home Audience 3 My tooth has been hurting for a week now after treatment. Improper drying of the inner surface of the tooth. Why does a tooth hurt after removing a nerve from a tooth?

My tooth has been hurting for a week now after treatment. Improper drying of the inner surface of the tooth. Why does a tooth hurt after removing a nerve from a tooth?

Thank you

One small bad tooth can cause a person significant suffering and cause many problems. Strong toothache reduces performance, makes you refuse food, and prevents you from concentrating on anything. And the overall quality of life decreases, the person finds himself “knocked out.” And if at the same time the temperature also rises, a violation is noted general condition…

All causes of toothache can be divided into two large groups:
1. Related directly to teeth.
2. Those that cause damage to neighboring formations: bones, nerves, etc.

Below we will look at the main diseases belonging to both groups. But first, let's answer some common questions.

Why is toothache almost always very severe?

And indeed: often toothache very strong, and not entirely consistent with the scale pathological process. After all, for example, if a person cuts his finger, then it does not hurt so much and for so long.

The fact is that the most common cause of severe toothache is an inflammatory process, manifested primarily by swelling. The socket in which the tooth is located is a tight dimple formed by bone. When swelling develops in it, there is nowhere for it to break through: it grows in this limited cavity - as a result, the pressure inside increases greatly and the nerve approaching the tooth is compressed.

Why does it most often occur at night?

Typically, toothache begins in one of two typical ways:
1. In the evening the tooth begins to ache, then these sensations increase towards night.
2. A man wakes up at night from a severe toothache.

Often, all attempts to get rid of toothache at night are unsuccessful. And in the morning it goes away on its own. What is this connected with?
The whole point again is that the cause of toothache in most cases is an inflammatory process.

And any inflammation in the body is regulated by the adrenal glands - glands located near the upper edges of the right and left kidneys. They secrete corticosteroid hormones that suppress inflammatory processes. In the evening, the adrenal glands are inactive. Therefore, the inflammatory process and pain manifest themselves very clearly. In the morning, their activity is, on the contrary, maximum.

This is precisely the reason for the fact that toothache most often bothers a person at night.

Why should you immediately contact a dentist if you have a toothache?

The inflammatory process associated with toothaches is in most cases caused by pathogenic microorganisms. Even if you manage to cope with the pain on your own, the cause of the pathological process will not be eliminated. The proliferation of microbes in the diseased tooth will continue. And this will inevitably lead to its loss over time.

Therefore, if you were bothered by a toothache in the evening, it is advisable to visit the dentist the next day.

The most common causes of toothache

Caries

Caries is the most common cause of acute toothache. The disease is damage to the enamel and dentin of the tooth, and the appearance of a carious cavity in them, in which pathogenic microorganisms develop.

Toothache due to caries is accompanied by other symptoms, which depend on the stage and severity of the disease:
1. Spot stage– superficial damage to the enamel. In this case, it is not yet an inflammatory process, but simply the leaching of important salts from the enamel. The patient complains of pain and discomfort in the tooth when eating sour and cold foods. Upon examination, the dentist discovers a white spot on the tooth.
2. Superficial caries characterized by damage to the enamel. The carious cavity does not extend to the dentin of the tooth. There is a reaction in the form of toothache to eating salty, sour, and sweet foods.
3. Average caries occurs most often. In this case, the toothache is very severe, but it usually does not last more than two minutes.
4. Deep caries- a lesion in which the carious cavity almost reaches the pulp of the tooth. When eating cold, sour and sweet foods, severe toothache occurs, which lasts up to 5 minutes. Patients with deep caries most often have bad breath, and the carious cavity on the tooth itself is clearly visible. With deep caries, intense pulsating toothache may occur in the evenings and at night.

Flux

Flux is a dangerous complication of caries and pulpitis, in which an infectious and inflammatory process develops in the periosteum and jaw bone. It develops when the patient delays visiting the dentist for a long time. The following symptoms are typical for flux:

prolonged severe toothaches of aching nature, which cannot be relieved by any means;
pain can spread to the ear, neck, and other areas;
general deterioration of condition, increase in body temperature;
the gums in the affected area swell greatly, their color becomes bright red;
there may be swelling of the corresponding half of the face - often this symptom indicates that periostitis is complicated by phlegmon or an abscess;
as a result of the infectious-inflammatory process, an increase in the size of the submandibular lymph nodes is noted.

In fact, pain and other symptoms of gumboil indicate that an abscess has formed in the bone area. It may open spontaneously, in which case the patient's condition improves. However, this well-being is imaginary and temporary. The inflammatory process continues. It will definitely make itself felt over time, leading to tooth loss or other, more serious complications.

Toothache due to pulpitis

Pulpitis is a complication of caries. Pathogenic microorganisms, multiplying in the carious cavity, reach the pulp - the soft tissues located inside the tooth. This is where the dental arteries and nerves are located. Therefore, toothache and other symptoms with pulpitis differ significantly from those with caries:

We have already mentioned above that toothaches due to caries are always short-lived. They cannot last more than 2 – 5 minutes. With pulpitis, on the contrary, they are permanent.
The pain with pulpitis is very severe. It can be aching and throbbing. It is pulpitis that most often becomes the cause of sleepless nights. Painful sensations can be so strong that they gradually bring a person to nervous breakdown and an almost insane state.
At the same time, tooth pain caused by pulpitis has another unpleasant feature. It practically cannot be removed with various tablets and traditional methods. It just subsides for a short time, and then develops with renewed vigor. As we have already explained, pulp inflammation occurs in a closed cavity; there is nowhere for it to break through. Hence the specificity of pain.
Also noted general manifestations- such as increased body temperature, lethargy and feeling of weakness, mood disorders.

The only way to prevent tooth loss due to pulpitis is to visit the dentist the day after the pain occurs.

Increased tooth sensitivity

Increased sensitivity of teeth manifests itself in the form of toothaches during exposure to high and low temperatures, chemical (sour, sweet) and mechanical (chewing rough food) irritants.

Although increased sensitivity teeth is not always associated with diseases, the occurrence of toothache and discomfort in the teeth may be the first signal of the onset of big problems. It is caused by the following reasons:

Exposure of sensitive dentin at the neck of the tooth is a condition that occurs due to various negative effects on the tooth tissue.
Erosion and wedge-shaped defects of teeth are lesions that are not associated with caries and inflammatory processes, but have approximately the same mechanism of occurrence.
Metabolic disorder minerals in organism.
Diseases nervous system, as a result of which there is increased sensitivity of nerve endings.
Endocrine diseases.

Toothache with such disorders can have a different character. Only a dentist can determine its cause after a careful examination. oral cavity.

Toothache after tooth filling

Acute severe toothache can develop even after root canal treatment has been performed and a filling has been installed.

The reasons for this condition may be:

Omissions of the dentist during dental treatment. The doctor may simply not have completely drilled through the affected root canal.
Low quality filling materials used in the dental clinic.
Sometimes it is not possible to completely fill the root canal for objective reasons: if it has sharp bends or branches.
After root canal treatment, the inflammatory process in the area of the tooth apex may persist. The infection enters the canal again and causes a relapse of the disease.

Often the only way to eliminate toothache after filling a tooth is a complex and lengthy canal retreatment procedure. It can only be performed by a highly qualified dentist using modern high-quality equipment.

Toothache after tooth extraction

Typically, pain after tooth extraction is not severe and lasts 1–2 days, after which it completely subsides. This is normal. If you had to cut the gum during removal, the toothache can last up to a week.

In cases where the toothache after extraction is very severe and does not go away, it can be associated with the following pathologies:
1. Dry hole. Normally, a defect forms at the site of the avulsed tooth, which fills with blood, and this speeds up healing. For some people (especially older people, smokers, and women taking contraceptives) this does not happen. In place of the tooth, bare jaw bone remains. Aching pain appears. In this case, you need to visit a dentist, who will apply a bandage with medicinal substances.

2. Alveolitis is an inflammation of the dental alveoli, which is a direct consequence of a dry socket. When this disease develops, the toothache intensifies, the general condition of the patient is disrupted, and the body temperature rises. Upon examination, swelling and a bright red color of the gums are visible.
3. The diseased tooth was not completely removed. For some diseases, the dentist is forced to perform complex surgical interventions. In order to remove a tooth, it must be split into many small pieces. If one of these fragments remains in the hole, it leads to the development of an inflammatory process.
4. Tooth extraction is performed if the patient has diseases such as gingivitis, periodontitis, periodontal disease. In this case, the gums have increased sensitivity, so pain bothers you for a long time.
5. Allergy to anesthetics and other medications administered by the doctor during surgery. The patient, right in the dentist's chair, begins to experience toothache, swelling of the gums and face, itching, and other symptoms.
6. Sometimes the pain after surgery is not at all related to the tooth itself, but is of psychogenic origin. The patient simply turns out to be too suspicious, impressionable, and emotional.

The occurrence of severe toothache after tooth extraction is a reason to contact the dentist again. It is necessary to understand the causes of the symptom and eliminate them.

Pain under the crown

Toothache under a crown is most often associated with poor-quality root canal treatment:
1. During treatment, before installing a crown on a tooth, the dentist must completely fill the root canal. But sometimes this is difficult to do technically, and sometimes the doctor’s experience is simply not enough. As a result, part of the canal in the area of the root apex remains unsealed, which makes it possible for inflammation to develop.
2. Loose filling of the root canal, when defects and voids remain in the filling.
3. Damage to the wall of the root canal during its processing and installation of the pin. As a result, a hole is formed in the wall of the root canal through which infection penetrates.
4. Sometimes it happens that pieces of instruments break off and remain in the root canal, and the dentist does not notice this. After some time, the patient begins to experience pain.

Toothache under a crown can be expressed in different ways. Sometimes it is very strong, and sometimes it is completely absent, and appears only when pressing on the diseased tooth while closing the jaws. In parallel, the following symptoms may be present:

Violation of general condition, increased body temperature.
A tumor of the gums under the crown, gumboil, is evidence that the inflammatory process has spread to the bone tissue of the gums.
If purulent inflammation progresses further, a lump with pus or a fistula forms on the gum.
The final stage of the purulent-inflammatory process in the tooth is the formation of a cyst. It is a cavity filled with pus in the bone, and is detected during an x-ray.

The occurrence of toothache under a crown should be a reason for an immediate visit to the dentist.

Cracks in tooth enamel

Normally, human tooth enamel is insensitive to irritants. But if cracks appear on it, this leads to toothache when eating cold and hot food. Enamel cracks and accompanying toothache are not yet a disease. But people who have this state, should monitor their oral health more carefully and visit the dentist regularly.

Acute toothache, which occurs with cracked enamel and caries, has practically no differences. Install accurate diagnosis Only a doctor can do it after examination.

Dental injuries

Various dental injuries manifest as acute toothache. Highlight the following types traumatic injuries:
1. A tooth bruise is the mildest injury that can go away on its own without treatment.
2. The luxation of a tooth can be complete, when it falls out of the alveolar socket altogether, or incomplete, when it is partially displaced.
3. The fracture may involve the crown or root of the tooth.

Toothache during pregnancy

Pregnancy is often called “a provocateur of all kinds of diseases.” The body of a woman preparing to become a mother experiences a double load. He must provide nutrients to both himself and the fetus. As a result, especially if a woman’s diet is incomplete, a lack of vitamins, minerals, and microelements easily occurs.

If a woman does not receive enough calcium, then her teeth become less strong and they are more susceptible to caries and other diseases.

Therefore, the best treatment for toothache during pregnancy is its prevention through proper nutrition and careful oral hygiene. If the pain still begins to bother you, then it is better to do without doing anything on your own. Many pain medications can pose a risk to the health of the fetus. Therefore, you should definitely visit a doctor on the same or the next day.

Toothache in a child

The causes of toothache in children are almost the same as in adults. But in childhood this symptom is much less common. A child may develop initial manifestations of caries, which do not manifest themselves in any way, but later lead to a lot of problems.

Therefore, it is very important to take all children regularly for checkups to the dentist, and to teach proper hygiene oral cavity. And if a child has a toothache, then an early visit to the doctor is simply necessary.

A common cause of anxiety in infants is teething. It is accompanied by pain, slight inflammatory process, increased body temperature. At the same time, a small child cannot talk about what is bothering him, and parents can only guess about the reason. Toothache in infants can be relieved with the help of special teethers and anesthetic gels.

What to do if you are worried about tooth pain?

First aid measures for toothache at home will be described below. They will help cope with pain, but will not eliminate its cause. Therefore, if the pain persists, you should definitely consult a dentist as soon as possible.

Painkillers

Medicines are one of the most effective means, which helps relieve toothache before visiting a doctor. The most commonly used means are:

Analgin and analogues (Pentalgin, Tetralgin, Tempalgin, etc.);
Aspirin and analogues (in tablets, syrups and “pops”);
paracetamol and its analogues;
ibuprofen and its analogues (one of the most preferred drugs in children).

Of course, all medications can be used strictly in prescribed dosages. Before doing this, it is better to consult a doctor.

It is not recommended to use Ketanov (Ketorol) and its analogues for toothache. This drug has strong effect, but has many side effects, and therefore can only be used as prescribed by a doctor.

Often it is more effective to use painkillers for toothache not internally, but locally, in one of the following ways:

crush the tablet, pour the resulting powder into the defect on the tooth;
moisten a small piece of cotton wool with the medication solution (in injection ampoules) and apply to the tooth;
use special dental drops locally.

Antibiotics

Many diseases that lead to toothache are caused by pathogens. Therefore, the use of antibacterial drugs is completely justified in most cases. There are some important points to remember:
1. Antibiotics by themselves do not eliminate toothache. A single use of an antibacterial drug by itself will not lead to any effect.
2. Different antibiotics have different effectiveness against pathogens. Therefore, their independent use without a doctor’s recommendation is unacceptable.
3. Without dental treatment Antibiotics often have no effect.

So, independent use of antibiotics for toothache is pointless and, moreover, not entirely safe.

What plants will help with toothache?

There is a huge arsenal of herbal remedies that will help you cope with toothache before visiting a doctor. You will definitely be offered a wide selection at the pharmacy. The following are the main assets:
1. Sage tincture. This plant can be purchased dried or as a ready-made mouthwash.
2. Mint. A tincture for rinsing, which is prepared by steeping the leaves of the plant in boiling water.
3. Melissa. Used in the same way as mint.
4. Garlic is used in the form of a paste, which is placed into the carious cavity.
5. You can apply it to your cheek on the side where the tooth hurts, cabbage leaf or plantain leaf.

Rinse solutions

There is a large selection of mouth rinses for toothache:

You can prepare a water-salt solution yourself. To do this you need to stir in a glass warm water half a teaspoon of salt and soda.
You can use tinctures of chamomile, calendula, and oak bark.
Pharmacies sell special solutions medicines for rinsing the mouth for toothache.

Folk remedies

There is a wide variety of folk remedies for toothache, which have varying effectiveness:

The most common practice is to place a piece of lard behind the cheek on the sore side.
Sometimes applying a piece of ice to your cheek helps with tooth pain.
Take a glass of vodka into your mouth and hold it for a while near the sore tooth. In this case, alcohol acts as an anesthetic.

Causes of toothache that are not related to diseases of the teeth themselves

Toothache can be a manifestation not only dental diseases. Sometimes it is a symptom of pathology of neighboring organs.

Trigeminal neuralgia

The trigeminal nerve provides sensory innervation to the face and oral cavity. With his neuralgia there are very severe pain, which the patient often perceives as dental. They are not relieved by any medications, and force the person to soon go to the dentist.

But the doctor cannot always understand what the source is pain are not teeth at all. Treatment is often carried out, even depulpation of supposedly “sick” teeth. Naturally, these procedures also do not bring any effect. The pain continues to bother me.
Treatment of toothache, which is a symptom of neuralgia trigeminal nerve, is handled by a neurologist.

Migraine and cluster headaches

Migraine and cluster headaches are two very similar diseases. They even have a similar development mechanism. Most often they manifest themselves in the form of severe headaches, photophobia, and increased sensitivity to loud sounds.

But sometimes migraine and cluster pains arise not in the head, but in upper jaw, behind her, in the eye socket. In this way, an imitation of toothache can be created. She is always bothered on one side. Painkillers provide some relief.

Otitis media

Otitis media is an inflammatory disease of the middle ear, which in most cases develops in children, and is a complication infectious diseases(flu, cold, sore throat).

Symptoms characteristic of otitis media are ear pain and hearing loss. However, pain often spreads to posterior sections lower and upper jaw, thus simulating toothache.

Signs such as decreased hearing, increased body temperature, and the occurrence of a symptom against the background of an infectious disease help to identify acute otitis media.

By the way, not only pain from otitis media spreads to the posterior parts of the jaws. The opposite effect also occurs. With dental pathologies, pain often radiates to the ear.

Sinusitis

Sinusitis is an inflammatory lesion of the maxillary sinus, located in the body of the upper jaw. The fact is that its bottom is in close proximity to the tops of the roots of the teeth. Therefore, the pain of sinusitis can closely resemble toothache. An ENT disease can be suspected based on the following symptoms:
1. Pain syndrome usually develops against the background of a cold.
2. The patient is bothered by a runny nose and nasal discharge that does not go away for a long time.
3. There are other signs of acute respiratory infections: a significant increase in body temperature, cough, sore throat, etc.

The final diagnosis is made by an otolaryngologist.

Toothache in coronary heart disease and myocardial infarction

Sometimes toothache becomes an “exotic” manifestation of diseases of the cardiovascular system. With angina pectoris and myocardial infarction, severe burning pain behind the sternum is characteristic, radiating to the left hand and under the left shoulder blade.

But there are cases when attacks manifested themselves only in the form of toothache on the left side of the lower jaw. Usually in these cases the patient does not even suspect that there is something wrong with his heart. He goes to see the dentist. The doctor can also be misled by such symptoms. Staging correct diagnosis with such a “toothache” it is very difficult.

Atypical pain conditions

The origin of such “toothache” often remains unknown. In most cases, such pain syndromes are associated with nerve disorders:

pain in the teeth is diffuse, the patient cannot indicate the place where it bothers;
it tends to migrate, being localized in one part (half) of the jaw, then in the other;
Some patients periodically complain of either toothache or “pain all over the body.”

The most common cause of such pain is pathology of the nervous system and psychological disorders.

Toothache: what to do?

Before use, you should consult a specialist.

Patients in dental clinics often have to deal with tooth pain after treatment. The pain can be acute, or it can be nagging, mild, and long-lasting. Despite the statements of people far from medicine and dentistry, such pain in most cases is normal occurrence associated with damage to tooth tissue during drilling and filling. In some situations, pain indicates insufficient quality work by the dentist and the development of a new pathological process in the diseased tooth. So, what to do if the pain does not disappear after dental treatment? What kind of pain is considered normal, and what kind of pain is an indication for an immediate return visit to the doctor?

When is pain considered normal?

Any mechanical intervention in the functioning of the body, be it the treatment of caries or surgery, is carried out with a violation of the integrity of the tissues. In this case, a violation of the internal structures of the tooth occurs, and part of the tissue is removed from it. All this cannot happen absolutely painlessly. Of course, during the treatment process, the doctor numbs the area where the intervention is performed. Therefore, the teeth on which it was performed begin to ache a few hours after visiting the clinic.

According to dentists, pain after installation of a filling can persist for several weeks. In practice, these periods are much shorter. Typically, the patient forgets about the problem tooth within 12–24 hours after the end of treatment.

Why does my tooth hurt after treatment? The fact is that pain is a kind of signaling device that lets us understand that not everything is in order in the body, there are some malfunctions or damage. At the same time, the receptors pain sensitivity unable to differentiate “normal” pain sensations from “harmful” ones. There was an intervention during which the tooth was drilled and the pulp was removed - pain appeared.

Note: an important distinguishing feature of “normal” pain after dental treatment is its nature. Toothache after treatment is of low intensity, aching character, gradual subsidence.

Why does “normal” pain persist for several days?

Normal reaction human body on mechanical damage is aseptic inflammation and swelling of the affected tissues. In this case, local dilation of blood vessels occurs, tooth tissues are saturated with liquid, phagocytes accumulate in them, and other protective mechanisms begin to work to prevent the development of the infectious process.

When tissue edema occurs, some compression of the nerve endings occurs. Accordingly, the patient complains that the tooth hurts after filling. It is important that such pain occurs even if there was no pain in the affected tooth before the filling was placed.

As the damaged area heals, the inflammatory process also subsides. Accordingly, the swelling goes down, the degree of compression of the nerves gradually decreases. At the same time, pain decreases. The speed of regenerative processes depends on the individual characteristics of the patient’s body and the traumatic nature of the intervention.

As mentioned above, “normal” pain is characterized by gradual subsidence. Increased pain is a sign of a pathological process and indicates improper treatment. Increasing pain can also occur when an infection enters the tooth cavity and bacterial inflammation develops.

In what cases is pain an indication for a repeat visit to the dentist?

A characteristic feature of pain, indicating an ongoing pathological process, is its increase over time, an increase in the intensity of sensations, and the spread of pain to other areas of the gums and jaw. If such symptoms are present, we can conclude that one of the following diseases occurs:

incomplete removal of carious tissue;
chronic pulpitis;
damage or incorrect installation of the seal;
improper drying of the tooth surface when placing a filling;
undertreatment of inflamed tissues during periodontitis.

In this case, the pain can be aching, occur when biting, or be constant and pulsating. In the latter case, we can talk about purulent inflammation with the formation of an abscess in the area of the tooth root.

Note: an abscess can manifest itself not only in the form of localized, jerking pain. As the process spreads, the pain becomes diffuse. In this case, the patient develops a general toxic syndrome.

If carious and inflamed tooth tissues are incompletely removed, the pathological process continues even after treating the cavity with an antiseptic and installing a filling. Such patients first complain that the tooth aches. However similar phenomena usually attributed to normal soreness caused by tissue swelling.

Subsequently, the process develops, inflammation spreads to the former healthy tissue. If there is an anaerobic microflora in the focus, it receives ideal conditions for its development, which becomes the cause of severe inflammatory phenomena. In the absence of medical care, anaerobic processes within a few days lead to the formation of abscesses or phlegmon of soft tissues.

Chronic pulpitis

During the treatment of caries, chronic pulpitis often remains undiagnosed. At the same time, filling a carious cavity does not lead to its resolution. The inflammatory process continues to progress, first creating an aching sensation, then leading to acute pain.

Note: some patients try to treat pulpitis by piercing the pulp with a heated needle. It is unacceptable to attempt treatment on your own using such methods. This leads to the formation of chronic foci of inflammation.

Actually, pulpitis can also develop due to the dental intervention itself. This becomes possible if the dentist's drill goes further than necessary. In this case, the pulp is damaged, which leads to inflammation.

Incorrect placement can include an excessively deep installation of a filling or an insufficient depth of its placement. Also, during the treatment process, the filling may be damaged due to poor quality material. As a rule, if the treatment technology is violated, patients complain that the tooth hurts when biting food.

An incorrectly installed seal may fly out of its seat. In this case, the open carious cavity quickly becomes contaminated with pathogenic microflora. Microorganisms penetrate into the pulp and dental canals with the appearance of a corresponding inflammation clinic.

Improper drying of the inner surface of the tooth

When filling a tooth, the doctor removes tissue affected by caries, and then treats the existing cavity. antiseptic solution. Immediately before placing the filling, the cavity is dried from drops of solution, but it is left wet. The presence of antiseptic drops or, conversely, an excessively dry cavity leads to insufficient cement adhesion.

Improper drying leads to increased pain sensitivity of the tooth and discomfort for the patient. It is better to remove such a filling and make a new one. Otherwise, it may be lost at a time when it will be impossible to get to the dentist.

Undertreatment of inflamed tissues during periodontitis

Periodontitis may not be detected during treatment of a diseased tooth or may be the result of improper therapy. The disease especially often occurs when deep gingival structures are damaged by dental instruments.

In such a situation, the patient will present complaints characteristic of this disease: the feeling of an overgrown tooth, throbbing pain, and later - swelling of the gums. If you have these symptoms, you should visit your dentist as soon as possible.

First aid and treatment

If your tooth hurts after treatment, you should pay attention to the nature of the pain. In the absence of the above-described signs of a serious pathological process, discomfort can be relieved with the help of painkillers. If you experience throbbing or intensifying pain, you should immediately contact a specialist.

First aid

“Normal” pain does not require the use of medications. With significant discomfort and low pain threshold The patient is allowed to take non-steroidal anti-inflammatory drugs (ketorol, analgin, MIG). It is necessary to take medications for 2-3 days. If the pain does not go away during this time, it is recommended to undergo an X-ray examination to exclude purulent complications.

Some techniques from the category can be used to relieve toothache traditional medicine. Thus, many patients note a decrease in pain after applying a piece of well-salted lard to the sore area of the gum. This method is more often used for temporary relief of toothache before treatment. However, it can also be successfully used to relieve pain that occurs after tooth filling.

The effect of the considered method of reducing pain is based on osmotic pressure. Lard, in which the salt concentration is quite high, draws fluid from the inflamed area. At the same time, swelling decreases, the degree of compression of nerve endings decreases, and pain goes away.

If there are signs pathological pain and it is not possible to immediately visit a dentist, it is recommended to start a course of treatment antibacterial drugs. The remedy is selected empirically. In dentistry, the drug of choice most often is lincomycin and amoxiclav.

Treatment

In most cases, severe pain in the tooth after its treatment requires re-opening the cavity and careful antiseptic treatment channels. If carious areas are not completely removed, the tissues are processed again and thoroughly cleaned. The presence of a purulent process is an indication for the installation of drainage - a rubber strip through which the wound contents drain.

If a patient with a purulent process that developed after dental treatment does not seek treatment for a long time medical care, he develops a jaw abscess or soft tissue phlegmon. These are life-threatening conditions that require full-scale surgical intervention.

Pharmacological therapy consists of prescribing the following groups of drugs to the patient:

Non-steroidal anti-inflammatory drugs (analgin, ketorol) - relieve pain syndrome and reduce the release of inflammatory mediators;
Antibiotics (amoxiclav, lincomycin, azithromycin) - etiotropic treatment. They influence pathogenic microorganisms, reducing their number in the source of pathology;
Antiplatelet agents (trental) - improve blood microcirculation, thereby ensuring a better supply of oxygen and nutrients to the affected area;
Regenerating agents (solcoseryl, sea buckthorn oil) - applied topically if there is a cut on the gum. Accelerate wound healing.

Note: self-administration of medications without the necessary treatment of the tooth does not lead to recovery.

Prevention

Pain in a tooth after treatment in most cases is the result of a doctor’s mistake. Therefore, it is almost impossible to prevent such a development of events. However, it is possible to reduce the likelihood of incorrect treatment. What should I do for this?

It should be remembered that the less deep the carious lesion is, the less complex and deep the intervention is required to correct it. Therefore, you should not put off visiting the dentist for too long. You should seek help immediately after a defect is discovered.

If the initial pain that occurs after treatment does not decrease within 2-3 days, but intensifies and becomes pulsating, you should immediately visit the clinic where the treatment was carried out. If an immediate visit to the doctor is not possible, it is recommended to take an antibiotic as a supportive measure.

Most people are accustomed to delaying a visit to the dentist as much as possible, because the sensations associated with visiting this specialist are far from the most pleasant. Unfortunately, it often happens that after a meeting with a doctor, the problem remains open and unresolved, and therefore worries the patient. What should you do if your tooth hurts after dental treatment, and what could cause such a situation?

General list of causes of discomfort

Unpleasant sensations after a visit to the doctor are a fairly common phenomenon, and you should not be afraid of it. Let's first determine whether a tooth can hurt after treatment and for what reasons this most often happens.

There may be several prerequisites for this condition. The most common ones are:

Temporary increase in sensitivity due to injury and external intervention.
Unnatural shape of the filling, requiring additional modification.
Individual sensitivity of the patient.
Violation of sealing technology.
The pressure of the installed filling on the nerve and pulp.
Reaction to drugs.
Neglect of doctor's recommendations by the patient.

Moreover, pain is normal complication after dental procedures such as nerve removal, periodontitis treatment and much more. Let's look at each of the described cases in a little more detail.

Most common problem

Of course, most often a tooth hurts after caries treatment. Probability medical error during the operation is minimal, but still present. Thus, constant discomfort may be due to the fact that the disease is not completely eliminated. To avoid such a set of circumstances, it is recommended to contact only trusted dentists who perform their work efficiently.

Complex caries

What to do if your tooth hurts after treatment of deep caries? First of all, don't worry. Most dentists consider this reaction to be completely normal and justified. In addition, it should be remembered that in this situation, the pain can last up to several days. As a rule, over time it becomes less and less pronounced, and then disappears completely. This is due to the fact that the installed filling (and the work carried out to implement it) ends up in close proximity to the nerve endings and has an irritating effect on them. Over time, the pulp ( connective tissue) between the nerve and the filling is restored, creating a natural barrier to their contact, which means painful sensations are gradually decreasing.

Untreated caries

When answering the question why a tooth hurts after treatment, it is impossible not to mention the development of pathogenic processes under the installed filling. Typically, this situation does not appear immediately, but only after some time, which should also provoke the patient to certain worries. When faced with such an unpleasant situation, do not wait for it to develop; immediately visit a doctor to receive qualified treatment.

Irregular shape of filling

What to do if your tooth hurts when you bite? After treatment and installation of a filling, this situation occurs quite often. The probable cause of the discomfort in this case is irregular shape fillings. To solve the problem, it is recommended to contact a specialist as soon as possible for correction.

Nerve removal

After dental treatment, the tooth hurts. Very often, such an unpleasant situation is typical when a nerve is removed. Typically, specialists notify patients in advance that pain after manipulation can last for quite a long time (up to about two months). Discomfort can occur both with external irritation (pressure) and in a calm state.

Symptoms of deterioration

The prerequisites for its manifestation are the implementation of intervention in internal and external tissues (most often a tooth hurts after root canal treatment due to rinsing, the use of powerful antiseptics and medicinal compounds, and metal instruments). In such a situation, it is extremely important to differentiate between unpleasant sensations and possible complications. How to determine if a situation is out of control and you should seek emergency help dental care? The following symptoms will tell you about force majeure development of the situation:

Severe pain.
The appearance of edema.
Redness of the gums (discoloration).
An increase in body temperature for no other apparent reason.

Discomfort with pulpitis

Does your tooth hurt after pulpitis treatment? Well, this outcome of events should not be surprising either. The thing is that it is possible to defeat an advanced disease only by removing the nerves. Such manipulations cause injury to soft tissues, which, in turn, provokes severe pain. Typically, to prevent the development of complications, experts recommend treatment according to the following algorithm:

Cleaning the canals, placing medications in them, fixing them with a temporary filling.
Determination of the condition assessment period. In case of discomfort, it is carried out re-treatment, in the absence of unpleasant sensations, installation of a permanent filling.

Discomfort with periodontitis

Another common situation when a tooth hurts after dental treatment is the fight against periodontitis. To understand the cause of discomfort, you should become a little more familiar with the disease itself. It is caused by the accumulation pathogenic bacteria, affecting the tooth as well as adjacent bone tissue. In particular advanced cases the help of a specialist cannot lead to a complete elimination of the problem. Even after the canals have been cleaned and sealed, some microorganisms remain and continue their pathogenic activity inside them. However, the filling interferes with their free movement and causes bacteria to accumulate in one specific place, thereby creating a painful source of inflammation. In this case, the patient can only get rid of discomfort with the help of a specialist.

Oral pain

After dental procedures, not only the teeth, but also other parts of the oral cavity may hurt. In what cases does this happen, what is the reason and what measures need to be taken? Let's try to answer the most important questions.

Do your gums hurt after dental treatment? It is likely that you have developed inflammation of the periosteum. Similar condition associated with the initial reason for contacting a specialist - periodontitis or pulpitis. This complication indicates that bacteria have accumulated under the filling and are actively provoking inflammatory processes. The way out of the situation may be to immediately contact a surgeon. Otherwise, you risk starting the problem and eventually spreading the infection.

Does your jaw hurt after dental treatment? This phenomenon most often occurs not even due to treatment, but due to removal. Unfortunately, there is a possibility that not only soft tissues, but also bones may be injured. Self-medication in this case is strictly prohibited and can be extremely dangerous.

First aid measures

What should you do if your tooth hurts after dental treatment? The easiest way out is to consult a dentist, however, if this is still not possible, it is necessary to temporarily relieve the discomfort. For these purposes, you may find the following simple but extremely useful recommendations useful:

Taking a painkiller. An effective but temporary measure that allows you to relieve negative feelings for a short period of time.
Rinse with a special solution based on soda and salt. For one glass of warm boiled water, add one teaspoon of the indicated components and mix the resulting liquid thoroughly.
Rinse with propolis or use it as a therapeutic compress, it will help reduce pain.
Use an infusion based on celandine to treat the oral cavity. One tablespoon of dry inflorescences and leaves of this plant is brewed in a glass of boiling water, the resulting drink is infused for about half an hour, and then used for rinsing.

First aid measures for children

The health of children requires even closer attention. If a child’s tooth hurts, after treatment, try to show it to a specialist as quickly as possible, and so that the baby does not suffer from unpleasant sensations, provide him with assistance. Please pay attention to the following safe tips:

A tincture based on boiled water and a teaspoon of soda for rinsing.
Tincture based on boiled water and sage for rinsing.
Children's pain reliever (for example, Nurofen).
Place a tiny (and I mean tiny) piece of aspirin on the sore tooth.
Compress based on propolis.

The ability to feel pain is vital for every person - it is a signal to action, indicating that something has gone wrong in the body. As a rule, the spontaneous appearance of pain is a kind of indicator of unwanted changes in the body, and its intensity determines the severity of these changes. And toothache here is no exception to the rule - it should be perceived precisely as a signal for immediate action, so it is useful for every person to know what to do when a tooth hurts badly.

Generally speaking, a tooth may begin to hurt after various reasons: due to caries, pulpitis, periodontitis, periostitis, etc. Often even inflammation of the gums provokes toothache. The most striking example is the difficult eruption of wisdom teeth, when the gums become inflamed and swollen so much that the pain radiates to neighboring teeth, and sometimes even to the ear or throat.

Diseases of teeth of carious and non-carious origin determine and different character pain. For example, the most severe pain most often occurs due to structural changes soft tissues inside the tooth - pulp.

The pulp is a neurovascular bundle that consists of a huge amount nerve cells. With inflammation and destruction of this tissue, such acute and severe pain can occur that a person literally cannot find a place for himself.

Unfortunately, not everyone makes the right decision about what they should do when a toothache appears: some wait until the last minute and endure, others swallow pills in the hope that everything will “resolve” by itself. There are many cases when people wait an unreasonably long time for their wisdom teeth to erupt, although such waiting is accompanied by severe inflammation can be very dangerous in terms of the development of severe complications.

What to do if your head starts to hurt badly from toothache?

Indeed, toothache can sometimes radiate to the head, thereby provoking a severe migraine. Typically, such pain is of a short-term “shooting” nature. However, with “crooked” growing wisdom teeth, which, due to incorrect position in the gums, as they grow, they damage the roots of neighboring teeth, headache can be permanent, acquiring chronic nature. In such cases, the offending wisdom tooth should be removed as soon as possible, after which the headache will quickly go away.

Sometimes a headache is associated with the presence of deep caries in a tooth. As soon as the tooth is properly treated, the headache will go away.

Possible causes of toothache

Suppose you have a toothache and you don’t know what to do: either wait a couple of days, hoping that the pain will go away on its own, or is it better to immediately make an appointment with the dentist... So let’s talk about the possible root causes of toothache and the mechanisms of its occurrence, understanding of which will help make the right decision in different situations.

So, let's start with pain, which is a characteristic sign of caries. Already in the initial forms of caries, a feeling of soreness and increased sensitivity of foci of enamel demineralization (that is, areas of enamel with partially washed out mineral components) may appear. At this stage, in order to prevent further destruction of hard tissues, it would be necessary to undergo a course of remineralizing therapy as quickly as possible (at a minimum, use remineralizing toothpastes).

However, severe pain can appear only when carious destruction reaches the enamel-dentin border - in this case, tooth tissue becomes sensitive to various irritants (cold, sweet, etc.). In such situations for quick disposal for unpleasant sensations, it is enough to simply eliminate the irritant, and the pain will immediately go away. However, of course, for full treatment, it will no longer be possible to do without a filling.

Pain with medium and deep caries occurs due to the fact that the dentin layer is penetrated by many dentinal tubes that nourish the tooth and determine its sensitivity (and also have a certain connection with the dental “nerve”). When the dentin layer is destroyed, something like a dentin “wound” appears, which reacts to the action of irritants.

Question to the dentist: “Why does the tooth hurt under an old filling, and what should be done in such a situation?”

If the filling was placed more than 5-7 years ago, then significant shrinkage (punching) of the filling is possible. At the same time, its adherence to the edges of the tooth is disrupted, therefore, with a “living” pulp, it sometimes painfully feels the irritant (cold, hot).

A tooth that has been filled in canals for a long time with a high-quality sealed filling usually does not bother you if no errors occurred during treatment. If the old seal no longer meets the requirements for tightness, or even falls out in pieces, then dead tooth begins to hurt due to infection in already sealed canals. In addition, during the treatment, mistakes could be made: an incompletely sealed canal with an infection left in it, a breakage of a dental instrument in the canal, etc. All this, over time, can also cause inflammation at the root of the tooth and pain.

In any case, if you experience pain in a tooth under an old filling, you should immediately contact your dentist, as this is a sure sign of the development of pathological processes.

Now let's see what to do with tooth pain due to pulpitis.

In acute pulpitis, the neurovascular bundle inside the tooth undergoes catastrophic changes. Inflammation resulting from the action of microbes and their toxins on living tissue“nerve”, causes its swelling and gradual necrosis.

It’s not difficult to imagine: the pulp gradually begins to “swell”, increasing in size, and when the pulp chamber is not opened, it is strongly pressed against internal walls. Nerve endings are compressed and it occurs sharp pain, which can only be relieved by strong painkillers.

Thus, with pulpitis, in most cases, canal treatment will be required, that is, a simple filling will no longer be enough.

This is interesting: why sometimes arsenic occurs after installation in a tooth? sharp pain, and what to do to prevent this from happening?

Doctors of the old school still continue to use arsenic paste, and legends and myths about a terrible dental monster called Arsenic appear among the people. If you correctly perform all the stages of applying the paste and maintain the required time for its presence in the tooth, then there will be no direct toxic (negative) effect leading to severe toothache.

However, in practice, it is difficult to control the process of the presence of the substance in the tooth by the hour, especially since the dosage of the paste is also very conditional (ball-shaped bur head No. 1). Many dentists still wonder, even if they have seen or know what size this head is, how realistic it is to determine its volume for each specific patient and his tooth.

A study by scientists on the effects of arsenic acid on the tissue around the root revealed the risks of developing serious inflammatory processes, even cysts, which often leads to tooth extraction. It is for these numerous reasons that it is easier to refuse arsenic even in budget dentistry.

In addition, sometimes by mistake the paste is installed on an unopened pulp chamber. As a result, the arsenic-containing compound cannot quickly kill the dental “nerve” through the remaining dentin layer, but thanks to the dentinal tubules, it actively irritates it, which causes severe toothache. What to do in such a situation? – get an appointment with your doctor as quickly as possible, without waiting for the appointment date.

Folk remedies for toothache, and in what cases they can be used

What to do if a toothache takes you by surprise - for example, during a business trip, or during long holidays? If it is not possible to get an appointment with a dentist in the near future, then you can temporarily help yourself.

Traditional methods of getting rid of toothache have been known for a long time. Unfortunately, not all of them are equally effective, but in some cases they can provide some effect.

One of the popular remedies is rinsing the mouth with a warm sage decoction. One tablespoon of sage should be poured into a glass with boiling water and left for an hour. Rinse with the solution every 10-15 minutes.

The anti-inflammatory effect of sage has been known for a long time. It can also be used in cases where the gums are swollen, gumboil has appeared, and also when a wisdom tooth erupts and the pain radiates along the branches of the nerve to the ear, temple or back of the head. When rinsing, it is important to use warm, almost hot solution and keep it near the diseased tooth or gum to enhance the therapeutic effect.

On a note

Rinsing can also be done with tea, as long as the heating comes from the inside. You cannot heat your tooth from the outside! There have been cases when, the night before an appointment with a dentist, people warmed a sore tooth, using a heating radiator or a bottle of water as a heating pad. hot water. When, after such a procedure, the cheek swelled to incredible sizes overnight, only maxillofacial surgeons could help.

There is also this: you need to put a piece of propolis on a tooth or in a carious cavity, close your mouth and hold for 15-20 minutes. It is believed that pain comes already in the first minutes of this action. folk medicine, known to our ancestors. However, in practice, this technique helps only in very rare cases.

A few more pretty funny ones traditional methods toothache relief:

Squat. It has been observed that vigorous physical activity improves blood circulation and helps relieve pain. In practice, squats will not help in every case.
Apply garlic to your wrist. In the relevant literature, it is recommended to tightly fix the paste of fresh garlic with a plaster to the wrist of the hand opposite the diseased tooth. To prevent burns, place a bandage or thick cloth under the garlic. In practice, the method is ineffective.
Warm your feet in hot water. This procedure is not only a maneuver to distract from pain. By increasing blood circulation in the body during the procedure of steaming the legs, metabolism improves and toxins are removed from the tooth pulp faster: you need to immerse your legs in hot water and keep them there for at least 15 minutes. Then you should put on warm socks and go to bed. In some cases, this method really works.

The simplest and most effective way to get rid of toothache at home is, perhaps, warm rinsing with a solution of soda and salt. It is only important to rinse with an almost hot solution and very often, about once every 10-15 minutes, repeating the procedure for 1-2 hours.

Medicines for toothache: your first aid kit

Now let's see what can be done in cases where painkillers are at hand.

Some of the most popular painkillers among the population are the following:

Nise;
Nurofen;
Pentalgin;
Ketanov;
Analgin;

And some others.

The most powerful of these drugs is Ketanov (it also has analogues - Ketorol, Ketorolac). But it is better not to use Analgin - it has long been banned in many developed countries due to its side effects.

What to do if a molar tooth is loose and hurts?

Tooth mobility can occur for various reasons, but most often it is a consequence of periodontitis – inflammation of the gums with disruption of the periodontal attachment. In this case, to reduce gum pain, you can take gels that relieve inflammation and (or) anesthetize the gums during the growth of baby teeth in children. Such products include, for example, Kamistad, Cholisal, Kalgel, Solokoseryl, etc. These gels sometimes do not last long (30-40 minutes), but this is enough to gain time and seek professional help from a dentist.

What would a dentist do?

To get professional help for toothache, you should contact your dentist. Let's look further at some clinical cases and appropriate treatment options.

What to expect at a dentist appointment if your tooth hurts due to carious destruction?..

If the tooth hurts only from action external stimuli(cold, sweet, hot, sour), and the pulp inside is not affected by the inflammatory process, then the doctor will clean the carious cavity with or without anesthesia, rinse it with antiseptics and seal it. This tooth is usually treated in one visit.

What will the doctor do if tooth pain is a consequence of pulpitis?

If, for example, as a result of deep caries, the dental “nerve” becomes infected, then the doctor will treat such a tooth in one or several visits. First, anesthesia is administered, the pulp chamber is opened with a drill, the “nerve” is removed, the canals inside the root are cleaned, washed, filled, and a filling is also placed on top of the tooth.

If severe toothache is associated with periodontitis...

When inflammation occurs at the root, periodontitis develops. In this case, the canals of the tooth contain dead pulp or its remains, and the purulent contents of the canal in the acute form of the disease rush towards the gums, which causes severe pain in the tooth, which cannot even be touched.

Providing emergency care for acute periodontitis – important task dentist To do this, the doctor opens the canal and leaves it open for the release of pus, prescribing soda and salt rinses. It is possible to treat and fill canals in one visit: for this it is important to create ideal sterility in the canals, seal them securely and, if indicated, prescribe antibiotics.

What to do if your wisdom tooth hurts and the gums near it are swollen?

When it is difficult for a wisdom tooth to erupt in the gum, severe pain occurs (under the so-called gum hood), which can spread to the jaw, cheek, throat, and ear. Homemade rinses can only soothe such pain for a while, but will not eliminate the problem, so you need to contact the clinic - usually an oral and maxillofacial surgeon or a dental surgeon comes to the rescue.

Modern studies have shown that excision of the gingival hood brings only temporary well-being, and can lead to serious complications (phlegmon, sepsis), even death. The only way to prevent any risks and relieve a person from pain is to remove the problematic wisdom tooth.

Why can a dead tooth hurt?

A tooth is called dead if there is no pulp in it (dead or removed). It would seem that there is no point in getting sick then - after all, the dental “nerve” is no longer able to perform its function...

With periodontitis, the “nerve” actually dies; however, it then begins to decompose right there. Pus rushes to the root of the tooth, the tissue surrounding the root becomes inflamed and swollen, which provokes a terrible toothache.

There is another situation. After root canal treatment, the tooth is considered “dead” and should not normally hurt. In some cases, minor damage is allowed, which is called post-filling. Usually it lasts no more than 1-2 weeks and has a mandatory tendency to decrease every day.

Otherwise, persistent severe pain after canal treatment, swelling of the gums, redness, increased temperature and deterioration in general health indicate the presence of some serious problem - in such a situation you need to consult a doctor again.

Complications during and after root canal treatment are most often caused by the dentist due to poor vocational training, lack of experience, or equipment and materials in the clinic. Most often, pain after root canal filling occurs for the following reasons:

when the filling material is excessively removed from the root;
when a canal or canals in a tooth are missed;
with poor channel processing;
due to violations during passage and expansion with intracanal instruments;
due to poor quality filling;
due to an allergy to filling material;

In most clinical cases, after eliminating the mistake made during treatment, the pain in the tooth or in the gum around it quickly goes away.

In what cases might you have to part with a tooth?

As mentioned above, difficult eruption of a wisdom tooth (pericoronitis) is the first indication for tooth extraction according to modern approach to dental health. Of course, you can always persuade the doctor to make just an incision in the gum hood, but where is the guarantee that the tooth “does not climb crookedly”, its roots do not intertwine with the roots of neighboring teeth, that the hood will not grow again, and the inflammation will not continue again.

In case of pulpitis, teeth should always be preserved, but periodontitis is a special topic. Acute forms Periodontitis is easier to treat, which cannot be said about the possibility of preserving teeth with cysts. However, cysts are also different from cysts, so in each specific case the prognosis of the disease, the prospects for treatment and the significance of the tooth in the dentition and occlusion as a whole are determined.

Periostitis, osteomyelitis, abscesses, phlegmon and other odontogenic (from the tooth) pronounced purulent processes indications for removal are often determined. If the tooth is located with inflamed roots close to or in the very maxillary sinus, then we are almost always talking about tooth extraction to stop the sinus from feeding the infection.

Is it true that diseased upper teeth provoke chronic runny nose?

Few people know that sinusitis is often triggered by diseased teeth or residual infection in poorly treated canals. This is why ENT doctors always ask to do X-ray and look at the roots of the upper teeth, located close to the maxillary sinus. The problem can be caused by any upper tooth that comes after the canine tooth (the third tooth), but most often it is the premolars (fourth and fifth) and the first molar (sixth). Often, a chronic runny nose disappears immediately after finding and treating such a diseased tooth.

Do not consume too many sweets and related culinary products (cakes, pastries).
Do not forget to use a toothbrush with toothpaste at least 2-3 times a day to thoroughly cleanse and strengthen the enamel.
Don't ignore fluoride-impregnated dental floss, which perfectly cleans the interdental spaces of food debris.

Take care of your teeth and be healthy!

Useful video: possible causes of toothache and what to do in a given situation

About ways to get rid of acute toothache

From this article you will learn:

why does a tooth hurt after pulpitis treatment,
what to do if a tooth hurts after pulpitis treatment,
What are the complications after treatment of pulpitis?

Pain after treatment of pulpitis can in some cases be natural, and also be the result of gross mistakes by the dentist. Here we should cite indicative official statistics - in 60-70% of cases, pulpitis is treated poorly, which leads to various complications and tooth loss.

After treatment of pulpitis, it is mandatory to take a control x-ray, which shows how well or poorly the filling was done. However, statistics show that seeing the shortcomings of the treatment performed in the control image, most dentists do not seek to redo the poor-quality work.

Why does a tooth hurt after removing a nerve from a tooth?

Pain after treatment of pulpitis can be minor or acute. The appearance of pain can be associated with injury (to a lesser extent), but most often with the development of inflammation.

1. Trauma to tissues in the area of the apex of the tooth root –

Since the treatment involves the removal of the inflamed pulp (neurovascular bundle) and filling the root canals, it is quite reasonable that minor pain may occur due to the following:

During the process of pulp removal, the neurovascular bundle is detached at the level of the apex of the tooth roots,
Instrumental treatment of the root canals was performed. During this process, the tips of the instruments, extending slightly from the root canal beyond the root apex, can injure the tissue in the area of the root apex.
The root canals were treated with medication by rinsing them with antiseptics. Antiseptics can enter in small quantities outside the root canals - into the tissue in the area of the root apex. Because Since dentistry uses very strong antiseptics, they can actually have an irritating effect.

If the tooth was filled correctly, then the toothache after removal of the nerve lasts 1-3 days and disappears.

2. Poor quality root canal filling –

Poor quality treatment is indicated primarily by symptoms: pain, swelling of the gums. But very often inflammation can develop unnoticed, and then it can only be determined by an x-ray. There are several main signs of poor-quality root canal filling, which you can even independently determine from an x-ray after reading this article.

Signs of poor-quality root canal filling: