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Table of contents

What Is Tooth Pain?

Tooth pain, also known as a toothache, refers to the pain or discomfort affecting your tooth or the tissues directly surrounding it.

Sometimes it is due to a temporary reason, such as having something stuck in your gum, which is quick to treat at home. Another example is tooth sensitivity after a filling that disappears as the tooth settles down. At other times, it can be more persistent and long-lasting.

Types of Tooth Pain

Tooth pain can vary in its intensity. Some people experience a dull, continuous ache, while others experience a throbbing pain. Tooth pain can be jabbing and only &when you bite down on the affected tooth.

What Causes Tooth Pain

There are many reasons why teeth can start to feel painful, including:

  • An untreated cavity or a worn or missing filling.
  • Gum disease.
  • Tooth infection or dental abscess.
  • Impacted wisdom teeth.
  • Sinus issues.
  • Fractured or cracked tooth.
  • Untreated bruxism (teeth clenching and grinding).

Signs That You Need to See a Dentist

Different types of tooth pain can cause different symptoms, which can include:

  • Persistent, sharp, or throbbing pain.
  • Swollen gum around the affected tooth.
  • Sensitivity to hot and cold foods or anything sweet or sour.
  • Pain when chewing.
  • A persistent bad taste or bad breath.

When Is Tooth Pain a Dental Emergency?

Signs that your toothache is a dental emergency include pus buildup around the tooth or a pimple on the gum nearest the tooth, or severe pain that is keeping you awake.

Some more severe tooth infections can cause headaches, fever, and facial swelling. A severe tooth infection can develop into a dental abscess, making you feel very unwell and requiring emergency dental care.

In this case, you must contact us or go to your nearest ER immediately. Without treatment, a severe infection can become life-threatening.

Contact Us If You Have Severe Tooth Pain

If you have a severe toothache, you will need to get professional dental care. We recommend contacting NYC Dentistry Center as soon as possible. We can provide useful information over the phone based on your symptoms and schedule a dental appointment quickly.

Ignoring tooth pain is not a good idea, as it will likely worsen and become more difficult to treat. It could mean that you lose the tooth. Instead, it’s best to get a prompt evaluation and treatment that will soon relieve discomfort and pain.

Diagnosing Tooth Pain

Diagnosing tooth pain is a straightforward process. Below is a brief outline of the steps you can expect.

  1. A comprehensive dental exam and discussion of your symptoms. Our dentist will gently assess the tooth and the gum surrounding it.
  2. Digital X-rays allow us to examine the tooth in more detail. These enable us to assess any infection or decay more closely and plan your treatment accordingly. If necessary, we may recommend a 3D cone beam CT scan for a more detailed analysis of your teeth and jawbone.
  3. After completing our dental exam and diagnostic tests, we can provide a personalized treatment plan. This will include immediate action to relieve pain and discomfort, as well as all follow-up treatment options we recommend.

If we suspect that tooth pain is due to a sinus issue, we may recommend that you visit your healthcare provider instead. You might need antibiotics for a sinus infection.

Treatment Options for Tooth Pain

The treatment we suggest will depend on the cause of the pain. Below are some of the treatments we may recommend.

Pain Relief and Antibiotics

Our first objective is to relieve pain and discomfort, so we may prescribe painkillers and also antibiotics to treat a tooth infection. You would still need professional dental care to treat the underlying problem.

Dental Fillings

Tooth-colored dental fillings can treat small to medium-sized cavities in teeth, eliminating pain and tooth sensitivity. These repair the tooth so that you can bite and chew normally.

If you need a larger filling, we may recommend an inlay or onlay, which can also be tooth-colored but is stronger and more suitable for large cavities in back teeth.

Root Canal Therapy

Severe tooth pain can often be caused by a root canal infection, where bacteria have reached the nerve in the central part of the tooth and have also invaded the deep root canals. Root canal therapy removes the infection, allowing us to save the tooth and restore it with a permanent filling and dental crown.

Tooth Extraction

We always try hard to save teeth, but if a tooth is badly fractured, cracked, or severely infected, we may have to remove it. If you have wisdom tooth pain due to infection, then this tooth will need to be extracted.

Periodontal Therapy

If you have signs of periodontal gum disease, then we will recommend appropriate treatment to remove the infection and inflammation in your gum tissue. In this case, our periodontists will recommend a suitable treatment plan that may combine surgical and nonsurgical treatments.

Dental Crown

Dental crowns cover the entire tooth and are suitable when severe damage has occurred, resulting in a substantial loss of tooth structure. We often use dental crowns as the final restoration after root canal therapy.

Custom-Made Night Guard

Bruxism is often a nocturnal habit that can wear down teeth, cause gum recession, and dental pain. Often, it can be easily treated with a custom-made night guard that prevents you from clenching and grinding your teeth.

Treating Tooth Pain at Home

You can relieve the symptoms of tooth pain at home, but these will only provide temporary relief. A tooth that is painful and infected will not recover without professional dental care.

In addition to over-the-counter pain relief, other options to help treat tooth pain at home include:

  • Warm saltwater rinse, as this is a natural disinfectant and can help relieve inflammation and pain. Make your own by dissolving half a teaspoon of salt into a cup of warm water.
  • Hydrogen peroxide rinse can help with bleeding gums and ease tooth pain and inflammation. Dilute with equal parts water, and after rinsing your mouth, spit it out in the sink. You must never swallow hydrogen peroxide or use it neat.
  • Ice packs wrapped in a clean towel and held against your face for 20 minutes on and 20 minutes off can help shrink blood vessels, reducing inflammation and pain.

Please get in touch with us if you have an uncomfortable or painful tooth, or if something feels off. Prompt treatment will alleviate the pain and discomfort, and there is a significantly greater chance that we can save the tooth from extraction.

NYC Dentistry Center
6 E 45th Street, 8th Floor, Suite 2
New York, NY 10017
(212) 810-9264
Updated on by
Dr. Navid Rahmani, DDS (Periodontist) of NYC Dentistry Center