Toothache Emergencies Seen Promptly
Dr. Nelson and Dr. Jason Hui work with our Paragon Dentistry team to see patients with toothache or other dental emergencies as promptly as we can. To make this possible, we reserve some time in our schedule every business day to see patients who are experiencing a toothache or other dental pain. That means if you contact us needing immediate care, we will do everything in our power to relieve your pain and even fix the problem the very same day.
Toothache Caused By Nerve Invasion
The most common reason for a toothache involves a large cavity invading the nerve of a tooth. Cavities are essentially holes caused by bacteria byproducts eating away at a tooth. These holes start off small and continually enlarge as more bacteria accumulates within the cavity. Unless all bacteria is removed from the cavity and the hole is restored by means of a dental filling, the bacteria will eventually invade the pulp of the tooth (Figure 1), which contains abundant nerves. This invasion of the nerve is responsible for the sharp, throbbing, and spontaneous pain that usually keeps patients awake at night.
Toothache Caused by Abscess
If bacteria invades the pulp (nerve) of a tooth for prolonged periods of time and no treatment is rendered, eventually the nerve dies. At this point, there will be temporary pain relief; however, over time, dead nerves, blood supply, and bacteria will accumulate in the root canal system and lead to an abscess (Figure 2) at the base of the tooth and on the gums. At this point, patients usually experience a toothache characterized by dullness and pressure.
Root Canal Therapy & Crown
Root canal therapy will remove all the infected nerves and bacteria within the root canal system. Following disinfection, a crown will need to be placed in order to protect the root canal system from re-infection and to offer strength to the tooth. Pain relief is accomplished when the nerves and infection are removed.
Tooth extraction involves removing the infected tooth. Caution must be exercised when selecting this option as it is irreversible. Please click here to learn about the consequences of missing teeth.