882C Emerson Street
Palo Alto, CA 94301
Frank L Altick D.D.S. Apc
824 Bryant St
Palo Alto, CA, 94301
(650) 327-1787
Earl L Whetstone Ii D.D.S. Apc
744 Middlefield Rd
Palo Alto, CA, 94301
(650) 322-8572
Faris, Charles F D.D.S.
251 High St # A
Palo Alto, CA, 94301-1041
Dr. Martin E. Frankel, Dmd
1101 Welch Rd Ste B6
Palo Alto, CA, 94304-1925
(650) 853-1110
There are many causes of toothache and pain in the area of the mouth. When experiencing pain and/or swelling, it is important to see your dentist to have the area evaluated. The pain and/or swelling is most often related to a disease process that originates within a particular tooth.
The pulpal tissue within the tooth can be irritated by bacteria, external traumatic events, repetitive or extensive dental care procedures, or even periodontal disease causing a toothache. When this irritation occurs, the pulpal tissue reacts by becoming inflamed.
Since the pulpal tissues and the tissues supporting the tooth have a rich supply of nerve fibers, the inflammatory process can cause pain as these nerve pathways are stimulated. Additionally, the pulp tissue is encased inside tooth structure and it cannot swell and expand in reaction to injury like tissues in other areas of the body.
When the injured pulp tissue attempts to swell within the confined root canal space, the pressure buildup can cause a significant toothache.
Pain originating from the dental pulp can be either "spontaneous" or "elicited." Spontaneous pain occurs without an identifiable stimulus, whereas elicited pain occurs only in specific situations. Elicited pain requires a specific stimulus such as drinking cold or hot fluids or biting on the tooth.
As is typical anywhere in the body, the initial stages of a disease process do not always cause symptoms. Millions of teeth have irreversible pulpal disease yet the patients have no clinical symptoms.
Most of these situations will become evident when the dentist obtains a thorough history, does a clinical examination, performs specific tooth tests, and takes a series of well-angulated radiographs. It is important to note that pulpal disease can refer pain to other areas within the head and neck.
If the results of the endodontic examination indicate that root canal disease is not the source of the patient's toothache, then the dentist must consider other possibilities. When attempting to identify the source or cause of facial pain and/or swelling, the dentist must consider that the symptoms could actually originate in a tooth (endodontic disease), the gum tissues (periodontal disease), the muscles (myofacial pain), the joints (TMJ), the sinuses (sinusitis), or even the surrounding vascular (blood vessels) or nerve tissues.
Facial pain requires an accurate diagnosis so that the proper treatment can be recommended. At times, various medical and dental specialists may need to be consulted before an accurate diagnosis can be determined.
By Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
The following first aid procedures are important steps for handling dental emergencies or facial injuries. They provide temporary relief and help in their proper repair or healing. As with any injury, always follow up with personal care from your dentist or physician.
Clean gently with a cloth. Apply cold compresses to reduce swelling. If bleeding is severe, go to an emergency services provider. After bleeding has subsided, rinse with warm salt water.
Don't move the jaw. Secure it in place by tying a scarf, necktie, or towel around the jaw and over the top of the head. Apply cold compresses to reduce any swelling. See your dentist or emergency services provider immediately.
Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterile gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. See the dentist immediately. Place the broken piece in a small container of whole milk.
Annually, more than two million teeth are knocked out accidentally; more than 90% of them can be saved with proper treatment.
Holding the tooth from the crown (top part), rinse off the root. Don't scrub or remove any attached tissue fragments. Gently hold the tooth in its socket. (Young children may accidentally swallow; use your judgment.) If this isn't possible, place the tooth in a cup of cold whole milk. Avoid using low fat milk, powdered milk, or milk products like yogurt. Never put the tooth in mouthwash or alcohol. Avoid scrubbing the tooth or touching the root end. Get to the dentist immediately (within 30 minutes) and take the tooth!
Try gliding dental floss between teeth (dental tape is often useful in removing shredded dental floss.) Sometimes tying a small knot in the floss may help, too. Avoid using any sharp or pointed objects. See a dentist if object can't be removed.
Toothaches can result from different causes. Rinse mouth with warm water. Remove any food trapped between teeth with dental floss. Avoid applying aspirin on the tooth or gum tissues. If a cavity is suspected, insert a small cotton ball or cotton tip soaked in oil of cloves (eugenol). Do not cover a cavity with cotton if there is facial swelling or pus. See a dentist as soon as possible.
Always consult with a dentist if you have questions regarding any dental problem.
By Brian J. Gray, DDS, MAGD, FICO
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
