Pain in dental clinical practice: elusive simplicity

Localization and nature of toothache

It's hard to go wrong with a sore mouth. A person can easily describe where and what hurts. Painful sensations can differ both in intensity (sharp and strong or weak and aching) and frequency (for example, at night - that’s another test). Toothache can affect one tooth or several in a row, on one or both jaws. The pain can radiate to the temple, affecting not only the eye and ear, but also causing migraines. Moreover, the trigger (trigger mechanism) for such sensations is not necessarily hot tea or cold ice cream. Sometimes a person describes their occurrence as “out of the blue.”

Let's try to summarize the types of toothache:

• Aching, sensations are dull and not intense.
• Shooting, sharp, in the form of sharp impulses, causing suffering.
• Sharp, unexpected, independent of the time of day.
• Long-lasting, “background”, tolerable, so the patient puts off seeing a doctor.

Each of the above types of pain indicates a particular pathology. With a timely visit to the dentist, there is every chance of maintaining a beautiful smile and healthy teeth. Otherwise, unpleasant consequences will not keep you waiting.

How to get rid of toothache

There are many ways to get rid of toothache. But all of them should be used only as a means of first aid. They can reduce pain or even completely remove it. But the cause of the problem will not be eliminated. Only dental treatment can completely relieve suffering and prevent complications.

Medicines for toothache

The fastest and most effective method of toothache pain relief

- This is taking medication. But you should not self-medicate; you need to take the medications prescribed by the doctor. Many tablets irritate the gastrointestinal tract and may cause other side effects. In any case, even if there are no contraindications to taking the medicine, it should not be taken for more than 3 days. This is a method that should be used in emergency cases, the tablets will help relieve suffering before visiting a doctor.

Most effective for toothache

such drugs:

• all drugs based on ketoprofen - “Ketorolac”, “Ketanov”, “Ketorol”;
• “Ibuprofen” and other products based on it – “Mig”, “Nurofen”, “Faspik”;
• "Nimesulide", "Nise";
• "Indomethacin".

Such popular painkillers as Analgin, Aspirin and Paracetamol for toothache

They don't help much. To enhance the effect of Analgin, you can crush it and put it on the sore tooth, covering it with cotton wool.

Folk remedies for toothache

You can soothe the pain for a short time with the help of folk recipes. They have a mild effect and have no contraindications. Due to the fact that all such remedies are local, they do not cause side effects. But they also relieve pain temporarily; they are used only to wait for a visit to the doctor.

• The most popular method is rinsing with soda solution. Dissolve 1 teaspoon in a glass of warm water. When rinsing, you need to hold the solution over the sore tooth; soda disinfects and relieves inflammation. To enhance the effect, you can add a little salt and a few drops of iodine.
• You need to make a decoction of herbs that have anti-inflammatory and analgesic effects. A decoction of sage helps best with toothache, but chamomile, St. John's wort, oregano, and mint are also effective. When rinsing, you need to make sure that the water is not hot.
• You can rinse the tooth with a solution of hydrogen peroxide. It will work better if you hold it a little over the sore spot. This product should not be swallowed.
• Moisten a cotton swab with tincture of valerian, motherwort or propolis and apply to the tooth. Essential oils – tea tree, clove, fir – have the same effect. In case of overdose, these drugs can cause gum burns.
• Acupressure helps cope with pain. If the diseased tooth is on the upper jaw, you need to press the point located in the middle of the chin under the lower lip. And a point at the base of the jaw near the ear helps relieve pain in the lower teeth.

Diagnosis of toothache. Features of complications in the absence of treatment

The correct diagnosis can only be established after examining the oral cavity. The dentist must analyze complaints, obtain information about concomitant ailments, previous injuries and find out the nature of the pain. Then prescribe adequate treatment

A visual examination by a doctor may include the following manipulations:

• applying light tapping movements to the tooth to determine the location of the pathology;
• determining the reaction to exposure to heat;
• examination of the condition of the enamel using a special lamp or laser;
• study of the condition of dentures, if any;
• X-ray diagnostics to identify foci of inflammation, root fractures and other hidden problems;
• 3D computed tomogram, which allows you to obtain a three-dimensional model of an organ, view the internal structure of the bones, identifying neoplasms and cysts.

CT scan.
Network of dentists “Smile”, Shchelkovo Whatever the toothache is - severe, low-intensity, nagging, sharp, appeared today or has been lasting for several days - make an appointment with a dentist. Even if the pain has subsided and does not manifest itself at all, you cannot cancel the visit. Some insidious diseases (such as pulpitis) can behave changeably: after a sudden exacerbation, some relief may occur. However, you should not wait for the next attack or hope that the disease has gone away on its own and the pathological process has stopped.

Note! Before visiting the dentist, do not take medications that relieve pain - analgesics (tablets, injections). This will blur the symptoms, and it will be difficult for the doctor to make a diagnosis, not to mention the correct treatment regimen, due to the dulling of symptoms by painkillers.

Reasons why a tooth may hurt

The appearance of toothache often comes as a surprise, because it can occur even if the teeth appear to be completely healthy. In any case, if you feel pain in your teeth, you should immediately visit a dentist.

First, the specialist will find out the cause of the pain (hypersensitivity, caries or something else). There are several types of causes of tooth pain:

• bacterial (gum disease, pulpitis, caries);
• mechanical damage to the enamel;
• general diseases.

Let's look at the most common causes of toothache in more detail:

Caries. Toothache due to enamel destruction

The most common cause of toothache is diseases caused by the proliferation of bacteria that can destroy tooth enamel from the outside and inside.

A lot of people have caries, and not all of them know about it. The disease manifests itself in the form of darkened spots on the surface of the teeth. It is interesting that at first the spots are white and can stand out against the background of the darker surface of healthy enamel - this is the stage when bacteria are still destroying the tooth shell with the products of their vital activity.

As caries progresses, bacteria penetrate deeper into the center of the tooth, the focus of the disease becomes wider and can cover neighboring teeth. By breaking through the mineral layer and reaching the soft dentin, the carious process accelerates.

At the culmination stage of caries, if the disease is not treated properly, bacteria penetrate the pulp, covering the vascular and nervous tissue, as a result of which the tissue becomes inflamed and begins to ache. This is how pulpitis develops. Treatment of this disease consists of cleaning the soft insides of the tooth, disinfecting the tooth cavity and placing a filling, sometimes (in particularly advanced situations) requiring removal of the affected nerve.

Pulpitis. Dental nerve pain

Pulpitis is an inflammation of the neurovascular bundle located in the tooth. The pulp (vessels and nerves of the tooth) swells and affects the walls of the chamber, which causes pressure on the nerve endings. This is where severe pain arises, intensifying every day. A common cause of pulpitis is caries, which progresses too much due to lack of timely treatment. Microbes, toxins and other harmful substances make their way from there to the nerve and interact harmfully with its tissues.

Powerful painkillers will help you quickly get rid of acute pain. But for complete and high-quality treatment, you need to contact qualified specialists. How do dentists deal with infection that affects the nerve of a tooth?

1. Anesthesia is used for the affected area;
2. The pulp chamber is opened;
3. The nerve is removed;
4. Clean the canals located at the root;
5. The canals are washed and then filled;
6. Place a filling on the crown

The pain with pulpitis and with caries is different. With caries, it is not strong, it increases with the consumption of cold and hot drinks and dishes, and inhalation of cold air. The pain associated with pulpitis is acute and unbearable, appears at unexpected moments, for example, in the middle of the night, and can radiate to the temples, cheeks and nose (if a tooth in the upper jaw is affected), ear and neck (if a tooth is affected in the lower jaw). With pulpitis, the pain persists for a long time, without subside or weakening, but with caries it subsides when the irritant disappears (example: sweets fall on a tooth affected by caries - the tooth hurts, remove the sweets - the pain subsides).

Another possible cause of pain is diseases resulting from untreated or neglected caries or pulpitis - cysts, granulomas, periostitis (festering of the gums in addition to symptoms of pulpitis or caries), periodontitis (swelling of the gums, mucous membranes, sometimes parts of the face, often with any absence of pain).

Eruption of wisdom teeth and the appearance of pericoronitis

During the growth of the last tooth in a row, people experience severe pain that affects the cheeks, jaw and even throat. Toothache during tooth growth is aching and pulling, and can be accompanied by pain in the head and neck, as well as pericoronitis - inflammation of the gum tissue caused by a lack of available space on the jaw. A tooth can erupt under the gum hood correctly or incorrectly. In the first case, the gum hood is excised to facilitate its development and save the patient from suffering.

Incorrect eruption of wisdom teeth is caused by a lack of space in this area of ​​the gum. Its further growth will be accompanied by severe pain, inflammation, complications and may even lead to death. To avoid this, doctors advise immediately removing the harmful tooth and not allowing it to develop further.

In this case, you must immediately contact a surgeon. Self-treatment will not bring results, but will only hasten the development of sepsis, phlegmon, and in the worst case, death.

Gingivitis. Gum inflammation

The gums can be affected by diseases such as periodontal disease or periodontitis. With such inflammation, bleeding and pain in the gums are observed, and chewing food becomes especially painful. Most patients perceive these sensations as toothache. Such diseases can lead to exposure of tooth roots, which explains increased sensitivity. If the infection passes quickly or is not noticed in time, then pathogenic bacteria can penetrate even into the pulp, which can lead to the loss of a tooth, or even several.

Periodontitis

Periodontitis is characterized by inflammation of the tissues around the tooth root. The dead pulp remains inside the canal and its purulent contents flow to the gum. This provokes severe acute pain that prevents you from even touching the tooth. The patient has difficulty chewing food and drinking too cold/hot drinks.

Periodontitis is an exacerbation of gingivitis, periodontitis, and pulpitis. Another cause of the disease can be poor oral hygiene, bad habits, and careless surgical procedures.

It is impossible to get rid of pain during periodontitis on your own; urgent and mandatory medical intervention is needed. Doctors will open the canal for a certain amount of time to allow the pus to drain out. Thanks to soda/soy rinses, microbes will begin to die, and therefore inflammation will stop.

ARVI, sinusitis, sinusitis

Bacterial and viral diseases such as sinusitis or sinusitis affect the mucous membranes of the sinuses, which is dangerous for the teeth due to their close proximity to the jaw.

Such inflammation can lead to pain in the upper row of teeth. A similar situation can happen to the lower jaw if a person has a sore throat or pharyngitis, for example, since with such inflammation the lymph nodes suffer.

Injuries, tooth root fracture, cracks and chips

Chips of fillings, injuries to the tooth roots and cracks in the enamel can be the consequences of mechanical damage caused by bruises or chewing too hard food. In this case, the patient may experience pain not only from the injury, but also due to inflammation, which appears as a result of infection entering the pulp through cracks. The pain in this case can be sharp, dull, strong or weak, so an x-ray or orthopantomogram (OPTG) is necessary to identify the exact cause of the disease.

Whitening procedures and pastes with abrasive particles

Teeth whitening can lead to increased sensitivity (hyperesthesia). This happens during the procedure because the removal of the bacterial layer is followed by a violation of the mineral composition of the enamel. If this happens, then usually all teeth suffer, but the front teeth receive the greatest damage, since they are in the visible zone, and they are whitened especially carefully.

A hard toothbrush and strong pressure while brushing

Everyone knows that brushing your teeth should be done twice a day for 2 minutes , but few people know that it is also important to choose a toothbrush with the right level of hardness and not put too much pressure on your teeth during procedures. Fulfilling these conditions is very important for maintaining healthy teeth and oral cavity. If you ignore these factors, you can easily damage the enamel, which will result in aching pain in your teeth or increased sensitivity to high and low temperatures.

Hypothermia and inflammation of the facial nerves

Inflammation of the trigeminal nerve is a well-known and unpleasant ailment. Undoubtedly, spending time outside is very beneficial for the health and immunity of people of all ages. But long walks when the temperature on the thermometer has exceeded -20 and the absence of a hat in windy weather can lead to such a painful and aching pathology as inflammation of the dental nerves.

General diseases of the body

In the fast pace of modern life, not every person can remain completely healthy. A large information load leads to chronic fatigue, stress and neurological disorders. The listed ailments affect the functioning of the brain: it begins to transmit distorted nerve signals that can reach the teeth and cause aching pain. In this case, you should first go not to the dentist, but to a psychotherapist or neurologist.

Pain in the lower jaw or lower molars may be due to cervical chondrosis. This pathology appears in people who lead a sedentary lifestyle, mainly at the computer. The head remains in one position for a long time, which causes the spine to bend and lead to compression of blood vessels/nerves, and all this has an extremely negative effect on the sensations in the teeth.

Stomach pathologies have a negative impact on the condition of teeth. For example, with heartburn, stomach acid enters the oral cavity and destroys the enamel. Because of this, dentin is exposed, which leads to increased sensitivity of the tooth.

Lack or improper intake of vitamins, dietary disorders

It is known that acids can cause hyperesthesia, accompanied by pain in the teeth. For children, the elderly and people with sensitive enamel, it is best to avoid foods with vinegar and citric acid. You should take vitamin C only when necessary and with non-acidic foods (for example, rosehip decoction). By the way, rose hip decoction contains more vitamin C than lemon.

Berries, fruits, vegetables, herbs, cottage cheese, eggs and nuts are essential components of a healthy person’s diet. Due to their absence, the mineralization of the enamel worsens, which means the oral mucosa suffers. Without beneficial and useful substances in the body, the enamel is destroyed: it becomes thin, susceptible to cold and hot, and reacts sharply to solid foods.

Imaginary acute toothache really exists! Many believed that it was a fantasy of overly emotional and impressionable people. However, there is a scientific explanation for this. After a tooth is removed, the nerve endings of the gums in its place begin to actively recover, which leads to phantom sensations. This condition can last for several weeks and goes away on its own.

Prevention of dental diseases

Some people are not even aware of what dental diseases with inflammatory processes and pathologies are provoked in other vital organs. For those who are not in the know, we inform you: these are gastritis, ulcers, tonsillitis, thrombosis, heart attack and stroke! And the pathogenic bacteria are to blame for everything, which, multiplying in the oral cavity, enter the throat, stomach, blood vessels and even the heart.

To prevent dental diseases, follow simple rules that will help significantly improve your oral health and overall well-being.

• Stop smoking.
  A bad habit provokes vasoconstriction and deterioration of blood supply to the mucous membrane, which results in a lack of nutrients necessary for teeth and gums.
• Eat a balanced diet.
  The abundance of flour and sweet foods in the diet contributes to an excessive increase in microorganisms and inevitably leads to caries and its complications. Take care of strengthening your enamel by taking vitamin complexes. Then the disease when “teeth crumble”, which occurs due to a lack of calcium in the body, will not be scary for you.
• Brush your teeth 2 times a day.
  Regular hygiene is one of the most effective ways to keep your teeth safe and sound. In addition to the traditional use of brushes and pastes, you should not neglect dental floss. Flosses effectively remove food debris between the teeth, preventing the development of many diseases.
• Get preventive examinations once every six months.
  It is easier to cure any disease if it is detected at the beginning of its development. Some dental diseases in dentistry have symptoms that cannot be identified on their own. For example, caries at the junction of teeth is visible only on an x-ray.

A person is not able to influence factors that cause various types of dental diseases, such as poor ecology, heredity, and stress. However, with a responsible attitude towards hygiene and prevention, the risk of dental diseases can be significantly reduced or, at least, their treatment can be facilitated.

Why does a tooth ache under a filling?

The filling, placed several years ago (6-7), could be pressed through and deteriorate under the influence of external factors. The tooth will hurt if the pulp is alive and the position of the filling is disturbed. Pain also occurs in the following cases:

• Pain after a short period of time after seeing a doctor is most likely a medical error, for example, the canal was not cleaned well enough, there is still an infection inside, an instrument broke during the procedure;
• Pain after a long time after seeing a doctor is a violation of the seal of the old filling.

In any case, you cannot get rid of such an illness on your own. Contact your dentist in a timely manner so as not to start an inflammatory pathological process.

Causes of dental diseases in humans

The main cause of dental diseases is the activity of bacteria, which results in caries. But there are other factors that affect oral health:

• heredity and genetic pathologies;
• quality of drinking water;
• ecology of the urban environment;
• nutritional features;
• professional activity.

In most cases, it is impossible to change anything from this list. Therefore, it is important to at least be able to promptly recognize the symptoms of dental disease and consult a doctor as soon as possible to avoid complications.

Why does a dead tooth hurt suddenly?

Many people believe that a dead tooth cannot hurt? But what does the expression “dead tooth” mean? This is a tooth with dead or removed pulp. Yes, due to periodontitis, the nerve dies, but remains inside the pulp, which is why it begins to decompose over time. From there, the pus goes to the root, causing the surrounding tissue to become inflamed. This is how acute pain occurs.

There are several reasons why a dead tooth becomes especially sensitive (due to complications) before and after treatment:

• Low-quality treatment and cleaning of dental canals;
• Medical violations when placing a filling: the edges of the filling extend too far beyond the root;
• Not all tooth canals have been cleaned, some of them are missed or not completed;
• Allergy to the material from which the filling is made

It is important to understand that tooth disease after treatment is a normal and natural process. It is called post-filling syndrome, which lasts for several weeks (1-2). If it really is him, then the pain will weaken every day. However, if the pain does not disappear and even increases daily, then this is a significant reason to repeat the appointment with the doctor.

SIGN UP ONLINE