Toothache types... what do they mean?

A toothache can be debilitating! Tooth pain can range in severity and be some of the worst pain you will experience. Especially if the pain is left untreated and a dental abscess is formed. However, sometimes the pain is actually occurring from a different part of the body. This is called referred pain. For example, a sinus infection can cause your upper teeth to feel sore and ache for hours.  

So what does your dental pain mean?

Some common causes of dental pain include: 

• Dental Decay: this is the most common cause.
• Nerve Damage: this can be from decay, deep fillings, clenching, grinding or trauma to the tooth. An abscess will usually occur. 
• Root Fracture: a cause could be a car accident or facial trauma.
• Cracked Crown: this can be from facial trauma or jaw clenching.
• Impacted Wisdom Teeth
• Dental Sensitivity: possibly from recession, root exposure or tooth wear.
• Gum Disease: gum disease can sometimes cause a periodontal abscess.

Dr. Liddiard will perform a thorough exam of your mouth, teeth and gums, and will always take a dental x-ray. He may recommend other tests, like an endodontic ice test, depending on the suspected cause. Dr. Liddiard, the dental hygienist or dental assistant will ask questions about your medical history and symptoms, including:

• When did the pain start?
• How bad is the pain and where is it located?
• Is the pain heightened from hot or cold?
• Does the pain wake you up at night? Does your tooth throb?
• Do you have any other symptoms, such as fever?
• Have you had any facial injuries?
• How is your flossing and brushing?
• When was your last dental visit?

Treatment may involve fillings, tooth removal, or a root canal, if the problem is severe. You may need to take an antibiotic for any infection. 

What type of toothache are you having? 

Sharp, Intermittent Pain or Cold Sensitivity- sensitivity to cold is usually sharp, sudden and doesn't last. You may have gum recession, enamel wear or a small dental cavity.

Sharp, Intermittent Pain or Heat Sensitivity- sensitivity to heat can signify a small cavity, but could be the result from a dental abscess, crack or severe decay.

Intense, Throbbing Pain- this type of pain can last for minutes to hours. This is usually from a dental abscess or dying tooth. Clenching and grinding can cause a tooth to slowly die. 

Painful Chewing- if the pain only occurs with pressure or chewing, this can be from a cracked crown or root fracture. 

Jaw Pain- pain in the back of the mouth may be from impacted wisdom teeth, TMD (Temporomandibular Disorder), or teeth grinding. Pain from a dental abscess can also radiate into the jaw. 

Tooth pain ranges in severity. An intermittent ache may be somewhat bothersome while a chronic dull ache can lead you to immediate attention. Whatever the case, toothaches should not be ignored. A dental abscess, left untreated, can cause facial swelling and send the infection into your bloodstream. So, making a dental appointment should be your first priority. Sitting, waiting and hoping the pain goes away is never a smart move. Even if it does vanish, you can expect the pain to return! 

-A Healthy Body Starts with a Healthy Smile-