Toothache in Children

Common causes include tooth decay, a dental abscess, a cracked or damaged tooth, a loose or broken filling, gum disease, braces problems and teeth grinding.

Use the child's age-appropriate pain relief exactly as directed. A child should not rinse with salt water because they may swallow it; avoid very hot, cold or sweet foods that trigger pain.

Assessment considers where the pain is, how long it lasts, and whether cold, heat, sweets, chewing or brushing triggers it. Examination and dental radiographs may be used.

Treatment addresses the cause, such as decay, infection, injury or a filling problem. A cavity may need dental treatment, while an abscess needs prompt dental care rather than waiting for pain to fade.

Brush twice daily for about two minutes with fluoride toothpaste, clean between teeth each day, keep sugary foods and drinks for occasional mealtimes, and attend regular check-ups.

Decay can produce white, brown or black spots, sensitivity and a cavity. Infection can cause a painful pus build-up, swollen gums or swelling of the cheek or jaw.

Arrange prompt care when pain lasts more than two days, does not settle with painkillers, or comes with fever, pain on biting, red gums, a bad taste, or cheek or jaw swelling.