toothache

A toothache sometimes happens suddenly, with pain continuing. In other cases, the intensity of toothache increases over time. Mostly the cause is found in the mouth, but the pain can also radiate from other parts of the body into the teeth.

causes

Mostly toothache is caused by inflamed tooth nerves. But there are many other causes, such as the following:

the jaw

In addition, toothache or root canal treatment can lead to a short-term toothache as the gums or teeth are still irritated. If the irritation stops, the pain subsides.

Toothache can also be caused by teeth grinding. Concerned in this way, they process their problems at night, during which they literally “clench their teeth” during the day..

In children, the teeth can hurt when teething. In adults, the breakthrough of wisdom teeth can lead to pain.

Sometimes pain radiates to the teeth. This is the case with headaches, middle ear infections or even heart diseases.

diagnosis

If you experience toothache, you should always go to the dentist so that the cause of the condition can be found. For the doctor it is important to know how the pain feels and whether it occurs at intervals, has increased in intension or is consistent.

In addition, the dentist usually wants to know whether the person concerned has dentures or implants or whether he has had dental problems in the past.

This is followed by a thorough examination of the teeth, where any defects, injuries or inflammations can be detected. Sometimes an X-ray is taken, for example, to confirm the suspicion of root inflammation.

treatment

Generally, the treatment of toothache depends on the cause. First, it is advisable to arrange a dentist appointment as soon as possible, so that the cause can be clarified. In case of tooth damage or inflamed nerves, the dentist can treat directly. For example, caries is removed and the defect is provided with a tooth filling.

Sometimes mild pain is due to sensitive teeth. Also tooth enamel damage can be responsible for slight toothache. In that case, toothache occurs while eating sweet, hard, hot or cold foods. To protect the teeth, the dentist can apply a special varnish.

If the toothache caused by nocturnal teeth or teeth grinding, a bite splint is recommended. Such rails are customized and usually need to be worn only at night. The bite bites prevent the teeth from continuing to wear off by pressing or crunching. The splint is merely a symptom treatment that does not stop the night-time teeth-grinding or teeth-pressing. Since the so-called bruxism is usually caused by stress and mental stress, it is recommended to learn in addition to wearing the splint a relaxation technique and / or with the help of a psychotherapist of the cause to get to the bottom.

Painkillers or anti-inflammatory drugs can be taken at short notice up to the dentist’s appointment, which can be bought without prescription in the pharmacy. However, this should only serve as a bridge, for example if the toothache occurs on Sundays or on a bank holiday.

Home remedies as first aid

There are some home remedies that can often relieve toothache. These remedies are not a substitute for a dental visit and dental treatment!

Often, toothache sets in late at night or on weekends and to bridge the time until you can go to the dentist, the following home remedies help relieve toothache:

cloves contain eugenol, which has a mild numbing effect. The clove is slowly chewed. One can also clove oil Apply to the gum near the aching tooth. But: Depending on the cause of the toothache, the symptoms can be increased by cloves.
garlic painkilling, antibacterial and disinfecting. To use it as a home remedy for toothache, crush a garlic clove with the garlic press. This porridge is now worn on the aching tooth or all around. Note: If there is inflammation or the gums are inflamed, garlic will cause a burning and unpleasant sensation.
chamomile has analgesic, antibacterial and anti-inflammatory. For the treatment of toothache, a tea is cooked and rinsed out with this the oral cavity.
Also with one saline solution the mouth can be rinsed out. Add warm water to a glass and stir in a teaspoon of salt. Note: The saline solution must be spit out after it has been rinsed!
Onions you almost always have at home and this has anti-inflammatory and antibacterial. To alleviate toothache, an onion is chopped and wrapped in a cloth. The cloth with the pieces of onion is held to the cheek at the point where the toothache is palpable.You can also cut the onion into slices and repeatedly put a slice on the tooth causing pain.

Caffeinated drinks, nicotine and alcohol should be avoided, as this aggravates the pain.

Prevent a toothache

Most toothaches can be avoided by ensuring good dental hygiene and nutrition:

Teeth should be brushed at least twice a day, preferably three times a day. The dentist can show you how to clean the teeth so that they are actually cleansed.
When brushing your tongue should also be cleaned. For this the toothbrush can be used or one uses a commercially available tongue cleaner.
In some interdental spaces is not possible to come with the toothbrush. So that no bacteria can form there, the mouth should be rinsed out after brushing your teeth with a mouthwash.
Do not forget to replace the toothbrush with a new one after two months.

In nutrition, sugar plays an essential role in dental disease. In order to prevent toothache as little as possible sugary foods should be consumed. Also in many drinks is a large amount of sugar. An unsweetened herbal tea or mineral water are good thirst-holes, which are above all tooth-friendly.

Frequent patient questions

1. Does a dentist have to treat a patient with pain??

Answer: This question is not easy to answer. The regulation says the following:

(4) The dentist may refuse the dental treatment especially if

a) a treatment can not be performed according to the rules of dental art or

b) the treatment can not be expected to him after duly balance of interests or

c) he is convinced that the necessary relationship of trust between him and the patient does not exist.

That leaves a lot of room for interpretation. However, it is generally not the rule that dentists send patients home without treatment. At least on prescribing a painkiller, one should insist.

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