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The Kind of Tooth Pain You Have May Identify the True Problem

TheKindofToothPainYouHaveMayIdentifytheTrueProblem

Pain can tell you things. Not verbally, of course, as in, “Hey, your appendix is inflamed!” But the quality of your pain—dull or sharp, constant or intermittent, acute or general—can point the way to the actual problem.

That's especially true of tooth pain, which could signal any number of dental problems. Looking at its characteristics, though, can narrow the search. Here are a few examples.

Sharp, momentary pain. This could be an indication of a number of possible dental problems. If it occurs for a few seconds after eating or drinking something hot or cold, it might signal a small area of tooth decay, a loose filling or early signs of gum recession. The latter could be a symptom of periodontal (gum) disease, so you should seek diagnosis and treatment as soon as possible.

Sharp pain when biting. Like tooth sensitivity, this could be a sign of decay or a loose filling, or it could indicate a fractured (cracked) tooth. If it's the latter, you may need an endodontist, a specialist in interior tooth problems, if you want the best chance for saving the tooth.

Dull ache in upper teeth. This might not be a dental problem at all, but radiating pain from an infection of the sinus just above the upper posterior teeth. The infection could also have begun with one of the molar teeth and advanced into the sinus. You'll need to see your dentist for any teeth or gums involved and possibly a physician to address any potential sinus infection.

Constant throbbing pain. That horrible toothache that won't stop could be the nerves in the tooth's interior under attack from decay. The primary means for saving a tooth with deep decay is a root canal treatment to clean out diseased tissue and replace it with a filling or a crown. You should see a dentist even if the pain suddenly subsides—this may only mean the nerves have died, but the infection is still active.

These are just a few of the problems, including true dental emergencies, that oral pain can signal. For any instance of pain in your mouth, see your dentist as soon as possible.

If you would like more information on tooth pain and what it might indicate, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Pain? Don't Wait!

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  • "Dr Dave Brust has been our family’s dentist for 20 years - the best dentist I’ve ever had (and I lived in LA for 10 years, which supposedly has a good selection of dental professionals). Terrific hygienists, friendly, caring clinic staff, beautiful, warm office. HDC puts the P in Professional!"
    Iris E.
  • "1st visit was excellent. They had my records from my out of state dentist and picked up where prior dentist was in the yearly 2x visit per year. Communication was very good."
    Ed V.
  • "I strongly recommend Dr. Brust. He and his assistant do everything to make sure I’m comfortable and I always trust their diagnosis."
    Lynne F.
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    Tom F.
  • "I have been going there 25 plus years and they have always had taken Great care of me and my teeth."
    Tom H.
  • "Amazing staff. Positive environment. Above and beyond perfect."
    Jerzie S.
  • "Professional and family oriented business. The hygienist was very kind and easy to talk to. She understood and listen to my needs and did a thoroughly cleaning of my teeth."
    Mimi D.
  • "Julie has been my hygienist for 40+ years I will miss her, she's been great. Dr. Buck and his father before him have always been so nice, professional and most importantly they make sure your comfortable. Dr. Buck always makes sure you don't feel anything if your getting any work done, which I appreciate. I guess I'm wimpy when it comes to pain in my mouth."
    Kate R.
  • "Where to begin? Dr. Brust has been my dentist for almost 30 years now! Him and his assistant make the best team. Absolutely enjoy my visits to Heritage Dental. I feel as if I were part of the team and not a costumer when I go in. My daughter’s absolutely love going to get their teeth polished as well!! Hygienist Ana and Bobbi do an excellent job taking care of my girls! I don’t think I could ever switch dental offices. Thank you for all you do at Heritage Dental!"
    Cindy S.