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Most common causes of toothache

By November 8, 2013 March 24th, 2014 No Comments

Toothache is one of the most common dental complaints the world over. It is often the top reason people finally visit a dentist. If we were to ask 10 people what is the cause for toothaches, 9 of them would blame it on tooth decay. However, the truth is that there are a lot of other reasons and knowing about them could help you prevent toothaches to some extent:

1. Tooth decay is the most common (but not the only) cause of a toothache. affordable dental implants london Small cavities that affect only the outer coating of the tooth (enamel) are usually painless. But when the decay penetrates through the enamel and affects the inner layer of the tooth (dentin) you tooth becomes extremely sensitive. In advanced stages the decay progresses deeper into the innermost layer (pulp) resulting in intense, sharp pain. Infection from a decayed tooth can cause death of the pulp tissue and cause an abscess (filled with pus) below the root of the tooth.

Advanced gum disease may also cause a tooth abscess. The infection and the inflammation associated with an abscess causes throbbing and pulsating type of pain which may make it difficult for you to identify the tooth that causes your distress.

2. We all know gum disease causes red, swollen, bleeding gums. But advanced gum disease can cause toothache even in an otherwise healthy tooth too. Gum infection causes inflammation of the gum and bone tissues leading to swelling, loss of bone around the teeth and a dull pain. Gum abscess that may occur in most advanced stages of gum disease (periodontitis) may also cause pain.

3. Falls or accidents could cause fractured or broken teeth, which you may or may not notice at that time. However, they are almost certain to cause severe toothache when the fracture line runs through the pulp (nerves) of the teeth. Even if the fracture line is not very deep, plaque and bacteria can get accumulated in the crack and cause tooth decay.best implant dentist london

4. Sometimes you may experience pain in your tooth which has no obvious signs of fracture and is also not affected by cavity or advanced gum disease. This could be due to a concealed crack/fracture of the tooth that is too small to be even seen on X-rays. This is called cracked tooth syndrome which may occur due to bad chewing habits, teeth grinding, tooth injury, weakening of tooth due to large fillings, etc. Sometimes during a root canal treatment the tooth may crack from the pressure applied. Such cracked tooth causes severe pain when you chew.

5. Tooth grinding (bruxism) can wear down or chip your teeth and put excess force on the tissues supporting them causing pain not only in the teeth but also in the jaw joints and muscles.

6. Improper tooth brushing and gum disease cause the gums around the tooth to detach or recede.  This causes the roots of the tooth to be exposed and can cause extreme sensitivity to cold, hot, and sour foods. Acidic drinks can also further erode the roots and aggravate the sensitivity.affordable cosmetic dentistry london

7. Chances are that you may have misaligned or impacted wisdom teeth i.e. they fail to erupt partially/completely through the gum line. When a wisdom tooth erupts it may cause pain if there is not enough space for it to erupt. It may also put pressure on the adjacent tooth and cause a dull ache. A partially erupted wisdom tooth is also difficult to clean. Bacteria grow on the food that accumulates under the soft tissue flap around it, leading to a pericoronitis (infection) which causes swelling and redness of the gum with diffuse pain. If untreated, it can lead to serious infections and severe pain.

8. How could crooked tooth possibly cause a tooth ache? When your teeth are not aligned properly there is uneven distribution of forces on the teeth and thus inflammation of the nerves in the teeth causing pain.best dental hygienist london

9. Orthodontic treatment (or correcting the alignment of the teeth with braces) could often cause pain for brief periods of time when the braces are adjusted or tightened.specialist cosmetic dentist london

10. A toothache may also be caused by a problem that is not related to a tooth or the jaw. There are some conditions elsewhere in the body that can cause pain that is referred to a tooth. During a sinus infection, the pressure from your sinuses is referred as a dull ache to your upper back teeth due to their close proximity to the teeth. In rare cases, a toothache or jaw pain may be a sign of a heart attack. Toothache may also be referred from trigeminal neuralgia which is characterised by episodes of intermittent, intense shooting pain in the face…read more

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