Why does my tooth hurt?

If you are currently in discomfort, our offices will do everything possible to see you as soon as possible!  Please call us at (614)263-0300

This page discusses only some of the underlying reasons for toothaches.   Please see your dentist for a full explanation.

An aching tooth can be a very intimidating and frightening experience.  I assure you that our office takes a very gentle approach to make you comfortable once again.  Much of the fear can stem from a fear of the unknown.  I hope that the information on this page helps reduce some anxiety, should you have any!

Often, the first idea that comes to mind is "uh oh, I have a cavity."    While sometimes this is the case, there are many other reasons for teeth to hurt.   To understand the source of a toothache, it is first important to understand the tooth.  Our teeth are living entities, complete with nerves and a blood supply to keep them healthy.  Like an M&M candy, the tooth has a hard outer surface (enamel) and a softer inner substance (dentin).  When the dentin is exposed the tooth can hurt.

     Cavities are certainly one way to expose the dentin of our teeth, essentially when bacteria tunnel holes through the enamel of our teeth.  Fracturing enamel or losing an old filling may also expose the dentin which can cause discomfort.   If you have gum recession which exposes the roots of your teeth, there may be sensitivity and often painting a sealant on such teeth is all that is needed! 

     Our teeth may hurt for other reasons as well such as infection, trauma, or mobility.  We have all heard of gum abscesses and these occur when a tooth gets infected and builds up pressure around the root of a tooth.  Trauma comes in many sorts, including long term self-induced trauma such as Bruxism, or grinding of your teeth.   There are several devices and treatments available which can alleviate these symptoms as well. 

     Teeth are not the only sources of toothaches.  If the ligaments or gums around your teeth are irritated, you may be interpretting this as a toothache as well.  Such inflammation may be reduced by a dental cleaning and improved home oral hygiene. 

     I hope that this information alleviates some anxiety you might be having about dental treatment.  It is impossible to know the cause(s) of a toothache without a complete dental exam.  Our office is very well equipped with the equipment and procedures to help you in the most comfortable and gentle manner, including temporary fixes which can at least reduce your immediate discomfort until you can return at a more convenient time.   I look forward to addressing your immediate and future dental needs and welcoming you to our office.

What are veneers?

Veneers are a thin fingernail-like covering of tooth colored material designed to improve the appearance of your front teeth.  The veneer option may be considered for patients: unhappy with the shape of their teeth, with chipped or cracked teeth, with deep stains, or with misaligned and/or open spaces present.

Facts about porcelain veneers

They increase strength, comfort, and resistance to chipping, cracking, and staining while retaining the appearance of natural tooth structure.

There is no silver or metal to show around the gum line because they are made completely out of tooth colored material.

Porcelain laminates (veneers) are thin shields that are permanently cemented to the front of the tooth.

Porcelain veneers are much stronger and more durable than plastic composite bonding. Sometimes composites will stain or shrink with age. Porcelain veneers, on the other hand, retain their beautiful luster and vitality.

There are no age group limitations. Everyone can benefit: young or old, man or woman, short or tall.

When should I schedule my baby for an exam?

Between the ages of 1 to 2 years, schedule your child's first visit to the dentist.  Children should not have their first dental visit be a traumatic experience.  If a child comes in for a first visit with a cavity, the child may harbor fear and unnecessary stress with subsequent dental visits.  Also, many dental abnormalities can be addressed early on before they become full-size problems.

How should I care for my childs teeth?

Baby bottle tooth decay is a condition resulting from frequent and long-term exposure of baby teeth to sugar-containing liquids, from sodas and sweetened drinks to baby formula, milk, fruit juice, and even breast milk. It doesn't matter whether the liquid is artificially sweetened or contains natural sugars. Breast-fed infants with prolonged feeding habits are also at risk in developing this condition. It may also be called "baby bottle syndrome" or "bottle rot."

Bacteria found in plaque feed off the sugar in these liquids producing an acid byproduct. Acid attacks the gums and teeth, putting children at risk of tooth decay. If left untreated, the potential for pain and infection exists. Long-term effects include crooked teeth, speech problems, poor eating habits, and damaged adult teeth with the potential for tooth loss.

Prevention Tips

• Do not put a child to bed with anything other than water. While an infant may suck on a bottle while falling asleep, it is very important to remove bottles containing either artificial or natural sugars before napping or at night. During sleep, the amount of saliva decreases, and sugars from the drink coat the gums and teeth for an extended amount of time, increasing the chance of cavities.
   
• Daily cleaning and massaging a child's gums help establish healthy teeth, as well as provide special comfort while teething. At least once a day, moisten a gauze square or washcloth and gently rub your baby's gums.
   
• As teeth appear, brush them gently with a soft toothbrush and do not use toothpaste until two years of age.
   
• Wean children from bottles whenever they can drink from a cup. However, dentists recommend waiting until children are at least 6 to 12 months to provide adequate time for strengthening facial muscles developed by the sucking motion from a bottle or breast.
   
• Take "baby" steps for achieving good oral health. To help in the weaning of sugar-containing liquids, gradually dilute the bottle's contents with water over a two- to three-week period. If your child still is using a bottle after that time, fill it with water since it's the only liquid which doesn't pose any risk for baby bottle teeth decay. Or, give your child a clean pacifier recommended by a dentist. Be sure to check with your child's physician regarding any changes in feeding routines.