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Toothache Treatment

Toothache Treatment

Toothache is a condition that negatively affects a person’s quality of life. For the treatment of toothache, which can be caused by many different reasons, it is necessary to consult a dentist as soon as possible. Untreated toothache can lead to bigger problems.

What are the Causes of Toothache?

Toothache can have many different causes. For treatment, the cause of the pain should be determined by detailed examination. Tooth decay is the most common cause of toothache. Untreated bruises can cause even more severe pain by making an abscess. In addition, hot-cold sensitivity caused by the erosion of tooth enamel also causes toothache. The causes of toothache can be listed as follows:

Rotten Teeth

If you have a decayed tooth, food often causes discomfort by getting stuck or accumulating in the decayed area that has been destroyed by the decay and has lost its normal texture. If you have unbearable pains in your tooth, if these pains wake you up at night or do not sleep at all, it means that the bacteria has now reached the core of the tooth, which we call the pulp, which contains the vessels and nerves. In other words, bacteria and even food residues are now in micro-contact with the tooth’s nerve. This usually causes severe pain. If your teeth seem to bleed for a short time only when you eat or drink something sweet and go away within a few minutes, you probably have cavities.


If your tooth suddenly hurts a lot when you consume only cold or hot foods and this pain goes away quickly when the factor disappears, you probably have cold sensitivity in your teeth. In addition, since the root surfaces are exposed due to gingival recession, it is very possible for your teeth to be sensitive to thermal stimuli such as cold and hot.


The third molars, popularly known as the wisdom teeth, are the teeth at the end of the jaws and therefore cannot be cleaned very well. Since it cannot be cleaned effectively, it can often rot unnoticed and cause pain. Since the impacted wisdom teeth cannot reach the oral environment, they can also damage the second molar right in front of it. In such a case, the patient may feel pain in the back of the chin, in the ear, in the eye and even in the neck area. The only treatment for painful impacted teeth is to be removed without delay. Otherwise, it may cause the loss of the tooth in front of it or form a cyst in the long term.

It is possible to benefit from painkillers in the process until going to the dentist. In some cases, swelling may occur in the relevant area or face. This is an indication of infection and antibiotics may be required with the recommendation of the dentist.


Toothache is not always of dental origin, but may also be of gingival origin (periodontal). Sometimes, even if your teeth are relatively healthy, your gums can be unhealthy. Inflammation of the gums is called periodontitis. Symptoms of periodontitis; gingival bleeding, red/bluish-purple discoloration, gingival recession, gingival enlargement, tooth displacement, spacing, elongation, swaying, abscess formation, tenderness and bad breath.

Toothache Treatment

Pain is often accompanied by abscess formation. Due to the inflammation in the gums, the pressure increases and the tooth feels as if it hurts. Therefore, after the inflammation is treated, the complaint of pain in the tooth goes away. The treatment consists of removing the inflamed gums, which is a bleeding procedure and performed under local anesthesia, and controlling them with antiseptic mouthwashes.


Reflected toothache, on the other hand, is pain felt in areas far from the source. The pain of a tooth may be reflected to the adjacent tooth, to the tooth in front of it two or three rows, or to a tooth in the opposite jaw. However, the reflected toothache does not exceed the midline of the jaw. Pain on the left side of the jaw is not felt on the right side, and pain on the right side is not felt on the left side. For example, lower wisdom teeth causing earache or anterior teeth pain, upper wisdom teeth causing pain to the temples, eyes and cheekbones, unilateral chewing or teeth grinding causing joint pain and even tinnitus, history of systemic heart attack The reflection of heart pain on the left arm, shoulder, neck, left jaw and teeth can be counted in patients with


The teeth in the upper jaw, especially in the posterior region, may be in contact with the cavities we call sinuses in some patients. Sinuses are air-filled bone cavities that are located inside the skull bones and their mouths (i.e. channels) open into the nose. Inflammation of the mucosa in the sinus cavities for various reasons causes a disease called sinusitis. Pain caused by sinusitis can sometimes be confused with toothache. Dentists and ear-nose-throat doctors can make the distinction. In such a case, treatment for sinusitis is applied and the condition of the aching teeth is followed for a while.

What Is Good For A Carious Toothache?

Those who complain about toothache “What makes a toothache?” They seek the answer to the question. However, the important thing is not temporary solutions, but permanent treatment approaches. If your tooth hurts due to caries, the caries must be treated. Pain medications can be used to relieve the pain, but if the tooth is not treated, these pains will come back when you stop taking the medication. For treatment, it should be done with tissue-friendly filling materials to close the gap formed after the caries is completely cleaned under local anesthesia (tooth numbing). However, sometimes the decay may have progressed to the pulp of the tooth. In this case, the procedure to be done is root canal treatment.

What is 20-Tooth Pain?

The third molar tooth, which emerges from the end of the tooth rows in the lower and upper jaws, is defined as a 20-year-old tooth or a ‌20″ tooth. Between the ages of 17 and 20, ‌20″ teeth, which are the last permanent teeth to erupt, are mostly covered with gum or bone and are embedded due to their position in the jaw. In such cases, wisdom teeth remain impacted and may not come out around the age of 20, which is the period when they should come out. In addition, the lack of sufficient space in the mouth can cause wisdom teeth to be buried under other teeth. In the future, when the factor that causes the tooth to not come out disappears, wisdom teeth can come out by finding a place in the jawbone. However, mostly wisdom teeth cannot find a place on the jawbone. Even if it finds a place, wisdom teeth may not be used for chewing. If wisdom teeth are not impacted and do not cause any problems, they do not need to be extracted. However, in some cases, impacted or not fully erupted teeth can cause pain.

Wisdom toothache is often caused by the accumulation of food residue between the tooth that is not fully erupted or is crooked. This may be temporary, or the tooth may need to be extracted to relieve pain. The frequently asked question “How does a 20-year-old toothache go?” before the question “What causes 20-year-old toothache?” The question must be answered.‌

Toothache Treatment

What Causes 20′ Toothache?

The last teeth on both sides of the jaw, in the upper and lower parts, are the ‌20″ teeth. As in infancy and childhood, when ‌20″ teeth come out, the gums become sensitive and come out with pain. Although it is controversial whether the ‌20″ teeth, which are the last 3 molars in the mouth, should be extracted or not, the general opinion is that if the ‌20″ teeth come out in the right position, they should not be extracted if they do not harm other teeth and tissues.

Although it is normal to feel some pain in case of wisdom teeth eruption, mostly after tooth eruption, depending on the position of the tooth, food residues accumulate in this area and cause bacteria formation. Bacteria formed in ‌20″ teeth, the largest among molars, cause tooth decay and sometimes abscess over time. This is the main reason why ‌20″ toothache occurs. The decay that occurs due to the difficulty of reaching the area where the wisdom teeth are with a toothbrush, if not noticed, reaches the nerves and this causes the tooth to ache more. Impacted ‌20″ teeth can also cause toothache by putting pressure on the gums and surrounding tissues.

What Are the Symptoms of 20-Tooth Pain?

Impacted teeth can cause pain in the upper jaw, ears and temples, and in the lower jaw, under the chin and neck when they try to come out despite the lack of space in the jaw. If this type of pain is felt, a dentist should be consulted as soon as possible. Some of the other 20-year-old toothache symptoms are listed below:

Redness or swelling in the mouth or face
Difficulty swallowing
Presence of bad breath
Bad taste in mouth
Sensitivity to hot and cold foods
Pressure or discomfort in the area of ​​the ‌20″ teeth when closing the jaw
Swelling in the lymph nodes

How to Treat a 20-year-old Toothache?

If 20-inch teeth cause pain, the person should definitely consult a doctor and have their check-ups done. Abscesses, especially in the teeth in the upper jaw, can lead to important health problems. Depending on the condition of the ‌20″ teeth, the dentist may prescribe pain relievers and antibiotics. After the removal of the ‌infection in the tooth, the ‌20″ tooth is extracted and the treatment is completed.

Why Does a Toothache Keep At Night?

Severe toothache begins especially at night. Because hormonal changes, increased intravascular pressure and vascular enlargement cause you to feel more severe pain at night. The best move that can be made for toothache that starts at night is to go to the nearest dentist by taking a painkiller. It is extremely wrong and dangerous to apply cologne, alcohol, aspirin, etc. to the gum area of ​​the aching tooth in cases where it is difficult to access the dentist. Because these can cause a secondary pain by causing irritation in the gums. Gargling with mouthwashes containing painkillers and salt water also relieves the patient to some extent. However, all these methods are short-term and not curative. It is best to temporarily relieve the pain by taking an analgesic (painkiller) drug used within the knowledge and prescription of the physicians and to go to the dentist at the first opportunity.

What Is Good For Toothache?

In the presence of toothache, it is very important to clarify the underlying cause of this condition. In choosing the right application, only after the cause has been diagnosed can a decision be made about what to do about pain, edema or other complaints. If one of the symptoms has not improved despite various methods have been tried, or if the complaints continue for 1-2 days, it may indicate that you need to make an appointment with a dentist. At the same time, it is recommended that you consult your physicians and get support from them before the application about which of the methods that can be applied is most suitable for you or whether it will have any negative effects on you.

After the cause of the toothache is found, the methods to be applied also vary. Sensitizing toothpastes can be used to relieve pain caused by tooth sensitivity. Toothpastes produced for this purpose contain fluoride and potassium. If there are open root surfaces and gingival recession, the dentist can treat dentin sensitivity with special varnishes as a preventative. Even open root surfaces can be covered with fillings or prostheses. In addition, if this is the case, some simple actions you can apply at home can reduce your sensitivity. For example, rinsing your mouth with warm salt water several times a day and brushing your gums in a rounded manner with a soft toothbrush may provide some relief.

Known as septal pain, it can occur after eating, especially with the squeezing of food residue between the back teeth, by pressing on the gums. The reason for this is that food residues cannot be effectively cleaned from between the teeth. That’s why it’s important to clean thoroughly with an interface brush or dental floss after eating.

Cold compress (compression) applications are another method that can be applied to relieve pain complaints. This method is considered to be particularly effective in toothaches caused by trauma. After cold applications, the blood vessels in the relevant area are contracted, edema and inflammation are reduced. Thus, a decrease in the intensity of the pain felt may occur. The method used to reduce this pain can be carried out by means of an ice pack placed in a towel in the relevant area. The application, which is applied for 20 minutes at a time in the area where the pain is felt, can be repeated every few hours.

Toothache Treatment

Garlic, which has been used for thousands of years for the purpose of solving various problems, has been used not only to eliminate harmful bacteria characterized by plaque formation on the teeth, but also to relieve pain. In this method, a clove of garlic can be crushed and made into a paste, and then applied to the affected area. Alternatively, a clove of garlic can be taken between the aching teeth and chewed slowly.

Another herb used in the treatment of toothache throughout history is clove. The oil contained in this plant both suppresses the inflammatory response and can have a numbing effect on the feeling of pain. The eugenol it contains is considered a natural antiseptic substance. A small amount of clove oil to be dripped onto a small piece of cotton is sufficient for this application. Some people may prefer to dilute (reduce its density, dilute) the clove oil to be used in a carrier oil such as olive oil before application. This application can be done several times a day.

Thyme is a plant that can contribute to the treatment of toothache with its strong antibacterial and antioxidant properties. Before using thyme for this purpose, a few drops of thyme oil can be mixed with a few drops of water to dilute the oil. Then this mixture can be applied to the affected area with the help of a cotton ball. Thyme oil can also be used as a mouthwash by adding 1 drop of thyme oil to a small glass of water.

Apart from these applications, an important step can be taken to ensure a good night’s sleep with various methods that can be applied especially in toothache that occurs at night:

Keeping head high
Avoiding acidic, cold or hard foods before going to bed
Applying a cold compress to the aching area before going to sleep

Depending on the underlying cause of the toothache, your dentist will decide on the most appropriate treatment for your situation. While the cavity formed in dental caries can be cleaned and filled with another material, repair or dental prosthesis applications can be applied in fractures or cracks. If the toothache is due to a sinus infection, both the infection and the feeling of pain can be relieved with the help of antibiotic drugs. For healthy teeth, you should take care of your teeth every day and not neglect the slightest symptom. Toothache is a condition that negatively affects the quality of life. Therefore, do not forget to have your dental check-ups at least twice a year.

"The content of the page is for informational purposes only. Consult your doctor for diagnosis and treatment."