In case of acute toothache, if it is accompanied by the inability to walk, high fever, severe swelling of the gums and cheeks, weakness, call an emergency vehicle.
The single telephone number for round-the-clock ambulance and emergency services in Moscow is
103.
more about calling ambulances here >>
If your condition is not very serious, you can move around on your own - go to any dental clinic of your choice, paid or free.
24-hour pharmacy
Do you agree that when a tooth hurts, the first thing we think about is not where to run, but how to relieve the pain? And accordingly, we take the right pill. Especially when trouble occurs late in the evening, at night or after hours. I don’t want to go or run anywhere during this period of time. But there are also such situations - you have a toothache, but at that very moment there was no analgesic in your home medicine cabinet: the medicine has run out, the expiration date of the medicine has expired. In this case, it would be a good idea to find out if there is a 24-hour pharmacy in the city and buy a medicine that will relieve unpleasant symptoms for a certain period of time and help you get a restful sleep. This could be Nurofen, Nise, Ketorol, Ketanov, Baralgin.
In the morning, of course, you need to make an appointment with a professional dentist or go without an appointment to any public dental clinic that accepts under the compulsory medical insurance policy.
A 24-hour pharmacy will help if the pain occurs late in the evening or at night
If you are in a village, in a country house, and there are no large settlements nearby, then try using simple folk remedies: a clove of garlic on the wrist, rinsing with soda-salt solution, chamomile, massage.
When none of the listed measures bring relief, then it’s time to think about more serious actions and contact a medical facility.
What to do for acute toothache
Its appearance signals the need to visit the dentist as soon as possible. The doctor will listen to complaints, examine the oral cavity, “knock” the teeth, and prescribe tests to evaluate the internal tissues: CT scan, radiography or ultrasound.
When a potential source of pain is found, it can be further examined using a radiovisiograph. A targeted image gives an idea of the degree of carious lesions, pathologies of bone tissue or the presence of neoplasms.
A more advanced diagnostic method is a 3D image. All pathologies are visible on the three-dimensional model, which allows you to make the correct diagnosis.
Important! If a trip to the dentist is postponed, under no circumstances apply heat to the sore spot. This can increase inflammation and lead to complications.
Urban emergency dental care centers
As a rule, these are ordinary clinics, which are supported by the state and the city, or an emergency room at a regional dentistry, where round-the-clock duty is organized. But even in the largest cities, such as Moscow, there are no more than one or two of them for the entire population. These clinics have an on-call room where you can go to resolve an emergency.
To be accepted at night or on holidays, it is enough to provide an identification document and a compulsory health insurance policy. It does not matter whether you belong to this organization at your place of residence or your official registration. It also does not matter which clinic you are assigned to.
For example, in Moscow there are two night departments: for children under eighteen years of age, you can count on help in emergency cases at Dentistry No. 28. The center’s specialists provide their services free of charge from 18:00 to 8:30 on weekdays. And also at any time of the day or night on holidays and weekends. For adults - emergency admission of all citizens is carried out by the State Budgetary Healthcare Institution 1 "Maxillofacial Hospital for War Veterans", opening hours from eight in the evening to eight in the morning.
Clinics that are supported by the state
For what types of pain and dental pathologies can specialists provide assistance at night:
- relieve acute pain syndrome in any type of dental problem,
- provide first aid for pulpitis, caries, periodontitis, alveolitis and periostitis, the presence of cysts and granulomas,
- stop alveolar bleeding,
- carry out emergency surgical intervention if the patient presents with jaw injuries, fractures and dislocations of teeth,
- remove a tooth: but not in the case of “eights”. Wisdom teeth removal is often considered difficult and requires a thorough diagnosis of the situation. Therefore, depending on the clinical case and the equipment of the clinic, the doctor may recommend that you come for an appointment during the daytime and make an appointment (although in case of an emergency, city clinics accept patients without an appointment).
Services here will be provided free of charge. The only thing you may need to pay for is an imported anesthetic injection before treatment.
“I am shocked by our city clinic in Chita. We arrived at night, there were four people in line for one doctor, we sat there for two hours. The pain was unbearable, the pills did not help. At the same time, the tooth was intact, there wasn’t even a filling on it, and it was unclear why it hurt. The doctor was rude and said, why are you coming here! You'd think we have nothing else to do at night! Without even looking properly, without x-rays and everything else, she offered to pull the tooth and pay 300 rubles for anesthesia!!! But shouldn’t modern dentists do everything to save the patient’s teeth and how can they be removed without even conducting a normal diagnosis? This is our free medicine and emergency care. The question arises: why be on duty at night if there is only one answer to all situations: we will delete them!”
Marina, woman.ru
Causes
There are true toothache caused by diseases of the oral cavity, and a symptom that resembles a dental disease, but has a different etiology. To know which doctor to contact, you need to differentiate these conditions.
Dental reasons
The most common cause is caries and its complications. If the pulp is not involved in the process, the sensations are weakly expressed, occur periodically, and are aching in nature. The pain usually appears at night, during or after eating. Similar symptoms occur with chips and cracks in the enamel.
If caries is complicated by pulpitis, the sensations become acute. The symptom may subside temporarily and return again. During the purulent process, the sensations are cutting, bursting in nature.
With periodontitis, sensations arise suddenly and unexpectedly. They are associated with mechanical damage to the tooth or complications of caries.
Caries with toothache.
With periodontitis, touching the affected area increases sensations. The gums are swollen and hyperemic. Purulent discharge may be observed. The cause is soft tissue trauma, poor oral care, and carious lesions.
If pain occurs, you should consult a dentist, even if it has been managed. This indicates the transition of pathology to another stage, and not recovery. The sensations caused by gum inflammation can go away on their own and without leaving a trace. If we are talking about pulpitis or periodontitis, self-healing is impossible.
Diseases that mimic toothache
Dental diseases are often confused with trigeminal neuralgia. The intensity and localization of pain are the same as for dental diseases. Such patients in most cases go to the dental clinic. Only a doctor can make a differential diagnosis. If examination and instrumental examination do not reveal a lesion, the doctor will refer the patient to a neurologist.
Another pathology that can lead to dentistry is migraine. Diffuse, throbbing pain radiating to the temple, jaw, and orbit resembles an acute dental disease. Migraine occurs suddenly, symptoms intensify with sharp sounds and bright light. Typically, patients suffering from this disease have recurring attacks. For these symptoms, you need to be treated by a neurologist.
Headache.
Pain during myocardial infarction or an attack of angina sometimes radiates to the jaw. Instead of taking antianginal drugs and calling an ambulance, such patients often take analgesics and go to the dentist. The cardiac nature of the disease is indicated by pressing sensations in the chest, irradiation to the left arm, under the shoulder blade, and shortness of breath. Myocardial infarction can occur not only in the elderly, but also in young people, especially in men over 35-40 years of age. In such a situation, emergency medical care and hospitalization are needed.
Symptoms of otitis media sometimes resemble pulpitis or periodontitis. This is especially true in childhood. The child cannot localize the strong, widespread pain and complains that his tooth hurts. Otitis usually occurs against the background of acute viral infections, sore throat, and chronic diseases of the nasopharynx. With this disease, hearing deteriorates and tinnitus is noted. Treatment is carried out by an otolaryngologist.
Another ENT pathology that can lead to the dental chair is sinusitis. Aching pain in the upper jaw resembles chronic pulpitis. With sinusitis, there is a history of nasal congestion, purulent discharge from the nasal passages, fever, and catarrhal symptoms. In this case, you need to contact an otolaryngologist and undergo a course of treatment for sinusitis.
Various neurological diseases and mental disorders can also imitate toothache. In this case, the sensations are transient in nature and constantly change localization. The patient cannot indicate where the source of the discomfort is. In this case, a comprehensive diagnosis and treatment of the underlying disease are needed.
Private dentistry
Acute toothache caught you by surprise at night? People who do not want to spoil their nerves immediately understand where to go: private dental offices or clinics that work around the clock. Here, the service for dental treatment and pain relief, in most cases, will have to be paid according to the current price list. But help will be provided in a timely manner, without unnecessary hassle or questions, and you will feel comfortable.
Some private dentistry may provide free services under the compulsory medical insurance policy, but most often in such cases they ask to provide one more document: SNILS.
You can contact 24-hour private dental clinics
Also, most private dental centers have uninterrupted 24-hour and toll-free communication lines for support and consultation of patients. Therefore, you can always call such a service and get clear recommendations on how to proceed.
Regular trauma center
If there are no 24-hour dentists in your city, then there are definitely trauma centers. Yes, the doctors on duty are not dentists and will not be able to cure your tooth, but they will be able to select medications that will relieve acute pain and help you last until the morning.
Help can also be provided at a trauma center.
If an institution operating in accordance with health care standards and providing services under the compulsory medical insurance policy refuses to accept you in an emergency, then you can directly contact the hotline of the City Health Service or the Ministry of Health of Russia, multi-channel telephone2.
Ambulance or urgent care
This option is suitable only for those people who have suffered dental problems and pain as a result of maxillofacial injuries, accidents and falls. In all other cases, the ambulance dispatcher will refuse hospitalization and, as practice shows, will not respond to the call. But the specialist will be able to tell you which institutions in the city you can contact with your problem or give advice on how to relieve toothache before your next visit to the dental clinic.
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toothache
- According to chlgvv.ru
- According to the official website rosminzdrav.ru
Consulting specialist
Dzagurova Elina Ruslanovna
Doctor rating: 9.5 out of 10 (2) Specialization: Dentist-therapist Experience: 10 years
Comments
I once had a toothache at night; painkillers did not relieve the pain well, but I had to endure it until the morning, since there was nowhere to go. It is often recommended to place a crushed analgin tablet on the tooth. But as far as I know, this won't help. Is there any point in such manipulation?
Anna (07/15/2019 at 08:25) Reply to comment
What do you think should be done for a patient who has been refused an ambulance call (by phone), considering the reason for the call to be insignificant, that is, if he had a toothache at night? Where to contact?
Karina (07/15/2019 at 09:08) Reply to comment
Is it possible to take a pain-relieving tablet, Ketanov or Ketorol, if you suddenly have a toothache at night? After all, you can usually get to a private clinic in the morning, and even then, in the best case, there are appointments everywhere, whatever one may say.
Marina (07/15/2019 at 09:45) Reply to comment
I had the same problem, there was no sign of anything, but then one night I had a toothache. A 24-hour pharmacy helped me. I didn’t even think that some dentists could work at night. A good option, not just to relieve pain, but to immediately solve the problem.
Victoria (07/15/2019 at 15:12) Reply to comment
When I had a toothache at night, analgin always helped. But lately my tooth under the crown has been hurting, since I can’t put a pill there, I took it, but to no avail. If it happens again, what should I do?
Anna (07/22/2019 at 11:48 am) Reply to comment
What do you recommend doing if your tooth hurts badly at night? What painkillers will be relevant in this case, and how can you pacify the pain with the help of folk remedies?
Lina (08/14/2019 at 04:48 pm) Reply to comment
An elderly man complains for the second night in a row of severe toothache. How can you help him at home and what can you do if your tooth hurts at night? What infusions or medicinal decoctions can be used to relieve toothache?
Zinaida (08/14/2019 at 06:39 pm) Reply to comment
This is not the first night in a row that the girl has complained of severe toothache in her upper tooth; for some reason it only occurs at night. What do you recommend to do to save yourself from drugs if a girl’s tooth suddenly hurts at night?
Timur (08/14/2019 at 07:24 pm) Reply to comment
What is the first thing to do if you have a toothache during the day or at night? What are the common methods to get rid of severe toothache, especially at night, also if you don’t have the necessary painkiller on hand?
Senkova Inna (08/14/2019 at 07:30 pm) Reply to comment
What should be the first action if you have a toothache at night? Do you really need to take painkillers or is it still possible to relieve severe toothache with the help of proven folk remedies?
Katya (08/20/2019 at 08:27 pm) Reply to comment
Why do teeth begin to ache in the evening, what could this possibly be connected with? What is the best painkiller to take if your tooth hurts at night? They say rinsing with baking soda helps, but I'm not sure for sure.
Yakovleva (08/20/2019 at 20:30) Reply to comment
Are you in Moscow? What about the tooth? Pulpitis probably... In Moscow I know a good clinic on Krasnobogatyrskaya Street, Dr. Razumenko’s dentistry, here’s their website just in case https://www.razumenko.ru/moscow. Their chief doctor, Evgeniy Gennadievich Razumenko, is a very competent and good specialist, and now he personally sees patients. Last week I was there and had a permanent crown installed with permanent cement. I still need to change my old crowns, but Razumenko said that after the quarantine is lifted. The clinic has good equipment, they take temperatures, there are antibacterial gels, well done, in a word, they think about their patients!
Oksana (05/03/2020 at 10:51 am) Reply to comment
soda is really a good topic
Stas (01/29/2021 at 03:13) Reply to comment
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General treatment recommendations
A doctor, armed with professional knowledge and modern instruments, will certainly find out the cause of tooth pain. In this case, the person is waiting to see a doctor; he will have to try to follow a number of recommendations to alleviate his own condition:
- Do not succumb to the psychological component of pain. If you constantly think about and analyze your own experiences, they will begin to grow and intensify. You need to distract yourself, forget about unpleasant sensations: watch your favorite movie, read entertaining articles on the Internet. It is forbidden to be distracted by drinking alcohol.
- Thoroughly clean the tooth from any food debris that can press on and cause discomfort. If it is painful to touch with a toothbrush, you need to rinse your mouth, and the temperature of the liquid must correspond as much as possible to body temperature. It is acceptable to use a soda solution with salt.
- Do not lie horizontally. Even at night, it is recommended to take a semi-sitting position. The fact is that when a person lies down, the pressure on the teeth increases, which does not contribute to relief.
- Chew food on the other half of the jaw. Exclude from the menu dishes that require biting and chewing food for a long time. Temporarily fall in love with semi-liquid cereals, purees, soft fruits (banana, kiwi). In this case, you will have to carefully remove small seeds from the fruit or avoid consuming them altogether, so as not to provoke contact with a sore tooth.
- You can't warm the place where it hurts. Applying heat will only make the situation worse.
