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DENTAL PAIN

TOOTHACHE: HOW DO I GET RID OF IT? - CAUSES AND REMEDIES​

They are the worst nightmare of many people: Toothache. They often come completely unexpectedly and without any notice. That’s precisely why they are particularly unpleasant and can ruin your day in the blink of an eye. It is therefore obvious that you would do anything to relieve a toothache as soon as possible and ask yourself what you can do for it.

Can painkillers help? Or is it better to listen to grandma’s advice and fall back on tried and tested home remedies for toothache?

Hardly any other topic is surrounded by as many ambiguities and myths as this one, but that’s over now! We provide clarity and explain what exactly a toothache is and how you can get rid of it as quickly as possible.

Let’s get started!

CAUSES & REASONS

TOOTHACHE: CAUSES AND REASONS

To gain a better understanding of the causes and reasons for toothache, it is best to look at the structure of the tooth. Teeth are in fact highly sensitive and by no means pure chewing tools.

They consist of many complex layers and are crisscrossed by countless nerve tracts.

The visible tooth crown consists of dentin (tooth bone) and is surrounded by a mineral-containing protective layer of
enamel. Inside, many small root canals run through the tooth, through which the pulp (tooth pulp) and the tooth nerve run. This is extremely sensitive to heat/cold as well as to bacteria and pressure. If it is irritated, we feel this as pain.
Irritation can be caused by various triggers, such as caries disease or periodontitis. Let’s therefore take a closer look at the various causes.

KARIES

One of the most common causes of toothache, is dental caries. Tooth decay is caused by bacteria that collect in the spaces between the teeth and on the enamel, where they feed on the sugar in our food. They then metabolize this sugar into acids, which first destroy the enamel and then the dentin.

The caries then works its way up to the tooth nerve and allows bacteria to penetrate the inside of the tooth. There they cause irritation to the nerve and surrounding tissue, which we perceive as pain. When there is a hole in the tooth, we are also more sensitive to hot and cold drinks/food.

INFLAMMATION OF THE TOOTH ROOT

Another source of pain is inflammation of the tooth root. It can occur as a result of untreated caries. If the pulp is attacked by bacteria, it can become inflamed and expands. It then presses on the tooth nerve and we feel throbbing pain.

If the tooth nerve itself is inflamed, it can die as a result, which would result in the death of the entire tooth. However, the inflammation can also spread to the root tips and the jawbone.

In this case we speak of apical ostitis. It is manifested particularly by pressure sensitivity, e.g. when chewing.

Bacterial inflammation, on the other hand, rarely occurs as a result of an injury to the jawbone after a fall or similar.

CAUSES & REASONS

INFLAMMATION OF THE GUMS

Inflammation of the gums – also called gingivitis – is usually caused by bacteria. It is manifested by sensitive and usually also reddened gums. Bleeding gums during dental care are also among the symptoms of gingivitis.

PAIN DUE TO PERIODONTITIS

Periodontitis is the technical term for an inflammation of the periodontium, which is composed of the gums, tooth roots, root membrane and jaw bone.

Periodontitis is recognized by bleeding gums and the breakdown of the gums, as a result of which the sensitive tooth necks are exposed. Swelling and redness as well as muffled toothache also indicate inflammation of the periodontium, which – if left untreated – can destroy the jawbone.

ABSCESS

An abscess is a collection of pus which can develop as a result of inflammation of the tooth root. They usually form on the jawbone or the surrounding tissue and are noticeable by persistent pain and a visible swelling of the cheek.

TOOTH PUNCTURE

Punching milk teeth in babies, but also wisdom teeth in adults, can cause toothache.

Wisdom teeth cause considerable pain especially when they grow at an angle and thus exert pressure on the neighboring teeth. In this case, the wisdom teeth must be extracted.

TOOTH BREAK

An abscess is a collection of pus that can result from inflammation of the tooth root. They usually form on the jawbone or in the surrounding tissue and are noticeable by persistent pain and visible swelling of the cheek.

INCORRECT DENTAL CARE

If you scrub particularly hard when brushing your teeth, you risk injuring your gums. These can in turn become inflamed and cause severe pain. We therefore recommend brushing the teeth with little pressure and a lot of feeling.

In addition to dental diseases, diseases that are not directly related to the teeth can also lead to toothache.

HEART ATTACK

A heart attack typically manifests itself as a stabbing pain in the chest, which travels through the left shoulder and arm. Occasionally, this pain even extends to the lower jaw.

In some cases, a patient is also examined because of their toothache, overlooking the true trigger for the pain – a heart attack. This is the so-called Buddenbrook syndrome.

HEADACHE

It is not uncommon for patients suffering from severe headaches to also experience toothaches. Migraine patients often complain of one-sided headaches that also affect the teeth.

INFLAMMATION OF THE SINUSES

The sinuses pass very close to the back molars. If they are inflamed, the inflammation can spread to the root of the molars and cause unpleasant toothache.

HOME REMEDIES

HOME REMEDY FOR TOOTHACHE

Now that we know what the triggers of toothache are, you surely want to know how to get rid of it. One obvious thought would be to take a medication for the pain.

But what if the pain occurs on a Sunday or holiday of all days? Then it’s worth taking a look in the kitchen.

EIS GEGEN ZAHNSCHMERZEN

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BEI ENTZÜNDUNGEN: SALZ

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TEE KANN SCHMERZEN LINDERN

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ÖLZIEHEN GEGEN ZAHNSCHMERZEN

Wie bitte was – Ölziehen bei Zahnschmerzen? Ja, richtig. Durch die antibakterielle Wirkung des Öls kann tatsächlich ein spürbarer Unterschied hervorgerufen werden.

Zugegeben, es mag nicht bei jedem gleich wirksam sein, aber wenn nichts anderes zu helfen scheint, lohnt sich der Versuch bestimmt.

Nehmen Sie hierzu einen Schluck hochwertiges, kaltgepresstes Sonnenblumen- oder Sesamöl und ziehen Sie dieses immer wieder durch die Zähne durch. Schlucken Sie das Öl aber auf keinen Fall hinunter! 

Der Schmerz sollte nach einigen Durchgängen nachlassen.

WUNDERMITTEL NELKEN

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ZWIEBELN BEI ZAHNSCHMERZEN

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KNOBLAUCH GEGEN ZAHNSCHMERZEN

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TEEBAUMÖL

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OTHER HOME REMEDIES FOR TOOTHACHE

In addition to the home remedies already mentioned, the following are also proven helpers against toothache:

  • Globules
  • Hydrogen peroxide
  • Propolis
  • Sweet Clover
  • Juniper berries

MEDIKAMENTE

MEDICINES FOR TOOTHACHE

Having dealt in detail with painkilling home remedies, we would now like to take a look at over-the-counter medications. Home remedies alone are sometimes not enough to get rid of the excruciating toothache.

ACETYLSALICYLIC ACID (ASA) FOR MILD TOOTHACHE

With its blood-thinning and anticoagulant properties, ASA has analgesic and antipyretic effects.

However, the degree of effectiveness varies from patient to patient, so some may not feel any analgesic effect. In most cases, however, it is still very effective for inflammation.

IMPORTANT: Due to its anticoagulant properties, ASA must never be taken before surgery and is completely unsuitable for patients with blood clotting disorders.

PARACETAMOL: THE ALL-ROUNDER

Paracetamol has the same analgesic properties as ASA, but dispenses with its blood-thinning effect. It is also not suitable for the treatment of inflammation.

However, paracetamol shines above all due to its high tolerability and its almost non-existent side effects. It is therefore ideal for the treatment of mild toothaches and headaches, even in children!

IBUPROFEN: FAST AND EFFECTIVE

Ibuprofen is an analgesic (painkiller) and thus has the highest degree of effectiveness of the over-the-counter medications described here. In addition to its analgesic effect, ibuprofen is also anti-inflammatory and antipyretic, as well as antispasmodic.

It has a fast and lasting effect, but is not suitable for long-term self-medication. This means that if you have a long-lasting or frequent toothache, you should definitely consult your dentist.

ANTIBIOTICS FOR TOOTHACHE - DOES IT MAKE SENSE?

The use of antibiotics is only ever recommended when it is clinically absolutely necessary and unavoidable. Indeed, unnecessary administration contributes to antibiotic resistance.

A study was conducted to investigate the analgesic and anti-inflammatory effects of antibiotics in the course of dental treatment.

This means that the patients not only took the antibiotic, but were prescribed it in combination with other painkillers after root canal treatment.

Others, however, received only a placebo instead of the antibiotic. The study concluded that no noticeable difference was found between the two groups of patients. Antibiotics are therefore not suitable for treating toothache.

TOOTHACHE DURING PREGNANCY

Pregnancy is not only a psychological burden, but also a physical one. Its effects on dental health must therefore not be disregarded.

Hormonal changes often increase the risk of gum inflammation (pregnancy gingivitis). To avoid this, regular and thorough dental care is essential.

We recommend that you do not take any medication at all during pregnancy. If you nevertheless suffer from toothache, you must under no circumstances

In certain circumstances, the child should take ibuprofen or aspirin. Their active ingredients pass into the child’s blood and can cause permanent damage there. In the last three months of pregnancy, these painkillers are particularly dangerous for the unborn child.

Paracetamol, on the other hand, is considered safe and can usually be taken without any problems. For the sake of you and your child’s health, you should nevertheless discuss any type of medication or toothache with your dentist.

CONCLUSION

Even if we don’t want it, toothache is often a part of our lives sooner or later. Knowing what causes them and how to get rid of them with simple home remedies is therefore a comfort for many people.

We hope that you were able to take some helpful advice from our tips and are now well prepared if – unfortunately – you should suffer from toothache again.