It refers to pain around teeth or around the jaw.
Dental (tooth) infection, decay, injury, or loss of a tooth is the most
common causes of dental pain. Pain may also occur after an extraction
(tooth is pulled out). Pain sometimes originates from other areas and
radiates to the jaw, thus appearing to be tooth pain.
Dental cavities- The most common cause of a toothache is a dental
cavity. Dental cavities (caries) are holes in the two outer layers of a
tooth called the enamel and the dentin. Small shallow cavities may not
cause pain and may be unnoticed by the patient. The larger deeper
cavities can collect food debris. The inner living pulp of the affected
tooth can become irritated by bacterial toxins or by foods that are
cold, hot, sour, or sweet-causing toothache.
Gum disease- The second most common cause of toothache is gum disease.
Gum disease refers to inflammation of the soft tissue (gingiva) and
abnormal loss of bone that surrounds the teeth and holds them in place.
Gum diseases include gum bleeding without pain. Pain is a symptom of
more advanced gum disease as the loss of bone around the teeth leads to
the formation of gum pockets.
Tooth root sensitivity- The roots are the lower 2/3 of the teeth that
are normally buried in bone. The bacterial toxins dissolve the bone
around the roots and cause the gum and the bone to recede, exposing the
roots. The exposed roots can become sensitive to cold, hot, and sour
foods. The sensitivities may be so severe that the patient avoids any
cold or sour foods.
Cracked tooth syndrome- it refer to the toothache caused by tooth
fracture. . Biting on the area of tooth fracture can cause severe sharp
pains. These fractures are usually due to chewing or biting hard
objects such as hard candies, pencils, nuts, etc.
Temporo- mandibular joint syndrome- Diseases of the temporo-mandibular
joint(s) can cause pain, usually in front of one or both ears. The TMJ
hinges the lower jaw (mandible) to the skull. Pain in the
temporo-mandibular joint(s) can be caused by acute trauma (such as a
blow to the face), inflammatory or degenerative arthritis, or by the
mandible being pushed back towards the ears whenever the patient chews
or swallows. Sometimes, muscles around the TMJ used for chewing can go
into spasm, causing head and neck pain and difficulty opening mouth
normally. These muscle spasms are aggravated by chewing or by life
"stress," which cause the patients to clench their teeth and further
tighten these muscles. Temporary muscle spasms can also be caused by
dental injections that are used to deliver local anesthetic for dental
work or by the trauma of extracting impacted wisdom teeth.
Impaction and eruption
Toothache and jaw pain are common complaints. There may be severe pain
to pressure, or to hot or cold stimuli. The pain may persist for longer
than 15 seconds after the stimulus is removed. As the area of
inflammation increases, the pain becomes more severe. It may radiate to
the cheek, the ear, or the jaw. Other signs and symptoms that may lead
you to seek care include the following:
Pain with chewing
Hot or cold sensitivity
Bleeding or discharge from around a tooth or gums
Swelling around a tooth or swelling of your jaw
Injury or trauma to the area
These signs and symptoms may sometimes be associated with dental decay
or gum disease (periodontal disease). Dental decay or an area of
redness around the tooth's gum line may point to the source of pain. If
you tap an infected tooth, it may make the pain more intense. This sign
may point to the problem tooth even if the tooth appears normal.
A toothache needs to be differentiated from other sources of pain in
the face. Sinusitis, ear or throat pain, or an injury to the
temporomandibular joint (TMJ) that attaches the jaw to the skull may be
confused with toothache. Pain from a deeper structure (called referred
pain) may be passed along the nerve and be felt in the jaw or tooth.
Medical history and physical examination-
X- ray of tooth and jaw.
ECG- when cause is something other than dental and jaw problem.
Medication to get relief from pain.
To prevent tooth decay, use good oral hygiene. A low sugar diet is
recommended along with regular flossing, brushing with fluoride
toothpaste, and regular professional cleaning. Sealants and fluoride
applications by the dentist are important for preventing tooth decay.
Role of homoeopathy-
Homoeopathic medicines will help in treating acute phases of toothaches
as well as in reducing the recurrent attacks of toothache. The medicine is
selected on the basis of the cause and symptoms presented by
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