TOOTHACHE

A toothache is a pain in or about a tooth. A toothache is generally the result of tooth decay or sometimes an infection. Tooth decay is often caused by poor dental hygiene, although the tendency to get tooth decay is partly inherited. Sometimes, pain in other locations is perceived as occurring in the teeth (this is called referred pain or radiating pain).

What are the Causes of Toothache?

• tooth decay
  
• abscessed tooth
  
• earache
  
• injury to the jaw or mouth
  
• acute MI (can present with jaw pain, neck pain, or toothache)
  
• sinusitis

Home Care for Toothache

Over-the-counter pain medications may be used while waiting to see the dentist or primary health care provider.

For toothaches caused by a tooth abscess the dentist may recommend antibiotic therapy and other treatments, like root canal.

To prevent tooth decay, use good oral hygiene. A low sugar diet is recommended along with regular flossing, brushing with fluoride toothpaste, and regular professional cleaning. Sealants and fluoride applications by the dentist are important for preventing tooth decay.

Call Your Health Care Provider if:

• there is a persistent (longer than a day or 2) or severe toothache.
  
• there is a fever, earache, or pain upon opening the mouth wide.

Note: The dentist is an appropriate person to see for most causes of toothaches. However, if the problem is referred pain from another location, you may need to see your primary health care provider.

The physical examination may include an examination of the mouth, teeth, gums, tongue, throat, ears, nose, throat, neck. Dental X-rays may need to be performed. Other tests may be recommended depending on the suspected cause.

What can a Dentist do about a Toothache?

The dentist will fill cavities or extract the tooth if necessary. Root canals might be performed if the problem is severe in both the primary and permanent teeth. If there is a fever or swelling of the jaw, an antibiotic will usually be prescribed.

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