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Tooth Pain: Common Causes and When to See a Dentist

Toothache can range from a brief twinge with cold drinks to a constant throbbing pain. Pain is a sign that something needs attention — and treating it early usually means simpler treatment.

4 min read · By the Sarojini Child and Dental Care team

Dental treatment room with the dental chair and equipment

Common causes of tooth pain

  • Tooth decay (a cavity) reaching the inner layers of the tooth
  • A cracked or broken tooth or filling
  • Gum disease, causing sore or bleeding gums
  • An infection or abscess at the root of the tooth
  • Sensitive teeth, from worn enamel or receding gums
  • A wisdom tooth coming through

When to see a dentist

  • Pain that lasts more than a day or two
  • Pain when biting or chewing
  • Sensitivity to hot or cold that lingers
  • Swelling of the gum or face, or a bad taste in the mouth

Until your appointment

  • Avoid very hot, cold or sugary food and drinks
  • Keep brushing gently, including around the painful tooth
  • Ask a doctor or pharmacist which pain relief is suitable for you

Seek urgent medical help if you have:

  • Swelling of the face or neck that is spreading
  • Difficulty swallowing or breathing
  • A high fever with tooth pain

Ambulance: 108 · Emergency: 112

Frequently asked questions

Can tooth pain go away on its own?

Pain can come and go, but the cause — such as decay or infection — usually does not heal without treatment. Have it checked before it gets worse.

Will I need a root canal?

Only an examination can tell. Root canal treatment is needed when the soft tissue inside the tooth is infected or badly inflamed.

Sources and further reading

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