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Cavities are a disease of bacterial origin, in the center of the tooth is the pulp. This contains the nerve, blood, and lymph drainage. Once bacteria enter this area inflammation is caused by the immune system and increased blood flow to the area to try to combat the infection. In other parts of the body things have more ability to swell, in the tooth this is not so, the nerve is compressed by the swelling and pain results. Now your only options are to have the tooth pulled or root canal therapy. If you visit a dentist when the pain is just starting it may be possible to avoid the root canal and only have a filling.

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Q: Why are large cavities so painful?
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