How to deal with toothache from cavities?

Written by Li Bao Hua
Dentistry
Updated on September 04, 2024
00:00
00:00

Cavity toothache occurs when bacteria infect the hard tissue of the tooth, approaching or reaching the dental nerve, causing a pain response from the nerve, which is also a self-protective reaction. Initial treatment for cavity toothache involves using a drill to remove the decayed hard tissue of the tooth. If the decay is completely removed and the dental nerve is not exposed, this condition can be directly treated by filling or using a pulp-capping agent to protect the nerve before filling. If, after removing the decay, the dental nerve is exposed or reached, the situation cannot be resolved with a direct and immediate filling. Instead, nerve-killing procedures are necessary, which involve root canal treatment of the tooth.

Other Voices

doctor image
home-news-image
Written by Li Cui
Dentistry
45sec home-news-image

Can you ignore a cavity if it doesn't hurt?

When patients develop dental caries, it is recommended that they visit a formal medical institution for treatment. If the tooth decay is not addressed, it may worsen significantly. While it may not always cause pain, the teeth can still be damaged. Over time, the teeth might deteriorate severely, potentially leaving only the roots. This could also lead to damage to the tooth roots, causing inconvenience in the patient's dietary life and might lead to severe complications later on, including pain and irritation to the gum tissue. Therefore, it is advised that patients seek early medical treatment and undergo appropriate therapeutic measures based on the condition of their dental caries.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
51sec home-news-image

What should I do about permanent tooth decay?

Permanent tooth decay refers to the decay that occurs in children's newly emerged permanent teeth or already replaced permanent teeth. Once decay occurs in a permanent tooth, it is necessary to fill the tooth as soon as possible. Decay is removed by drilling out the decayed hard tissue of the tooth. After removal, direct pulp capping treatment for the tooth is performed. If the decay in the permanent tooth is deep and has reached the tooth nerve, pulp treatment is needed. Vital pulpotomy can be used to retain the root pulp of the root part to promote further development of the tooth root. If the apex of the root has already formed in the permanent tooth and decay occurs, and the tooth nerve cannot be preserved, we can directly proceed with root canal treatment.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
46sec home-news-image

The difference between dental caries and tooth decay.

Cavities, also known as dental caries, are essentially the same thing. Cavities are a disease caused by bacterial infection of the hard tissues of the teeth, resulting in black holes on the tooth surface. If the cavity is deep, reaching or approaching the dental nerve, external stimuli from hot, cold, sweet, or sour sources can cause tooth pain. The term "tooth decay," commonly referred to as "worm teeth" by the public, fundamentally describes the same condition as cavities, not caused by any sort of worm but by bacterial pathogens. Thus, there is no difference between cavities and tooth decay; both are infectious diseases of the hard tissues of the teeth.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
40sec home-news-image

Is it normal to have pain after filling a cavity?

Mild pain after filling a cavity is normal. This is often seen when glass ionomer materials are used for fillings. Glass ionomer materials expand in volume within 24 hours of mixing, which can stimulate the dental nerves and cause pain. However, the pain should gradually decrease or disappear after 24 hours. If there is severe pain after the filling, it may be due to the filling material being too high or the tooth decay being too deep, reaching the dental nerves and causing nerve pain. This situation is abnormal and requires root canal treatment.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
43sec home-news-image

Can cavities be brushed with an electric toothbrush?

Cavities can be cleaned using an electric toothbrush. However, if the cavity is severe, the vibrations from the electric toothbrush may cause pain. It is necessary to fill or treat teeth with cavities as soon as possible. Only after treatment can the progression of the cavity be controlled; merely brushing with an electric toothbrush cannot control the development of the cavity. Cavities are a destructive disease caused by bacterial infection of the hard tissues of the teeth. Control over cavities can only be achieved by removing decay and using a drill to remove the infected cavity tissue; an electric toothbrush cannot control the development of cavities.