What Are the Common Causes of a Severe Toothache?

Toothache refers to the pain of teeth caused by various reasons. It is one of the common symptoms in oral diseases. It can be found in dental caries, pulpitis, periapical inflammation, dental trauma, dentin allergy, and wedge-shaped defects.

Basic Information

English name

toothache

Visiting department

Stomatology

Common causes

Caused by dental caries, pulpitis, periapical inflammation, tooth allergies, etc.

Common symptoms

Tooth pain, swollen gums, difficulty chewing, thirst, bad breath, etc.

Contagious

no

Causes of toothache

Toothache is mostly caused by gingivitis and periodontitis, dental caries (cavities), or broken teeth that cause dental pulp (dental nerve) infection. It is caused by long-term irritation caused by soft tartar and hard tartar formed by food residues, bacteria and other things around the teeth due to inattention to oral hygiene, incorrect tooth brushing habits, and lack of vitamins.

Clinical manifestations of toothache

Toothache is one of the common symptoms of various dental diseases and periodontal diseases. It is mainly characterized by toothache, swollen gums, difficulty chewing, thirst, bad breath, or when the pain stops, cold and hot irritation, cheek swelling .

The gums are bright red or purple, swollen, and soft. Sometimes the gingival margin is eroded or the granulation tissue is valgus. The gums are easy to bleed when brushing or eating. Generally, there is no spontaneous bleeding. Swelling.

Toothache check

Inspection

The patient's painful maxillary teeth have caries. Special attention should be paid to check the teeth adjacent to the neck, teeth inlays, overlaps and all concealed parts, denture abutments, and dental prosthesis at the edges of bad restorations. Wear Full crown and crown and maxillofacial teeth have been worn through.

2. Percussion

Discomfort or pain in vertical and lateral palpation.

3. Bite

Whether there is early contact with the middle, forward extension, and lateral jaw, and whether there is bite discomfort or jaw pain.

4. Pulp vitality test

Is there any abnormality (including temperature test or electrical vitality test).

5. Percussion

Suspicious patients have root pain, swelling, etc., whether the maxillary sinus area and the temporomandibular joint area are tender, and whether the submandibular lymph nodes are palpated.

Toothache treatment

According to the cause of toothache, the cause and symptomatic treatment are performed.