Get rid of painful tooth once and for all!
Know and treat your painful tooth
Pain in the tooth is not necessarily confined to a tooth only.
What causes a painful tooth?
Most common causes of teeth pain
- Tooth decay
- Gum disease
- Wisdom tooth pain
- Cracked tooth
Less likely causes for painful tooth
- Jaw disease
- Heart disease
- Sinus infection
- Ear infection
The outer layer of a tooth is non-living.
A tooth is painful due to an infection in the inner layer called pulp which contains blood vessels and nerves. An inflamed tooth nerve causes a painful tooth.
Tooth decay starts as a unnoticed painless white spot
If untreated, this painless white spot is followed by cavitation with brownish discoloration
Sequence of tooth decay
Pain on having cold but disappears on removal
Tooth sensitivity to hot and cold
Due to dentine and pulp irritation
The condition is called as REVERSIBLE PULPITIS
Pain to hot and cold even after removal
Lancinating or throbbing pain
It is due to extensive inflammation of pulp known as ACUTE PULPITIS
If untreated ACUTE PULPITIS proceeds into CHRONIC PULPITIS
Tooth pain is due to the nerves. You need a root canal treatment at this stage.
This stage causes destruction of nerves, reduced pain to cold and hot
- Now infection has crossed to tooth and invaded into tissues around it.
- Sequela of decay resulting in
diffusespread of infection throughout the bone causing inflammation and necrosis of jaw bone (Osteomyelitis)
- Cellulitis ( Inflammation of soft tissues which tends to spread through tissue spaces) of face and neck occurs as a sequela of an abscess or osteomyelitis.
High-risk individuals for tooth decay
- Socially deprived
- High caries in siblings
- Low knowledge of caries
- Medical disease
- Xerostomia (dry mouth)
- Frequent sugar intake
- Non-fluoridated area
- No fluoride supplements
- Poor oral hygiene maintenance
- Low Saliva flow
- Premature extractions
- Front tooth fillings
- No fissure sealants
- Braces treatment
Low-risk individuals for tooth decay
- Low caries in sibling
- Infrequent sugar intake
- Fluoridated area
- Fluoride supplements used
- Good oral hygiene maintenance
- Normal flow rate
Symptoms of gum disease
- Bleeding gums
- Pain on biting
- Pain with swelling
- Pus discharge
Gum disease is categorized into GINGIVITIS and PERIODONTITIS
GINGIVITIS is the inflammation of the gums often seen with bleeding gums.
- Infected gum recedes
- Plaque continues to increase
- Pockets become infected
- Bone loss
Periodontal disease causes 70% of tooth loss.
It affects 3 out of 4 people.
Causes of periodontal disease
- Lack of daily oral hygiene
- Broken fillings
- Broken tooth
- Misaligned/crowded teeth.
- A poorly balanced diet
- Medical conditions
- Drugs causing dry mouth
Symptoms of periodontal disease
- Red, puffy gums
- Tooth hurts when biting down
- Gum that bleeds during brushing
- Persistent bad breath
- Shifted/loosened teeth
- Sore teeth
- Dull, throbbing & constant pain
- The painful tooth may feel extruded
Periodontitis caused due to trauma or abnormal clenching habits. Sometimes due to braces treatment
Periodontitis is also caused due to tooth decay
- Determining the cause & relieving the symptoms.
- Adjustment of caps or dental crown (in hyper occlusion cases).
- Removal of irritants (in case of infected pulp)
- When the acute phase has subsided, the tooth is treated by conservative means.
An infection in the tooth due to tooth decay or gum disease
A tooth abscess is an accumulation of pus around the tooth
Conclude you have a tooth abscess when
- Constant tooth pain
- Pain when pressing gum above the tooth
- Severe throbbing tooth pain
- Red swollen gums
- Fever with a painful tooth
- Occasionally, bad taste in the mouth
As the infection progresses,
- Pronounced swelling
- The tooth becomes more painful, elongated & mobile
- Loss of sleep
In the case of the upper front, swelling may extend to one or both the eyelids
In case of lower front, swelling may involve the lower lip & chin.
In the case of upper posterior (molar), cheek may swell to an immense size
distorting the facial structures
In case of lower posterior, swelling may extend to the ear or around the border of the jaw into the submaxillary region
- Mild cases– a slight rise in temperature (99-100˚C)
- Severe cases– temperature above normal (102-103˚C)
Fever often preceded or accompanies by chills.
Intestinal stasis, manifesting orally by a coated tongue & bad breath.
Headache & malaise
1st stage-Initial stage
- Painful tooth
- Tooth sensitive to touch
- Massive swelling
2nd stage-Periodontal stage
- Tooth hurts when biting down,
- Tooth painful on touch
- A slight feeling of an elevated tooth in the socket
3rd stage-Endosseous stage
- Tooth pain extreme
- Constant, throbbing tooth pain
- Tooth hurts with pressure
- Wants to get the tooth removed
- A strong feeling of elevated tooth
4th stage-Subperiosteal stage
- Throbbing pain increasing in intensity,
- The tooth is extremely sensitive and painful to touch,
5th stage-Submucous stage
- Decreased symptoms of painful tooth
TREATMENT OF ABSCESS
If you have symptoms of tooth abscess, schedule an appointment with your dentist.
Your dentist will drain the abscess and prescribe antibiotics.
Tooth abscess drainage gives instant relief in a painful tooth.
Local anesthesia is ineffective when injected into acutely inflamed tissue.
Conduction anesthesia may be administered to reduce the pain.
Hot saline rinses are used to assist drainage.
If the swelling is extensive, soft and fluctuant, an incision is made through the soft tissue to the bone.
If it is hard, can be converted to a soft, fluctuant state by rinsing with hot saline solution 3-5 min at a time repeated every hour.
Antibiotics & analgesics are prescribed as needed.
Wisdom tooth pain
Wisdom teeth are teeth that fail to erupt into the mouth
Severe or excruciating pain in the back of your mouth
Tooth pain may be intermittent, constant or periodic
Tooth pain is referred to an ear
You may feel buzzing sound in the ear
Wisdom tooth proves that weakening of the jaw bone.
Have you ever had Wisdom tooth pain? check out to know more.
Maxillary Sinusitis is an infection or inflammation of the upper sinus.
Sinus infection may arise from abscess, periodontitis, or after tooth extraction
A sinus infection results primarily from the multiplication of bacteria invading from the mouth or the focus of a dental infection.
Since maxillary premolar and molar teeth have the closest proximity to the antral floor, infection of these teeth is the most common cause of the disease.
- Dull or intense pressure-like pain
- Swelling of the cheek and anterior maxilla
- Pressure or fullness in the vicinity of the maxillary sinus
- Nasal Congestion or Obstruction
- Tooth hurts when biting down
- Increased tooth mobility
- Dull headache
Treatment for sinus infection
Antibiotic therapy (Penicillin, clindamycin, and metronidazole are adequate drugs of initial choice) and surgery.
Elimination of dental source by tooth extraction, apicoectomy, endodontic therapy, removal of any involved foreign body, might lead to full recovery.
Can a tooth pain be dangerous?
Tooth pain can indeed be an indication of more serious wellness with a more risky problem than referred to as, so you shouldn’t ignore them.
The most risky conditions that can cause a painful tooth as a symptom include: Angina pectoris or heart spasm, (caused by insufficient supply of oxygen-rich blood to the center muscle because of reducing of the bloodstream to the heart) is felt usually as a pain to the chest or remaining arm, but in around 10% of situations it extends to the remaining side of the jaw.
People with a history of cardiovascular illness need to be aware of this possibility, and pay extra interest to sudden tooth pain, especially if they are in good dental wellness.
The tooth pain may be an indication of cardiac arrest.
Dental infections are a typical cause of painful tooth.
If a tooth abscess is neglected for a lengthy period, the illness may have prolonged to the floor of the mouth or to the neck and cause a situation known as Ludwig’s angina that can become life-threatening, preventing the air and resulting in breathlessness.
If you have symptoms such as high temperature, chills, feeling sick which are symptoms of serious illness, or prolonged swelling; see your doctor immediately
Diagnose your tooth pain. If it is untreated, then the condition becomes worse and cause serious damages.
If you are unable to schedule an appointment with your dentist, then perform the self-care treatment for temporarily healing the pain.
The dentist will take the complete examination of your teeth for determining the location and causes of a your painful tooth.
Take x-ray for getting the evidence of tooth decay between the teeth, wisdom tooth or the cracked tooth.
There are antibiotics for healing the painful tooth speedily as well as for relieving the pain.
Prevent the tooth pain by following the regular oral hygiene routine and try to stick to it.
How can you prevent this painful condition of tooth?
Prevention is better than Cure
PREVENTION OF TOOTH DECAY
- Reduce sugar intake
- Brushing twice a day
- Flossing at least once daily
- Use of alcohol – free mouthwash
- Healthy snack habit
- Proper brushing method
Prevention of gingivitis
- Maintain good oral hygiene
- Cleaning of teeth
- Interruption of bad habits [smoking, mouth breathing]
Prevention of periodontitis
- Maintenance of oral hygiene
- Bone grafting
Proper oral hygiene can prevent tooth loss, periodontal disease and tooth decay.
A lifetime of proper hygiene improves quality of life.
Teeth Brushing Technique
What is the right way to brush?
- Proper brushing takes at least 2 min.
- Use short gentle strokes
- Make a 45-degree angle between brush and tooth surface.
- Clean the outer surface of the upper teeth, then lower teeth.
- Clean the chewing surface.
- Make sure to brush your tongue
- Floss after meals
- Moisturize and lubricate lips and mucosa
Type of toothbrush to use?
Soft bristles with a small head.
How often should I replace my toothbrush?
When begin to wear or every three months, whichever comes first.
Which toothpaste to use?
If you have sensitivity to hot and cold, the choice of toothpaste should be a toothpaste containing Potassium Nitrate and Stannous Fluoride.
Potassium nitrate is known as a “nerve calming” agent.
Stannous fluoride reacts with your tooth to produce a repairing layer over the vulnerable areas of your teeth.
Likewise there are different types of toothpaste according to the need of choice.
Need for Dental Hygiene practices
Reduces possible sources of infection and maintains the integrity of teeth and gums
Promotes a better appetite
Identifies the correct use of topical and oral medications
How often should I visit Dentist?
All people are encouraged to regularly visit the dentist, at least once every 6 months.
Which medicine relieves a painful tooth condition?
20% Benzocaine (Lidocaine, Novocaine)
Colgate pain out dental gel provides instant relief in a painful tooth. Take one drop of gel on your finger and apply directly to the painful area of the tooth for instant relief.
Relieving your tooth pain is not a treatment
Do not use continuously
Visit your dentist for the true treatment