What is a toothache?

A toothache is usually the result of inflammation or damage to tooth or nerve tissue. The pain can come on suddenly and be severe (acute toothache) or develop gradually (chronic toothache). In many cases, sensitivity gets worse with temperature changes or while chewing.

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Recognising symptoms

By recognising the symptoms of a toothache, you can act in time to prevent further complications. Contact our practice if you are experiencing one or more of the following symptoms:

  • Stabbing, throbbing or nagging pain.
  • Pain when consuming hot or cold drinks or food.
  • Swollen gums or cheek.
  • Pain when chewing.
  • Pain that radiates towards your jaw or ear.

Causes and treatments

A toothache can arise from a variety of causes. We therefore always start with an accurate diagnosis and will take an X-ray if necessary. We will then draw up a treatment plan that not only addresses your symptoms, but also helps prevent them in the future.

CauseExplanationTreatment/solution
CavitiesCavities (caries) are the best-known cause for a toothache. Tooth decay is often caused by a combination of plaque, sugary foods and a disrupted oral microbiome.First, we will fill the cavity. We will also give you advice on how to maintain proper oral hygiene.
Inflamed gums (gingivitis or periodontitis)Inflammation of the gums is a sign of imbalance in the body. This may be related to your diet, lifestyle or gut health.Cleaning of the gums and root surfaces by a periodontist.
Inflammation in the rootThis type of inflammation often only becomes visible on an X-ray and may be the result of a fall, leaking filling or deeper tooth decay.Root canal treatment.
Exposed cementoenamel junctionsSensitivity due to receding gums or excessively brushing the teeth with a hard brush.Advice and guidelines on how to brush your teeth properly.
AcidosisAcidosis is caused by acids from food or the body itself (such as reflux). These affect tooth enamel.Together, we will look at how you can modify your lifestyle and diet to reduce acidosis.
AbscessAn abscess is a severe case of inflammation, recognisable by swelling and severe pain. In this case, emergency treatment is necessary.Which type of treatment you need depends on the abscess.

Tips to prevent toothaches

Proper oral care and a healthy lifestyle reduce the risk of toothaches. These tips will help prevent toothaches:

  • Brush your teeth for two minutes twice a day.
  • Ideally, use floss or dental brushes daily.
  • Limit the number of meals you consume per day.
  • Avoid sugary and acidic drinks and foods.
  • Eat foods that are rich in minerals such as calcium, magnesium and vitamin D3.
  • Have your teeth checked and cleaned twice a year.
More about oral hygiene

Frequently asked questions

Is toothache treatment covered by my insurance?

Dental treatments for children up to 18 years old are fully covered by the basic health insurance. Are you 18 years or older? Then your additional insurance might cover the treatment. Check your insurance policy or contact us for advice.

Can I take painkillers for a toothache?

Absolutely. Using ibuprofen is recommended due to its anti-inflammatory properties. If necessary, you can combine ibuprofen with paracetamol. Always read the leaflet before use. Additionally, you can rinse your mouth with lightly salted water or chamomile tea.

How quickly will a toothache disappear after treatment?

This depends on the treatment, severity and cause of the toothache. After filling a cavity, any pain sensations may persist for a few days. Pain may occur if you strain the area or if it comes into contact with hot or cold foods or drinks. Did the dentist perform a root canal treatment? Then pain may last up to two weeks. Are you still experiencing pain after two weeks? Please contact our practice.

Would you like to schedule a treatment or do you need personal advice?

Are you experiencing one or more symptoms that may indicate a toothache or do you need advice? We are happy to help. Call us at +31 20 22 46 368 or fill in the contact form at the bottom of this page to schedule an appointment.

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