[Recommendation]How to Know If Your Tooth Pain Is an Emergency

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Pulpitis is reversible when the pain is mild to moderate and lasts for a short time after a stimulus (for instance cold); or irreversible when the pain is severe, spontaneous, and lasts a long time after a stimulus. Left untreated, pulpitis may become irreversible, then progress to pulp necrosis (death of the pulp) and apical periodontitis. Abscesses usually cause throbbing pain.

Dentist Dr. Sako H. Karakozian addresses three types of oral pain to assess if you need immediate attention or if your issue can wait. He shares that if you are feeling anything out of the ordinary, he would typically recommend calling your dentist, but that might not be possible right now while under quarantine.

Dr. Sako stresses that urgent cares and emergency rooms are not equipped to handle dental emergencies. Instead of potentially wasting time and resources, he always suggests calling a dentist first. Plus, He breaks down tooth issues into three different types of problems: sensitivity, pain and swelling.

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Toothache may be caused by dental (odontogenic) conditions (such as those involving the dentin-pulp complex or periodontium), or by non-dental (non-odontogenic) conditions (such as maxillary sinusitis or angina pectoris). There are many possible non-dental causes, but the vast majority of toothache is dental in origin.

The clinical examination narrows the source down to a specific tooth, teeth, or a non-dental cause. Clinical examination moves from the outside to the inside, and from the general to the specific. Outside of the mouth, the sinuses, muscles of the face and neck, the temporomandibular joints, and cervical lymph nodes are palpated for pain or swelling.

How to Know If Your Tooth Pain Is an Emergency.