Acute dental pain can affect your life in a huge way. Besides being unable to chew food properly, pain can disturb your ability to concentrate at your place of work. That’s why any amount of dental ache should be treated by a qualified dentist in uptown. It’s normal to assume that you have a toothache when you feel pain in your mouth. While toothaches are the leading cause of pain, they are not always there. By getting yourself checked by a competent and reputable dentist at URBN Dental at the Uptown or Midtown location, you can identify the root cause of your oral facial pain. It can be caused by a variety of problems. We will discuss them next.
Acute Apical Abscess
- Description – This is acute inflammation of the soft tissues located next to the tip of a tooth root. It results from a cavity and the subsequent pulp tissue damage or death. As well, acute apical abscess can result from an injury or trauma. Also called acute periapical abscess, acute dentoalveolar or acute periradicular, acute apical abscess causes a localized type of pain. The pain worsens when chewing on the affected tooth or when it is touched. Another symptom is dental swelling of the gum (gingival), neck and/or face. There might also be fever, lethargy, and loss of appetite in kids.
- Dentist’s actions -First, your 77027 and 77002 dentist will determine whether your airway is functioning fine. If you cannot push your tongue forward out of your mouth, or if you cannot swallow your saliva, the dentist will assume that your airway is compromised. They will send you to the emergency room immediately. If it’s working normally, you will be given enough analgesia (NSAIDs) and receive the right dental treatment. Antibiotics would only be prescribed if your dental specialist notices a spreading infection. Drainage of the abscess via the affected tooth and cleaning the canal with a sodium hypochlrite solution or chlorhexidine gluconate solution will be done to cure your painful tooth.
- Description – Also called a toothache, dental pulpitis is characterized by throbbing pain due to dental carries or a leaky dental restoration. The pain worsens when one is eating or drinking something and it may be so sharp after pressure has been applied to the cusps of the affected tooth. If there is continuous pulpal inflammation, you might end up with an acute apical abscess that may cause your jaw to swell.
- Dentist’s actions – A dentist is likely to recommend analgesia to help you cope with pain. If the pain doesn’t go away, you might need emergency dental help. The kind of treatment picked will mostly be based on whether you have reversible or irreversible pulpitis. The reversible kind responds positively to a sensitivity test. In the case of irreversible pulpitis, pain may be so hard to associate with a given tooth and it may affect you for several hours. As well, irreversible pulpitis causes spontaneous pain that can be increased by heat and alleviated by a cold stimulus. If you have reversible pulpitis, your doctor will apply a temporary dressing to restore the sick tooth. In the case of irreversible pulpitis, you will undergo a root canal treatment (an endodontic therapy). If it’s your child who has irreversible dental ache, he or she will be treated via pulpotomy(root canal for kids) while you will be treated via pulpectomy(root canal for adults). If your tooth cannot be saved via a root canal, it will be extracted.
Gum disease (Gingivitis and periodontitis)
- Description-The earliest gum disease is called gingivitis and it is characterized by bleeding gums. Usually painless, the disease can go away on its own or continue to worsen. The worst case of gum disease is periodontitis or periodontal disease and it causes a low intensity, dull pain. If not treated, periodontal disease can attack your gum tissue and bone. Eventually it will loosen your teeth to an extent that they will start to come out.
- Dentist’s action – After carrying out various tests to determine whether you have periodontitis and how far it has gone, your dental specialist might prescribe a number of treatment options. If he or she thinks that your condition can respond to deep cleaning (dental scaling and root planing), they will recommend it. But if your gums are so swollen and sick, he or she might carry out a periodontal surgery. There is also another treatment method called laser therapy that can be tried prior to surgery.
Dry Socket (Alveolar Osteitis)
- Description – The term “osteitis” refers to the inflammation of a socket that was left after a tooth extraction. A dry socket often results when a molar tooth is extracted. To know you have a dental ache due to a dry socket, see if it has started one or two days after a tooth extraction process. If you have a swelling or a bad odor from the extraction site, chances are that you have developed a dry socket. It forms when a blood clot doesn’t form at all after a tooth is pulled out or when it gets dislodged.
- Dentist’s actions – If you have signs of a spreading infection in the alveolar area, your dentist 77002 and 77027 might prescribe antibiotics. Otherwise, he or she will give you pain and inflammation drugs after dressing the aching socket with a medicated gauze. If you smoke, you will be asked to quit until the area is properly healed and to improve your dental hygiene. Additionally, you might be asked to irrigate the socket with a saline solution.
- Description – Most people have oral pain resulting from pericoronitis when their lower wisdom teeth are erupting or when they are impacted. It refers to the sort of infection that affects your tissue when your lower molars are developing. It causes localized pain and swelling of your gums around the impacted tooth or face. Other symptoms include difficulty when swallowing, bad odor, nausea, fatigue, fever, or limited mouth opening.
- Dentist’s action – To discover if you have this condition, your uptown dentist will do radiography or an X-ray. It might show an impacted wisdom tooth that has been triggering your pain on a periodic basis due to being infected. It might as well show significant bone loss right behind your wisdom tooth’s crown. This indicates presence of an infection for a given period of time. The right way to treat impacted teeth is carrying out a tooth extraction process. In most cases, these teeth are removed via surgery.
Other causes of dental discomfort
- High Bite – Also called a premature contact, a high bite is yet another common cause of dental ache. It starts out with a sharp ache that soon becomes dull. It results from a new tooth restoration that is higher than the normal occlusion when one bites their teeth together.
- Exposed dentine – Our tooth’s root surface is also described as a thin layer of cementum lying above the dentine. When it gets affected by bad or excessive tooth brushing, it can hurt badly and recede. The affected tooth could also develop sensitivity to cold air or liquid. The right way to help a patient is to caution them against consuming acidic beverages and foods and to get toothpaste that can reduce sensitivity. This type of toothpaste should be applied to the affected root area using the tip of your finger. A dentist might also recommend the use of other hypersensitivity reducing agents such as dentine bonding agents, fluoride varnish and so on. Next this, all causes of dental ache, including pulpitis, should be cured.
- Pain after having an endodontic surgery – A root canal therapy is also called an endodontic treatment or apicectomy. Sometimes severe ache could occur after this treatment is offered. The pain may disappear on its own and can be managed via pain killers. However, there have been cases where the pain became neuropathic or chronic
- Maxillary sinusitis – If it recurs, the condition can be so painful and mostly affects your maxillary teeth. If you try to bend forward, the pain worsens. It’s, therefore, necessary to get examined by your laser dentistry dentist to find out whether you have an issue with your sinuses or another area of your oral cavity.
- Oral Ulcers – If you develop ulcers or lesions in your oral cavity, or lips, chances are that you will feel a lot of pain when eating. A number of health issues can cause oral ulceration, including stomatitis, herpes, oral cancer, a hand, foot and mouth disease and nutritional deficiencies. Some ulcers result from reacting adversely to drugs. Symptoms usually include pain, ulcers, inflammation, lethargy, atypical appearance and dehydration. Treatment is offered based on the discovered cause and how long the ulcers have stayed in your oral cavity.
Tracing dental pain
If pain is felt in the mouth or jaw, the leading root cause is a tooth. Seldom does the pain result from myocardial infarction. When pain is present and pain killers have been used unsuccessfully, dentists search for the exact oral problem. To trace the true cause of pain, your dentist will do the following:
Assess whether you have an unusual jaw pain and/or any other symptom of MI or myocardial infarction—shortness of breath, chest pain and so on. Secondly, your dentist will ask you if you have taken more pain drugs than recommended. If you show signs of MI or overdose, you will be sent straight to the emergency room. If not, your dentist will determine if your ache is as a result of trauma. If it’s found, you will be treated accordingly and if not, your dentist will check if you are swollen. In case you are, they will treat you and if not they will test if the pain is emanating from a tooth.
If yes, they will want to know if the pain is in an erupting tooth. If yes, a dentist will prescribe analgesia, gentle tooth brushing and rinsing after every meal (for kids). If pain is not coming from an erupting tooth, your dental expert will ask you whether you have taken analgesia to reduce pain.
If not, you will be given analgesia and get advised against exposure to stimuli. On the other hand, if you have taken pain medicine and they have not helped, the doctor will send you to the emergency room. If analgesia has worked, your dentist will recommend getting non-urgent dental care.
The next step taken to trace the main cause of dental ache is checking if a patient has had a tooth pulled out recently. If yes, he or she will be cautioned against smoking and will receive enough analgesia and be advised to maintain great oral hygiene. At URBN Dental urgent dental help will be recommended if these tips don’t end your ache. In case this does not help, your dental expert will test if your pain is in the face or mouth.
If in the face, they will see if there are signs of you having temporal arteritis and send you to the emergency room.
If in the mouth, your dentist will want to find out if the pain is a result of an orthodontic appliance like a denture or a sharp tooth cusp. If yes, you will be given perfect advice and if not, your oral specialist will search for ulceration symptoms.
Eliminating your dental ache
The best way to treat pain within the oral cavity is to diagnose it first. Once it’s known, a dentist will decide the right treatment method. Even if the best cure is a tooth extraction, your dentist will give you pain killers to help you cope with pain. The most preferred types of drugs are NSAIDS (non-steroidal anti-inflammatory drugs. These analgesics are the first line of defense you would get when you have acute oral pain. They alleviate pain and inflammation. Alternative drugs are opioids and they are very good at managing acute pain. They only control pain, meaning that they are not the right options when you must to reduce inflammation in your mouth. Besides, opioids have risks, including addiction and overdose, and most patients with acute dental ache don’t have to use them. Besides pain control, your dentist might do a root canal, tooth extraction, dental filling to seal a broken tooth or a cavity or place a dental crown. It all depends on the main cause of your oral pain and discomfort and at URBN Dental Midtown and Uptown locations you will get the best dental care you can get.