What are the six major causes of toothache? Although toothache is not a serious disease, once it breaks out, it will not only affect life and diet, but also cause more oral diseases. What are the causes of toothache? Let's take a look!
What causes toothache? 1 1, pulpitis.
When the tooth is sick and has developed to the point of pulpitis, there will be severe pain in the affected part, and spontaneous pain and paroxysmal toothache will occur in the affected part without stimulation. In addition, patients with pulpitis will feel more pain at night. When stimulated by hot and cold food, the pain will also increase. This is because they have deep holes in their teeth when suffering from pulpitis, and food falls into the holes to stimulate nerves, which leads to aggravated pain.
2, periodontal disease.
Periodontal disease is also a common cause of toothache. Due to chronic inflammation, the supporting tissues of teeth (including gingiva, periodontal ligament, alveolar bone and cementum) are diseased, which leads to the atrophy of periodontal tissues, and then abscesses and pus can appear around the teeth, causing pain, making the teeth loose, fall off and fall off, affecting the integrity of dentition and hindering chewing.
3. Periapical periodontitis.
Periapical periodontitis is also one of the common causes of toothache. Periapical periodontitis is mostly developed from dental caries. If the patient's dental caries are not treated, it will often develop into pulpitis. If the patient is not treated in time at this time, inflammation can often develop to the apical part of the tooth, and the cementum at the apical part of the tooth, the surrounding periodontal ligament and alveolar bone can all be diseased, leading to periapical periodontitis. Therefore, periapical periodontitis is actually a secondary lesion of dental caries and pulp disease. During acute inflammation, patients may feel that their teeth are stretched out. In the process of occlusion, the patient's pain is aggravated, which often makes the patient afraid to chew with the affected teeth. If not treated in time at this time, the inflammation will be aggravated, and the patient will have swelling and tenderness of the corresponding facial tissue.
4. Other causes of toothache.
For example, the deformed central tip, one of the tooth development deformities, is more common in mandibular premolars and occasionally in maxillary premolars. The extra tip of conical tip protrudes from the central fossa or oblique ridge of the face, and the pulp extends in it, which is easy to break, resulting in secondary pulp and periapical diseases. Because the deformed central tip is excessively worn or broken, the pulp is exposed and inflammation causes pain. In addition, when there are cracks in the teeth and the cracks reach the pulp cavity, it will also cause pain. In addition, when the wedge-shaped defect is deep or penetrates the pulp, or when the teeth are broken and exposed due to trauma, and when the teeth are long, it can also cause toothache.
What is the cause of toothache? 2 dental caries.
Commonly known as "worm teeth" or "tooth decay", the real cause is not very clear.
Dental caries may occur in both deciduous and permanent teeth. Dental caries can lead to the loss of chewing ability, and in severe cases, complications such as pulpitis, periodontal abscess and osteomyelitis of jaw can occur, which is harmful to the whole body health.
In the early stage of dental caries, patients will not feel pain. When cavities develop into dentin, when they encounter cold, hot, sour, salty and sweet food, they will have pain (usually soreness). If the cavity is deep, close to the dental pulp (dental nerve) or deep into the dental pulp, the stimulation of the above properties can cause unbearable pain, which can be described as "if the small hole is not filled, the big hole will suffer". As the cavity expands, the crowns will collapse one by one, leaving only the residual roots. Therefore, it is necessary to check regularly, and dental caries should be filled in time.
acute pulpitis
Pulpitis, commonly known as dental neuralgia, is mostly caused by dental caries infection and develops into pulp cavity, which is the main cause of severe toothache.
The characteristics of pain are spontaneous, aggravated when stimulated by cold and heat, and aggravated when sleeping at night. At first, the pain is paroxysmal, that is, the pain is interrupted for a period of time and then becomes persistent. Pain can also be reflected in the head, ears and neck. When the pulp is suppurated in the later stage, the pain will be relieved if the mouth contains cold water or takes a breath of cold air. Acute pulpitis cannot be relieved by taking painkillers. The most effective method is to open the medullary cavity, so that inflammatory products and/or exudates can flow out, reduce the pressure in the medullary cavity and relieve pain.
The teeth suffering from pulpitis must also be filled by the dentist after the symptoms are eliminated, so as to achieve the purpose of preserving the teeth. If not treated properly, pulpitis can develop into apical abscess or even osteomyelitis of jaw, and it is difficult to preserve teeth.
Acute periodontitis
The pain is intense and persistent, and the teeth can't chew. It seems that the painful tooth is longer than other teeth and has the feeling of floating teeth.
Acute pericoronitis of wisdom teeth (whole root)
Mainly due to the incorrect position of the third molar, part of the crown surface is covered by gum, and food is often embedded, which is easy to cause bacterial infection and inflammation, leading to redness and swelling of the gum, persistent pain, and sometimes accompanied by sore throat and difficulty in opening the mouth. Causes inflammation around the crown of wisdom teeth, which is pericoronitis.
Pericoronitis of wisdom teeth mostly occurs under the condition of poor oral hygiene and decreased physical resistance, and mandibular wisdom teeth are more likely to occur than maxillary wisdom teeth. I feel gum pain at the time of onset, and the mandibular wisdom teeth are close to the pharynx, which may cause sore throat, difficulty in opening my mouth, and affect speaking and eating. Severe cases may be accompanied by high fever, facial swelling and submandibular lymph node enlargement.
Wisdom teeth sprout out of the times. If you find that the tooth position is not correct or not eruption, and there is often inflammation, you should ask the dentist for examination and extraction as soon as possible.
Severe tooth enamel wear
Enamel is commonly known as enamel. Because teeth have the function of chewing food for a long time, the outermost enamel gradually wears away, exposing the second dentin. Because there are nerve endings in dentin, you will feel sore when you are stimulated by cold, heat or machinery.
Wedge-shaped defect of tooth neck
Due to the atrophy of the gums, the bristles of the toothbrush are too hard, and the part of the tooth surface near the gums is very thin. When brushing teeth, the enamel is often worn off due to the friction of the bristles, and the exposed dentin is soft, and it will feel sore if it is ground into a deeper depression by the bristles.