You’ve probably heard how terrible your toothache is, or you’ve had such an episode. What are the causes, how is the toothache manifested and, especially, what are the pain medications we can take and the methods of prevention? We go through all these topics in this article!
Causes of toothache
Table of Contents
Toothache occurs when the nerve in the root of a tooth or around a tooth is irritated. Dental infection, tooth decay, injury or loss of a tooth are the most common causes of toothache. Pain can also occur after dental surgery procedures (especially when the tooth is removed, even if is about wisdom teeth extraction).
Toothache can sometimes come from other areas and radiate to the jaw, making it look like a toothache. The most common areas include the jaw joint (temporo-mandibular joint or TMJ), ear pain, sinuses and even occasional heart problems. Bacteria that grow inside the mouth can contribute to gum disease and tooth decay, and both can cause pain.
How toothache acts
This type of pain has many values: there may be severe pain on pressure or hot or cold stimuli, and the pain may persist for more than 15 seconds after the stimulus is removed. As the area of inflammation increases, the pain becomes more severe. May lead to cheek, ear or jaw. Other signs and symptoms that may cause you to seek care include the following:
- Bleeding around a tooth or gums
- Swelling around a tooth or swelling of the jaw
- Injuries or traumas to the area
- These signs and symptoms can sometimes be associated with tooth decay, tooth fracture or gum disease (periodontal disease).
Tooth decay or the appearance of a redness around the gum line of the tooth may indicate the source of the pain. Touching an infected tooth can make the pain worse. This sign may indicate a problem tooth, even if the tooth looks normal.
How do we prevent toothache?
Most people can avoid toothache and severe dental problems with regular dental care. You have a dentist’s phone number available in case of an emergency, so feel free to use it. Until then:
- Maintain a healthy diet. Bacteria grow on sugar and refined starch and need this to penetrate your tooth enamel. Watch what you eat and pay attention to the food that sticks to and between your teeth. Brush your teeth after eating.
- Establish a good dental cleaning program to remove food particles. Brush your teeth after eating and brush your gums to encourage healthy gum. Use a soft toothbrush with fluoride toothpaste, as recommended by the American Dental Association. Floss daily between teeth.
- Prevent tooth decay with fluoride. Fluoride is effective in preventing tooth decay in children. Fluoride is a natural element and is found in many sources of water and vegetables.
- Have your teeth cleaned by a dentist or dental hygienist at least twice a year. Regular descaling can help prevent both cavities and gum disease. Dental x-rays may be needed every three to five years to identify problem areas.
Molar pain, medications and indications
It often happens that many patients cross the threshold of the clinic due to severe pain, most often characterized as back pain.
Because the medications and treatments they try at home do not bear fruit in the long run, or at most treat only the short-term effects of the condition, the pain returns after a day or two.
It is very important to know that when we are experiencing incipient or severe pain in the molars, we should not minimize the severity of the problem and recommend an immediate consultation in the dentist’s office to assess the patient’s health and identify the cause of the problem. . After the examination, the dentist will know what the patient’s needs are and what treatment is to be applied.
Why do molar pains occur?
Because the molars, also called the masses, are placed in the back of the mouth, they play a very important role in the chewing process, becoming much more prone to the accumulation of bacteria, the formation of cavities or the appearance of infections.
Pain in the molars occurs when the nerve in the root of a tooth or around the tooth is irritated. Dental infection, tooth decay, injury or loss of a tooth are the most common causes of toothache. The pain may also occur after an extraction (the tooth is pulled out), but sometimes it may come from other areas and if it is reflected in the jaw, it may look like a toothache.
Bacteria that grow inside the mouth can also contribute to gum disease and tooth decay, both of which can cause pain. Toothache is caused by inflammation of the central part inside the tooth called the pulp. The pulp contains nerve endings that are very sensitive to pain.
Symptoms of molar pain
The pain of the mass leads to certain discomforts that can persist in the short or long term and that can manifest in several episodes. The most common symptoms of back pain are:
- sensitivity to hot or cold;
- chewing pain;
- bleeding or abscess of pus around the tooth or gums;
- swelling around the tooth or jaw;
- unusual injuries or trauma to the area.
Medical treatment for toothache
Most often, toothache or jaw pain means a problem that needs to be treated in the dental office. The first step in treating the patient’s problem is to schedule an examination, after which the dentist may perform an injection around the affected tooth to reduce pain, especially if it is long-lasting and intense. If there is swelling in the gums or face or the presence of fever, antibiotics may be recommended.
Subsequently, depending on the severity of the problem, the root canal treatment will be performed , which involves cleaning the affected dental pulp. Such a procedure is usually performed in stages, the pain and infection being taken care of immediately, and the reconstructive procedures are performed later (weeks to months). The patient will be able to resume his usual lifestyle and activities in a short time, and the dentist will follow his healing path and will schedule other additional procedures only at the right time.
Medications for toothache
If you have a toothache, it is best to go to the dentist to find out the cause of the pain. If there is mainly inflammation and / or severe pain with fever, a visit to the dentist is all the more urgent.
Over-the-counter pain medications such as acetaminophen or ibuprofen may be used for toothache. Take them as indicated on the package while arranging a dental appointment.
Avoid very cold or hot foods, as they can aggravate the pain. You may be relieved of pain if you bite into a cotton ball soaked in clove oil. You can get clove oil at most pharmacies.
For jaw pain, aspirin may be helpful for adult jaw joint problems. Acetaminophen (not aspirin) can be used for children and adolescents. If the pain occurs every time you open your mouth wide, the temporomandibular joint (TMJ) may be the source of the pain. Eating or eating a large piece of food can make the pain worse. A meeting with your doctor or dentist will help you find the cause.
The most commonly used medications for toothache are anti-inflammatory drugs. They can be recommended to reduce redness, inflammation and discomfort in those suffering from gum disease. Antifungals, drugs used to treat Candida Albicans infection, may also be prescribed.
As for other types of medications, painkillers are given for pain relief, both after some interventions and in case of a dental abscess. There are also antibiotics, prescribed especially after certain procedures, such as dental implant or apical resection, to prevent an infection. But they cannot be bought without a prescription, unlike those that have a calming and anti-inflammatory effect.
Canal treatment (root canal)
It represents an intervention that allows the preservation of the natural root of the tooth, avoiding its extraction and a subsequent intervention that involves the implantation of another tooth. This intervention is done with the help of a microscope, for a much higher accuracy and efficiency, following the best results. It is important to note that the patient will not experience pain or discomfort during this procedure due to the anesthetics used.
Following canal treatment
When it comes to patients’ oral health, it is important to be aware that there are two variables that act in this process. What happens in the dental office but also the patient’s choices after leaving the office. It is important that after the interventions, a rigorous dental hygiene is practiced, respecting the doctor’s guidelines and recommendations, and at least 6 months later, new investigations are carried out to prevent more painful and expensive diseases.
Remember, however, that the best treatment is prevention, so we recommend that you regularly check the health of your teeth.
Cavities in molars pain: causes, symptoms and treatment
Tooth decay occurs when tooth enamel is destroyed. There are practically stains present on the teeth or teeth. They can range in size from small to large enough to break your teeth.
What are the symptoms?
The pain can range from mild to unbearable. When a cavity eats tooth enamel, a person may find that it is more sensitive, especially when brushing their teeth or drinking hot or cold drinks.
Cavities that cause deeper damage to the tooth can damage the nerve, causing severe pain. Sometimes cavities can grow so large that bacteria can enter the gums or even the bone under the teeth. This can cause severe, constant pain, as well as severe infections.
Some symptoms that a person may notice if they have a mild to moderate caries include:
- dental tenderness, which may feel like a burning or burning sensation
- occasional toothaches that disappear with pain medication
- sensitivity on one side of the mouth, especially when chewing hard foods
- discoloration of teeth, such as yellow, white or brown spots
When caries grows too large or causes a dental abscess, some symptoms may include:
- intense pain that can affect only one tooth
- a vague but incessant pain
- pain ranging from throbbing and stinging to throbbing or burning
- swelling of the gums or face
- pain in the jaw, ears or gums
- severe toothache to interfere with sleep or daily activities
Sometimes an abscess tooth stops the wound for a period of time during which the infection kills the nerve or pulp of the tooth.
However, a person may still have other symptoms, such as swelling, and the pain may return if the infection reaches the gums or bone.
Causes of molar cavity pain
Sugar-eating bacteria live on their teeth. A person is likely to have more bacteria in their mouth when they eat a high-sugar diet, do not brush their teeth, or do not require regular dental care.
Over time, these bacteria can eat into the tooth enamel, eventually causing deep tooth decay. These bacteria form plaque-causing biofilms, making them more difficult to remove. Over time, bacteria affect the sensitive pulp and nerve of the tooth, causing pain in the cavity.
Many factors can affect a person’s susceptibility to cavities, including the individual microbiome. The microbiome is a person’s unique colony of bacteria and other microorganisms that can help or prevent the growth of harmful bacteria in the mouth.
Research also suggests that caries-causing bacteria are contagious. A person can transmit caries-causing bacteria to another person by kissing, sharing food or drink with them, or sneezing next to them.
Some things that can help relieve cavity pain include:
- Application of numbing gels: Some over-the-counter (OTC) gels can temporarily relieve toothache.
- Trying to rinse with warm salt water: Hot salt water can help kill bacteria and temporarily relieve pain.
- Clove Oil Test: Clove oil can help relieve toothache. Some toothpaste gels use clove oil.
- Taking OTC pain medications: Painkillers, such as ibuprofen and acetaminophen, can help relieve painful symptoms.
- Trying Cold or Heat Therapy: A person may try to apply a cold or hot pack to the outside of the mouth. Alternating these therapies can also help.
- Ensuring better oral care: Brushing or flossing can remove some plaque. This will not heal the cavity, but it can reduce the speed with which bacteria eat into the tooth, potentially preventing the pain from getting worse.
Toothache severe enough to cause pain justifies a trip to the dentist. In some cases, there may be a non-cavitary cause, such as a sinus infection or problems with the temporomandibular joint.
However, only a dentist can diagnose the cause, so it is vital to seek prompt treatment to prevent the problem from getting worse.
The treatment depends on the severity of the cavity and the location of the mouth.
Some treatment options may include:
- Seals: A dentist will drill the cavity and then fill it with a safe substance to prevent bacteria.
- Root canals: Root canals can save a tooth from dying.
- Crowns: A crown removes the outer layer of the tooth, removes cavities, and then uses a permanent cap to cover the entire tooth.
- Dental implant: If the tooth can no longer be saved, dental implants can also be a good option.
- Antibiotics: When a person has a serious dental infection, they may need antibiotics. People with weakened immune systems, those with a history of organ transplantation and those undergoing chemotherapy may also need antibiotics.
- Orthodontic care: Sometimes clenched teeth or bite problems can increase the risk of cavities. Finding orthodontic care, such as braces, can help
Why molar pain should not be ignored
Many people end up ignoring, in the first phase, toothache or other pain related to the teeth.
The problem is that if you do this, you will end up in even greater pain. In addition, solving the problem can be much more difficult or costly.
For example, in some cases of mass pain, if the problem has been ignored for a very long time, the only treatment that can be done is to remove the mass, most likely followed by the need for a dental implant.
Below you can see the risks you are exposed to if you choose to postpone the check-up at your dentist.
Inflammation of the nerve
Toothache is caused by inflammation of the nerve, which is the focal point of the tooth. The nerve is protected by a strong outer shell. Acidic and sugar-containing products develop an environment conducive to various types of bacteria, which, over time, end up “digging” and destroying the protective coating of the nerve. When this happens, we can say that the tooth is decayed.
Caries is a permanent hole in our tooth or gums, and the body can do nothing to “fix” or regenerate the problem.
Thus, the nerve is exposed to air, food and water, becoming more and more damaged and inflamed. Generally, when this happens, toothache will start to appear, especially when you eat something cold or very hot.
The pain may be short-lived, a slight momentary pulsation, or may be more severe over time, making it harder and harder to bear.
As the bladder is exposed to local infection for a long time, the nerve will become more and more affected. The infection will “dig” into the nerve, causing your gums and jaw to be affected.
You will then develop an abscess – an infection located at the base of the affected tooth. The abscess is usually easily recognizable, as it is manifested by extremely severe pain and swelling of the face in the affected area.
In general, this is the last alarm signal your body is trying to tell you is the time to go to the dentist. Untreated, this infection will continue to spread in the body.
Dental infections are very dangerous due to their location in the face and brain area!
Loss of tooth or tooth with problems
As the tooth is affected, it will lose its basic functions. The bite will be damaged, and over time, the tooth may break or crack. In some cases, you will know when the tooth has cracked or broken, but there is a chance that the tooth will break, leaving the inside exposed.
When this happens, a dental crown or complete tooth extraction, followed by an implant, may be the only options by which you can regain your smile.
Routine check-ups help you stay healthy
Caries is generally responsible for mass pain, but sometimes other conditions can be responsible for these pains: inflammation of the sinuses can cause pain in the legs and teeth, their nerves being affected in parallel. Ear infections can also cause toothache.
Therefore, regular monitoring has the advantage of determining what the problem is, but also the ideal way to get rid of it.
Even if you do not feel pain, there is a chance that a condition will develop or develop. Therefore, it is good to know what is the status of your muscles and whether or not you can develop complications in the future.