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Toothache – what helps? Which home remedies help?

toothache are the most unpleasant pain for many people. This throbbing and pulling of the teeth can stretch until it is hard to bear. For acute toothache, the path should therefore lead to the dentist as soon as possible. Are you very afraid of the dentist? We take the fear and treat you painless with acute toothache in Berlin:

Toothache is often the only noticeable symptom of a dental condition. Medicines or home remedies are only suitable for short bridging. Toothache in the mouth arises for a variety of reasons. If the gums are inflamed, it shows through bleeding gums and quickly the cervicals are free. In this case, the expert speaks of periodontitis (periodontal disease). Such gum disease with concomitant bone loss are the most common causes of toothache besides decay. Continue to read about how toothache develops and what the dentist and yourself can do to prevent it, or as a prophylactic solution in the mouth, and which home remedies help.

Table of Contents


What does toothache mean?

The following questions are asked by the dentist in order to classify your toothache:

  • When and where The pain first appeared?
  • How long the individual pain attacks last?
  • whereby the toothache can be triggered?
  • On which tooth The pain symptomatology first occurs?
  • Diving the Pain over and over again, so cyclically, up?

In a chronic gum disease, the toothache occur cyclically. That is, it is characterized by phases of activity and rest. In the end stage of this chronic dental disease loose teeth are not uncommon and it can lead to tooth loss.

What helps against toothache?

Many types of toothache can be prevented in advance by consistent domestic dental care, complementary professional teeth cleaning and regular check-ups with your dentist (prophylaxis).

Although various types of toothache can be temporarily relieved on their own (such as using home remedies such as cloves and chamomile solutions, essential oils or analgesic medicines), appropriate measures should not replace a clarifying dental visit.

Which home remedy helps against toothache?

The options for treating acute toothache with an analgesic in an emergency range from simple home remedies, analgesics to prescription antibiotics. The pain relieving effect of the cloves, for example, has been known by the Orient as a home remedy for millennia. Two or three cloves are placed on or near the diseased tooth and teeth are closed. Simple toothache tablets, sage tea or wrapped ice packs can also relieve the pain. Cloves or sage have an anti-inflammatory effect.

First aid in acute toothache as a home remedy so make:

  • Home remedies cooling:
    A cold pad has proven to be a home remedy for pain after root canal treatment, inflammation and swelling
  • Home remedies clove:
    In tooth decay and general toothache, cloves help numb pain and inhibit inflammation. Better to chew on a dry clove, it is to apply clove oil on the painful areas (available in the pharmacy).
  • Home remediesSalbei, chamomile:
    Unsweetened, lukewarm camomile or sage tea relieve the symptoms of periodontitis and teething children. Optionally applied as a drink, mouthwash or directly by cotton swabs on the painful area.
  • Absolutely avoid:
    Heat, nicotine, alcohol and caffeine. They can intensify the pain.

Read more about:

  • What are analgesics?
  • When antibiotics at the dentist?

Which tablets for severe toothache?

Toothache can increase to unbearable. Until the appointment with the dentist, a patient can suppress the pain by taking painkillers. However, not all analgesics are suitable for the treatment of toothache.

Painkiller aspirin for toothache – active ingredient acetylsalicylic acid (ASA)

The active substance acetylsalicylic acid (ASA) is contained in aspirin and its counterfeit products. He is well tolerated and painkilling, anti-inflammatory and antipyretic. However, the active ingredient also dilutes the blood. Drugs with ASA are therefore not recommended for toothache as it can lead to bleeding as part of a dental treatment (root canal treatment, tooth extraction, surgery).

Painkiller Ibuprofen for toothache

Far more useful is the intake of ibuprofen. As a non-steroidal anti-inflammatory drug (NSAID), ibuprofen quenches the pain, reduces inflammation and reduces fever. The drug is proven to be good for toothache, but should not be taken on a long-term basis.

Painkillers acetaminophen and other medicines for toothache

Paracetamol also reduces the sensation of pain and has antipyretic properties. Due to its lower anti-inflammatory effect, the drug against toothache, however, has only limited effects. Paracetamol is considered harmless in pregnancy. In addition, the dentist may prescribe stronger medications. These include preparations containing the active ingredients tramadol and diclofenac as well as analgesics in the form of combined preparations, for example from acetylsalicylic acid and paracetamol.

Toothache in babies

When the milk teeth make their way in babies, clove oil and a lot of reassuring popularity help. The so-called teething can cause severe toothache in the baby and often requires patience from the parents. At the beginning of the 6th month, the first baby tooth can be expected in the baby. The second teeth can also cause pain when changing teeth; At this time, the children can explain their toothache and the clever tooth spaces provide distraction.

Toothache: when to the dentist?

Toothache is a warning signal that should not be ignored. Pain in the tooth area can be a danger to the whole organism when pathogens enter the bloodstream through inflammatory foci in the mouth. If the symptoms do not disappear within a few hours, the cause must be clarified.

Ultimately, only the dentist can help with stubborn or even more severe pain. Try to put your symptoms into words in advance of the practice visit and describe the type of pain as accurately as possible (dull throbbing, stinging, permanent, in isolated attacks, while chewing, etc.). The description helps the dentist in the cause research in the context of the dental examination. If there is a diagnosis, the appropriate therapy can be formulated to effectively combat the cause of the excruciating pain.

Take your mouth pain seriously

Of course, patients with severe toothache are given priority treatment, even without an agreed appointment. So do not hesitate to contact us immediately if you have a toothache. If you are worried about dental care, feel free to contact us.

We will give you full details of the methods of restoring your dental health and show you all the possibilities of a largely painless treatment. Always be aware that the fear of the dentist is ultimately unfounded. If you permanently avoid the visit of a dentist, your teeth will suffer considerably. But then the next toothache is inevitable.

If the toothache occurs on the weekend or at night, contact the dentist emergency service.

How do you get toothache??

Toothache has a complicated mechanism of development. Regardless of the pain-causing agent, the so-called. Dentin pain is based on a common mechanism: Fluid movements in our dentinal tubules are directed by external stimuli to the odontoblasts (Tomes fiber), which subsequently leads to an excitation of the free nerve endings. Characteristic is an anamnestic recognizable connection between triggering stimulus and the perception of toothache.

What are the main causes of toothache?

The causes of toothache are various factors. Here is an overview of the most common reasons.


The most common problem for toothache is tooth decay. Bacteria first damage the enamel, then the dentin, the tooth core. Once the tooth decay has reached the dental nerve, a so-called pulpitis (tooth inflammation of the nerves) begins. This pulpitis causes throbbing, throbbing toothache.

That is why tooth decay is also called tooth decay. Sugar is not the only criterion for tooth decay, but it contributes to the toothache.

Secondary caries – toothache under the tooth crown or tooth filling

There is talk of this caries form when a tooth is carious, even though it has already been supplied with a filling or crown by the dentist. Secondary caries often occurs as a hole in the tooth in places where deep caries has been previously treated. Even at older transitions of inlays, crown margins or hard to reach niches on dentures secondary caries is often diagnosed after years of insufficient dental care.

How does secondary caries develop exactly? A probable micro-gap between tooth and dentures provides an optimal portal of entry for bacteria into the tooth. Toothache usually develops here late and in the further treatment is often a root canal treatment required. Single-tooth radiographs work well to confirm the diagnosis of this caries shape.

Inflammation on the tooth or gums

Lower inflammations of a tooth, such as those on the pulp, are possible triggers for severe toothache. Alternatively, the bone may be at the root of the tooth and the tooth nerve causes toothache; in this case it is called osteitis. A so-called apical tooth inflammation can heal by a root canal treatment. An abscess at the tooth root has usually already formed here when the problem is identified. In persistent cases, the dentist recommends a root tip resection.

Breaking teeth or orthodontic problems

It also causes pain when wisdom or other teeth break through (teething in children). It can be painful, especially if your teeth go awry or have misaligned teeth. Here, patients can choose from numerous orthodontic therapies that permanently banish the pain.

Occasionally, braces and ill-fitting dentures can cause pain in the mouth and teeth. While some orthodontic pain may be unavoidable, in many cases implant dentistry options may be considered for prosthetic patients.

Loss of filling the tooth

If there is a loss of filling, the sensitive tooth surface will be happy to report a toothache in the case of strong stimuli such as heat or cold. Often this filling loss is triggered by a secondary caries under the need of renewal tooth filling.

This undermining form of tooth decay often progresses asymptomatic to the toothache under the filling. Only when the mechanical stability of the tooth filling is no longer given, it collapses and must be replaced as soon as possible by the dentist.

Toothache after filling

If a tooth receives a new filling and toothache subsequently occurs, it can only be an irritation of the tooth nerve, which returns after a short time. If the toothache persists, a repeated visit to the dentist is indispensable. Several factors can be considered triggers in this case.

If the height of the filling is not optimally adjusted, the tooth will become overloaded and the resulting toothache. Under certain circumstances, a need of treatment inflammation of the tooth nerve has formed. Again and again it comes to hypersensitivity reactions to the filling or one of the ingredients used. In this case the dentist has to remove the filling. If there is no decaying toothache after receiving a new filling, the patient should quickly arrange a follow-up appointment.

Hypersensitivity of the teeth

Toothache, for example, caused by a general hypersensitivity of the teeth. Exposed tooth necks react violently to temperature differences in the mouth, but also to acid and sugary foods. The first step here is to help with a special tooth cream.

Deep defects on the neck of the tooth are supplied with a tooth filling. In case of circular tooth defects, the dental crown takes over the physical and mechanical protection of the tooth.

Dental surgery

After tooth extraction, almost no wound pain usually occurs due to antibiotics and toothache pills. However, should it come after an operative tooth removal to an infection of the extraction socket, the wound healing is disturbed and it can cause a so-called dry socket (dry alveolus). This then dry tooth pocket can cause long-term chronic toothache. An augmentation of the alveolus minimizes the risk of such a complication after tooth removal.

Read more about:

  • How a tooth extraction works

What other causes of toothache are there?

In addition to the main causes, other aspects can be identified that may be responsible for the development of toothache.


Dental treatment is the logical consequence of toothache, but it is also the other way around and treatments can cause pain for a variety of reasons. This includes, for example, a brace that pushes or has moved and must be adapted again.


Dental prostheses made of plastic or metal are nowadays indispensable. Quality of life, especially for the elderly, is often related to health. Therefore, the prosthesis contributes to a significant amount of well-being.

Badly fitting dentures that cause nagging pressure points can cause toothache and should be adjusted promptly.

Dental implants

Dental implants cause toothache when overloaded. For example, a too large tooth crown on a too small implant in the chewing center hinders osseointegration (implant healing) in the long term and inevitably leads to implant loss.

Implant inflammation due to lack of cleaning of the peri-implant spaces is often the trigger for chronic pain on the implant.

Read more about:

gnashing of teeth

Teeth grinding (bruxism), which affects not only the temporomandibular joints, but also the tooth surfaces, causes abrasion of the teeth. By masticating the tooth surface is first removed in this disease.

Then follows the dentin, which can cause severe toothache at this stage. Tooth erosions with high sensitivity to pain are also observed in case of wrong nutrition (acidic foods) or in the case of the eating disorder bulimia.

dental accident

Even after a dental accident can lead to tooth chipping, loss of filling up to the tooth fracture. This large parts of the tooth nerve can be exposed and cause severe toothache. A fast action of the victim helps in most cases to get the tooth.

Toothache from stress

Toothache for no physical reason is more common than many people suspect. A study by the University of Zurich showed the connection between stress and impaired oral health. Heavy inflammation of the gums could be detected as well as an increased grinding with the teeth, which shows up in the form of a toothache.

In these cases, the problem is relatively easy to treat because the pain-causing symptoms are known. However, many facts about this topic are not yet known to medicine. A patient suffering from chronic toothache without cause should definitely critically question his lifestyle and avoid stressful situations. Supportive offers a consultation with the dentist.

Why toothache after sweets?

Many people know the stinging pain of eating cold, hot or sweet foods. Hot and cold food causes pain to the exposed tooth necks. Occur toothache preceding desserts, this indicates tooth decay, the sugar triggers a painful irritation in carious teeth. In some cases, even small areas or leaky fillings can cause significant toothache and require dental attention.

Why a toothache for a cold?

Colds are usually associated with cough, runny nose, headache and body aches. About irritated nerves draw pain from the head while some patients to the teeth. Especially in the course of headache or migraine attacks a dull pulling and pressing in the teeth is felt. Middle ear and sinus infections can also cause an uncomfortable feeling in the upper jaw area. The symptoms usually disappear as soon as the underlying disease has subsided.

Non-typical causes of toothache

Rarely, however, it comes to so-called Höhenzahnschmerzen (barodontalgia) and phantom pain. The latter can arise with missing teeth (by extraction or Nichtanlage of teeth) and be treated with the help of the implantology. In exceptional cases, painful teeth are an atypical warning symptom of glaucoma and myocardial infarction.

How is the treatment of the teeth with toothache at the dentist?

Suitable treatment steps to combat toothache at the dentist are always based on the individually present findings situation. Therefore, your dentist first performs a comprehensive diagnostic examination in the pre-treatment area.

In individual cases, additional diagnostic steps (such as examinations using imaging techniques such as digital x-ray) may be necessary.

If a painful tooth is still worth preserving (that is, if it has a sufficient proportion of healthy substance), tooth-preserving methods are sought. These include, for example, the insertion of dental fillings in carious damaged teeth. If the preservation of a tooth affected by toothache proves medically impossible or meaningful, the treatment measures may also include a dental removal of the corresponding tooth. In order to replace the function of a removed tooth, different forms of dentures (fixed or removable) are offered – we work out an individually suitable denture variant during a detailed patient discussion.

If you are suffering from severe fear of the dentist, we offer the option of dental treatment under general anesthetic or sedation. With this anesthetic measure, you can fight your toothache completely without fear and pain.

Would you like to learn more about toothache, what helps with toothache and treatment options for dental phobia?

Call us now and make an appointment for a free and non-binding consultation at:

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