All the things you need to know about What Should You Do In A Dental Emergency? Managing Emergency
What To Do If You Have a Toothache
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A severe toothache can signal nerve damage or an infection. It is important that you keep the area free of bacteria and debris. Rinse the mouth out with warm water to clean it out. Gently use dental floss or an inter dental cleaner to ensure that there is no food or other debris caught between the teeth. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue.
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Abscess on the Tooth
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Abscesses are infections that occur around the root of a tooth or in the space between the teeth and gums. Abscesses are a serious condition that can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated. If you have a severe throbbing pain and the tooth feels as though it is raised out of the socket and is loose, try using a mouthwash consisting of a teaspoonful of salt in a glass of warm water. Hold each mouthful for about one minute and repeat the procedure 3 times daily. Never put heat on the outside of the face.
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Severe Pain /Root Canal Emergencies
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Constant, severe pain and pressure, swelling of the gums, and sensitivity to touch indicate an infection in the tooth, possibly accompanied by an abscess (inflamed, pus-filled sac) in the surrounding gum and bone tissue. In this case, it’s important to see a dentist right away — not only to relieve the pain, but also to save the tooth while it’s still possible. Treatment may include a root canal to remove diseased or dying pulp tissue, and/or periodontal procedures to drain the abscess and stop the infection.
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Lingering pain after eating hot or cold foods usually indicates disease in the pulp tissue deep inside the tooth. Deep decay or physical trauma to the tooth may have allowed bacteria to infect the pulp tissue or compromise the pulp vitality. As nerves inside the pulp tissue die, the pain may go away, but the infection won’t — in fact, it can spread and cause significant damage. Make an appointment to see a dental professional as soon as possible; a root canal may be needed to ease the pain and preserve the tooth.
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Sharp pain when biting down on food can be caused by severe tooth decay, a loose filling, a crack in the tooth, or possibly by damaged pulp tissue inside the tooth. It should be evaluated by a dentist as soon as possible. Depending on the cause, treatment may involve filling, bonding, root canal therapy, or other procedures.
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How to alleviate the symptoms Toothache
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Occasional or momentary sensitivity to hot or cold foods may be caused by a tiny area of decay, a loose filling, or a small amount of gum recession that has exposed the roots of the teeth. To alleviate the symptoms, you can try using a soft brush and toothpaste formulated for sensitive teeth, for a couple of weeks. If that doesn’t help, call the dental office to schedule and appointment. Dental treatment itself sometimes causes temporary sensitivity, which can often be relieved by the same methods. If pain persists or grows worse, however, be sure to seek treatment.
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A severe sinus headache or congestion from colds or flu may cause you to experience symptoms such as a dull ache or pressure in the upper teeth and jaw. When the illness goes away, the dental distress should cease too. Tooth clenching or grinding ( bruxism ) has also been known to cause this type of discomfort. If you have these habits, you may want to have a night guard made at the dental office to protect your teeth and jaws from too much force.
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
Treatment options in main emergencies if you have a painful tooth
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Root Canal Therapy- as a result from abscess and tooth decay.
Root Canal (Endodontic) Therapy involves saving an infected tooth from having to be removed. Root Canal Therapy conserves a tooth that has been damaged by decay, fracture or an abscess. The tooth can then be restored without the need for an extraction. We never want you to lose any teeth and most of our patients don’t want this either. We will always find you the best possible treatment to help you keep your tooth.
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Some indications root canal therapy may be required include:
Lingering tooth sensitivity to cold liquids
Lingering tooth sensitivity to hot liquids
Tooth sensitivity to sweets
Tooth pain to biting pressure
Impulsive toothache, such as that experienced while reading a book, walking or other normal daily activities
Constant or intermittent tooth pain
Severe tooth pain
Throbbing tooth pain
Tooth pain that may occur in response to atmospheric pressure changes such as when flying or scuba diving
Tissue swelling of the face
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Root Canal Therapy can typically be deferred for a day or two with over-the-counter painkillers to reduce the immediate pain and inflammation. We do recommend that you visit us as soon as possible for treatment to avoid any aggravated problems as the pain may also be a sign of something else.
Emergency Tooth Extraction
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At our office, we believe that a tooth extraction is the last resort. As an alternative to an extraction we will always recommend Root Canal Therapy if the tooth can be saved, to retain the health, function and comfort of your mouth. Even if you have significant tooth decay, there are numerous restorative treatments that we can recommend, such as porcelain crowns rather than tooth extraction.
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Tooth extraction has a number of unwanted and unnecessary side effects including misaligning and spreading of the teeth that can affect the look of your smile. Missing teeth can also have a dramatic affect on your ability to chew food effectively. To avoid any risk of tooth loss, we recommend you have your teeth checked every six months.
Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
How Should I Care For a Cracked Tooth?
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If you regularly open packages with your teeth, chew ice cubes or eat hard candy, you’re more likely to crack, or fracture, one of your teeth.
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If you believe that you have cracked a tooth, you should begin injury care right away by rinsing your mouth with warm water. If you require immediate pain relief, take ibuprofen, not aspirin, and place an ice pack or cold compress over the area to reduce swelling.
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As soon as you can, call our Dental office for an emergency care appointment. We will assess the extent of the fracture and determine the best approach for treatment. Although she can usually smooth or repair minor fractures, moderate or severe fractures often need restoration with a porcelain crown.
Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
Is it Possible to Save a Lost or Loose Permanent Tooth?
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If one of your adult teeth has been knocked out or severely loosened in an accident, in a fall, or on the sports field, see us as soon as possible — early care can make the difference between saving your natural tooth or eventually needing an artificial replacement tooth.
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If your tooth has fallen out completely, there are specific steps you should take to care for it before you head to the dental office. If it’s dirty, rinse it gently in the water, being careful not to touch the root. If possible, place it gently back into its socket to keep it moist. Don’t push the tooth down into the empty socket, however, as doing so may unintentionally damage the tissues.
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If you can’t set your tooth back into its socket, try holding it in your mouth between your cheek and gums. You can also wrap it in gauze and immerse it in milk or water. The most important thing is to keep it moist.
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
Tooth fracture
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Tooth fracture caused from an accident can be very aching. Patients should try not to delay their dental consultation. Those who have fractured tooth should take few steps before visiting the dentist. One should collect the broken pieces of tooth and should take them to dental practice after washing it gently. The type of fracture decides the treatment of fractured tooth. Most Dentists usually suggest dental bonding or veneers for a chipped tooth.
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In case of tooth broken into two pieces, the advice given by most of the dentist is to get it repaired by a procedure called crowning. Sometimes a crack may affect one or more cusps of the teeth, the tooth can be set with a crown also known as cap. In some cases the tooth may need to be removed, as some deep cracks may affect the tooth root in the jaw. But if the tooth is extracted it can be replaced with an implant or bridge. Teeth grinding is one of the most common cause of cracking teeth. Dentist can give you a night guard to avoid this problem. Deep pain can produce a pressure that can damage the teeth. The night guard can not only be used in the night but also can be used in the day. Accidental tooth fracture is very painful. It should be consulted as soon as possible.
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
Bleeding Socket
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Bleeding from the oral cavity is common. It could be cause by following conditions: recent dental procedures such as periodontal surgery and/or dental extractions, anti platelet agents such as aspirin, presence of coagulation disorders, and a prior history of spontaneous bleeding. Soem few tips on how to manage bleeding socket
- Apply direct pressure: bite on gauze for 20 minutes (pressure is the key).
- A moistened teabag should be placed directly on the extraction site and constant pressure applied (contains tannic acid, which helps to stop bleeding).
- Dental treatment should be obtained immediately
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
My Tooth Has Just Fallen Out. What Should I Do Next?
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The correct medical term of a “knocked out” or “fallen out” tooth is called “avulsed”. If the tooth that has been lost is an adult tooth, then it is possible to replant the tooth back into it’s root. If the lost tooth is a baby tooth, most dentists will recommend that you keep the lost tooth out. Common causes for tooth loss would be due to sports related injuries, falling face first, being hit in the back of the head by a strong force or biting on a hard object.
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If your tooth has just fallen out, you may still have a chance at saving it. There are a few options you can choose from when dealing with this situation. If possible, try placing the missing tooth back into the root and apply very light pressure while biting down on gauze or a wet tea bag. Another method would be to dip your tooth in milk while you travel to the emergency dental clinic near you. We must advise you to NOT let your tooth dry out. This can completely damage your tooth to the point where all chances of saving your tooth are lost.
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
I need instant relief for my dental pain. What should I do?
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When a patient calls in to schedule an emergency appointment, our best advice to ease their pain would be to apply a cold pack or ice pack to the affected areas. This can help with the swelling and reduce inflammation. With most dental problems such as tooth aches or swelling, the pain can be reduced by applying cold to the inflamed areas. Call our office today and we’ll be more than happy to help you out with your tooth pain in no time!
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
When to Go to the Hospital
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Signs of a tooth infection include the following:
- Severe and persistent throbbing that feels as if it is your jaw in pain, neck or ear.
- High fever.
- Sensitivity when you chew or bite.
- Sensitivity when you apply cold or hot temperatures.
- Major swelling of your face or cheeks.
- Bad breath.
When should you go to ER for dental emergencies?
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Some dental emergencies cannot wait for treatment; some emergencies might not be urgent, so you can wait to see your dentist. It’s important to know the difference when it comes to seeking treatment. Here are few examples of emergency situations that would likely be classified as urgent:
- Swelling that is very painful
- Bleeding that won’t stop
- A toothache that hurts unbearably
- A permanent tooth that becomes loose or that is completely knocked out
- An injury to the jaw
If you have any of the above situations occur, it is best to call your dentist immediately to deal with the situation right away
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
When to Go to the Hospital
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Dental emergencies or traumas involving the face and mouth that require immediate medical attention include jaw fractures, jaw dislocations, serious cuts or lacerations to the face and mouth, or an abscess or infection that is very swollen or affecting your breathing or swallowing.
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These are situations where you’d want to go to a hospital emergency room. Don’t wait for the dentist’s office to handle a potentially life-threatening condition.
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Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
When to See the Dentist
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There are other dental emergencies that are not considered life-threatening but that still may require immediate care.
If you crack or break a tooth (such as while eating something crunchy) or you get a tooth knocked out, unless it’s causing a lot of bleeding or happened as a result of a violent injury (like being punched in the face), you can probably wait for the dentist to handle these.
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While the pain of a decayed or abscessed tooth may be serious, unless it’s affecting your ability to breathe or swallow, it probably doesn’t rise to the level of an emergency. Make an appointment to see your dentist as soon as possible.
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When Your Dentist Isn't Available
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Dental emergencies don’t always occur when your dentist’s office is open. If the dental emergency occurs during non-business hours, on a weekend, or a holiday and it’s not considered life-threatening, always try calling your dentist before pursuing alternative care options. Many dentists provide their patients with after-hours emergency care or an on-call substitute recommendation. In cases where a dentist is not able to see you after hours but you still require treatment from a medical professional, go to the nearest healthcare facility in your area.
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Causes of Tooth Pain and Treatment Options
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A toothache—described as any pain, soreness, or ache in or around a tooth—can be a frustrating and unpleasant experience. In addition to a sharp or dull pain, your tooth may be sensitive to temperature or painful when chewing or biting. In order to get to the bottom of your tooth pain, your doctor will consider several potential diagnoses based on your medical history, dental exam, and sometimes an imaging test, usually an X-ray.
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Here is a summary of the most common causes of a toothache, ranging from tooth sensitivity and decay to serious infections, like abscess formation.
Causes
Among all the things that might cause a toothache, the most common are tooth decay, inflammation of the tooth pulp, an abscess, a cracked or impacted tooth, gum disease, and sensitive teeth.1
Common
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Let’s look at each of these potential causes individually.
Gum Disease
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Gum disease is characterized by infection of the gums. More specifically, with gingivitis, the gums become inflamed and become hot, red, and swollen. When an infection occurs in the gums, periodontitis occurs.
Eventually, if left untreated, the infection causes bone loss and deterioration of the gums. Gums become detached from the teeth, forming pockets that fill with more bacteria. Tooth roots are then exposed to plaque and become susceptible to decay and sensitive to cold, touch, and chewing.
Tooth Decay
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Tooth decay refers to erosion and cavity formation in the outer surface (enamel) of the tooth. When plaque—a sticky layer of bacteria—forms on the tooth enamel, it feeds on the sugars and starches from food particles in your mouth. This produces an acid that eats away at the enamel, causing weak areas and holes. Over time, the enamel breaks down and a cavity forms.
While cavities are generally painless, as the decay spreads inward toward the middle layer of the tooth (dentin), it can create symptoms such as sensitivity to temperature and touch.
Sensitive Teeth
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Sometimes you may experience discomfort when your teeth or a specific tooth are exposed to cold air, liquids, and certain foods. This means your teeth may have developed a sensitivity linked to one or more stimuli, like cold temperatures.
Teeth sensitivity develops from exposed dentin—the tissue that lies underneath both the enamel (the hard outer layer of your tooth) and the cementum (the tissue that covers the tooth root).
Dentin may become exposed as a result of cavities, worn fillings, or from cracked teeth. Receding gums in gum disease (or due to forceful brushing) can also expose dentin, leading to teeth sensitivity.
Bruxism
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Bruxism—characterized by clenching and teeth grinding, often while sleeping—may occur without you knowing it. But, particularly over time, it may cause tooth sensitivity, as well as tooth or facial pain.5
Inflammation of the Tooth Pulp (Pulpitis)
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When tooth decay extends deep into the pulp of the tooth, pulpitis occurs. This means that the tissue in the center of the tooth (nerve/tooth pulp), which is rich in blood vessels and nerves, becomes inflamed and irritated. This inflammation causes pressure to build inside the tooth and subsequently within the surrounding tissues.
Besides tooth decay, other conditions that may cause pulpitis include:
- Trauma to a tooth
- A tooth that requires multiple invasive procedures
The main symptom of pulpitis is an exquisite sensitivity to various stimuli, largely temperature (hot or cold).
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It’s important to mention there are two types of pulpitis—reversible pulpitis and irreversible pulpitis.
If the pulpitis is reversible, the pain or sensitivity stops within a couple seconds of the stimuli being removed. If the pulpitis is irreversible, the pain can linger for minutes after the stimulus is taken away.
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Cracked Tooth or fractured tooth
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A cracked or fractured tooth may occur from trauma to the mouth, such as when an athlete receives a blow to the face. In addition, the force from biting down on a hard object like ice or a popcorn kernel can sometimes cause a tooth to crack. Severe bruxism may also damage and crack teeth.
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Symptoms of a cracked tooth may include a sharp pain when biting or chewing. Your cracked tooth may also be sensitive to hot and cold temperatures or to sweet and sour foods.7
Keep in mind, there are different types of cracks in teeth—and identifying the type of crack you have will ultimately guide your treatment plan.
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There are five types of cracks in teeth:7
- Craze lines: When shallow, tiny cracks develop on the outer enamel
- Fractured cusp: When a piece of the tooth’s chewing surface breaks off, usually around a filling
- Cracked tooth: When a crack extends from the chewing surface of your tooth vertically toward the root of the tooth; the crack may or may not extend below the gum line.
- Split tooth: When the tooth splits into two parts
- Vertical root fracture: When a crack forms in the root of the tooth; since fracture roots are usually not visible, it may go unnoticed until an infection develops.
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Rare Cause of Toothache
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There are a couple of potential, though rare medical emergencies that may cause tooth pain or result from untreated tooth conditions.
Ludwig’s Angina
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Very rarely, a submandibular space infection, also called Ludwig’s angina can cause tooth and mouth pain. This very serious, life-threatening infection of the submandibular space—an area deep within the floor of your mouth—usually occurs as a result of an infected second or third mandibular molar tooth.
A submandibular space infection is very serious and quickly spreads, causing fever, chills, mouth pain, stiff neck, drooling, a muffled voice, and difficulty swallowing. If the infection spreads to a person’s airway, breathing can become difficult.10
Cavernous Sinus Thrombosis
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Very rarely, a condition called cavernous sinus thrombosis—where a clot forms in the cavernous sinus, located at the base of the skull—may develop from an untreated facial, sinus, ear, or dental infection. In addition to a high fever, other symptoms of cavernous sinus thrombosis include a severe headache, often located behind the eyes, as well as eyelid edema and weakness of the eye muscles.
Call your dentist right away if you experience the following:
- A toothache associated with fever, swelling, drainage, or a pocket of pus
- A cracked or chipped tooth
Go to the emergency room if you are experiencing a high fever with a headache, mouth or tooth pain, and/or neurological symptoms.
Diagnosis
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In order to determine the cause of your tooth pain, your doctor will proceed in a step-wise fashion, beginning with a medical history.
Medical History
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In order to narrow down the possible causes of your tooth discomfort, your doctor will ask you several questions regarding the types of symptoms you are having.
Some of these questions may entail the following:
- How long has your tooth pain been going on?
- Is the pain constant or does it occur only after a trigger (for example, drinking a cold beverage)?
- Is your tooth sensitive to cold or heat, sweet food, chewing, and/or brushing?
- Has your tooth pain woken you up in the middle of the night?
- Are you experiencing any associated symptoms (e.g., face pain or swelling, pain with bending forward, headache, fever, or vision problems)?
- Have you experienced any tooth or mouth trauma?
- Have you undergone any recent dental procedures?
Pain Control
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For pain relief, your dentist may recommend taking Tylenol (acetaminophen) or a nonsteroidal anti-inflammatory (NSAID). For severe pain, your doctor may prescribe an opioid.14 Local nerve block injections may also be given for severe pain or during a dental procedure.
Antibiotics
If you have an abscess, pulpitis, gingivitis, or periodontitis your doctor may prescribe an antibiotic, like amoxicillin. Antibiotics will also be prescribed for bacterial sinusitis.
Oral Rinses and Topical Fluoride
Chlorhexidine oral rinses may be administered by your dentist to treat gingivitis. Fluoride rinses or topical fluoride treatments may also be given by your dentist to prevent or treat tooth decay.
For tooth sensitivity, in addition to brushing your teeth with a special toothpaste made for teeth sensitivity, such as Sensodyne, your dentist may apply fluoride to your teeth (especially the parts of your teeth that meet the gum).
Oral Devices
If you have sleep-related bruxism, your dentist may recommend wearing a mouthguard at nighttime.15
Keep in mind, while a mouthguard will protect your teeth from damage, it won’t decrease the number of bruxism episodes. This is why addressing your underlying bruxism triggers—stress or drinking alcohol or caffeine at night—will also be an essential part of your treatment plan.
Dental Procedures
Sometimes, various dental procedures are warranted to treat your diagnosis. For instance, for tooth decay and cavity formation, the primary treatment is restorative therapy, which entails removal of the decay by drilling, followed by filling of the removed area with a strong material (called a filling).16
For irreversible pulpitis, your dentist will need to perform a root canal. For an abscess, incision and drainage of the infected pocket is the primary therapy.17
Lastly, for a cracked tooth, treatment depends on the location and direction of the crack, as well as the extent of the damage.
For instance, for a fractured cusp, your dentist may simply place a new filling or crown over the cracked tooth to protect it. Likewise, for a cracked tooth that does not extend below the gum line, your dentist may perform a root canal and place a crown to prevent the crack from spreading further.
For more serious cracks, like a crack that extends below the gum line or for a fractured root with an associated infection, tooth extraction may be necessary.
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How to Relieve Pain From a Cracked or Broken Tooth
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Prevention
The key to good oral health is preventing problems before they arise. For example, to prevent cracked teeth, it’s important to wear a mouthguard during contact sports and to avoid biting hard candies or ice.
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To prevent cavities, gum disease, and tooth sensitivity, try following these preventive strategies:
- Brush your teeth gently twice daily using soft-bristle toothbrush and a fluoridated toothpaste
- Floss daily
- Drink fluoridated water
- Undergo regular professional dental cleanings
- Replace your toothbrush every three to four months or sooner
- Avoid smoking
- Eat a regular, balanced diet rich in fruits, vegetables, protein, and fatty fish and minimize ingestion of sugar-rich foods or drinks
How to Relieve Pain From a Cracked or Broken Tooth
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A broken or cracked tooth may cause a very painful toothache, especially if the inner pulp of the tooth is exposed. That’s where the tooth’s blood vessels, nerve, and connective tissues are, and if that area becomes inflamed or infected, the pain can be excruciating.
While any damaged tooth needs to be seen and treated by a dentist, you can try some solutions for temporary pain relief while you wait to be seen.
First Aid
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You need to see your dentist as soon as possible in order to prevent further damage from occurring to the tooth and gum tissues. Don’t delay in calling for an appointment; many dentists leave slots on their schedule open for emergencies such as this.
While you’re waiting, gently bite down on a fresh piece of gauze. If only part of the tooth has broken off, you may wish to collect the broken piece (if possible) and take it with you when you see the dentist. Even though he or she won’t be able to use the broken piece to restore your tooth, the dentist may want to see if the piece that broke was enamel or part of a filling.
Things to Avoid
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If you have a broken or cracked tooth and are unable to see your dentist immediately, do what you can to keep pain from worsening. Note that these are temporary measures because only a dentist or an endodontist can repair a damaged dental nerve.
Stay away from the following:
- Foods and beverages that are very cold or very hot. Since the dentin layer of the tooth (the tissue that lies underneath the outer enamel layer and surrounds the pulp) has likely been exposed by the crack or break in the tooth, extremes in temperature may cause pain.
- Foods and beverages that are very high in sugar or are very acidic, as they may irritate the nerve in the tooth
When a tooth cracks and the entire tooth remains in the mouth, avoid eating or biting down on it. A cracked tooth may or may not involve the root, so every effort to avoid contact with the tooth should be made in order to prevent the tooth from cracking further and potentially causing a root fracture.
Easing Your Pain
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While these temporary remedies may not work (or work as you might like them to) in every situation, they may provide you the relief you need to make the time until your appointment more tolerable:
- Use an over-the-counter (OTC) pain-relief medication like Motrin or Advil (ibuprofen) or Tylenol (acetaminophen). Be sure these are safe to use with any other medications you may be taking. You’ll probably want to avoid aspirin, which can slow blood clotting and cause problems if and when you need a root canal.
- Floss between the teeth that are cracked or broken. Removing food particles and plaque, the sticky film that coats the teeth and contains bacteria may reduce pain. Be careful not to poke too deeply around the affected tooth.
- Use oil of cloves (eugenol), which can be found in most health food stores. A natural anesthetic, it’s been used in dentistry for over a century. Soak a small piece of cotton in the oil, then blot the cotton on a piece of tissue to remove the excess. Hold the cotton on the painful tooth for 10 seconds, making sure you don’t swallow any of the oil.
- Try an OTC dental anesthetic like Orajel (benzocaine) or Anbesol (lidocaine), which you can find at most pharmacies.5 Or you can seal the affected tooth with an OTC temporary filling material (Dentemp).
- Sleep with your head elevated. The inflammation of the nerve associated with a cracked tooth is very painful and is often what causes the most uncomfortable pain. Elevating your head when resting may ease some of the pressure in the area of a toothache.
- Rinse with warm salt water two to three times a day. Saltwater works as an antiseptic to remove bacteria from the infected area.
Professional Treatment
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Your dentist will determine the best course of action to fix your tooth after he or she evaluates the damage. A cracked or broken tooth that’s causing a toothache is likely to need treatment of the dental pulp to permanently treat the pain.
The pulp extends from the crown of the tooth to the tip of the roots where it connects to the tissues surrounding them. Although the pulp is important during a tooth’s growth and development, the tooth can survive without it once it’s fully mature.
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Treatment of dental pulp (nerve) injuries is called root canal or endodontic treatment. But the type of treatment for a damaged tooth depends on what type of tooth it is (baby or adult), its stage of development, and the characteristics of the injury.
Why Root Canals Are Performed and How They Work
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There’s no doubt that once you have a cracked or broken tooth, you don’t want to have one again. Be aware of the most common causes and do your best to avoid them:7
- Chewing and biting into hard foods, like nuts and hard candies
- Biting on hard objects, such as a pen cap or pencil
- Brittle tooth structure caused by root canal therapy
- Old restorations that have begun to separate from the tooth’s structure
- Clenching or grinding of the teeth (a night guard can help)
- Trauma to the face and mouth
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A toothache caused by a crack or break in the tooth may come and go, but don’t be fooled. The longer you wait to have the tooth restored, the more serious complications may arise. See your dentist as soon as you can after you develop a toothache. Otherwise, your pain will inevitably increase.
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How to Manage Your Cavity Pain
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Tooth decay destroys the hard enamel and dentin of your teeth, exposing the nerves and leading to sensitive teeth and toothaches. You need to see your dentist to get your tooth decay repaired, but what do you do until your appointment?
Here are specific guidelines for dealing with discomfort.
Make an Appointment and Ask About
Do you need Dental Emergency Care and Treatment? Looking for Emergency Dentist in Melbourne CBD? Whether you’ve had knocked out teeth or you’re suffering from a bad toothache, or lost a filling and looking for a gentle & trusted Dentist in Melbourne CBD, WE can help. Call VOGUE SMILES MELBOURNE now on 9629 – 7664. MAKE AN ONLINE BOOKING HERE
Home Remedies for Toothache Relief
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A toothache is pain or soreness that you feel within or around your tooth. A toothache often signals a problem with your tooth or gums, such as tooth decay, gum disease, tooth abscess, or an impacted tooth. Tooth pain, however, can also be connected to an underlying health issue, so it’s important to see your health care provider if you have this type of pain.
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Although there isn’t any scientific support for the use of toothache remedies, the following home toothache remedies are sometimes said to help get rid of toothache pain.
Clove Oil Compress
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An oil said to possess pain relief properties, clove essential oil has long been used as a folk remedy for toothache.
Dipping a cotton ball in one drop of pure clove oil that has been diluted in one teaspoon of olive oil and place the compress beside the tooth.
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Like other essential oils, clove oil is very potent and shouldn’t be ingested, used in excessive amounts, or applied to broken skin. Clove oil can increase the risk of bleeding and cause a rash, itchy eyes, or shortness of breath. Ingesting or absorbing large amounts can cause vomiting, sore throat, seizure, difficulty breathing, kidney failure, or liver damage.
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Undiluted clove oil used in the mouth can cause burning, tissue or nerve damage, and pain. Children, pregnant or nursing women, and those with certain medical conditions shouldn’t use clove oil. You can find out more about clove oil, but if you’re considering using it, it’s a good idea to consult your dentist or health care provider for guidance.
Garlic
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A compress made with raw garlic cloves is sometimes recommended to stop toothache pain. In a case report published in Primary Dental Journal, the use of a raw garlic poultice applied to the skin for a toothache resulted in a significant chemical burn to the face. Crushed raw garlic cloves left in the mouth overnight resulted in a garlic burn injury (skin sloughing and ulcers), according to another case report.
Other Natural and Home Remedies
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Remedies that are sometimes said to ease toothaches include apple cider vinegar, baking soda, cinnamon, coconut oil, cayenne pepper, vanilla extract, green tea, honey, tea bags, oregano oil, salt, tea tree oil, and other essential oils.
Safety
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Be sure to speak with your health care provider if you’re considering trying any natural or home remedy to ensure that they’re safe for you to use. Vinegar may cause burns, for instance, and essential oils such as oregano, cinnamon, and tea tree oils should be used only in extremely small amounts and shouldn’t be ingested. In a case report, a person used an oral rinse made of 3% hydrogen peroxide for over two minutes as a self-treatment for oral discomfort and had pain and extensive chemical burns and tissue damage on the gums and inside the mouth.
The Takeaway
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While it may be tempting to try a natural or home remedy (or wait to see if your toothache improves), you shouldn’t self-treat or avoid or delay standard care. A toothache usually requires dental or medical treatment. Pain due to cavities can worsen, and some toothaches can be a sign of a condition that requires immediate treatment.