Toothaches can be caused by a variety of reasons including trauma, decay, a crack in the tooth, exposed live tooth structure or your bite being off. Sometimes, a toothache can be caused by a piece of debris lodged between the teeth under the gums. A dentist needs to be seen to properly diagnose and treat a toothache.

Never place an aspirin between your tooth and gum to relieve pain. The dissolving aspirin will burn your gum tissue.

A Broken, Fractured, or Displaced Tooth

A broken, fractured or displaced tooth can be concerning, and depending on the situation, decisive, quick action should be taken.

If a tooth has been knocked out intact and whole, carefully rinse the mouth of any blood or other debris. Then holding the tooth by the crown, not the root, gently clean the tooth off, being careful not to scrub it. Then try to place the tooth back in its socket. Call your dentist immediately.

If you cannot place the tooth back in its socket, hold the dislocated tooth by the crown - not the root. Next, place it in a container of warm milk, saline or the victim's own saliva and keep it in the solution until you arrive at the emergency room or dentist's office.

Place a cold cloth or compress on the lip or cheek near the injury to keep the swelling down.

For a fractured tooth, it is best to rinse with warm water and apply a cold pack or compress. Ibuprofen may be used for pain relief and to help keep down swelling. If the tooth fracture is minor, the tooth can be smoothed or if necessary, restored by the dentist with a filling or crown. If the fracture is more severe, a root canal may be required to save the tooth. In a worst case scenario, the tooth may not be restorable and need to be extracted. 

A Tooth With Intense Pain or Swelling

A tooth that causes intense pain and/or swelling is usually the sign of a significant problem. Antiobiotics and pain medication are a distant second choice to seeking dental care. A dentist should be seen immediately and appropriate treatment options should be discussed and initiated.

When a Crown or Bridge is loose or comes out

When a crown or bridge is loose or comes out, a dentist should be seen on the soon side. There may or may not be pain or sensitivity, but we don't want you to swallow or lose it before we can hopefully recement it.

Dr. Goodman is available for emergency care if needed after hours. Call the office number, and the answering service can page him if necessary. When Dr, Goodman is away, there are always other Dentists on call for his patients.