Say stop the toothache How to stop tootchache! - It is a moment that we would be okay. One where you begin to feel a slight pain, which, one feels, will soon to turn into a real "toothache!" What are the possible causes of this evil? How to avoid getting there? And especially how to alleviate some pain before the appointment saving his dentist? For Doctissimo, Dr. Christian Decloquement, dentist and Deputy Secretary General of the French Dental Association (AFD), tells us all about the dreaded toothache.
Say stop the toothache How to stop tootchache
The reasons why I have a toothache?
Dental pain can have different origins: some are local (buccal cavity), others more distant (sinus, jaw joint, face, etc.). For each case, different levels of pain will appear, depending on whether delayed or not to seek treatment.
LOCAL CAUSES OF EVIL TOOTH
PAIN AT THE TOOTH
mal-de-dent1_medium "This is the famous decay. When the softened part starts to get too close to the nerve, the tooth will first become sensitive to hot and cold. Then pain will occur from time to time, becoming almost permanent. it can go up to a "pulpitis", where the heart of the tooth is affected, "said Dr. Christian Decloquement. Untreated decay in time can lead to the formation of an abscess. "The attack in the heart of the tooth due to the proliferation of bacteria will attack the nerve that eventually breaks down," the Secretary-General of the French Dental Association (ADF). The patient will then feel the pain "pulse" at his tooth and he will be unable to support it.
Cavities can occur at any age, including milk teeth. We are not all equal in front of them. Some people have many teeth more resistant than others. But the quality of oral hygiene is very much in the appearance of these pathologies.
It can also happen to feel a toothache without having to decay. Increased sensitivity may appear at the neck of the tooth (portion in contact with the gum between the crown of the root). "When the cementum becomes worn, it can cause the same sensation that decay," the dentist. A fractured tooth or clearly having a simple crack invisible to the naked eye may also hurt. Again, this will create the same sensations that decay, sensitivity to hot and cold to pain.
Finally, the thrust of the wisdom teeth, which evolves from the age of 16, is also the cause of sometimes very severe pain. "This is especially the case for wisdom teeth that are not well positioned or that have no place to grow properly. Inflammatory area may appear, or even purulent area. This growth can also create unrest level of the other teeth, "describes the dentist.
PAIN AT THE GUM
The characteristics of the pain "toothache" may also be due to a gum problem. "This can come from a" food impaction ", food debris that are stuck and accumulate between the teeth in contact with the gum. The latter will then become inflamed and painful," said the dentist. And the specialist added: "It may also happen that the gum of the source itself of a general inflammation is what is called gingivitis." Again, we are not all aware of the same and some people will be much more reactive than other gums.
Last possible cause of pain from the gums: the abscess. "An abscess caused by bone loss associated with a proliferation of bacteria can also be very painful," admits the expert.
OTHER CAUSES PAIN DENTAL
Some diseases cause facial pain that radiates into the dental region. "This is the case for example of pain from the jaw joint. Sinusitis can also cause pain in the molars ..." lists Dr. Decloquement. Of course, many disturbances to the facial level can, in one way or another, cause painful sensations like "toothache".
"We meet as often in our offices of people who tend to tighten many teeth. This phenomenon is called" bruxism. "This will cause muscle soreness or at the meniscus of the jaw joint. They can radiate into the temple, ear, mouth ... "said the expert.
Dentists have various tests to determine the cause of toothache, when it is not from a local and obvious cause.
Symptoms of "toothache"
"If bunt single not too deep, there will be no symptoms other than pain itself," explains Dr. Christian Decloquement. "It may progress to pulsations or pressure pain, so when one is in the presence of an abscess." Another characteristic symptom of the abscess is swelling usually associated more or less important, which can be up to a very visible deformation at the cheek.
Some bacterial infections lead to the appearance of purulent collections or even a fever. These infections can also invade deeper tissues that also will begin to swell. "This is what is called a" cellulite "of dental origin," said the Secretary-General of the ADF.
Signs are also to check for original gingival pain, as Dr. Decloquement states: "In the case of diseases of the gums, there may also be swelling, bleeding and even more or less frequent and more or less abundant ".
Say stop the toothache How to stop tootchache
What are the risks in case of belated support?
The main risk is primarily to suffer much and long for nothing! However, it may happen that a gum or tooth too damaged lead to a loosening or a loss of teeth. "Very large pathologies are often found in people who are much neglected. Generally, dental problems are not moving quickly enough to create serious complications," he reassures.
"A real problem will arise if the bacteria responsible for tooth decay such spread," warns the dentist. "If they pass into the bloodstream, they can cause heart problems, septicemia ... These cases are severe but remain exceptional." They involve people who remained without treatment for several months, despite the onset of pain.
Another typical example of this taken too late load: the evolution of cellulitis of dental origin to other areas of the face. The infection of the tissues under the skin, usually by Streptococcus or Staphylococcus aureus, will invade nearby tissues. This becomes an emergency when cellulite reaches the throat, as a choking hazard exists.
"But do not be too alarmist about these complications are very rare. Certainly the toothache is often difficult to endure, but there is no reason to rush for treatment" tempers Dr. Decloquement. So when should you react? "When pain persists and becomes regular, even permanent, he recommends. Although it is difficult to determine because the tolerance is very different from one patient to another."
Toothache: How to treat?
Except certain inflammatory diseases of the gums that can disappear as they came, most of the causes of a toothache should be treated by a professional. But there are some tricks to relieve some pain to the appointment and to determine the best way forward.
Say stop the toothache How to stop tootchache
TIPS TO MITIGATE THE EVIL TOOTH
"Sometimes just a good brushing and the use of interdental brushes or floss may release a congested area by food scraps and relieve pain", develops our dentist expert. Check at first how to present the painful area. The cause of the pain can be just under your eyes!
"If I can do nothing to remove the cause yourself, the analgesics can be considered, more or less powerful according to pain, but also by age and condition of the patient." Dr. Decloquement does not recommend a particular class of analgesics, everyone can choose according to their preferences and habits, while respecting the specific indications for each drug, and "without abusing it, of course."
Mouthwashes can also be a very good remedy to relieve the pain and wait until the appointment with his dentist. "Especially if mouthwashes have a somewhat numbing action that will relieve pain and inflammation of the gums."
What about the famous ice bags stuck to the cheeks and maintained by a cloth knotted Easter egg fashion? "The ice packs are useful in case of swelling, whatever the origin. The inflammatory process can be relieved by cold pockets and swelling can be somewhat mitigated," said Secretary General of ADF.
Finally, anti-inflammatory drugs should be considered if inflammation accompanying pain. Antibiotics may also be necessary, in varying degrees, whether the origin of pain is a bacterial infection. In both cases, a doctor's prescription is required. It may be issued ahead of the appointment in the dental office, the doctor, for example.
I HAVE BAD TEETH: TO CONSULT?
The first thing to do in case of persistent toothache is call his usual dental office. If you do not have one, find the nearest to you. "The person who takes your call will guide you through several questions to determine what may be causing your pain and how to be treated (e). For example, if you expect an appointment in the next day or if you need to be seen (e) more quickly, "explains Dr. Decloquement.
Sometimes you can not join a cabinet immediately (evening or weekend). "Try to wait at most if the situation does not appear to be an emergency, even if it is difficult to endure this kind of pain," the surgeon recommends dentiste.Cela will not always be the case. "Some pain from pulpitis or a large abscess can not be relieved at home and will need to go to the ER."
No question as to precipitate it, most of the time, a passage (often very long) to emergencies can be avoided. "If no dental office is available to answer you, you can call the 15" reminds our expert. Before adding: Individuals who respond to the call center will guide you to tell you where to go: with your doctor, a doctor on call, emergency dentist, your regular dentist ... "
WHAT TREATMENTS TO END EVIL TOOTH?
In the vast majority of cases, if you have a toothache, it will take the expert hands of a dentist to relieve you. Impossible to escape. "The treatments are many, they obviously depend on the source of the pain and the injury severity level," explains Dr. Decloquement.
"If decay with transient pain, clean the cavity decay and bacteria, followed by obstruction with a suitable product, be enough to end the pain," he described. "If the decay has progressed to pulpitis, with a deeper inflammation and nerve damage will require the devitalized. Techniques exist between the two, with the possibility of regeneration of part of the nerve of the tooth if it is not affected too. "
Treat an abscess also depends on its size, as explains the dentist. "If the purulent collection is important, it will start with a drainage and antibiotic use but if the bone area is too reached, we will go to the extraction of the tooth. " The extraction will be offered as often in the case of outbreaks of painful wisdom teeth, when they can not come out correctly.
"For the pain from other origins, collaboration with other medical experts allows to develop a joint appropriate treatment," says Dr. Decloquement. "For people who tend to over tighten the teeth, we can make them suitable gutters, to wear at night, which are very effective at stopping pain caused by this bad habit."
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