Tooth pain is the commonest orofacial pain. The pain in teeth can be very disturbing and requires treatment from dentist. It is regarded as a dental emergency. Tooth pain arises due to pulpal inflammation out of decay in the tooth, tooth fracture, hypersensitivity or any periodontal problems. The pain can be mild and moderate, extending to sharp shooting pain depending on the inflammation. The decay should be treated before it progresses even further causing inflammation to the pulp which could be reversible or irreversible pulpitis.
Causes of Tooth Pain
- Dental decay or cavity.
- Pulpal inflammation.
- Dentin hyper sensitivity.
- Tooth fracture or any injury.
- Traumatic bite or chewing forces.
- Periodontal problem.
- Wisdom tooth eruption
- Food enlodgement or impaction .
- Dry socket formation after extraction of tooth.
Symptoms of Tooth Pain
- The pain arising due to reversible pulpal inflammation is dull and triggered by stimulus.
- The pain due to irreversible pulpitis is sharp and spontaneous.
- The pain can be increased while sleeping.
- Tooth abscess is often accompanied with swelling , fever.
- Pain due to sensitivity arises on hot or cold stimulus which discontinues on the removal of stimulus.
- Tooth having periodontal problem is tender on percussion .
- Pain on biting is present
Diagnosis of Tooth Pain
The tooth pain can be diagnosed by using thermal tests like hot and cold. Otherways are taking radiographs that could be either single tooth or full mouth radiographs depending upon requirement.
Dental instruments can also be used to detect the cavity or perio problems.
Treatment and Prevention of Tooth Pain
- The tooth pain arising due to reversible pulpal inflammation are treated by removing the cause or any decay and filling the tooth.
- Root canal treatment has to be done for irreversible pulpitis .
- Using fluorides and sensitivity tooth pastes to relieve sensitivity.
- Treating the abscess by draining the pus.
- Gum treatments if required.