What should I do if there is a painful hole in my tooth? 6 types of tooth cavity diseases

If teeth are not properly protected, they will gradually corrode and gradually form a hole on the surface of the tooth. If there is a hole in your tooth, it will be very painful over time. What should you do at this time? The most direct way to deal with pain caused by holes in teeth is to go to a dental clinic for treatment, where a doctor will provide professional diagnosis and treatment, while also paying attention to oral hygiene.

1. Shallow caries

Symptoms: Small black or brown spots appear on the surface of the teeth, without any feeling. This is the initial stage of tooth decay. Many people choose to ignore it, resulting in small holes becoming larger ones, causing unbearable toothache.

Treatment: After grinding off the small black spots, apply light-curing resin.

2. Medium caries

Symptoms: You can lick or see a larger tooth cavity. You may experience pain when food gets stuck in your tooth or when you eat hot, cold, sweet, or sour food. The pain disappears immediately when the stimulus is removed. It doesn't hurt when you don't stimulate it, and it doesn't hurt when you sleep at night. At this time, it’s not too late for you to go to the hospital to fill the cavity.

Treatment: Grind away the decayed tooth and fill it with light-cured resin.

3. Deep caries

Symptoms: There is a large cavity on the tooth, which is close to the pulp or has affected the pulp. Patients feel pain when exposed to cold, heat, sourness and sweetness, and are particularly sensitive to heat, which can cause severe toothache that is unbearable. The pain disappears immediately when the source of stimulation is removed. Most patients come to the hospital for treatment at this time, and most of them need pulp preservation treatment. If pulp preservation is unsuccessful, only root canal treatment can be performed (which is commonly known as killing the nerve).

Treatment: Grind off the decayed tooth, provide soothing treatment, and then place a filling after one week.

4. Pulpitis

Symptoms: If you ignore bad teeth, they will take revenge on you sooner or later. Pulpitis can cause particularly severe and persistent toothache, sometimes lasting a whole day. You dare not touch cold or hot water, or eat. The pain will especially intensify at night, making you unable to sleep and in excruciating pain.

Treatment: root canal treatment + pile driving + crown

5. Apical periodontitis

Symptoms: Your tooth hurts repeatedly, but you have never taken care of it. As a result, it comes back again and it hurts terribly. You dare not bite your teeth, it hurts when you touch them, your face is swollen, and there are small pustules at the roots of your teeth. This is a symptom of acute apical periodontitis. If you continue to ignore it, it will develop into chronic apical periodontitis or even apical cyst, which will require surgical treatment.

Treatment: root canal treatment + pile driving + crown

6. Severe apical periodontitis

Symptoms: Teeth are rotten or severely loose, and X-rays show severe alveolar bone absorption. At this point, your tooth can no longer be saved and should be removed promptly, because if it is not removed in time, it will become a lesion in the mouth and affect the health of the entire oral cavity.

Treatment: Extraction + Denture