on dental veneer
  • Food stuck in tooth
  • Dry socket

Food stuck

Food stuck

Food stuck occurs when food reminders especially meat and fiber are got stuck in tooth space and made pressure to the gum for every chewing. Usually, the normal food stuck is cantoraynterprogziaml disorder. If it occurred due to an accident, it can cause a gap that leads to different implication such as, inflammation, local or minor pain and felling pressure between two teeth and finally tooth decay.

The dental decay can lead to loss some parts of tooth or to multiply and infect the other parts, gum inflammation and sensitivity. Also there is possibility of gum bleeding while eating. In this condition gum may be irritated or be disappeared before irritation and reoccur in next meal.

After each meal if you don’t remove the fiber stuck with a tooth pick, flossing or between teeth brushing, this condition may spread and gum periodontal abscess may occur.

Dry socket

Dry socket is a common complications following tooth extractions especially removal of the lower wisdom tooth that leads to the removal of blood clot and making a gap.

In this condition, the holder bone is uncovered and expose to medium or sever pain. It is a throbbing pain and usually start from 2-4 days after tooth extractions and takes time around 10-40 days. There is some evidence that using Chlorhexidine mouth wash would be effective to prevent dry socket before tooth extractions.

Toothache treatment

Toothache treatment method is very related to the reasons that caused pain which can include the following treatment:

  • Drainage of pus
  • Root canal treatment
  • Filling tooth decay

Toothache prevention

Since most tooth pains are the result of plaque related disease such as tooth decay and periodontal disease, so you can prevent them by avoiding of decaying factors and observing oral hygiene

Toothache prevention:

  • Prevention of decaying factors
  • Oral hiygen observation
  • Using healthy diet
  • Reducing sweets and sugar intake
  • Brushing with fluoride toothpastes twice a day
  • Flossing once a day
  • Periodic and regular checkup and appointment with dentist

In order to prevent dental damage in exercise, you can wear removable mouth guards which mostly are made for people with movable orthodontic. According to sportsmen these mouth guards can degrease the significant amount of dental damages.

Are there any home remedies for toothache treatment?

Most people use pain killers such as Ibuprofen or Acetaminophen for toothache. But it is just a temporary treat before technical checkup by a dentist. Some home remedies are very effective for toothache treatment.

Garlic is a useful food for tooth infection treatment. It contains an effective chemical compound named Allicin that can also use as a substance in daily foods. You can easily prevent infections in your body by using garlic in your food or use in its own.

You can cut the garlic and mix it by salt and put on your pain location. Although it can’t treat your tooth infection but it can decrease your toothache and pervert spreading infection to the surrounding damaged area.

Toothache’s home remedies are including:

  • Placing a cotton dipped in clove oil on tooth surface
  • Rubbing a healing gel on to a damaged area
  • Gurgling with fresh ginger in water
  • Gurgling with two spoon of coconut oil
  • Chewing raw onions a few minutes
  • Gurgling with salt water (one spoon salt mix in one glass of water)

Jaw pain treatment

  • If the jaw pain is related to Temporomandibular, using Aspirin or Ibuprofen could be useful for adults.
  • For kids and teenagers Acetaminophen is recommended.
  • If there is severe pain on mouth opening, probably the pain resource is Temporomandibular.
  • In this condition, patient should avoid eating hard and large piece food.
  • Keeping jaw heats and moisture and prevent mouth opening, is very helpful to release pain.
  • You should make an emergency appointment by your dentist in order to distinguish the cause of pain and suitable treatment method.

Oral abscesses

Oral abscesses

The reason of dental abscesses is infection of the mouth, jaw, face or throat that begin as tooth infection. The main reason of abscesses may be a deep tooth decay or periodontal disease as well as damaged or cracked tooth. In some situations, abscess can occur because of tooth removal and doing dental implant (if the oral hygiene is weakly observed). More addition, abscess can occur due to increasing age, weakening the immune system, diabetic or for people who have self-immune disorders such as Sjogren’s syndrome or similar situations.

 Extension of dental Abscess

When an abscess occurs in the mouth, bacteria can move out of the tooth to the gums, check, throat or tissues under the tongue or even jaw and facial bone and affect them.

In specific situations, abscesses are painful and the reason of pain is inflammation and pressure inside the abscess. Infection or any hit to the tissue surface of the gum causes pain in gum abscess.

Periodontal abscess is the result of deeper infection in the gum and external surfaces of the tooth.

Although always there is the possibility of pain but usually dirty can be gather in the infection place by the immune system.

As long as an abscess is not teared or discharged the infection, the condition would be worse by the time.

Even in sever case, if infection is not discharged by the surgery, it can extend to the brain and lead to the death.

Abscess and the symptoms of severe infection in blood flow are:

  • Sever inflammation
  • Difficulty in breathing
  • Vomiting
  • Fever, shiver and sweating

Toothache in orthodontic

Your specialist orthodontist tells you:

Unfortunately, you will experience some discomfort and pain during a part of the braces process that can make sensitivity for teeth or pain in your jaw and gum. Although this part makes some difficulty for you but must be apply.

Usually the potential causes of toothache in orthodontic can be two items:

  • Your orthodontic appliances create pain while move your teeth.
  • Probably you have had dental problems that will get worse during the orthodontic process.

You can find which item is related to your pain? Let us to answer this questions then it will be clear.

When you can get a toothache while wearing braces?

Orthodontic can cause tooth pain. Orthodontic appliance may be adjusted tightly in the activation session that will create pain in gum, jaw or tooth.

In this condition the facial nerves can pass many pain signal onto the teeth. Although there is no visible damage to the tooth and no decay inside or around the tooth but still there is some pain. So you should do more research about tooth decay and orthodontic. Your pain has begun after the first activation session.

You should subside this pain by some anesthetic substance such as clove oil, anise extract or rubbing gel to the tooth.

When tooth decay cause toothache during the orthodontic process?

If you don’t treat your tooth decay before orthodontic treatment the condition will be more complex. Sometimes, filling tooth or even root canal treatment can be done during orthodontic process while in some cases the orthodontic process should be delay in order to treat the tooth decay.

If you can care of your tooth properly without any problem or danger until end of the orthodontic treatment process, its better tooth decay treat after the end of orthodontic process.

For healing this kind of pain usually anesthetic substance can be used, however it’s better avoid factors that intensify or increase pain.

The surrounding factors to intensify toothache are including:

  • Making over pressure to teeth
  • Eating spicy foods
  • Heat and cold
  • The sudden change of heat degree

If your toothache won’t be treat by observing all mentioned items after the orthodontic process activation, you should see a specialist orthodontist.