In general dentistry, toothaches are defined as any pain or ache in or around a tooth. While modern dentists have a thorough understanding of the causes and treatments for toothaches, people experiencing them may be frustrated by the discomfort. Those with a toothache may feel sharp or dull pain and sensitivity to temperature or chewing.
In order to pick the appropriate course of action for toothache pain and avoid any future issues, it is helpful to understand the causes of toothache pain.
Tooth decay is one of the top causes of toothaches. When erosion occurs on the outer surface of the tooth, a cavity can form. Bacteria gathers into a sticky layer on the tooth. This layer is known as plaque. The plaque feeds on starches and sugars in food particles and generates an acid that deteriorates the tooth’s enamel. The decayed enamel causes weak spots and holes in the tooth and forms a cavity over time.
When decay spreads inward toward the middle layer of the tooth, or dentin, it causes sensitivity to temperature and touch. If enamel is weak, a dentist may recommend a prescription toothpaste with added fluoride and encourage more flossing. After a cavity is found, a dentist typically fills the cavity to treat it.
Decay that extends into the pulp of the tooth causes pulpitis. The nerve pulp is the tissue in the center of the tooth and it contains blood vessels and nerves. When decays reach the pulp, it becomes inflamed and irritated. The inflammation increases the pressure inside the tooth and surrounding areas. Trauma to a tooth or multiple invasive procedures may also cause pulpitis. Extreme sensitivity to hot or cold is the primary symptom of this condition.
When cavities or pulpitis are left untreated, the bacteria may build up in the pulp chamber. Eventually, the pulp chamber attempts to drain the buildup at the tip of the tooth’s root, which creates immense pressure. The pain from the abscess is constant and worsens with pressure from chewing. General dentistry treatment is paramount to preventing severe pain and swelling.
Some people clench or grind their teeth while sleeping. This is known as bruxism and often occurs without the person’s awareness. Over time, the repeated motion pressure can cause tooth sensitivity or pain. Dentists may recommend a mouth guard to prevent damage from bruxism.
Trauma to the mouth can cause a cracked or fractured tooth. Sports injuries or even biting down on a hard object may damage the tooth. Cracked teeth may be sensitive to temperature or sweet or sour foods, and can be painful. Identifying the type of crack is crucial for proper treatment. An experienced professional dentist can identify the specific issue and offer treatment for a cracked tooth that is causing tooth pain.
Be sure to attend annual dental appointments for professional cleaning and checkups. Always bring up any concerns with the dentist during an appointment and explain all of the symptoms. When experiencing an intense toothache, do not wait but make an emergency appointment immediately. Those who experience a toothache for multiple days in a row, have a fever or infection along with the toothache or have a cracked or chipped tooth should see a dentist immediately.
Even with the knowledge of the causes of toothache pain, it can be difficult to determine the cause for each specific case. A general dentistry professional is a recommended resource for assessing the cause and treatment plan for toothache pain.
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