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1.  Tooth Decay
  • We all know that the most common cause of toothache is tooth decay.
  • Pain begins when the decay creates a cavity and reaches the nerves that lie in the inner layer of the tooth.
  • A damaged dentin exposes the nerves, which can cause acute pain.
  •  When the pain progresses from an ache to a sharp tinge, the tooth decay may have reached the centre of the tooth.
  • If left untreated, the decayed tooth would cause excruciating pain, which can bring the patient down on his or her knees apart from causing further oral damage.
  • If you experience any of these conditions and symptoms above and are wondering which disorder in this list you are afflicted with, call your dentist immediately.
  • A dental professional can identify your ailment with a simple examination.
  • Delay would not only prolong your suffering but transform a small problem into a bigger one.
  • There are multiple options for medications however, medicines cannot solve all dental problems and sometimes a probing inquiry will be required.
  •  And it’s perfectly normal to be anxious about a dental examination. 
2. Tooth Abscess
  • When decay in a tooth reaches the root beneath it, the root and the surrounding tissue become infected.
  • The infection causes a pulsating pain that is widespread and it may be difficult to identify the tooth from which the pain emanates.
  • This is a serious problem, which can only be dealt by a dentist to avoid tooth, bone and tissue loss, and of course, the associated pain. 
3. Gum Disease
  • If you have a general ache in the mouth or red gums, you probably have gum disease.
  • Gum disorders can also cause them to bleed, leading to infection and toothaches.
  • Gum disease is the result of inflammation of the gums and oral bones.
  • If the pain is not severe, it may go unnoticed for some time, but neglect can damage the teeth and bones and cause the disease to worsen.
  • The resultant damage may lead to falling teeth and may permanently damage the bones and gums, in which case surgical measures would be the only treatment options.
4. Fractured Tooth
  • Teeth can crack or get chipped through a fall, something hard hitting the mouth or by biting something hard or even sticky.
  • Cracking or chipping may not bring immediate toothache, but pain can result if the fracture deepens or the chipping worsens.
  • If the tooth is fractured till the middle where the nerve endings lie, it can result in excruciating pain.
  • Chipped or fractured teeth should be attended by a dentist as soon as the damage occurs and before they expose the sensitive nerves. 
5. Temperature Sensitivity
  • Sensitive teeth often cause sharp tooth pain while consuming something that is cold or hot.
  • The pain may persist even after eating or drinking.
  • The teeth become sensitive when the enamel of the tooth wears down and exposes the nerves of the teeth present in the dentin layer.
  • If the teeth have been whitened recently, it can also cause sensitivity to extreme temperatures. There are special toothpastes for sensitive teeth, which shield the nerves in the dentin from dentally-hostile temperatures.
  • A dentist can recommend the right toothpaste or other treatment modalities for you. 
6. Dental Sealants and Damaged Fillings
  • Dental fillings and sealants are meant to cover the grooves, pits and fractures in teeth and protect the sensitive and vulnerable inner parts.
  • When these coverings are damaged, the inner parts become exposed to food particles, extreme temperatures and bacteria.
  • The resultant pain can range from a dull ache to acute, piercing pain.
  • If you notice any interruption in your dental sealant of filling, book an immediate appointment with your dentist.
  • Timely repair of the damage will prevent the inner, sensitive parts of the teeth from exposure and decay. 
7. Grinding Teeth
  • Some people are prone to grinding their teeth in stressful situations or while sleeping.
  • Teeth grinding, also called bruxism, is a common cause for muscle pain related with the teeth, jaw or neck.
  • Excessive grinding of the teeth involves violent clenching of the jaw and back and forth grinding of the top and bottom teeth against each other.
  • Bruxism can result in sore teeth, and jawbones, aching joints and headaches.
  • Teeth grinding may even cause teeth to crack or become chipped, conditions which can be very painful.
  • The best way to treat bruxism is to desist from teeth grinding. 
8. Incorrect Brushing or Flossing
  • People often apply unnecessary pressure while brushing or flossing their teeth.
  • The extra pressure causes irritation, inflammation or bleeding of the gums.
  • If the pressure is exerted over a prolonged period of time, the gums may recede and make the teeth unstable, resulting in toothaches.
  • It is best to educate yourself on the proper brushing and flossing techniques.
  • People who are prone to put their gums at risk by incorrect brushing should use toothbrushes with soft bristles. 
9. Wisdom Teeth or Misaligned Teeth
  • When some teeth are misaligned they may press against others and even push them out of line, causing toothaches.
  • Impacted wisdom teeth or wisdom teeth that have failed to break through the gums can also cause much pain.
  • They can fester under the gum line, causing much pain or push against other teeth with the same excruciating result.
  • These disorders can be promptly dealt with a dentist.
  • Braces or other appliances may be recommended for misaligned teeth.
  • If a wisdom tooth is impacted, removal of the tooth by an oral surgeon will be needed.
10. Orthodontic Alignment
  • Dental alignment with braces and retainers are some of the most notorious causes of oral discomfort and dental pain. The pain associated with tightening or aligning teeth subsides after a couple of days. However, if the pain is excruciating and persistent, you should speak to your orthodontist. A small readjustment of the dental appliance may be required before the pain goes away.

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