Severe pain, sensitivity to hot and cold, bad breath, bleeding at the gums or an inflammation of the cheek and high fever are the unmistakable symptoms of a raging toothache.
There can be several causes for toothaches:
- a deep cavity that touches the nerve,
- an erupting wisdom tooth,
- a pulpitis (an inflammation or an infection of the nerve of the tooth),
- a gingival infection,
- a dental abscess,
In all of these cases, an emergency appointment with your trusted dentist is unavoidable in order to determine the cause of the pain and to quickly find an appropriate solution.
Contact your dentist in Montréal as quickly as possible, in your area.
The main possible causes of a raging toothache
Severe dental pain may result from several causes or origins:
They can occur at any age, including on the milk teeth of infants. In order to avoid cavities, it is essential to maintain an adequate oral hygiene: this means brushing your teeth properly and using dental floss.
Adopting a healthy lifestyle, as well as a healthy diet is important in the prevention of tooth decay. It is equally important to remember that sweet drinks and snacks are often very cariogenic.
Tooth infection and pulpitis
A toothache is not necessarily caused by tooth decay; it can originate from an inflammation of the gum, a fractured tooth, the eruption of a wisdom tooth, a damaged nerve, food debris trapped between two teeth or an abscess…
Here are a few of the symptoms of an irreversible pulpitis:
- a persistent high sensitivity to hot, cold or sweet
- an acute pain when chewing or at percussion,
- a pulsing sensation inside the tooth,
- unbearable pain when lying down or during the night.
At this stage, the dentist must sometimes anaesthetize the tooth, extract the pulp (and what remains of the nerve), in order to reduce the painful and irreversible inflammation that has set in.
But also, a raging toothache can originate from sinus problems (a condition known as maxillary sinusitis), jaw dysfunction, or molars or wisdom teeth that are incorrectly positioned.
What should be done in the event of a raging toothache?
Pain killers, anti-inflammatory, and analgesic drugs are not always effective at relieving pain. They will ease the crisis temporarily, but the pain is likely to come back. It is important to remember that a cavity or an infection not adequately treated may evolve into an abscess.
The dentist is a health professional who will search for the root cause of the problem and propose a solution according to his diagnostic.
The dentist is a practitioner who will rather treat the problem at its origin: by treating the decayed tooth, treating the canal, devitalizing the tooth, or extracting the tooth…
How to avoid a raging toothache?
There is no better method than prevention to avoid toothaches! The best way to care for one’s teeth is to adopt a constant proper oral health practice (see the article about the dental hygienist) and to have a periodical scaling of the teeth and to schedule preventive examinations, following in this matter the recommendations of the dentist and his or her team of professionals.
Emergency remedies to ease the pain
You are suffering from a raging toothache, but you are unable to consult with a dentist? Do not hesitate to consult with your pharmacist. Your pharmacist will certainly provide you with valuable advice to help you relieve the pain. In case of force majeure, head directly for the hospital.
Brush your teeth lightly several times each day with a soft brush in order to avoid the proliferation of bacteria and to prevent the infection from getting worse.
Perform only 2 mouthwashes each day at the most, since high doses of antiseptics may cause burns.
In order to reduce pain, do not sleep lying down; instead, use large pillows that will allow you to hold your head in an upright position.
Eat from the opposite side of the painful area and avoid hot or cold liquid food.
Avoid travelling by plane during a raging toothache and do not go scuba diving or practise any kind of intense sports.
Finally, take over-the-counter painkillers or anti-inflammatory medication. Ask for advice from your pharmacist in order to avoid an overdose.
Caution: if you are pregnant, set up an emergency appointment in a dental clinic, since there is a risk of infection both for you and for your unborn baby.
The abscess is a bacterial infection
The gingival abscess is a type of abscess that can be caused by an injury or by food stuck between the teeth. Another type is the periodontal abscess, related to the presence of tartar deep onto the roots of the teeth. A dental abscess is called periapical when the infection of the tooth canal is transmitted to the bone situated near the apex of the root. In such a case, the canal treatment or the extraction of the tooth is sometimes recommended.
Whenever you are suffering from a raging toothache, we recommend that you quickly contact your dentist in Montréal (in your area). Painkillers can ease the crisis for a while, but they will seldom solve the underlying problem.
How to avoid a raging toothache?
There is nothing better than prevention to avoid a toothache. The best course of action is to take care of one’s teeth and to adopt a faultless oral hygiene (consult with a dental hygienist). Proper dental hygiene involves brushing after each meal, the use of dental floss, and most importantly, an annual visit to your dentist in Montréal.
Set up an appointment using the on-line form.