As the saying goes, “Toothache is not a disease, but pain can kill you.” In fact, toothache can not only be caused by tooth decay itself, but also many systemic diseases can cause toothache, which should attract people’s attention. 1.Acute and chronic maxillary sinusitis Maxillary sinusitis often causes pain in maxillary molar and premolar. This pain is light in the morning and worsens in the afternoon or after sitting for a long time. Most patients do not have any damage to their teeth, and most patients have a history of cold before. 2, jaw bone tumor The jaw bone swelling is commonly seen as odontogenic tumor, and tumors in deeper parts such as maxillary sinus and pterygopalatine recess are often not easily detected. When you encounter unexplained toothache, loose teeth, loss of teeth, etc., do not think it is periodontitis and do not take it lightly, not to mention hastily pulling out the teeth, you should carefully search for the real cause of toothache. 3.Trigeminal neuralgia
Atypical trigeminal neuralgia often manifests as toothache in the early stage. When patients eat, speak or brush their teeth, individual teeth cannot be touched, and they show sharp pain, electric shock-like, knife-like, needle-like pain, lasting for several seconds, unbearable pain, precise location, sometimes radiating, relieved at night, ranging from several to dozens of episodes per day. 4.Temporomandibular joint disorder
The pain is mostly in the temporomandibular joint area in front of the ear and around the chewing area, and it is aggravated when eating, and some patients also feel pain in the ear when eating and chewing. Sometimes there is a popping sound in the joint area when opening and closing the mouth, and it is mistakenly thought to be caused by dental diseases. 5.Glottopharyngeal neuralgia The nature of pain is similar to trigeminal neuralgia. The pain site mostly occurs in the tonsils, tongue root or soft palate, etc. It can be triggered when talking, coughing, swallowing or head twisting, and sometimes it can be misdiagnosed as tooth pain. 6, cardiogenic toothache Coronary heart disease (angina pectoris, myocardial infarction) with toothache as the first symptom is not uncommon in clinical practice. Sometimes there are obvious multiple toothaches (posterior toothache), which are persistent, and the radiating site of pain is often the left shoulder left arm, neck and face, and the pain increases after exertion and decreases after rest. 7.Psychological toothache
This kind of toothache has nothing to do with organic dental diseases, that is, before the onset of toothache, there is no obvious gingivitis or periodontitis, but is caused by mental factors such as irritation, sadness and tension, which is characterized by the onset of toothache after mood swings. It is mostly seen in emotionally sensitive young and middle-aged people, and is more common in introverted women. 8.Intracranial tumor Some patients with brain tumor have sensory nerve disorder due to tumor compression of nerves, and experience maxillary or mandibular posterior molar pain, which is sometimes misdiagnosed as trigeminal neuralgia.
In addition, there are some rare clinical toothache with toothache as the first symptom of pediatric acute leukemia, thyroid disease, herpes zoster virus-induced infection. Therefore, the statement “toothache is not a disease” should be changed to “toothache can be a very complex disease”.