He arrives at night, on the weekend, at the least opportune moment. A pulsating, acute pain that starts from a tooth and can radiate towards the jaw, ear or head. A pain that often doesn’t pass altogether with a painkiller, which can return as soon as the effect fades and makes it difficult to sleep, eat or concentrate.

Sudden toothache should not be ignored or considered a simple passenger discomfort. It can be the signal that something, in the tooth or surrounding tissue, has reached a critical stage and requires a timely odontoiatric evaluation, not only the repeated intake of drugs to relieve pain.

I do. Studio Odontoiatrico Stere di Lecce, guided by Dr. Nicolò Stefanelli and from Dr. Rosanna Renò, evaluate dental urgencies carefully, offering targeted diagnosis and personalized treatments to identify the cause of pain. The study is located in Via Giovanni Boccaccio 19 C/D/E, Lecce and is a reference for patients of Lecce, Salento and Puglia.

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Because suddenly toothache comes

Acute and sudden dental pain is often the result of a process that has developed over time, sometimes without obvious symptoms, until it becomes evident in an intense way. Causes can be different and require a professional diagnosis to be identified correctly.

Acute pulse

The pulpit is the inflammation of the dental pulp, that is the living tissue present inside the tooth, formed by blood vessels and nerve endings. When it becomes acute, pain can be intense, spontaneous and pulsating, often aggravated by heat and sometimes temporarily attenuated by cold. In the event of irreversible pulpit, it may be necessary devitalization or, in cases not recoverable, the extraction of the tooth.

Deep Charges

A caries that reaches the deep dentine or pulp can cause acute pain triggered by thermal, chemical or mechanical stimuli. When pain becomes spontaneous and does not stop after removal of the stimulus, there may be a pulpal involvement that requires an endodontic evaluation. Learn more about the topic on the page dental caries in Lecce.

Dental abscess

Dental abscess is a collection of pus caused by a bacterial infection that can originate from the tooth pulp or surrounding periodontal structures. Abscess pain is often intense, pulsating and continuous, sometimes accompanied by localized swelling, touch sensitivity, difficulty in chewing and fever. It is a condition that requires a timely evaluation to reduce the risk of spreading the infection.

Dental fracture

A fracture of the tooth, caused by trauma, a bite on a hard food or bruxism, can expose the dentine or pulp and cause acute pain. Some fractures, especially vertical ones, are not easily visible to the naked eye and require an accurate clinical and radiographic assessment.

Judgment tooth in eruption

The eruption of the third molar, commonly called the tooth of judgment, can cause pain, swelling and difficulty in opening the mouth, especially when the tooth is in abnormal or partially erupted position. In these cases a pericoronite may develop, i.e. an inflammation of the gum tissue that partially covers the tooth.

Root display

The gum recession can expose the dental root, more sensitive than enamel to thermal and chemical stimuli. Acute pain in the cervical area, especially in response to cold or hot, can be connected to radicular exposure. Learn more about the topic on the page Dental sensitivity to Lecce.

Acute Bruxism

Intense nocturnal dig may cause microfractures of the enamel, inflammation of the parodontal ligament and widespread pain when awakening. In these cases the discomfort does not always concern a single tooth, but may involve an entire arch or both arches. Learn more about the topic on the page bruxismo a Lecce.

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How to distinguish different types of toothache

Not all dental pain is the same. Recognizing the characteristics of pain helps the clinical to more quickly direct the diagnosis. Acute pain, triggered by cold or hot and intended to pass within a few seconds, may indicate tooth hypersensitivity or an initial caries. If the same pain persists longer, a pulpit may be present requiring a dental evaluation.

A spontaneous, button and continuous pain can be linked to a sharp pulpit or abscess. Pain during chewing or pressure may suggest a dental fracture, a periapical abscess or a periodontal problem. The presence of swelling associated with pain is a signal not to be underestimated, because it can indicate an active infection. A pain spread to several teeth in the morning, instead, can be connected to bruxism or temporary-mandibular disorders.

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What to do when the sudden toothache comes

When a sudden toothache appears, the first thing to do is contact your dentist as soon as possible. While waiting for the visit, some measures can help temporarily reduce pain, without solving the cause. Bench painkillers can only be taken if already tolerated, in compliance with the leaflet and the indications of the doctor or pharmacist. In the presence of swelling, a cold compress applied externally on the cheek can temporarily reduce the discomfort.

It is important to avoid heat, because it can worsen pain from pulpit or abscess. It is also useful to avoid very cold, hot, hard or sweet foods, which can further stimulate the compromise tooth. In the presence of swelling, you do not have to drill, press or manipulate the affected area with DIY remedies.

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When toothache is an emergency

Some cases of toothache require urgent evaluation. The swelling that extends to the neck, to the floor of the mouth or to the area of the eye can indicate a spread of the infection and requires immediate medical attention. The fever associated with dental pain may indicate an ongoing infection. Even the impossibility to properly open the mouth, called trisma, can signal an extension of the inflammatory process to the chewing muscles.

In cases of trauma with fracture or loss of a permanent tooth, it is important to act quickly and contact a dentist or emergency service immediately. The timeliness of the evaluation can affect the possibility of conservation of the tooth and the management of the tissues involved.

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Sudden toothache in children

Sudden toothache in children always deserves attention. Milk teeth can develop caries quickly and acute pain in a small child is often the signal of an already advanced injury or an infection that requires a professional evaluation. It is not advisable to postpone the visit pending that the milk tooth falls alone: an untreated infection can interfere with the surrounding tissues and, in some cases, with the development of the underlying permanent tooth. Learn more about the topic on the page Dentist for children in Lecce.

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What to avoid when you have toothache

Sending back the visit hoping that the pain passes alone is one of the most common mistakes: in many cases pain can diminish temporarily, but the underlying cause continues to progress. Taking antibiotics without a prescription is equally risky: antibiotics do not cure the cause of toothache and their improper use contributes to antibiotic resistance. Applying aspirin directly on the gum is a practice to avoid, because it can cause irritation or chemical burns of the tissues. Also ignore the swelling associated with pain is dangerous, because it can be the signal of an active infection.

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Sudden toothache in Lecce: why choose Studio Stere

I do. Dental Stere Study is located in Via Giovanni Boccaccio 19 C/D/E, Lecce and is a point of reference in Salento and in Puglia for the evaluation of the sudden toothache and dental urgencies. The Dr. Nicolò Stefanelli and the Dr. Rosanna Renò They perform accurate diagnosis and targeted treatments to identify the cause of pain and set the most suitable path for the individual patient.

You can explore the related treatments by visiting the pages dedicated to devitalization in Lecce, dental caries in Lecce, atimplantology in Lecce and thedental hygiene in Lecce. For information and reservations: Scholarship. it.

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Frequently asked questions about sudden toothache in Lecce

Does the toothache pass alone?

In some cases pain can be reduced spontaneously, for example when a pulpite evolves into pulpal necrosis and nerve endings stop transmitting the painful signal. This does not mean that the problem is solved: the infection can continue to progress towards support tissues. This is why it is important not to postpone the dental evaluation.

Can I get antibiotics for toothache?

Antibiotics do not cure the cause of toothache. They can only be indicated in certain specific situations, on a medical or dental prescription, when there is a bacterial infection with certain clinical characteristics. Taking them without prescription is risky and counterproductive.

Is the toothache at night different from the dayache?

The pain can be more intense at night because, in a horizontal position, increases the blood flow to the head, aggravating the pressure on the inflamed pulp. Intense night pain can be a signal of acute pulpitis and requires a timely evaluation.

How long can I wait before I go to the dentist?

In the presence of spontaneous pain, button or accompanied by swelling it is advisable to contact the dentist as soon as possible. If the swelling extends to the neck, high fever appears or there is difficulty breathing or swallowing, it is necessary to immediately address an emergency medical service.

Does Studio Stere manage dental needs?

Yes. The Dentistry Studio Stere di Lecce assesses dental needs with attention and clinical priority. To book an urgent visit you can contact the study via Scholarship. it.

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At Studio Odontoiatrico Stere you can find a complete range of preventive and curative dental treatments.

If you are looking for a dentist in Lecce for dental prevention, in Salento or Puglia, our team is ready to welcome you with expertise, technology and attention to detail. Learn more about studiostere.it and book your check-up today.
Article written by Dr. Nicolò Stefanelli – Dentistry

 

 

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Article written by Dr. Nicolò Stefanelli – Dentistry