Tooth pain can make eating, drinking and sleeping uncomfortable. It may signal decay, an infection, an injury or another problem that needs treatment.

Temporary pain relief can help while you arrange care, but it does not fix the underlying cause. A dentist is the right provider for most toothaches.

What Causes Tooth Pain?

Common causes include:

• Cavities: Tooth decay can cause pain and sensitivity
• Dental abscesses: Infections may cause significant pain and swelling
• Cracked teeth or damaged fillings: These can expose sensitive areas
• Gum disease: Inflamed or infected gums can cause discomfort
• Tooth sensitivity: Hot, cold or sweet foods may trigger pain
• Wisdom tooth problems: Partially erupted teeth can develop inflammation or infection
• Teeth grinding: Repeated pressure can contribute to pain

Sometimes pain in a tooth comes from another area, such as a sinus infection. A dental or medical evaluation can help identify the source; changing your head position cannot reliably diagnose the source.

How to Ease Tooth Pain Temporarily

While waiting for a dental appointment:

• Consider an over-the-counter pain reliever: Acetaminophen or ibuprofen may help if safe for you. Follow the label and ask a pharmacist about medical conditions, pregnancy or medication interactions.
• Try a warm saltwater rinse: Adults can rinse and spit it out. This is not recommended for children who may swallow it.
• Choose soft foods: Avoid chewing on the painful side.
• Avoid triggers: Very hot, cold or sweet foods may worsen pain.
• Brush gently: Use a soft toothbrush.

Do not place aspirin directly on a tooth oron the gums. Avoid using sharp objects to remove trapped food.

When to See a Dentist

Contact a dentist promptly if:

• Pain is severe or worsening
• A toothache lasts more than one or two days
• Pain medication does not help
• You have pain when biting, a bad taste or swollen gums

Request urgent dental care for tooth pain with fever or facial swelling

When It’s anEmergency

Call 911 if mouth or neck swelling makes ithard to breathe or swallow.Seek emergency care for swelling around the eye or neck. Do not wait for a routine dental appointment.

How Is Tooth Pain Treated?

Your dentist may examine your mouth and take X-rays. Depending on the cause, treatment may include a filling, root canal, extraction or an appliance to protect against grinding.

Antibiotics are not needed for most toothaches. They may be appropriate for certain infections, but they do not replace necessary dental treatment.

How to Help Prevent Toothaches

• Brush twice daily with fluoride toothpaste
• Clean between your teeth every day
• Limit sugary foods and drinks
• Avoid tobacco
• See your dentist regularly, following a schedule tailored to your oral health needs

Get the Right Care for Tooth Pain

For tooth or gum pain, contact a dentist to identify and treat the cause. If a sinus problem or another medical condition may be contributing, schedule a visit with tru Primary & Urgent Care for a medical evaluation. Medical care does not replace dental treatment.