Toothache is pain in the area of the jaw and face. It is usually caused by a problem with a tooth. However, other problems in the mouth can also cause similar symptoms. In the middle of every tooth, there is a space containing dental pulp. Dental pulp is a soft, spongy tissue containing lots of sensitive nerves and blood vessels. The pulp cavity is surrounded with layers of hard tissue to protect it. The outermost layer is called enamel, and is harder than bone. Toothache happens when the pulp inside the tooth gets inflamed (pulpitis) or infected. This can be caused by a number of things, but the most common is dental decay (carries). Dental decay is when bacteria in the mouth break down the enamel of a tooth. Holes (cavities) in the tooth develop and expose the nerves underneath. You may have toothache when you eat or drink something very hot or cold, because it touches the nerve in the pulp. Other causes include gum disease; abscesses, loose or broken fillings and crowns; a cracked or impacted tooth; food trapped between teeth or below the gum line;exposed tooth root; bruxism; traumatic injury and pressure from sinus congestion. A toothache can feel like a dull ache or sharp, searing pain (that can be intermittent or continuous), depending on the source and severity of the problem. The painful tooth can be sensitive to heat, cold, pressure or sweets. The pain can also increase when lying down or moving about. When the pain from a toothache is severe, it is often difficult to pinpoint the problem tooth because the ache can easily overtake the entire region of the mouth. If a toothache is not treated, it usually gets worse, resulting to more extreme pain and more drastic treatment. A toothache also be a symptom of an underlying condition, including heart disease, angina and ear infection or sinus infections.
POSSIBLE LIFESTYLE CHANGES, HELP AND RECOMMENDATIONS
Toothaches should always be treated by dentist as soon as possible, but there are some steps a person can take to alleviate pain until dental treatment is available. Rinse the mouth with warm salt water, use dental floss to remove any trapped food particles and place cold compresses outside the cheek (heat tends to spread infection). Take aspirin or acetaminophen to lessen pain. Be sure to swallow the tablet instead of placing it directly on the painful tooth or gum.
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