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What is your emergency? Toothache

I had a sudden toothache on one tooth. The gums are slightly swollen. I feel the tenderness when I touch it. After a few days it subsided and I ignored it. A few days later, I had the same toothache. What can I do about this?

Sudden excruciating pain or toothache may indicate the deep spread of decay in the tooth. Often, root canal treatment is necessary. If you note mild symptoms on the teeth, a check-up with your dentist will help prevent a bigger problem from occurring.

Features:

• may start with sensitivity to hot or cold drinks and food
• sudden pain from tooth or jaw usually of moderate to severe intensity
• pain may last a few days or longer
• pain can be related to one tooth or over a wide area
• painkillers may provide temporary relief
• swelling could occur

Causes:

• decayed teeth
• history of trauma to teeth
• cracked teeth from excessive wear, chewing on hard foods

• remove decayed area and protect tooth with filling
• root canal treatment if decay is extensive and has affected nerve of the tooth
• drainage of swelling
• antibiotics for swelling
• extract tooth if not restorable