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Question and answer

Dental question about taxonomy:symptom:tooth-pain

Tooth pain usually comes from inflamed or infected pulp, a cracked tooth, exposed dentine, or irritated gum tissue.

The short answer

Tooth pain usually comes from inflammation or infection inside the tooth, a crack, exposed dentine, or inflamed tissues around it. A dentist identifies the source with an examination and dental tests, then treats the cause rather than only covering the pain.

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What is the direct answer?

What does this question mean?

Tooth pain is a symptom, not a diagnosis. Decay can inflame the pulp, the blood-vessel and nerve tissue in the centre of a tooth; a crack can irritate that pulp; gum disease can inflame the supporting tissues; and sinus inflammation can sometimes feel like pain in upper back teeth.

What can you do next?

Rinse gently with lukewarm water, brush carefully with fluoride toothpaste, and avoid chewing on the painful side or exposing the tooth to very hot, cold, sweet, or acidic foods. Do not place aspirin, alcohol, or caustic substances on the gum, and use pain medicine only as directed on its label or by a pharmacist who knows your medical history.

Arrange an examination even if the pain settles, because a damaged pulp or a leaking filling can remain diseased after the symptom fades. The dentist may inspect the tooth, test its response to cold or tapping, examine the gums, check the bite, and take a focused dental X-ray when needed.

When should you seek dental care?

Seek prompt dental care for pain that lasts, returns, or disrupts sleep, or for sensitivity that lingers after a hot or cold stimulus. Contact a dentist urgently if there is facial or gum swelling, fever, pus or a bad taste, trouble opening the mouth, or a loose or broken tooth.

Go to emergency medical care for swelling that affects breathing or swallowing, or for rapidly spreading swelling around the face or neck. These signs can indicate an infection that needs immediate assessment and treatment.

What should you ask the dentist?

Ask which tooth and tissue are causing the pain, whether the pulp is inflamed or infected, and what findings support that conclusion. Ask whether the treatment is a filling, replacement of a filling, a crown, root canal treatment, gum care, extraction, or monitoring, and what could happen if treatment is delayed.

Frequently asked questions

Why does my tooth hurt when I bite down?

Pain on biting can occur with decay, a cracked tooth, an inflamed pulp, a loose filling, or irritation around the root. A dentist can compare the bite and examine the tooth to distinguish these causes.

Can tooth pain go away by itself?

The symptom can temporarily ease, but the underlying decay, crack, pulp damage, or gum problem may remain. Book an examination if pain returns, lasts, or is accompanied by swelling or fever.

What treatment might tooth pain need?

Treatment depends on the cause and may include removing decay and placing a filling, repairing or replacing a restoration, root canal treatment, gum treatment, or removal of a tooth that cannot be restored.