Toothache: Dental Pain: Complaints, Cure and Prevention
Causes of Toothache:
Tooth decay
Tooth abscess
Tooth fracture
A damaged filling
Repetitive motions, such as chewing gum or grinding teeth
Infected gums.
Mostly patient come up with :
Tooth pain that may be sharp, throbbing, or constant. In
some people, pain results only when pressure is applied on the tooth
Swelling around the tooth
Fever or headache
Foul-tasting drainage from the infected tooth
When I want a person come to see me :(DENTIST)
As a greedy person i want people to come to see me or their dentist as soon as possible IF:
You have a toothache that lasts longer than one or two days
Your toothache is severe
You have a fever, earache, or pain upon opening your mouth
wide
Proper identification and treatment of dental infections is
important to prevent their spread to other parts of the face and skull and
possibly even to the bloodstream.
What happens when you come to your dentist with a toothache?
To treat your toothache, your dentist will first obtain a
brief medical history and conduct a physical examination. He or she will ask
questions about the pain, such as when it started, how severe it is, where it
is located, what makes it worse, and what makes it better. Your dentist will
examine your mouth, teeth, gums, jaws, tongue, throat and neck. X-rays may be
taken as well as other tests, depending on what your dentist suspects is
causing the toothache.
What A Dentist can do for toothache?
Treatment for a toothache depends on the cause.
If a cavity
is causing the toothache, your dentist will fill the cavity or possibly extract
the tooth, if necessary.
A root canal treatment might need to be done if the
cause of the toothache is found to be an infection of the tooth's nerve.
Bacteria that have worked their way into the inner aspects of the tooth cause
such an infection.
An antibiotic may be prescribed.
Phototherapy with a cold
laser may also be used to reduce the pain and inflammation associated with the
toothache.
What you can do to prevent toothache?
Mostly toothaches are the result of tooth decay, following
good oral hygiene practices can prevent them. Good oral hygiene consists of
brushing regularly with a fluoride-containing toothpaste, flossing once a day,
and seeing your dentist as often as advised for check-ups and dental cleaning.
In addition to these practices, eat foods low in sugar and ask your dentist
about sealants and fluoride applications.
And Trust me even Justice Arnab Goswami can not evade toothache and was forced to see me to get his RCT done
Hopefully this increases awareness among patients increases no of patients to Private dental clinics.
Most of us will develop a third molar
tooth in each quadrant of our mouths, upper left, upper right, lower left lower
right. The molars are the large grinding teeth in back. The last molars in the
line are called 3rd molars or more popularly wisdom teeth. These teeth usually erupt;
break through the gum tissue after the age of 17. Some will only partially
erupt and others will stay completely buried under the tissue. Many patients
never develop 3rd molars although a few of us will get 4th molars. Fortunately,
these are rare.
SHOULD WE HAVE OUR 3RD MOLARS REMOVED?
That becomes the question that a large part of this controversy. There are some information of us, that our jaws are getting smaller. But it does not change only the magnitude of our teeth. Therefore, many of us no room for our 3 molars. Humanity has evolved over the last half million years, without 3 molars removed. It was only after the development of the local anesthesia that dentists routinely begins with these teeth.
I have learned in dental school and all unerupted third molars should be eliminated. However, the latest guidelines I have seen suggest that if you are
35 years old and they are not yet in your mouth, leave them alone but check
them in x-ray every few years.
WHAT CAN HAPPEN IF I LEAVE THEM?
All teeth form in tissue
sacks called follicles. Sometimes these sacks will enlarge becoming a
cyst, a fluid filled sack,that can cause the loss of part of the jaw bone.
If enough of the bone is lost it could
lead to a weakened jaw that could fracture easily.
The cyst could put
pressure on the nerves of the jaw. If the 3rd molars are lying on their
side, they can cause bone around the roots or the roots of adjacent teeth
to be eaten away.
There is some very slight chance the cyst
could change to other types of tissue.
The teeth may lead to infection later in
life and need to be extracted. It can be dangerous for elderly patients
with some medical problems to go through this surgery.
WHAT IS AN IMPACTION?
If a tooth never comes through the gum tissue
and is covered by tissue or bone it is referred as “being impacted.”
The process of removing an
Impacted tooth is referred as DISIMPACTION to remove an impacted tooth, the
tissue must first be opened and often bone must be removed to get to the tooth.
In order to keep the hole as small as possible, the teeth may be cut into
several small pieces so each piece can be removed more easily. After this type
of extraction, there is usually swelling and moderate to severe pain requiring
potent pain killers and Antibiotics for
a few days.
WHAT ELSE CAN BE DONE?
#1- do nothing
ADVANTAGE– Take a wait and see attitude – if it is not
broke; do not fix it. You can always have them removed it they cause problems.
If the teeth are not uncomfortable or infected, this is a viable option. Many
folks never have a problem. In fact, before local anesthesia, almost no one had
them out.
DISADVANTAGE – They may have to come out in the future. This
may happen at a inconvenient time, vacation, wedding, school, job etc.
If one of the teeth is infected or painful you will need to
do something.
#2 – Have All of them
out
ADVANTAGE – You will only have to go through it once. If you
have all 4 out at once, you will not be 4 times as uncomfortable. You will not
have to worry about them in the future. You will heal faster when you are young
and healthy.
DISADVANTAGE – It will probably be painful. It will be more
costly. There may have complications. You could have nerve damage leaving you
lip or tongue nub, or partially numb, possibly for life. You could end up with
a hole into you sinus or your tooth or root in the sinus. If you have general
anesthesia, you could have complications to the anesthesia. While it is very
rare, people can die due to anesthesia problems.
#3 – Have the tooth
removed that is bothering you
ADVANTAGE – If the tooth is a problem, something needs to be
done about that tooth. However, the others may never bother. Upper teeth, in
particular, if left alone will often will come in by themselves and be much
easier and less costly to remove if it becomes necessary.
DISADVANTAGE – you may have to go through the procedure in
the future if other 3rd molars start causing problems.
In general, I am opposed to removing teeth in youngsters
prior to knowing if the teeth will come in by themselves. I have had surgeons
suggest they should be removed in 12 year olds. At this age, the jaw is still
growing and these teeth are buried deep in the bone making the surgery much
more complicated. I am opposed to removing all impacted 3rd molars just because
they are there. They may never cause a problem. If a tooth or the area around
it becomes infected, if a cyst forms, if good bone or root is being lost, the
tooth should be removed. This does not, however, mean that all of them should
be removed at this time.
However, for your mouth, you must
take the decision to get it removed or not. I hope this Piece will help you
decide what makes sense for you. If you have any questions or need more
information please feel free to ask.And here is a video which can make things a bit clearer in some aspects Thanks for patient reading.
