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Causes of a Toothache

• Tooth Decay. If the pain lasts more than a day, this is the most common cause. You may see a yellow-brown spot in the enamel. The most common site is the surface of one of the molars. The pain is dull.
• Dental Abscess. If the pain is severe and throbbing, the decay has become a tooth abscess. That means a pus pocket has formed within the root of the tooth. Tapping on the tooth causes more pain. If not treated, the abscess will erode through the bone. A "gum boil" or pimple will be seen below the gum line. See a dentist.
• Cracked Enamel. Biting on a hard object can crack a tooth. The tooth gets sensitive to hot and cold liquids. The tooth may look normal. The fracture may be below the gum line or hard to see.
• Gum Disease. Gingivitis is a medical name for irritated gums. They are red and tender. If tooth brushing and flossing are ignored, the gums may even bleed. This can be very painful. Getting your teeth cleaned and daily flossing may help this.
• Stuck Food. Solid food may become wedged between 2 teeth. Flossing will remove the food and stop the pain.
• Angina (Ischemic Heart Disease - serious). Heart pain often can be felt in neck and jaw. It can be mistaken for a toothache. If you have heart disease, or have toothache along with sweating, shortness of breath or a feeling of pressure in your chest, get your heart checked right away. It could be more than a toothache.

Tooth Abscess and Severe Pain

• A tooth abscess can cause severe pain that is not helped by normal pain medicines.
• Do not take more than the recommended dosage of pain meds, even if you still have pain.
• A root canal may be needed to treat this problem.
• In the meantime, call your dentist's office. If you can't reach your dentist, call your doctor for advice. They can often bring the pain under control by calling in a prescription. Most often, this is for an antibiotic such as penicillin.