As dental professionals, we often hear from our patients about their struggles with various types of tooth pain. Understanding the reasons behind tooth-related discomfort and knowing when to seek help can be crucial to maintaining not just oral health, but overall well-being.
Generally speaking, pain is a protective response from the nervous system that ranges from minor sensitivity to severe pain and informs the body that something is wrong. As for tooth pain, it is caused by a reaction of the nerves inside a tooth’s pulp chamber with severity dependent upon the type and degree of the stimulus. What follows are some examples of symptoms you may be feeling, their possible causes, and suggestions on how to address the pain.
If you are experiencing a dental emergency and need to see a dentist immediately, consider a Vitrtual Emergency Exam (FL & TX patients only).
SYMPTOM: Sensitivity to hot or cold foods and liquids
If discomfort lasts only moments, sensitivity generally does not signal a serious problem. It may be caused by a small area of decay in a tooth, a loose filling or an exposed root surface resulting from gum recession and possibly toothbrush abrasion.
SOLUTION: If the root surface is sensitive, keep it clean and free of plaque. Use a soft toothbrush, cleaning very gently at the gum line, and brush no more than twice daily. Try using fluoride toothpaste made for sensitive teeth. You can even try using toothpaste like an ointment, rubbing it into the root surface with your finger for 10 minutes or so at a time. If the sensitivity continues, see your dentist.
SYMPTOM: Sensitivity to hot or cold foods after dental treatment.
Dental work may result in tooth sensitivity due to inflammation of the pulp tissues inside the tooth.
SOLUTION: This sensitivity should last no longer than a few days; however, if decay has recently been removed or a filling or crown recently has been placed, a tooth may take a week or two to settle. Mild pain relievers like acetaminophen, aspirin or ibuprofen should help. If the pain persists or worsens, see your dentist.
SYMPTOM: Lingering pain after eating hot or cold foods and liquids.
This probably means the pulp is inflamed and/or drying and may be irreversibly damaged, usually as a result of deep decay or physical trauma.
SOLUTION: See your dentist or endodontist (a dentist who specializes in the internal tooth structure) to diagnose the problem before the pain becomes severe due to the development of an abscess. The tooth will likely need root canal treatment to remove the dying or dead pulp tissue to save the tooth structure.
SYMPTOM: Sharp pain when biting down on food.
Decay, a loose filling and/or a cracked tooth are possible causes.
SOLUTION: See a dentist to diagnose the problem before the pain worsens. Decay will need to be removed, and a loose filling replaced by your dentist. If the pain is caused by pulp tissue damage, your dentist may send you to an endodontist for a root canal treatment to clean out the damaged pulp, disinfect the root canal and fill and seal the remaining space to save the tooth. A cracked tooth may be difficult to address if it involves the pulp but also depending on the location and depth of the crack.
SYMPTOM: Dull ache and pressure in the upper teeth and sinus area of one or both sides.
Pain felt in the sinus area of the face is often associated with the upper back teeth because they share the same nerves. The origin of this “referred” pain consequently may be difficult to determine. Therefore, sinus pain can feel like tooth pain and vice versa. That’s why sinus congestion from a cold or flu can cause pain in the upper teeth. Additionally, it’s also important to determine if clenching or grinding is a factor, as they too cause similar symptoms.
SOLUTION: See your dentist or endodontist to find out if the symptoms are dental-related; otherwise, you may need to see your physician. However, don’t wait until the pain worsens.
SYMPTOM: Acute and constant pain from an area, but difficult to say exactly which tooth is causing the problem.
The pulp tissue inside a tooth is acutely infected, inflamed and dying. This is generally in response to decay coming very close to or entering the nerve.
SOLUTION: See your dentist or endodontist immediately for a thorough examination. Once the problematic tooth is isolated, a root canal treatment to remove the infected pulp tissue will bring relief while saving the tooth. Untreated, the pain could become worse. If you experience dental pain for a prolonged period before it suddenly stops, don’t assume everything is fine. It is possible the affected nerves have died off, allowing decay and infection to further spread unnoticed.
SYMPTOM: Constant severe pain and pressure, swelling of the gum and sensitivity to touch.
A tooth may have an infection/abscess that has spread from the pulp into the surrounding periodontal tissue and bone.
SOLUTION: See your dentist or endodontist immediately. A root canal or extraction will probably be required. Over-the-counter medications like acetaminophen and ibuprofen will help minimize symptoms until you are treated.
Conclusion
Note in the above examples, possible problems and solutions are suggested – but they only provide possible guidelines. In all cases of tooth or jaw pain or discomfort in and around the teeth and jaws, see your dentist as soon as possible for a proper evaluation and treatment. Your dentist may refer you to an endodontist for diagnosis and treatment, especially if the issue is related to a root canal problem. And if your pain has a medical component, your dentist or endodontist will refer you to a physician.
At Coast Dental, your health is our priority. We’re dedicated to providing you with the best care and advice to manage dental discomfort effectively. Don’t wait for the pain to become unbearable. Reach out to us at the first sign of dental distress. To book your appointment, call us at (877) 880-1212 or pick a date and time online. We can’t wait to help you say goodbye to tooth pain!
