What causes a tooth ache?

Toothache? Book an appointment now at Lilladent!

1. Tooth decay:

In case of pain when consuming cold or hot food and drinks, we help restore the health of the tooth with fillings or root canal treatment, depending on how serious the condition of the tooth is.

2. Periodontitis

There are different types of pulpitis, but it usually develops due to dental caries, i.e. the dental cavity is infected with bacteria, and because of this, it becomes inflamed. This can cause very sharp pain, which should be treated immediately, as it can have quite unpleasant complications. It can not only lead to tooth loss, but the infection can spread further and pus may develop.

3. Overload

As a result of a stressful lifestyle, for example, many people forcefully clench their teeth, which we hardly even notice in our everyday life. That’s why we stress our teeth, so the surface of the tooth can wear out, which can result in displacement and stress the jaw joint as well. In many cases, you may experience teeth grinding at night, for which we also provide a solution with the help of a bite lifting device. This relieves the burden on the teeth and jaw, so the pain can disappear and we can also adjust the bite.

4. Periodontal disease

It often happens that harmful bacteria attack from the gums. Mostly as a result of less effective dental care. An insidious disease: one of its symptoms is bad breath, it can be accompanied by tooth and gum sensitivity and bleeding gums. In such cases, in order to access the tooth, it may be necessary to remove tartar in addition to an X-ray. After that, we have to treat the periodontal disease: this can be done by using an open or closed curettage.

5. A stuck, impacted wisdom tooth

Wisdom teeth often behave in an interesting way: they develop crookedly, lying under the gums, or they cannot emerge due to lack of space. If they become inflamed, they can cause great pain. In such cases, we gently remove them.

When should I see a dentist for a toothache?

See your dentist as soon as possible with a toothache if:
The toothache lasts longer than 1-2 days
The pain is strong and unbearable
There is a rise in temperature, fever, earache or restricted opening of the mouth.

What happens at the dentist?

The dentist first takes an anamnesis, i.e. medical history, and performs a physical examination. He asks the patient questions about the pain, such as when the pain started, how strong it is, where the painful tooth is located, what makes the pain worse, what makes it worse. The dentist examines the mouth, teeth, gums, jaw, tongue, throat, and lymph nodes. They may also take X-rays and other tests to determine what is causing the toothache. What treatments can be expected for toothache?

What treatments can be expected for toothache?

X-rays can complement the history and physical examination. It can be of 4 types:

On a small x-ray image, we always only see the given 2-3 teeth.
X-ray image looking for caries – we see the cervical and coronal part of the tooth.
Panoramic x-ray – on this we can see all the teeth and the surrounding bone structure, but not in such detail.
CBCT recording – high-resolution, detailed CT image. The tooth and bone are represented as accurately as possible.
From these examinations (anamnesis, physical examination, X-ray) the cause of the toothache can be established in 99% of cases.

Toothache can usually be treated in 3 major ways:

• Tooth filling
• Aesthetic tooth filling
• Root canal treatment

Tooth extraction

The primary treatment for gum pain is ultrasonic tartar removal, during which plaques and deposits are removed from the surface of the tooth and gums, which can cause bleeding gums, gingivitis and periodontitis.
Fistula passages breaking on the surface of the gums can be thought of as pus draining channels, which can develop not only from gum disease, but can also be connected to the roots of the teeth. If the nerve dies, the process leads to the bone through the root canal of the tooth and the inflammation continues there. At the end of the process, there will be bone death and the spread of bacteria into the body.