Causes and Treatments for a Toothache

By Cary J. Limberakis, DMD
December 06, 2017
Category: Oral Health
Tags: Toothache  

Wondering why your tooth hurts? Abington, PA, dentists Dr. Cary Limberakis and Dr. Johnathan Limberakis share a few common causes toothacheof toothaches and discuss treatment options.


Cavities occur when healthy tooth structure is destroyed by tooth decay. If the decayed portion of your tooth isn't removed and replaced with a filling, the decay can eventually destroy your tooth or spread to adjoining teeth. Once decay has been removed from your tooth, the tooth will be filled with a composite resin filling in our Abington office. Composite resin, the newest type of filling material, is tinted to match your tooth color and isn't noticeable when you laugh or talk.


Grinding or clenching your teeth while you sleep can stress your teeth and jaw and lead to tooth pain. The problem can occur if grinding wears away the enamel layer of your teeth, exposing the sensitive dentin layer, or if you crack a tooth. If the crack is severe or extends into a tooth root, your tooth may need to be extracted. Crowns and root canals are often used to treat and restore cracked teeth. If your pain is caused by grinding, your dentist may recommend bonding or crowns to increase the length of your teeth and cover the exposed dentin, as well as a nightguard to prevent further damage to your teeth.

Dental Abscess

A dental abscess, a bacterial infection that affects the tooth pulp, can also cause a toothache. If you have an abscess, your tooth may hurt when you put pressure on it or expose it to extreme temperatures. The infection can make you feel unwell and may be accompanied by a fever, swollen lymph nodes and gums and facial swelling. Abscesses are treated with root canals and antibiotics.

A Problem with an Old Filling

Pain can occur if one of your fillings have cracked or become loose. Although you already have a filling in your tooth, it's possible for decay to develop around the filling material. Removing the old filling and new area of decay will ease your pain. If the treated area is now too large for a filling, you may need an inlay, a porcelain filling that fits inside the cusps of your teeth, or an onlay, a porcelain filling that extends beyond at least one cusp of your teeth. Both inlays and onlays are created in a dental laboratory.

Do you have a toothache? Call Abington, PA, dentists Drs. Cary and Jonathan Limberakis at (215) 886-8866 to schedule an appointment.


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