Toothache: What's causing it?
What Do You Do When You Have A Toothache? Most people tend to look for ways to relieve it, which is really helpful while you expect to make an appointment with a dentist. However, if the pain goes away, most will simply forget the problem and leave the consultation there. But there is the danger: "often the patient is not even sure what the cause of the pain is, since it can radiate and appear to be occurring in other teeth," explains the dental practitioner Fabíola Lanfredi, specialist in functional orthopedics of the jaws and orthodontics . So the problem may be even more severe than you might think.
Toothache is a symptom of several different dental problems. "The causes may be related to various parts of the mouth, including caries, periodontal problems (gingiva), endodontic problems (in the canal), trauma, occlusion problems ...", enumerates dentistry specialist Maristella Ramalho, who specializes in endodontics.
Man brushing his teeth to avoid tooth decay - Photo: Getty Images
It is no wonder that most of the people associate toothaches with dental caries: she is undoubtedly to blame for most of these complaints in dentists' chairs. Usually pains begin when lesions caused by bacteria reach deeper layers of teeth: "It may start to hurt when caries gets to the dentin, the layer just below the enamel. But this varies greatly from person to person: there are cases where the patient only begins to feel pain when he has already reached the pulp, and he has to treat the canal ", describes the dental specialist Maristella Ramalho, who specializes in endodontics.
In these phases, only treatment with the dentist can prevent the progression of caries, some filling or even treating the canal. "Even when the bacterium is still only in the tooth enamel, the ideal is for a dentist to follow, orient and apply fluoride gel or varnish to speed up the process," says the specialist.
The tooth of wisdom can cause pain in several stages of its birth: from its eruption to the lack of space in the gum, which causes it to press the neighboring teeth, bringing a painful displacement. "But the main cause of the pain is inflammation of the gingiva that the unerupted tooth can cause, since the region is not usually accessed at the time of hygiene and can infect," says odontologist Fabíola Lanfredi, a specialist in functional orthopedics of the jaws and orthodontics.
It is very common that pain related to the syndrome passes, but this does not mean that the problem is solved. Fabíola explains that inflammation can pass, but she can return at any moment. Even because the wisdom that was not born can not be sanitized, being much more exposed to cavities and other problems. "The gum tissue does not adhere to the enamel of the tooth, only at the root, so if it can not rise, the body forms a pocket between the enamel and the gingiva, a space conducive to food entry and infection formation," says Fabíola .
For this reason, most of the times the painful synovium needs to be extracted, precisely to avoid this type of complication and the intervention of the dentist is fundamental at these moments.
Man with toothache and sack The tooth abscess is nothing more than an infection near the root of the tooth, gum or bones, which forms a pouch of pus in the region. "Even with different origins of canal or gingiva, they often cause toothaches because they are infections with pus formation and acute inflammation," says Maristella Ramalho.Often the abscess can burst, which will bring a bitter taste to the mouth as well as relief from the pain. But with or without your breakup, you need to get a dentist for treatment so that the infection does not become chronic. "In addition to local damage, bacteria in this lesion can be carried through the bloodstream and cause infection of other organs," the odontologist warns.
Sensitivity of the root of the teeth
Man eating a beautiful cone shell ice cream - Photo: Sensitized teeth can also bring pain, even though there are several types: "Sensitivity can occur due to gingiva retraction, which exposes the root or some occlusion problem, due to bad posture of teeth, bruxism and parafunction," Maristella Ramalho. In such cases, the pain can be triggered by a variety of factors, such as hot or cold foods, sweets, or even touching the teeth.
However, the search for treatment in these cases is important for the quality of life of the patient. "Dentin sensitivity, that is, the non-tolerance to food temperature, can be treated with resin coating, while sensitivity due to gingival retraction may even require surgery," he says. Fabiola Lanfredi
Man grinding his teeth - Photo: Getty Images
Bruxism is a disease in which the person usually grinds or clenches their teeth, usually during sleep, but can also happen during the waking hours. Depending on how this occurs, it can cause toothaches. "Depending on the force exerted on the movement, it can cause pain in teeth due to trauma, but it is common to cause wear on the teeth without any pain," Maristella explains.
In these cases, pain may come from the temporomandibular joint (TMJ) stressing the movement. It is common for the pain to reflect to the teeth, among other common points of the head, such as the temples, forehead and ear. "Anyway, when the pain appears, it indicates that the problem is at an advanced stage, when it is already compromising the musculature and TMJ," points out the dentist.
In these cases it is necessary to look for a bucomaxil dentist or surgeon, who can indicate the most appropriate treatments. The untreated TMJ only worsens, causing more pain and discomfort.
Sinusitis or ear pain
Woman with earache - Photo: Getty Images
Irradiated tooth pain occurs not only in TMJ dysfunctions. Pain in nearby structures, such as in the ear, can be reflected in the region. In addition, sinusitis can cause pain in the upper teeth. "Sinusitis is the infection of the mucosa that lines the sinus, a cavity that is located above the premolars and maxillary molars, in an intimate relation with its roots", points out Maristella.
Therefore, dentists must be prepared to perceive and refer the patient to the otorhinolaryngologist. "Normally the patient looks for the dentist because of toothache, he does not find anything and then the sinusitis and the earache are options that have to be discarded by a doctor", emphasizes Fabíola.
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