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Toothache: Treatment

 
Medical Encyclopedia: Toothache: Treatment
 
Emergency self-care

Toothaches should always be professionally treated by a dentist. Some methods of self-treatment, however, may help manage the pain until professional care is available:

  • rinsing with warm salt water
  • using dental floss to remove any food particles
  • taking aspirin or acetaminophen (Tylenol) to relieve pain; the drug should be swallowed—never placed directly on the aching tooth or gum
  • applying a cold compress against the outside of the cheek; do not use heat, because it will tend to spread infection
  • using clove oil (Syzygium aromaticum) to numb the gums; the oil may be rubbed directly on the sore area or used to soak a small piece of cotton and applied to the sore tooth
Professional care

Treatment will depend on the underlying cause of the toothache. If the pain is due to tooth decay, the dentist will remove the decayed area and restore the tooth with a filling of silver amalgam or composite resin. Loose or broken fillings are removed, new decay cleaned out, and a new filling is placed. If the pulp of the tooth is damaged, root canal therapy is needed. The dentist or a specialist called an endodontist removes the decayed pulp, fills the space left behind with a soothing paste, and covers the tooth with a crown to protect and seal it. If the damage cannot be treated by these methods, or if the tooth is impacted, the tooth must be extracted.

— Bethany Thivierge



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