Acute toothache is a manifestation of tooth diseases (caries, pulpitis, and periodontitis). In caries, acute pain arises from the intake of cold or hot, sweet or sour food and disappears if the irritant is eliminated. In pulpitis, the character of the pain is paroxysmal, giving up the trigeminal nerve to the temple or ear along the course of the trigeminal nerve. Periodontitis is accompanied by a constant, localized, pulsating toothache, which is strengthened by touching the diseased tooth. Toothache worsens the general well-being, negatively affects working capacity, sleep and nutrition.
Toothache is the result of nerve damage that passes directly in the tooth or in nearby tissue. Pain has a sharp, unexpected character and radiates into the ear or temple. Heat exposure or pressure can trigger the appearance of a toothache of pulsating or shooting character.
Causes of toothache
Deep caries with penetration of infection in the tooth tissue can cause acute toothache, which occurs only when exposed to stimuli. Cracks in the teeth, improperly sealed tooth, and exposure of dentin in the region of the neck of the tooth are the main causes of acute toothache.
Spontaneous toothache can occur due to pulpitis. In this case, it appears as during eating, under the influence of stimuli on the affected dentin, and at rest, usually at night. Pain usually has a constant aching or paroxysmal nature. A characteristic sign of pulpitis pain is irradiation into the ear or temple region, and it is almost impossible to tolerate dental pulpitis pain for a long time.
Periodontitis due to inflammation of the tissues around the tip of the tooth can cause permanent aching or sharp pain. Pain usually has a pulsating character and is strengthened when the tooth is touched. The gums are swollen and inflamed, and the tooth is loose.
Acute toothache is most often explained by the presence of pulpitis, caused by streptococci caught in the pulp from the carious cavity and their toxins. Toothache in pulpitis is paroxysmal and occurs in the evening and night. In the daytime, pain can be caused by touching the affected tooth.
If the cause of toothache is periodontitis, the pain is intense, since not only the tooth itself but also the bone around the tip of the root of the teeth is involved in the inflammatory process. The pain is caused by the gradual disintegration of the nerve end and the defeat of the ligamentous apparatus. The tooth becomes mobile; it is worse kept in the jaw, which causes an acute toothache at the slightest touch. When you tap on a sick tooth, the pain is greatly increased.
If an abscess of the tooth causes the toothache, and you need treatment of acute dental pain, the main symptom is the development of a delimited abscess in the oral cavity and the appearance of a pulsating swelling, in the area of which sharp pain is noted.
Complications can develop with the dying of nerves, when painful sensations are not observed, but the inflammatory process continues. The most frequent complications are abscess, phlegmon and osteomyelitis, it shows that you need to treating acute dental pain.
Diagnosis of toothache
The diagnosis is made based on patient complaints, subjective and objective examination. Additionally, X-rays of the affected tooth are performed.
Differentiate ordinary dental pain from other diseases. Tumors of the jaw and inflammation of the maxillary sinus can cause pain, which are similar to dental pain in caries and periodontitis.
Treatment of toothache
Therapeutic tactics depend on the causes of the pain. So, if the cause is pulpitis, then the removal of the pulp is performed with the subsequent filling of the channels.
However, if a toothache has arisen at night or in conditions of impossibility of reception of the qualified help of the stemmatologist, it is necessary to stop a painful syndrome.
First, you need to brush your teeth and release the carious cavities from food debris. Food intake is better restricted, since food remains can trigger a new attack of toothache. Rinsing of the affected medicine for acute toothache, with warm soda solution is shown. Ibuprofen, metamizol sodium, acetylsalicylic k-ta and any other analgesic taken internally, will help relieve the attack of toothache. Tablets should not be applied to the affected tooth, as this can cause a chemical burn of the mucosa.
Folk remedies based on the beneficial effects of herbs and plants, for a while, can relieve toothache if it started, for example, in a hike. The root of the plantain, attached to the tooth, will ease the attack of toothache. Another effective tool for the removal of dental pain in such conditions is finely chopped garlic, wrapped in gauze and attached to the wrist of the hand, on whose side the tooth hurts. Alcohol is not an analgesic; moreover, taking alcohol in combination with medications can cause complications.
Acupressure or acupuncture will help to quickly relieve a toothache attack, which will give time for a visit to the dentist. It is necessary to press on the hollow between the nose and upper lip. Toothache can pass, but the main cause will remain. In addition, if the cause of toothache is caries, the pain will return from time to time. As the carious disease progresses, its intensity increases. Tooth pain with periodontitis resumes after the end of the analgesic.