Toothache & Dental Pain

Tooth pain can have several different causes, and identifying the source is the first step toward appropriate treatment. Common causes include:

• Tooth decay (cavities): Decay that has progressed through the outer enamel into the inner dentin or pulp can cause significant pain, particularly with pressure or temperature changes.
• Cracked or fractured tooth: A crack in a tooth may cause sharp pain when biting, or lingering sensitivity to temperature. Cracks can be difficult to detect on x-rays and may require additional diagnostic steps.
• Dental abscess: An infection at the root of a tooth or in the surrounding gum tissue can produce severe, throbbing pain, swelling, and sometimes a foul taste. Abscesses require prompt attention.
• Gum disease: Advanced gum disease can cause aching, tenderness, or sensitivity around teeth, particularly if the supporting bone has been affected.
• Sinus pressure: Pain in the upper back teeth can sometimes be related to sinus congestion rather than the teeth themselves. This is because the roots of upper molars sit close to the sinus cavity. A dental examination can help differentiate the two.

Not all tooth pain requires same-day attention, but certain signs suggest you should contact us promptly. Consider calling us as soon as possible if you experience:

• Severe or throbbing pain that is not controlled by over-the-counter pain relief
• Swelling of the gum, jaw, or face around the affected tooth
• Fever alongside tooth pain, this can indicate an infection spreading beyond the tooth
• Pain that wakes you from sleep
• Sensitivity to hot or cold that lingers for more than a few seconds after the stimulus is removed
• A bad taste in the mouth, which may indicate a draining abscess

While you wait to be seen, the following steps may help manage your discomfort:

1. 1

   Take over-the-counter pain relief

   Ibuprofen or acetaminophen, taken as directed on the packaging, can help manage dental pain. Do not apply aspirin directly to the gum, this does not help and can irritate the tissue.

2. 2

   Avoid very hot or very cold foods and drinks

   Temperature extremes may aggravate sensitivity. Stick to room-temperature foods and drinks where possible.

3. 3

   Keep your head elevated

   Lying flat can increase blood pressure to the area and intensify throbbing pain. Keeping your head elevated, even while sleeping, may provide some relief.

4. 4

   Call us immediately

   Describe your symptoms so our team can advise on urgency, provide interim guidance, and arrange your appointment appropriately.

When you come in for a toothache, our goal is to identify the cause and discuss your options clearly.

Examination: The dentist will examine the affected area, checking for visible decay, gum inflammation, swelling, and any signs of infection. They may tap on the tooth and test its response to temperature to help identify the source of pain.

X-rays: One or more x-rays will typically be taken to evaluate the tooth root, surrounding bone, and to look for decay or infection not visible to the eye.

Diagnosis and options: Once the cause is identified, the dentist will explain what is happening and walk you through your treatment options, including what may happen if you delay. There is no pressure; the goal is to help you make an informed decision about your care.