Toothache can be severe and debilitating. Discomfort can be caused by a gum abscess or an abscess of the tooth socket. If this happens, the tooth is a bit wobbly, very tender to bite on and there is often swelling beside the neck of the tooth. It does not usually keep you awake at night and although it responds to antibiotics, that doesn’t cure the problem, so make sure you follow your dentist’s advice!
Pain in the tooth itself is more severe and keeps you awake at night. Initially the tooth may be sensitive to hot and cold, then hot in particular developing into a more continuous severe dull ache.
The most effective painkiller for this type of pain is Aspirin, but it is irritant to the stomach and must be taken with a large glass of water. Ibuprofen and Diclofenac are effective painkillers and anti-inflammatories. Always check with the pharmacist that these drugs are suitable for you, especially if you are taking any other medicine.
It is really important that you receive treatment as soon as possible. This type of pain usually indicates that the tooth has died and needs a Root Canal Treatment. There are many reasons why this sometimes happens but it is usually as a result of bacterial attack involved with the decay the tooth has suffered. The toothache is due to pressure caused by the production of hydrogen gas from the pus of the infection. This pressure builds up and has nowhere to go except down the root canals and into the immediate bone space around the root apex – the pain can be quite severe.