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I had a bad toothache and couldn't tell whether the pain was actually coming from my tooth or maybe my gum.
There is good reason why it is occasionally difficult to pinpoint the origin of tooth pain, which can result from an infection of the tooth itself, or of the gum, or even spread from one to the other.
When a tooth becomes decayed, bacteria can infect the dental pulp, the sensitive living tissue in the root canal, which is housed deep inside the tooth. In fact, after acute pain passes and the diseased pulpal tissue dies, the pain may fade, become chronic or even go away, but the problem won't. Let's back up now and look at the reverse: dental pain that originates from the periodontal (gum) tissues. It gets even more complicated when you consider that some teeth have lateral canals — root canals that branch off from the main canal (like the root system of a plant) and exit the tooth not at the end of the root, but somewhere along its side or in an area where teeth with more than one root join each other.
Fractured teeth may also cause both endodontic (root canal) and periodontal (gum) pain, depending upon which structures the fracture involves. I hope you can begin to see why it can be difficult to determine the cause of dental pain when its origins are complicated.
The fact is that once dental disease becomes a combined periodontal-endodontic problem, the long-term outlook (prognosis) for the tooth is compromised. In the case of a primary endodontic-secondary periodontal problem, the long-term outlook for the tooth is reasonably good if the tooth involved receives root canal treatment.
Conversely, in the case of a primary periodontal-secondary endodontic problem, there is usually so much bone loss from the gum disease that the long-term outlook for the tooth is extremely poor, if not hopeless.
We hope this gives you an idea of why some toothaches aren't as simple to figure out and treat successfully as we'd all like them to be. We will provide you with information that is accurate, authoritative, and trustworthy on all aspects of dentistry. April 19, 2011 by Family Dental Service Leave a Comment EmailPrintSeventy-five percent of adults over age 35 have at least one thing in common: some form of periodontal (gum) disease, the major cause of tooth loss in adults.
There are several types of periodontal disease even though it is generally referred to as a single disease. Because it is often a painless condition until the latter stages, periodontal disease has become increasingly more widespread, especially among adults. Periodontal disease begins with plaque, a sticky, colorless film of bacteria that constantly forms on the teeth and gums.
Visit our website for more information as well as FREE coupons off our most popular services. If you enjoyed this post, please consider leaving a comment or subscribing to the RSS feed to have future articles delivered to your feed reader. Family Dental Service are very friendly, quick and agile, and provide quality customer service. Overall Excellent - I've been to this office two times over the last six months, and both times have been excellent. If you manage this site and have a question about why the site is not available, please contact us directly. There are various causes of periodontal disease, including certain genetic predispositions, medical conditions, and medications. Poor dental hygiene – Preventing dental disease starts at home with good dental care.
Tobacco use –Smokers are far more likely to suffer from calculus (tartar) buildup on teeth. We all know that presentation is important.  Your smile plays a significant role in the impression you make on the people you meet.

This Capitol Hill dental practice has been serving neighbors and Hill commuters since 1976. See your dentist as soon as possible about your toothache if you have a toothache that lasts longer than 1 or 2 days, or your toothache is severe, you have a fever, earache, or pain upon opening your mouth wide. To treat your toothache, your dentist will first obtain a brief medical history and conduct a physical examination.
Nevertheless, it's always important to sort out what's going on so that the right treatment can be selected and the tooth saved. Common periodontal disease caused by a build-up of bacterial biofilm (plaque) along the gum line can lead to inflammation and infection of the gums.
It may be necessary for a general dentist to refer cases like this to an endodontist (root canal specialist), or a periodontist (a specialist in diseases and disorders of the supporting structures of the teeth) — or both, to figure out what's going on.
If it is not removed regularly, the bacteria create toxins that irritate the gums, making them swollen, red and likely to bleed easily.
This is an inflammation of the gums (gingiva), which generally cause them to bleed when brushing or flossing, and may cause them to be red, swollen and irritated. These can include pus under the gum line, teeth that are loose or separating, a change in bite or in the fit of partial dentures, or chronic bad breath or bad taste. I really connected with the dental assistant and she was very efficient doing her job cleaning my teeth.
The staff is friendly, and both times the hygienist did a fantastic job of cleaning my teeth even though I'm not the most diligent flosser. He was extremely nervous but the dentist was very friendly and explained everything to my son. Exercise, healthy diet and positive attitude are great ways to maintain a healthy, young and attractive appearance. Research shows that gum disease, also called periodontal disease, presents a serious risk to overall health. In some cases, you can lower the chances of developing gum disease by taking preventative measures. Good dental care is necessary, but the best way for smokers to prevent gum disease is to stop smoking. Dr.Nishan Halim came on board in July 2013, as Jeffrey Stallsmith, DDS, began a transition into retirement. If they contain electrolytes, they help sustain energy levels during physically challenging activities. As well as tooth decay, toothache may be caused by Tooth abscess, Tooth fracture, a damaged filling, repetitive motions and infected gums. In some people, pain results only when pressure is applied to the tooth, swelling around the tooth, fever or headache, foul-tasting drainage from the infected tooth. He or she will ask questions about the pain, such as when it started, how severe it is, where it is located, what makes it worse, and what makes it better. If a cavity is causing the toothache, your dentist will fill the cavity or possibly extract the tooth, if necessary. Garlic has antibiotic and other medicinal properties that can be very effective in slowing down bacterial effects. Cloves have anti-inflammatory, antibacterial, antioxidant and anesthetic properties that help alleviate tooth pain and fight infection. She holds a Masters degree in Microbiology and was working at several microbiological and biochemical research institutes around the world. Pain symptoms can vary, being sharp or dull, constant or intermittent, localized or spread out.

Occasionally, infection of endodontic (root canal) origin can spread out from the end of the root where it exits the tooth all the way up the periodontal ligament, and cause a gum problem.
This results in detachment of the gum tissues along the tooth surface, also known as periodontal pocket formation.
It can take some fairly sophisticated know-how and experience to determine the root cause of the problem (no pun intended). If gone untreated, periodontal disease can destroy the gums, bone and ligaments supporting the teeth. If left unchecked, the toxins cause gum tissues to detach from the teeth, creating pockets where food particles and more plaque may collect. There also are reports of clinical trials for some drugs used to treat the inflammation in rheumatoid arthritis that appear to be effective in treating advanced gum disease. I highly recommend this area with other successful services offered like teeth whitening and root canals. If you’re unhappy with the way your look when you smile, it’s time to consider improvement. If you need basic restorative dentistry (fillings), it should be scheduled first. There are different options for straightening, replacing, or whitening your teeth. Tooth decay is a common reason for toothache, which won’t usually get better on its own.
A root canal might be needed if the cause of the toothache is determined to be an infection of the tooth’s nerve. Mix a crushed garlic clove with some table salt or black salt and apply it directly on the affected tooth to alleviate the pain. In advanced cases, the infection can travel to the end of a tooth and into the tissues of the dental pulp — a so-called primary periodontal-secondary endodontic problem. The specialist will take a detailed history of the pain symptoms, test the responsiveness of the tooth to temperature and pressure, and evaluate radiographs (x-ray pictures) in order to help make a diagnosis.
Both the shape and the color of your teeth can be improved with advanced cosmetic procedures, such as veneers and crowns. Halim's management, the practice maintains the same commitment to high-quality, patient-driven care and personalized attention, for which Dr. X-rays may be taken as well as other tests, depending on what your dentist suspects is causing the toothache. Bacteria that have worked their way into the inner aspects of the tooth cause such an infection. If you have an abscess, you'll most likely know which tooth it is, because the periodontal membrane has a rich supply of nerve fibers to relay the pain, letting you know exactly which tooth it is. In some cases, the bacteria can travel in the bloodstream from this infection to other areas of the body, increasing the risk of heart disease and stroke.
This situation is known as a primary endodontic-secondary periodontal problem, meaning the infection started in the tooth and then spread to the gums. Phototherapy with a cold laser may be used to reduce the pain and inflammation associated with the toothache.

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