How to stop tooth pain?
Tooth pain is an abnormal sensation caused by a tooth problem
What can cause pain to a tooth? Let’s start with the tooth itself: an exposed tooth neck, for example can cause tooth pain. The crossover between enamel and root cement isn’t always seamless, sometimes a bit of dentine is exposed. There’s more about this in the video ‘Tooth Neck’. Normally, however, this crossover is well-protected by the sulcus, i.e. it lies beneath the gums. If, due to anatomical deviations, dentine is exposed at the neck of the tooth and the crossover from enamel to cement is not covered by the sulcus then cold air and/or hot or cold food may cause you to feel pain.
How can the enamel/cement crossover come to be exposed? By periodontitis, for example, or by tooth movements and/or by anatomical peculiarities. An operation may also expose the enamel/cement crossover. When you have a wisdom tooth removed, for example, the bone is abraded and the wisdom tooth is eventually levered out. The wound heals but the operation causes a little tissue damage, the gums behind the 7th tooth sink a little and suddenly the tooth neck is exposed and hurts. A brace can also cause the position of the crossover in relation to the gums to change. The use of toothpaste containing fluoride can give ongoing protection to the exposed dentine but if you drink a lot of fruit juice, for example, or neglect your oral hygiene for a few days then this protection can be lost and hot and cold things will once again cause pain. It’s a pulling pain and it stops when you gather a lot of saliva in your mouth.There are many other reasons why a tooth neck can suddenly cause pain. First of all it depends on the enamel/cement crossover and this is different from person to person and in addition other factors, as described in the examples above must come into play. The possibilities mentioned here are some of many. Your dentist can however, independently of the cause, give you a lot of help to seal the sensitive tooth neck.
Another example of tooth pain: caries reach the dental nerve, which dies. You feel a blunt, or sometimes throbbing, pain which may be pretty strong for a few days. As a rule, however it generally stops after a few days.
If you don’t have a root treatment done on the tooth then, yes, the pain might be over but you haven’t treated the problem. Events usually continue to progress, the inflammation spreads to the bone, the tooth becomes sensitive to tapping and you can’t bite on it anymore. An inflammation of the bone has developed out of the inflammation of the nerve. There’s more about this in the video ‘Abscess’.
It may take days, weeks, months or even years for the bone inflammation to develop. A poor root treatment can also cause such an infection in the bone. Another thing is that it’s not only caries that causes a dental nerve to die. It may also happen when drilling the tooth and/or due to the chemicals used by the dentist when doing a filling. There’s more about this in the video ‘Pulpitis’. In order to avoid worse complications it is best to have every painful tooth investigated.