Toothache

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Causes of toothache

  1. Dental caries. In the early stages of tooth decay, the pain in the tooth is imperceptible or not at all, the pain occurs as a result of exposure to hot and cold, during the consumption of sweet and sour products. As caries deepens, toothache occurs during meals and while brushing your teeth.
  2. Thinning of tooth enamel or the presence of cracks in it increases the sensitivity of teeth.
  3. Pulpit. In inflammation of the pulp (soft tissue inside the tooth), the pain occurs suddenly (usually at night) and can spread to the temples or ears. The pulp is more commonly referred to as the ‘dental nerve’, but this is a misconception because in addition to the nerve, the pulp also contains blood vessels, lymph, connective tissue.
  4. Periodontitis is an inflammation of the tissues around the tooth tip - the periodontium. The pain is often throbbing, the pain intensifies when you touch the teeth, gums. Inflammation of the gums can be observed along with tooth decay.
  5. Periodontitis is an inflammation of the bone tissue around the tooth, often caused by an infection, which can lead to the formation of a dental cyst.

Effective tools and methods against toothache

Here are five basic ways to get rid of toothache

  • Taking analgesics (painkillers) and NYQV (nonsteroidal anti-inflammatory drugs);
  • Use of "folk" medicine;
  • Massage or acupressure;
  • Dental treatment, therapeutic agents;
  • Tooth removal (extraction).

The first three methods relieve toothache only temporarily and require caution in use, as inability to tolerate the drug, the presence of contraindications, they can cause harm instead of benefit when pregnancy is present. Tooth extraction is a last resort and is usually used in the presence of acute periodontitis, severe jaw and tooth injuries.

What to do when a toothache is strong

1. Anesthetic drugs for toothache

The most effective NYQV for relieving toothache are ketoprofen ("Ketanov", "Ketorol", "Ketorolac", etc.) or dexketoprofen ("Dexalgin") preservatives. These drugs can relieve toothache for 5-6 hours and have an anti-inflammatory effect at the same time. Ibuprofen (Nurofen, MIG, Faspik, etc.), Naproxen (Sanaprox, Naprios) and Flurbiprofen (Flugalin) in this group of propionic acid products should also be noted.

Very strong analgesic and anti-inflammatory drugs remain diclofenac and aceclofenac, which belong to the group of phenyl acetic acid products, but these drugs are not widely used in dentistry.

Among the most common and effective toothache relievers is Nimesulide (Nice), which belongs to the group of sulfonamides, more precisely, among the acid-free products. One of the leaders in the treatment of toothache remains indomethacin, which has anti-inflammatory and very high analgesic effect.

The best drugs to relieve toothache are analgin and paracetamol, but they are only able to help in cases of mild pain.

It is not recommended to use this drug in early childhood, during pregnancy (except paracetamol, it can be used from the second trimester) and in old age. Since most of these drugs are acidic NYQV, they affect the gastrointestinal tract, so it is better to take them in moderation, if there are ulcers and erosions in the stomach, acute diseases of the liver and kidneys, bronchial asthma it is recommended not to use them at all.

In any case, the treating physician should take the medication approved for you and in no case should it be taken arbitrarily. It is necessary to follow the special instructions of a pediatric dentist on the use of painkillers to relieve toothache in children.

2. Leaving toothache at home

The use of folk remedies in the treatment of toothache is a little mild, the main local effect:

  • Ice helps to relieve toothache in a short time. By placing a piece of ice on the aching tooth, you will have an effect comparable to the local anesthetic effect, only it disappears after 5 minutes.
  • Another simple method: rinse your mouth with a soda solution: 1 teaspoon in a glass of water. A teaspoon of salt and a few drops of iodine solution can be added to the solution.
  • A popular remedy for toothache is a tincture of sage for rinsing the mouth. To prepare it: 1–2 teaspoons herb is poured boiling water and kept in a water bath for 15–20 minutes. Before applying the tincture, it should be brought to a warm temperature, as the heat will intensify the pain and, if pus is present, will cause it to dissipate. Chamomile and dahlia, mint also have anti-inflammatory effect.
  • Various oils are also able to leave toothache. For this you can use tea tree, pepper (clove), castor oil. The oil should be soaked in cotton wool and put on the sore spot. If you do not have oils, solutions of valerian, eucalyptus, propolis are available in almost every home.

Acupressure

Acupressure as an alternative medicine method also helps to temporarily relieve toothache. The analgesic effect occurs when pressing the following points:

  • The groove between the thumb and index finger. This massage is not recommended in the later stages of pregnancy as it is believed to cause premature birth.
  • The soft part of the ear. It should be massaged with a little pressure with the head and index finger.
  • The groove between the lower jaw and the cheek. A little pressing with your thumb will help you relieve the pain in your upper jaw.
  • Lower jaw angle. Her massage relieves the pain of her lower teeth.
  • The point on the side of the index finger (by the thumb), 2-3 mm below the nail.

According to traditional Chinese medicine, massage of these points not only relieves pain, but also completely eliminates it, the duration of its effect does not exceed 2-3 minutes. Such an exotic method should be approached with caution and massage should be stopped as soon as any deterioration of the general condition is felt.

Keep in mind that traditional measures, acupressure, pills do not eliminate the root cause of toothache, they are only aimed at relieving the pain. Use these methods with caution - only to reduce toothache and as a treatment before going to the dentist.

Toothache in pregnancy

When planning a pregnancy, doctors recommend that women go to the dentist in advance to avoid any unpleasant side effects during pregnancy. But hormonal changes in the body, lack of vitamins and minerals, toxicosis can lead to tooth and tooth disease during pregnancy.

Probably the safest way to get rid of toothache is to go to the dentist and apply some prepared mouthwash tinctures at home. Naturally, caution is required when using different herbs and tinctures, as they can cause an allergic reaction in addition to the underlying disease.

Paracetamol is usually recommended for pregnant women from painkillers. This tool only affects the source of pain without affecting other organs. Ingredients of paracetamol may enter the umbilical cord, but do not adversely affect the fetus. True, this drug is not as strong as other drugs, but it helps to get rid of toothache.

Pregnant women may be allowed Analgin, but in small amounts, because with long-term use this drug can harm the unborn child and cause changes in blood composition. Even in small doses, Analgin is not used in the first trimester of pregnancy and in the last five weeks of pregnancy.

Nurofen is not used in the third trimester because it reduces the amount of fetal fluid. In the early stages it can be used in small quantities.

Before using any drug, it is necessary to get acquainted with its contraindications - in cases of gastrointestinal diseases, liver and kidney failure, bronchial asthma, some drugs can aggravate the disease. Use only painkillers recommended by your doctor.

There are no contraindications to the treatment and removal of teeth during pregnancy, in which case dentists use a limited number of permitted painkillers. Thus, pregnant women with toothache should not be afraid to consult a specialist, even if the toothache does not bother them, check the entire oral cavity once or twice during pregnancy. scan better.

Severe toothache is a serious warning to pay attention to the health of your teeth and go to the dentist as soon as possible. Although toothache is common, you shouldn’t leave the pain alone with medication - it can cost you twice as much for your health. Because along with the risk of side effects of medications, the root cause of the pain is not treated, only the underlying disease is hidden.

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