Posts for tag: toothache
When your child says they have a toothache, should you see your dentist? In most cases, the answer is yes.
And for good reason: their “toothache” could be a sign of a serious condition like tooth decay or a localized area of infection called an abscess, which could adversely affect their long-term dental health. The best way to know for sure –and to know what treatment will be necessary—is through a dental exam.
So, how quickly should you make the appointment? You can usually wait until morning if the pain has persisted for a day or through the night—most toothaches don’t constitute an emergency. One exception, though, is if the child has accompanying fever or facial swelling: in those cases you should call your dentist immediately or, if unavailable, visit an emergency room.
In the meantime, you can do a little detective work to share with the dentist at the appointment. Ask your child exactly where in their mouth they feel the pain and if they remember when it started. Look at that part of the mouth—you may be able to see brown spots on the teeth or obvious cavities indicative of decay, or reddened, swollen gums caused by an abscess. Also ask them if they remember getting hit in the mouth, which may mean their pain is the result of trauma and not disease.
You can also look for one other possible cause: a piece of candy, popcorn or other hard object wedged between the teeth putting painful pressure on the gums. Try gently flossing the teeth to see if anything dislodges. If so, the pain may alleviate quickly if the wedged object was the cause.
Speaking of pain, you can try to ease it before the dental appointment with ibuprofen or acetaminophen in appropriate doses for the child’s age. A chilled cloth or ice pack (no direct ice on skin) applied to the outside of the jaw may also help.
Seeing the dentist for any tooth pain is always a good idea. By paying prompt attention to this particular “call for help” from the body could stop a painful situation from getting worse.
If you would like more information on dental care for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “A Child’s Toothache: Have a Dental Exam to Figure out the Real Cause.”
If your child begins complaining of tooth pain without an accompanying fever or facial swelling, it’s likely not an emergency. Still, you should have us check it—and the sooner the better if the pain persists or keeps your child up at night. There are a number of possible causes, any of which if untreated could be detrimental to their dental health.
Before coming in, though, you can do a cursory check of your child’s mouth to see if you notice any abnormalities. The most common cause for a toothache is tooth decay, which you might be able to see evidence of in the form of cavities or brown spots on the tooth’s biting surfaces. If you notice swollen or reddened gums around a tooth, this could be a possible sign of a localized area of infection known as an abscess. You should also ask your child if they fell or were hit in the mouth and look for any signs of an injury.
If you don’t see anything unusual, there may be another cause—stuck food like popcorn or candy lodged and exerting painful pressure on the gum tissue or tooth. You may be able to intervene in this case: gently floss around the affected tooth to try to dislodge any food particles. The pain may ease if you’re able to remove any. Even so, if you see abnormalities in the mouth or the pain doesn’t subside, you should definitely plan to come in for an examination.
In the meantime, you can help ease discomfort with a child-appropriate dose of ibuprofen or acetaminophen. An ice pack against the outside jaw may also help, but be careful not to apply ice directly to the skin. And under no circumstances rub aspirin or other painkiller directly on the gums—like ice, these products can burn the skin. If these efforts don’t help you should try to see us the same day or first thing the next morning for advanced treatment.
The main thing is not to panic. Knowing what to look for and when to see us will help ensure your child’s tooth pain will be cared for promptly.
If you would like more information on handling dental issues with your child, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “A Child’s Toothache.”
When a 51-year-old Swedish man developed a throbbing toothache with facial swelling, he knew he needed to get to the dentist right away. There was only one problem: The unnamed individual was inside the Östragård minimum-security prison, serving a short sentence. But he didn’t let that stop him from getting dental treatment — he simply broke out of jail and headed straight for the nearest dental office.
“In the end, I just couldn’t stand it,” he explained to the Swedish newspaper Dagens Nyheter.
After the offending tooth was extracted, the offender himself went to the local police precinct and turned himself in. Taking his circumstances into account, the court added just 24 hours to his original sentence, and he was released soon thereafter. “Now I only have to pay the dentist bill,” he noted.
While we certainly don’t encourage jailbreaks, we might feel that this fellow made the right choice. It’s important to know when you need to get dental treatment right away, and when you can wait. Here are some very basic guidelines:
- If you’re suffering a traumatic dental injury that is causing you severe pain, or you can’t control bleeding after applying pressure for a few minutes, go to the nearest emergency room right away (as you would for any serious injury).
- If your tooth is knocked out or loosened, it should be treated in the dental office or emergency room within 6 hours. Place it back in its socket (in the correct orientation), if possible; if not, tuck it between the cheek and gum, or put it in a glass of cold milk. Hold the loose tooth gently in place. It’s often possible to successfully re-implant a tooth that has received quick first aid.
- If a tooth is chipped or cracked less severely, try and save any missing pieces, and make an appointment to come in as soon as you can. Don’t forget to bring the pieces with you!
- If you have acute or persistent tooth pain, come in to our office right away. There are many things that can cause tooth pain, including tooth decay (a bacterial infection), a loose filling, or tooth sensitivity. Minor sensitivity or occasional aches when chewing can be temporarily eased by rinsing with warm salt water and taking an over-the-counter pain reliever; more severe pain may indicate that you need root canal treatment to preserve a tooth in which the pulp has become seriously infected.
Pain is the body’s way of telling you that something’s wrong. When you experience mouth pain, it’s best for you to see us as soon as possible. Quick treatment just might save your tooth — and perhaps save you from a far steeper bill for tooth replacement. If you would like more information about dental emergencies, call our office for a consultation. You can learn more in the Dear Doctor magazine article “Tooth Pain? Don’t Wait!”