Pain due to pulpitis: how to relieve pain before visiting the dentist?

Toothache causes a lot of inconvenience: and it’s not only about painful sensations that interfere with leading a normal lifestyle, but also about other restrictions for a person: lack of normal sleep, inability to eat comfortably, increased body temperature, inflammation of the gums, deterioration in general well-being, etc. d.

In order to relieve discomfort, a significant part of patients are interested in what to rinse a tooth with pain and how to do it correctly. But you should understand that rinsing for toothache can only have a temporary effect - to eliminate the problem, you need to contact a dental clinic for qualified help.

Is it possible to tolerate toothache?

In case of short-term acute pain caused by sour or sweet food getting into the caries cavity, which goes away after rinsing and the irritant stops acting, a visit to the dentist can be postponed for a couple of days. This pain is typical for shallow caries and enamel erosion.

But it happens that the tooth hurts, and then it stops and the person does not seek medical help. In fact, the disease that provoked the appearance of unpleasant sensations becomes chronic, and the cessation of pain may indicate the death of the pulp, the transition of the pathological process beyond the boundaries of the tooth (asymptomatic process). Often the tooth subsequently has to be removed, and the inflammatory process spreads to other organs and tissues; in complex and advanced situations, conservative treatment is ineffective and surgical intervention is no longer possible.

Temporary relief of acute toothache is not a sign of recovery

Complications

By postponing an appointment with the dentist, you risk getting serious complications instead of one bad tooth:

• pulp necrosis – death and destruction of connective tissue cells filling the tooth cavity;
• periodontitis – after the death of the pulp, the process spreads beyond the tooth and inflammation of the tissues of the pulp chamber begins;
• abscess - a purulent process of the soft tissues of the oral cavity or the body of the jaw;
• phlegmon is a diffuse purulent process that spreads through the intercellular spaces of the soft tissues of the face, neck and chest.

When exactly do you need to see a doctor urgently?

A dental consultation is required if you have:

• pain does not go away within 24 hours (within 2 days if the pain appeared after removal, implantation, or surgical procedures);
• if pain of any intensity in the jaw is accompanied by fever and/or general malaise;
• an independent examination of the oral cavity revealed a gingival hood (redness, swelling of the gums) or purulent inflammation;
• the intensity of the pain syndrome gradually increases;
• bleeding gums and soreness.

Darkening of the tooth indicates destruction of its structure from the inside. Only a specialist can judge the true extent of the damage. The dental clinic “Yulistom” accepts patients seven days a week by appointment, and in case of acute toothache, emergency care is provided on the day of the call, we will accept you without a queue.

How to use rinses correctly?

Rinsing removes food debris from the mouth, disinfects the cavity, and soothes sore gums. Most often they are prescribed:

• to relieve acute symptoms of caries, pulpitis, periodontitis - procedures increase blood flow, which helps remove toxins and tissue decay products from the diseased tooth;
• as a preventive measure after tooth extraction - no earlier than on the 3rd day;
• as an auxiliary therapy for gum inflammation, infectious and purulent processes - periodontitis, cyst, granuloma, gumboil.

  
  Rinsing for toothache is only an auxiliary method.

To make the procedure as effective as possible, follow the following recommendations :

• before rinsing, remove food debris from the interdental areas with floss, clean the teeth and surface of the tongue from plaque;
• the temperature of the solution should be from 36°C to 45°C - cold or hot liquids will increase inflammation and burn the mucous membrane;
• during manipulation, attention is paid to the affected area, it is rinsed most intensively;
• rinsing must be done after meals and at night;
• the optimal frequency of manipulations is once every 1 – 2 hours;
• You need to rinse the aching tooth for at least 10 – 15 minutes;
• It is not advisable to eat or drink for half an hour after the procedure.

The rinse solution should be warm.
Rinse your teeth as follows. Approximately one sip of liquid is taken into the mouth. The inflamed area is intensively irrigated for 20–30 seconds, then spat. Repeat several times.

Important! You should not heat the sore spot. Heat accelerates the proliferation of pathogenic microorganisms and accelerates the development of inflammation.

How to relieve acute toothache

To treat acute toothache at home, you can use the following groups of medications:

• Nonsteroidal anti-inflammatory drugs ( NSAIDs ) – (Nimesil, Nise, Nimesulide, etc.). Can be taken no more than 2 times a day.
• Non-narcotic analgesics of central and peripheral action - (Analgin, Pentalgin, Paracetamol, Ketorol, Ketanov, etc.).
• Local anesthetics – (Lidocaine, Novocaine, etc.). They are considered the most powerful medicines for relieving toothache.

Tablets for acute toothache

The tablets quickly and for a relatively long time relieve acute toothache. Many such painkillers are available without a prescription and can be found in home medicine cabinets.

Nimesulide

Packaging of Nimesulide

Nimesulide is an NSAID, a subgroup of sulfonanilides. Has anti-inflammatory, analgesic, antipyretic effect. Take with caution to persons with diseases of the gastrointestinal tract.

• How to take : 1 tablet after meals or dissolve the contents of 1 sachet in ½ glass of water, take after meals. No more than 2 times a day.
• Cost : from 40 rub. (10 tablets) and from 120 rub. (4 sachets).
• Manufacturer : Darnitsa, OZON Pharm, Akrikhin KhFK JSC, etc.
• Release form and dosage : tablets of 100 mg 10, 30 pcs. per package, granules for preparing a suspension 4, 10 and 30 bags of 2 g per package. For oral administration.
• Contraindications : allergic and other reactions to the drug in the past, inflammatory bowel diseases in the acute stage, concomitant use of other drugs from the NSAID group, a history of internal bleeding, blood clotting disorders, renal, hepatic, heart failure, children under 12 years of age, pregnancy and period lactation, intolerance to components.
• Dispensed : without a prescription.

Paracetamol

Packaging of Paracetamol

Paracetamol is an analgesic-antipyretic. Has an analgesic and antipyretic effect.

• How to take : 1 tablet after meals, no more than 4 times a day.
• Cost : from 10 rubles (10 tablets).
• Manufacturer : PFC Update, Pharmstandard-Leksredstva, etc.
• Release form and doses : tablets of 500 mg 10, 12, 20 pcs. packaged.
• Contraindications : allergic and other reactions to the drug in the past, intolerance to components, children under 6 years of age, acute renal, liver failure.
• Dispensed : without a prescription.

Analgin

Analgin packaging

Analgin is a peripherally acting analgesic-antipyretic, a pyrazolone derivative. Has an analgesic and antipyretic effect.

• How to take : 1 tablet after meals, no more than 2-3 times a day.
• Cost : from 50 rubles (10 tablets) and from 100 rubles. (10 ampoules).
• Manufacturer : RENEWAL, Update PFK JSC, Avexima Siberia LLC, etc.
• Release form and dosage : 500 mg tablets 10, 12, 20, 30, 50 pcs. per package, ampoules of 2 ml 10 pcs. packaging.
• Contraindications : history of allergic reactions and other reactions to the drug, individual intolerance, hematopoietic disorders, pregnancy and lactation, children under 15 years of age, depending on the age category and route of administration, acute renal, liver failure.
• Dispensed : without a prescription.

Ketorol

Ketorol packaging

Ketorol is a centrally acting analgesic-antipyretic, a derivative of pyrrolysine-carboxylic acid. Has analgesic and antipyretic effects.

• How to take : 1-2 tablets after meals, no more than 3-4 times a day.
• Price : from 30 rub. (20 tablets) and from 90 rub. (10 ampoules).
• Manufacturer : MAKIZ-PHARMA LLC, Dr. Reddy, with Laboratories LTD (India), etc.
• Release form and dosage : coated tablets of 10 mg, 20 pcs. per package, 1 ml ampoules 10 pcs. packaging.
• Contraindications : allergic reactions and other reactions to the drug in the past, intolerance to components, hematopoietic disorders, pregnancy and lactation period, diseases of the gastrointestinal tract in the acute stage, children under 16 years of age, depending on the route of administration and age category, acute hepatic, renal failure.
• Dispensed : by prescription.

What else helps with acute toothache

For attacks of severe acute pain, you can take other potent medications in the form of a topical powder or spray.

Nimesil

Nimesil sachets

Nimesil is an NSAID, a subgroup of sulfonamides. Has anti-inflammatory, analgesic, antipyretic effect. Take with caution to persons with diseases of the gastrointestinal tract.

• How to take : dissolve the contents of 1 sachet in half a glass of water, take after meals. No more than 2 times a day.
• Cost : from 700 rub. (30 packages), from 300 rub. (9 sachets).
• Manufacturer : BERLIN-CHEMIE.
• Release form and dosage : granules for preparing a suspension. For oral use. Package contains 9, 30 bags of 2 g.
• Contraindications : allergic reactions and other reactions to the drug in the past, inflammatory bowel diseases in the acute stage, concomitant use of other drugs from the NSAID group, a history of internal bleeding, blood clotting disorders, renal, hepatic, heart failure, children under 12 years of age, pregnancy and lactation period, intolerance to components.
• Dispensed : without a prescription.

Lidocaine

Spray Lidocaine

Lidocaine is a local anesthetic.

• How to take : 1 dose = 1 spray, locally no more than 1-2 sprays, or moisten a swab in a spray solution or ampoule and place it in the carious cavity. For children under 2 years of age, treat pain ONLY with a tampon!
• Price : from 20 rubles (ampoules) and from 300 rubles. (spray).
• Manufacturer : Egis Pharmaceutical Plant (Hungary), Ellara, Pharmasintez, etc.
• Release form and dosage : spray 50 ml for topical use, ampoules of 2 ml 10 pcs. packaging.
• Contraindications : allergic reactions and other reactions to the drug in the past, severe bleeding, individual intolerance, hypotension, bradycardia, pregnancy and lactation period, pathologies of the cardiovascular system, children under 16 years of age, depending on the route of administration and age category, older adults 65 years old.
• Dispensed : by prescription.

What pills should you not take?

Any medications should be taken strictly according to the instructions. Uncontrolled use of drugs can lead to complications such as stomach ulcers, gastritis, disorders of the liver, kidneys, and hematopoietic system. Before taking medications, you need to check their expiration date.

IMPORTANT! Do not take antibiotics for acute toothache without a doctor's prescription! Self-medication is dangerous!

You should not take any painkillers before visiting a doctor, because the medicine will change your symptoms and make it difficult to make a correct diagnosis.

Do not take painkillers before seeing a doctor!

How to rinse a tooth when it hurts?

If suddenly this happens and your tooth hurts, then you won’t be able to avoid visiting the dentist, but sometimes it happens that before visiting the dentist it is necessary to relieve the pain in the tooth. People usually come to dentistry by appointment; what should you do if you need to relieve pain using improvised means?

Toothache usually appears at the most inopportune times. The only reasonable solution may be to visit the pharmacy and buy pills after pills, but what if the pharmacies are already closed? Pills do not always have good results and all medications have side effects. Luckily, there are other options for pain relief at home. Simply rinsing your mouth should not be avoided or underestimated. You just need to follow some rules, for example, after rinsing, it is advisable not to eat or drink anything for an hour, and not to injure your teeth with pressure.

What is the best way to rinse a tooth when it hurts? It is important to first understand the cause. The most common causes of toothache:

1. Caries. A damaged tooth exposes the nerves and they begin to hurt.
2. Bacteria. Perhaps they got into the pulp chamber and caused inflammation.
3. Depletion of tooth enamel is a temporary pain, but the solution to this problem also requires a visit to the dentist.
4. Inflammation of the gums. Sometimes food debris gets into the space between the gum and tooth and gum inflammation begins.

All these reasons cannot be delayed, but if the pain is not relieved, then the condition can be weakened or temporarily alleviated before visiting the dentist, especially since our dentistry always has good discounts. Rinsing should not be neglected; in some cases the pain may go away completely, in others it may decrease significantly. If the cause of the pain is inflammation caused by diseases such as periodontitis or pulpitis, then getting rid of the pain with rinsing will be much more difficult. But rinsing accelerates blood flow to the site of inflammation, and thanks to this, the breakdown products of inflamed tissue will be eliminated faster. If you do not wash away actively reproducing bacteria when food simply gets into the pocket between the tooth and gum, then they can infect the tooth tissue and turn a healthy tooth into a carious one.

So what should you rinse your mouth with when you have a toothache? Every home has baking soda and salt. Soda relieves inflammation, kills pathogenic bacteria and microorganisms and stops their reproduction. The rinse solution is simple to prepare: add half or a whole teaspoon of baking soda to a glass of water. Stir until completely dissolved and rinse in small portions, if possible controlling the distribution of the solution throughout the entire mouth area. The water for preparing the solution should be at room temperature, since if you have thinning tooth enamel, then rinsing can aggravate the situation if the water is cold or hot. The procedure must be repeated often and rinsed diligently, using all the prepared solution. Before rinsing, you can brush your teeth, which will definitely not be harmful. Salt can also relieve pain; the solution is prepared in the same way as a soda solution.

Soda is the simplest method, it is found in almost every home, but there are other ways to rinse your teeth when you have a toothache. A good option is rinsing with sage decoction. The essential oils included in its composition have a bactericidal and anti-inflammatory effect. Sage must be purchased at the pharmacy; the attached instructions will contain all the recommendations for preparing the rinse solution. For toothache, an infusion of willow bark is successfully used. You can use willow near your home if you can’t buy it or if you don’t have it in your home medicine cabinet. Our helpers grow up next to us, if you know them by sight. Brew a couple of twigs with a glass of water and leave in a thermos for about 8 hours. Then cool to room temperature and strain. The solution is ready. And other roots and herbs that have antiseptic properties are chamomile, calamus root, calendula or plantain. They can also be used for rinsing.

A solution of potassium permanganate for rinsing also works well; it is a good disinfectant. But the solution must be made slightly pinkish, because potassium permanganate can stain the teeth or burn the oral cavity.

Rinsing your teeth relieves toothache, cleans the mouth and prevents further infection, if any. But it’s better not to ignore the dentist. It is always easier to prevent severe inflammation later, knowing the problem, than to stop it later. You can make an appointment, Ardent dentistry is open until 21.00, and with acute pain we try to make an appointment out of turn.
16

Treatment of acute toothache at home

It is undesirable to self-medicate and use traditional medicine methods to relieve even severe tooth pain, since they do more harm than good. The use of some techniques may cause complications. A striking example is the appearance of an abscess and phlegmon after the use of heat (“warming up” a sore spot) during an inflammatory process.

The best way out of the situation is to visit the dentist as soon as possible; as a last resort, take medication to relieve pain and then consult a doctor.

Some traditional methods that can be used:

• applying a cold compress to the cheek or a piece of ice to the sore tooth for a short time will somewhat reduce the pain (cold will constrict the blood vessels and slow down the rate of spread of inflammation). Be careful: do not allow cold to come into contact with the skin, especially for a long time, to avoid frostbite;
• rinsing with a solution of 3% hydrogen peroxide and water effectively fights pathogenic microflora and helps remove plaque, softening it. For the same purpose, rinsing with a solution of chlorhexidine and miramistin is effective;
• An alcohol compress on the tooth cavity somewhat reduces pain for a short time due to its analgesic effect and disinfection. Place a piece of cotton wool soaked in alcohol or vodka inside the carious cavity;
• rinsing with a solution of soda (1 tsp per glass of water) and/or salt (1 tsp per glass of water) reduces swelling and nerve compression by reducing osmotic pressure in the tissues. Effective for discomfort caused by eating. Rinse for 5-10 minutes;
• rinsing with infusion of chamomile and sage reduces inflammation and swelling of the gums. 2 tbsp. pour 1 cup of boiling water over the herbs and leave for 15-20 minutes. Rinse with warm infusion 4-6 times a day.

Folk remedies for toothache relief

The most popular folk remedies are also based on rinsing the mouth with a decoction of various herbs, as well as applying various non-heating compresses to the sore tooth.

The most effective rinses are:

Pain in the teeth is well relieved by compresses or acupressure on the sore tooth. To do this, use tampons or cotton pads soaked in a medicinal solution or containing a medicinal substance. This may serve as:

• Propolis;
• Essential oils;
• Alcohol or strong alcohol;
• Garlic or onion-garlic mixture with salt.

Do not forget about the simplest and surest way to temporarily numb the tooth that is bothering you. Just take an ice cube out of the freezer and apply it briefly to the sore area. The cold freezes and stops all processes, so the pain will subside for a while. Do not apply cold for a long time, as it can chill the nerve endings.

Acute toothache due to diseases

Pain syndrome can appear against the background of diseases. If left untreated, they will lead to complications. The most common diseases that cause pain:

1. Caries . With deep damage, acute pain appears when exposed to hot, cold food or water. Painful sensations when exposed to temperature indicate thinning of the wall of the caries cavity and the possible development of pulpitis.
2. Pulpitis . Severe acute pain often intensifies in the evening and at night, has a pulsating character without clear localization, radiating to the temple or ear.
3. Periodontitis . Acute pain when biting often indicates the development of this disease. Medications and folk remedies will not help with this pathology. Treatment will be long, labor-intensive and take place in several stages.
4. Flux or abscess . They are characterized by acute throbbing pain, indicating the development of a purulent process. There is swelling in the oral cavity; in severe cases, the cheek may be swollen.

Sometimes there are situations when the teeth are healthy, but continue to “hurt”. This is possible in the presence of pathological conditions not related to the oral cavity:

• Oncological diseases of the maxillofacial region . The pain is tingling, with possible numbness and muscle weakness.
• ENT diseases . The pain radiates to the back of the upper and lower jaw.
• Maxillofacial neuralgia .
• Pathologies of the cardiovascular system (angina pectoris, myocardial infarction). The pain radiates to the angle of the lower jaw on the left.
• Migrenous , cluster and other types of headaches . Acute paroxysmal pain in the upper jaw on one side, behind the orbit, is often provoked by drinking alcohol.
• Patology of the temporomandibular joint . The mouth does not open completely; when moving the jaw, clicking, creaking sounds are heard, pain in front of the tragus of the ear.

If false, radiating pain is detected, we refer the patient to the appropriate related specialist who, after examination, will determine further treatment tactics.

Acute toothache in pregnant women

Due to increased levels of acidity in the mouth and lack of nutrients, teeth are more susceptible to decay during pregnancy and lactation. But during such periods, when acute pain appears, it is extremely undesirable to take medications due to their toxic effects on the body of the fetus or child, including developmental defects. An urgent visit to a doctor is necessary to make a diagnosis and choose treatment tactics. To alleviate the painful condition, it is possible to use traditional methods of treatment.

IMPORTANT! St. John's wort herb should not be used due to its negative effect on the fetus and child!

Prevention

You will be able to avoid many dental problems if you adhere to the following prevention recommendations:

• visit your dentist every 6 months;
• brush your teeth twice or thrice a day;
• limit your consumption of sweets, as this promotes the growth of cariogenic bacteria in the oral cavity;
• Inspect your oral cavity regularly and if you find any defects (stains, holes, chips, cracks, inflammation), consult a doctor.

Acute toothache in children

The cause of acute toothache in a child can be simply a reaction to sweet, sour, cold and hot foods, or pulpitis or caries. An urgent visit to a doctor is necessary. To alleviate the condition, you can give your child Paracetamol or Ibuprofen in a dosage corresponding to the age norm, or children's Nurofen. Taking other painkillers is highly undesirable due to the large number of side effects.

Acute toothache worsens at night

What to do if your tooth hurts

First aid for a toothache begins with identifying the causes of the discomfort and eliminating irritating factors. Toothache can be caused by various irritants:

• Hot or cold food and drinks;
• Cold air;
• Sweet, sour, salty foods and drinks;
• Pressure drop;
• Head position;
• By pressure or other influence;
• Food getting into the carious cavity;
• Other mechanical effects on the tooth.

As soon as it becomes clear why the tooth hurts at a particular moment, it is necessary to stop the irritating influence. After this, consult a doctor for help. If the appointment is postponed for a long time, then it is worth taking painkillers.

Prevention of acute toothache

To prevent the occurrence of acute toothache, preventive measures are required, and if the first signs of discomfort or visible changes in the appearance of the tooth or oral mucosa appear, you should consult a doctor.

Preventive measures include:

• brushing teeth twice a day;
• using dental floss, brush or irrigator;
• preventive visit to the dentist every six months. This will allow you to cure caries at the initial stage and prevent the development of complications;
• quitting smoking – tobacco smoke changes the biochemical composition of saliva and promotes the formation of dental plaque;
• refusal of sweet and soft foods: sugar is a substrate for feeding microorganisms, and when eating soft foods, natural teeth cleansing does not occur.

Following these simple rules and promptly contacting the doctors of our clinic will preserve your health and save your budget. After all, it is easier and more financially profitable to prevent a disease than to treat it later! And the question of how to relieve acute toothache will no longer arise.

Choosing a gum rinse

Mouthwashes can be therapeutic, that is, intended for the treatment of specific diseases, and prophylactic, which are recommended by dentists as an additional means of caring for the oral cavity. It is better to select the first ones under the supervision of a doctor, taking into account the individual characteristics of the course of the disease. The latter can be divided into 4 types:

• for the prevention of caries;
• for teeth whitening;
• for gum treatment;
• for comprehensive protection of gums and teeth.

When choosing a mouthwash for each specific purpose, give preference to well-known manufacturers and carefully read the instructions for use. Startsmile recommends.

1. CURASEPT ADS 205. Gum rinse contains fluorides and vitamin C. Protects against caries and is not addictive. Recommended for comprehensive care of braces and dentures.
2. 4-action Mouthwash. Biorepair offers the ideal rinse option for teeth and gums that are hypersensitive. The rinse restores enamel and prevents caries.
3. Paroguard CHX Miradent. Has a pronounced anti-inflammatory effect. Contains chamomile extract. Does not require dilution with water, which makes it convenient for travel or business trips.
4. PresiDENT Profi. Therapeutic solution for rinsing gums based on Chlorhexidine. Does not contain ethanol. Suitable for irrigator. Recommended as a rinse for gum periodontal disease.
5. "Prevention of gum disease" Donfeel. Can be used for daily care. Removes plaque, has a bactericidal effect and promotes mucosal regeneration.

ATTENTION!

Exceeding the concentration of ethanol in the mouthwash provokes dryness of the oral mucosa!

FAQ

1. Does it make sense to put a tablet on a tooth? No. Analgesics and NSAIDs in tablet form have a central and peripheral effect, reaching the site of application through the bloodstream.

2. What to do if you take a pill and the pain does not go away? How many tablets can I take? If the maximum permissible dose indicated in the instructions does not help, you should immediately consult a doctor.

3. What to do with acute toothache that appears at night? To relieve acute toothache at night, it is recommended to contact a 24-hour dental clinic. Of course, it will not be possible to carry out full treatment at night, but you will receive palliative care to relieve pain. In the absence of a 24-hour clinic, you need to take a minimum dose of pain medication, and be sure to consult a doctor in the morning.

4. What pills or folk remedies will cope with acute toothache faster? Non-steroidal anti-inflammatory tablets and analgesics will help quickly cope with toothache (Analgin, Tempalgin, Nise, Baralgin). Traditional methods can only act as an aid to combat pain, but according to reviews, rinsing with a solution of soda and salt helps the most.

Remember that pain medications do not eliminate the cause of acute pain.
They relieve the symptom. To eliminate the cause of the pain, a visit to the doctor and proper treatment are necessary. Contact our specialists! Moscow metro station Zvezdnaya, Danube Avenue, 23

Muffled pain in teeth

This is a toothache that a person is used to putting up with and has adapted to live with. It is not as severe as an acute toothache, but it is unpleasant and poisons life. It can be permanent or periodic, occur with a certain pattern, in response to known stimuli, or on its own.

The cause of muted pain is various diseases of the oral cavity. Even the first sensations of pain are a reason to consult a doctor. Most serious illnesses begin with a completely tolerable pain reaction. But if you don’t visit the dentist in time, you can get pulpitis instead of regular caries, and instead of bleeding gums, you can lose a tooth. To prevent this from happening, you don’t have to endure it when your tooth hurts; you need to immediately make an appointment with a doctor.