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Tooth decay is often caused by poor dental hygiene, although the tendency to get tooth decay is partly inherited. Generally a toothache happens if tooth decay penetrated the pulp chamber or is very close to it, which contains the nerves and tiny blood vessels. Bacteria that live in your mouth thrive on the sugars and starches in the food you eat. These bacteria form a sticky plaque that clings to the surface of your teeth.


Toothaches are usually caused by tooth or jaw problems. Some of the most common causes are: dental cavity, a cracked tooth, an exposed tooth root, gum disease, tmj, impacted teeth, or spasms of the muscles used for chewing. Other causes of toothache are mouth injury, a cracked tooth, a head cold, or sinus or dental infection. You may also have tooth pain after having dental work.
And another cause of toothache occurs from inflammation of the central portion of the tooth called pulp. The pulp contains nerve endings that are very sensitive to pain.
In very rare cases toothache can also be caused by the following:

  • Angina - a disease of the throat marked by spasmodic attacks of intense suffocative pain
  • Heart Disease.
  • Myocardial Infarction - destruction of heart tissue resulting from obstruction of the blood supply to the heart muscle.


The pain can be dull, sharp, aching, burning, or throbbing. It may come and go, and may affect the whole mouth or only one part. The pain may persist for longer than 15 seconds after the stimulus is removed. As the area of inflammation increases, the pain becomes more severe. Hot or cold foods and biting and chewing may increase the pain. Other possible symptoms include fever and swollen gums. As the decay continues you may feel a mild pain when you eat something sweet, sour, hot or cold.


Any patient with a toothache should see a dentist at once for diagnosis and treatment. Most toothaches get worse if not treated. Aspirin may be helpful for problems in the joint of the jaw in adults. Acetaminophenshould be used for children and teenagers.

Diagnosis includes identifying the location of the toothache, as well as the cause. The dentist begins by asking the patient specific questions about the toothache, including the types of foods that make the pain worse, whether the tooth is sensitive to temperature or biting, and whether the pain is worse at night.

If the pulp of the tooth is infected you may need to have root canal treatment. Your dentist takes out the decayed pulp, fills the space with a paste, and covers the tooth with a crown to protect and seal it.

If the toothache involves a molar at the back of your mouth, you can bite down gently on the cotton ball to keep it in place. Leave it there for as long as possible. Pain relief should begin quite rapidly.

Home remedies: Among the most effective home remedies for toothache is garlic. A clove of garlic with a little rock salt should be placed on the affected tooth. Latest research has confirmed the bactericidal properties of onion. If a person consumes one raw onion every day by thorough mastication, he will be protected from host of tooth disorders.

Cure: Keep your teeth clean. For this brush two times everyday. Avoid chewing gums as well as sweat etc. regularly. Visit your dentist regularly to make a check up of your teeth.

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