There are various causes of toothache in the elderly, and it is recommended that treatment should be carried out under the guidance of a specialist and should not be relieved blindly on its own. There is no fastest way to relieve toothache in the elderly, it should be dealt with according to the cause. Common causes include root fracture, pulpitis, gingivitis, periodontitis or periodontal abscess, etc. The treatments include medication, root canal treatment and extraction of the tooth. 1. Root fracture: due to aging, the stability of the teeth deteriorates, resulting in root fracture causing pain, the root fracture should be the site of a specific treatment plan, which can be used to loosen the tooth fixation, or extraction of the tooth. 2. Pulpitis, periapical inflammation: pulpitis, periapical inflammation can lead to tooth pain, you can carry out root canal treatment on the affected tooth, root canal treatment is to remove infected materials, such as decayed tooth pulp, necrotic pulp, etc., inhibit infection, and refill the original pulp space, restore the sterile state. 3. Gingivitis: Gingivitis caused by imbalance of oral flora and bacterial infection is usually easy to recur, you can go to the regular hospital for treatment, take antibiotics, such as metronidazole, ornidazole and other drugs. 4. Periodontitis or periodontal abscess: If the toothache is caused by periodontitis or periodontal abscess, periodontal treatment should be carried out, and if the teeth are loose, the loose teeth should be extracted under local anesthesia. There may also be other causes of toothache in the elderly, it is recommended to go to the hospital in time, under the guidance of the doctor to effectively relieve the pain, to avoid adverse consequences, such as necrosis of the nerve, tooth loss and so on. The above drugs need to be used under the guidance of a doctor to avoid blindly taking on their own.