Toothache Relief

Tooth pain can have several causes, and finding the source is the first step toward the right treatment. Common causes include:

• Tooth decay (cavities): decay that has moved through the outer enamel into the inner dentin or pulp can cause significant pain, especially with pressure or temperature changes.
• Cracked or fractured tooth: a crack may cause sharp pain when biting, or lingering sensitivity to temperature. Cracks can be hard to see on x-rays and may need extra diagnostic steps. See cracked tooth treatment.
• Dental abscess: an infection at the root of a tooth or in the surrounding gum can cause severe, throbbing pain, swelling, and sometimes a foul taste. Abscesses need prompt attention.
• Gum disease: advanced gum disease can cause aching, tenderness, or sensitivity around teeth, especially if the supporting bone has been affected.
• Sinus pressure: pain in the upper back teeth is sometimes related to sinus congestion rather than the teeth themselves, because the roots of upper molars sit close to the sinus. A dental exam can help tell the two apart.

Not all tooth pain needs same-day attention, but some signs mean you should contact the office promptly. Call 780-432-3430 as soon as possible if you have:

• Severe or throbbing pain that over-the-counter pain relief does not control
• Swelling of the gum, jaw, or face around the tooth
• A fever along with tooth pain, which can mean an infection spreading beyond the tooth
• Pain that wakes you from sleep
• Sensitivity to hot or cold that lingers for more than a few seconds after the trigger is gone
• A bad taste in the mouth, which may point to a draining abscess

While you wait to be seen, these steps may help manage the discomfort:

1. 1

   Take over-the-counter pain relief

   Ibuprofen or acetaminophen, taken as directed on the package, can help with dental pain. Do not put aspirin directly on the gum. It does not help and can irritate the tissue.

2. 2

   Avoid very hot or very cold foods and drinks

   Temperature extremes can make sensitivity worse. Stick to room-temperature foods and drinks where you can.

3. 3

   Keep your head raised

   Lying flat can increase pressure in the area and make throbbing pain worse. Keeping your head raised, even while you sleep, may give some relief.

4. 4

   Call the office right away

   Describe your symptoms so the team can advise on urgency, give you interim guidance, and book the right appointment.

When you come in for a toothache, the goal is to find the cause and explain your options clearly.

• Examination: the dentist examines the area, checking for visible decay, gum inflammation, swelling, and signs of infection. They may tap on the tooth and test how it responds to temperature to help find the source of the pain.
• X-rays: one or more x-rays are usually taken to look at the tooth root and surrounding bone, and to find decay or infection that cannot be seen by eye.
• Diagnosis and options: once the cause is clear, the dentist explains what is happening and walks you through your treatment options, including what may happen if you wait. There is no pressure. The goal is to help you make an informed decision about your care.