Although a small tooth is insignificant, a well-arranged and healthy tooth in the mouth can perform a powerful function, which can mash and chew fine food, assist in swallowing and pronunciation. Any tooth decay, breakage or missing can affect the local and systemic functions, and even endanger the life!
People often say: “Toothache is not a disease, but pain is life-threatening”, which reflects that toothache has a great impact on human health. There are many causes of toothache, and both odontogenic and non-odontogenic diseases can cause it. In odontogenic diseases, the pain can be dentin allergy, pulp pain, periapical pain, or periodontal pain; in non-dentinogenic diseases, inflammation of adjacent tissues, tumors, neurological diseases, systemic diseases, etc. can be manifested as toothache: 1.
1. Dentin hypersensitivity.
When brushing teeth, eating hard objects or cold, hot, sour, sweet and other stimulation pain, this pain is short-lived, and the soreness can disappear quickly when the cause of stimulation is removed. Common causes are caries, cuneiform defect, abrasion and so on.
2.Caries.
Especially when deep caries with pulp congestion, the affected tooth feels pain when encountering cold, hot, sour, sweet and other stimuli or food embedded, and at the same time there is color change or obvious cavity formation.
3.Acute pulpitis.
When the caries treatment is not timely and continues to develop near the pulp, spontaneous, paroxysmal, radioactive pain will appear, and it cannot be localized, and the pain will increase when encountering hot and cold stimulation or resting at night.
4.Acute and chronic periapical inflammation.
Continued development of pulpitis can lead to periapical inflammation, which manifests as persistent throbbing pain, elongation or floating sensation of the tooth, inability to chew food, ability to clearly point out the affected tooth, and insensitivity to hot and cold stimuli. When the lesion develops further, it can even cause osteomyelitis of the jaw, tooth loss and loss, or the affected tooth as a potential lesion, when the body resistance decreases, it can cause complications such as bacteraemia.
5. Pain in the periodontal area.
Common diseases include interdental papillitis, acute periodontal abscess, mostly manifested as persistent dull pain, accompanied by red and swollen gums, bleeding and overflowing pus, and even loose teeth or gum atrophy.
6.Cryptoclastic tooth.
Refers to non-physiological small cracks on the surface of the tooth crown, which are often not easily detected. The crack often penetrates into the dentin structure and can cause severe pain from hot and cold stimulation or fixed-point chewing.
7, tooth fracture.
It is often caused by external impact and can be manifested as crown fracture, root fracture, and joint crown-root fracture.
8, pericoronitis.
Often due to mandibular wisdom teeth obstruction, showing the affected side of the posterior tooth area swelling pain and discomfort. The pain increases when chewing, swallowing, opening activities.
9, dry socket.
It often occurs 3-4 days after tooth extraction, with persistent and severe local pain, and can also be accompanied by systemic fever and other uncomfortable symptoms.
10. Other.
Other diseases that can induce and accompany toothache include osteomyelitis of jaw bone, acute maxillary sinusitis, malignant tumor of jaw bone, malignant tumor of gum, inflammation of adjacent tissues such as tooth-containing cyst of jaw bone, systemic system diseases such as: toothache during menstruation of women, ischemic heart disease, leukemia, hysteria, etc. can be accompanied by toothache.
The tooth nerve sensitivity or inflammation caused by caries, wedge-shaped defect, periodontitis, etc., if not treated in time, will lead to pulpitis, periapical inflammation, tooth fracture, or even loss, which will affect food chewing, aggravate the gastrointestinal burden, and then affect the health of the whole body.
Inflammation of periapical tissues or tumors caused by the dental nerve. If this part is not treated in time, it will spread to more teeth and tissues, and even cause systemic inflammatory reaction or tumor spread and metastasis.
If the toothache is caused by systemic diseases, such as leukemia, myocardial infarction, hysteria, neurasthenia, upper respiratory tract infection, etc., these patients should seek early medical treatment to prevent delaying the disease and causing danger to human life.
Toothache is a disease, and it is a disease that should not be ignored, it is not just an oral problem, it is like a “time bomb”, not timely treatment will cause many physical diseases.