What causes tooth pain?

Toothache is a very torturous thing, so it is important to understand the cause of the pain. The most common oral problems in life are caries, pulpitis or apical periodontitis, which are common causes of toothache.

① Dental caries: Initial dental caries usually have no symptoms. When the dental cavities become larger and deeper, toothache may occur when eating. The pain will be aggravated when eating sweets or overcold or overheated foods. At this time, you can first use acid-proof and analgesic toothpaste, brush your teeth with warm water, and use folk remedies to relieve pain when necessary, but the most effective treatment method should be to fill the cavities.

② Pulpitis: It is mostly caused by pulp infection due to deep caries without filling, or caused by chemical drugs or temperature stimulation. The pain is spontaneous and paroxysmal, and may be accompanied by cold, hot stimulation pain and percussion pain. For emergency treatment of this type of toothache, you can take 300 mg of ibuprofen orally, twice a day, to relieve the pain, or use folk remedies to relieve the pain. The radical cure is to use a dental anvil to open the pulp cavity for endodontic treatment under local anesthesia.

③ Apical periodontitis: It is mostly caused by pulpitis spreading to the root canal orifice, causing inflammation of the tissues around the apex. Symptoms include persistent tooth pain. The affected tooth has a sense of elongation, and is obviously painful to touch and tenderness, and cannot bite food. At this time, you can take anti-inflammatory and analgesic drugs, such as 0.5 grams of vancomycin No. 4, 3 times a day; 0.4 grams of metronidazole, 3 times a day, 25 mg of indomethacin, 3 times a day; and eat soft food. You can also use folk remedies for emergency pain relief. Root canal treatment should be performed after the inflammation subsides.

④ Dental trauma: such as accidental falls, bumps, or sand biting while eating, which may cause tooth fracture or cracking, causing tooth pain. You can take anti-inflammatory and analgesic drugs first, or you can use folk remedies to relieve pain. Those who have the conditions should go to the dental department for treatment.

⑤ Pericoronitis of wisdom teeth: Difficulties in the eruption of wisdom teeth (impacted), coupled with poor oral hygiene, cause inflammation, swelling and pain in the tissues around the crown. You can rinse your mouth with gargles such as Koutai or Koushu, take anti-inflammatory and analgesic drugs, or use folk remedies to relieve pain. Remove the impacted tooth after the inflammation has subsided. In addition, influenza, trigeminal neuralgia, jaw cysts or tumors, high blood pressure, and heart disease can sometimes cause toothache. Therefore, for those who complain of toothache but have no tooth lesions, do not blindly abuse painkillers. Instead, go to the hospital for specialist diagnosis and treatment in time.

⑥Acute periodontitis: It is mainly caused by the malposition of the third molar. Part of the crown surface is covered by gums, and food is often stuck, which can easily cause bacterial infection and inflammation, leading to redness and swelling of the gums, persistent pain, sometimes accompanied by sore throat and inability to open the mouth. The inflammation around the crown of the wisdom tooth is called pericoronitis.