Posts for tag: tooth pain
Pain can tell you things. Not verbally, of course, as in, “Hey, your appendix is inflamed!” But the quality of your pain—dull or sharp, constant or intermittent, acute or general—can point the way to the actual problem.
That's especially true of tooth pain, which could signal any number of dental problems. Looking at its characteristics, though, can narrow the search. Here are a few examples.
Sharp, momentary pain. This could be an indication of a number of possible dental problems. If it occurs for a few seconds after eating or drinking something hot or cold, it might signal a small area of tooth decay, a loose filling or early signs of gum recession. The latter could be a symptom of periodontal (gum) disease, so you should seek diagnosis and treatment as soon as possible.
Sharp pain when biting. Like tooth sensitivity, this could be a sign of decay or a loose filling, or it could indicate a fractured (cracked) tooth. If it's the latter, you may need an endodontist, a specialist in interior tooth problems, if you want the best chance for saving the tooth.
Dull ache in upper teeth. This might not be a dental problem at all, but radiating pain from an infection of the sinus just above the upper posterior teeth. The infection could also have begun with one of the molar teeth and advanced into the sinus. You'll need to see your dentist for any teeth or gums involved and possibly a physician to address any potential sinus infection.
Constant throbbing pain. That horrible toothache that won't stop could be the nerves in the tooth's interior under attack from decay. The primary means for saving a tooth with deep decay is a root canal treatment to clean out diseased tissue and replace it with a filling or a crown. You should see a dentist even if the pain suddenly subsides—this may only mean the nerves have died, but the infection is still active.
These are just a few of the problems, including true dental emergencies, that oral pain can signal. For any instance of pain in your mouth, see your dentist as soon as possible.
If you would like more information on tooth pain and what it might indicate, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Pain? Don't Wait!”
Determining which of your teeth is causing your toothache isn’t always easy — or even if it’s a tooth at all. The pain could be coming from a tooth, the gums, or both. Only a thorough dental examination can pinpoint the exact cause and best course of treatment.
If a decayed tooth is the problem, the pain may be coming from nerves and other tissue deep within the tooth’s pulp. The symptoms could be dull or sharp, constant or intermittent, specific to one area or spread out. It’s even possible for the pain to suddenly subside after a few days. This doesn’t mean the infection has subsided, but rather that the infected nerves have died and no longer transmit pain. Pain can also radiate from the actual source and be felt somewhere else — the pain in your sinuses, for example, could actually originate from an infected back tooth.
If the source is periodontal (gum) disease, the infection has begun in the gum tissues. As they become more inflamed they lose their connectivity with the teeth, bone loss occurs and the gums may “recess” or draw back. This exposes the tooth root, which without the protective cover of the gum tissues becomes highly sensitive to changes in temperature or pressure. As a result you may encounter sharp pain when you eat or drink something hot or cold, or bite down.
Treating these issues will depend on the actual infection source. An infected tooth often requires a root canal treatment to clean out the pulp and root canals of dead or infected tissue, fill them with a special filling, and seal and crown the tooth to prevent future infection. If the source is gum disease, we must manually remove the bacterial plaque causing the disease from all tooth and gum surfaces to stop the infection and allow the gums to heal. In advanced cases, surgical procedures may be necessary to repair damage and encourage new gum and bone growth.
Where dental disease has spread from tooth to gums or vice-versa, you may need treatments for both areas to address your overall condition. Whatever the treatment course, we can put an end to your tooth pain and restore health to your teeth and gums.
If you would like more information on the sources of mouth pain, please contact us today to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain.”
Your teeth and gums have a highly sensitive network of nerves. But while it can signal even the most subtle discomfort we may not be able to identify the cause with pinpoint accuracy. As a result, tooth pain could indicate more than one kind of problem including a decayed tooth, root sensitivity, infected gum tissues (like an abscess) or a dying pulp signaled by diseased nerve tissue inside the tooth.
On the other hand, not all tooth pain is the same: it can be dull or sharp, continuous or intermittent. It can feel like a constant, throbbing ache or a sharp wince when you eat or drink something cold or hot, or when you bite down. These differences could point our diagnostic examination in the right direction.
For example, sharp, throbbing pain could indicate deep tooth decay, especially if it suddenly stops. That would likely mean the nerves within the tooth pulp under attack by the infection have died and can no longer transmit pain. The infection, on the other hand is still very much active — this usually requires a root canal treatment (cleaning out the pulp and root canals of diseased and dead tissue and filling the empty spaces) if we’re to save the tooth.
If, however, you’re experiencing sensitivity from temperature or pressure, we could be facing at least a couple of scenarios. For one, your tooth could be fractured. More likely, though, periodontal (gum) disease triggered by bacterial plaque has caused the gum tissues to shrink back (recede) from the affected teeth so that the sensitive dentin layer is exposed and no longer protected by the gum tissue.
If we diagnose gum disease, we’ll need to aggressively remove bacterial plaque from all tooth and gum surfaces. This procedure might require more than one appointment and the possibility of surgery if we encounter deep pockets of infection, especially around the roots. If gum recession is severe you may also need grafting surgery to replace the missing gum tissue or to re-cover the exposed areas of your teeth.
So, knowing the source of tooth pain will direct the course of treatment to follow. With proper treatment, though, the chances are good we can not only restore your teeth and gums to optimum health but we can end the pain.
If you would like more information on treating tooth pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain.”