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All About Toothaches - Important Information You Should Know


Posted on 7/15/2026 by Dr. Cheryl Freeman
Young woman sitting on a couch, holding her cheek and wincing due to severe toothache, requiring emergency dental care.Toothaches are never fun. They can range from a mild annoyance to a sharp, throbbing pain that makes it hard to concentrate or even sleep. Understanding what causes toothaches and what you can do about them is important for your overall oral health. Let’s explore the common causes, what you can do at home, and when it’s time to seek professional help.

What Causes That Pain?


Toothaches are often a sign that something isn't quite right inside your mouth. Many different things can trigger a toothache, but here are some of the most common culprits:

•  Tooth Decay: This is probably the most frequent reason for tooth pain. When bacteria in your mouth eat away at the enamel (the hard outer layer of your teeth), it creates cavities. These cavities expose the sensitive inner layers of the tooth, leading to pain, especially when eating sweets or drinking hot or cold beverages.
•  Gum Disease (Periodontal Disease): An infection of the gums that can eventually affect the bone that supports your teeth. As gums recede, they expose the roots of your teeth, making them sensitive and painful.
•  Cracked Tooth: A crack in a tooth, even a tiny one, can cause significant pain, especially when chewing. Cracks can occur from grinding your teeth, injuries, or just general wear and tear.
•  Abscessed Tooth: This is a serious infection inside the tooth or in the gums around the tooth. It's usually caused by untreated tooth decay or injury and can cause severe, throbbing pain, swelling, and fever.
•  Sinus Infections: Sometimes, what feels like a toothache in your upper back teeth is actually pain referred from a sinus infection. The pressure from the sinuses can irritate the nerves near your teeth.
•  Teeth Grinding (Bruxism): Clenching or grinding your teeth, especially at night, can put a lot of stress on your teeth and jaw, leading to toothaches and jaw pain.

What Can You Do at Home?


While seeing a dentist is essential for diagnosing and treating the underlying cause of a toothache, there are some things you can do at home to help manage the pain temporarily:

•  Rinse with Warm Salt Water: This can help reduce inflammation and kill bacteria. Mix a teaspoon of salt in a glass of warm water and rinse your mouth for about 30 seconds.
•  Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. Always follow the directions on the label.
•  Cold Compress: Applying a cold compress to the outside of your cheek can help numb the area and reduce swelling.
•  Dental Floss: Gently flossing around the painful tooth can help remove any food particles that may be contributing to the pain.
•  Avoid Triggering Foods: Try to avoid foods and drinks that seem to worsen the pain, such as sugary, hot, cold, or hard foods.

When to See a Dental Professional


It’s important to remember that home remedies are only temporary solutions. If your toothache is severe, lasts for more than a day or two, or is accompanied by any of the following symptoms, you should see a dental professional right away:

•  Fever
•  Swelling in your face or jaw
•  Pain when you bite or chew
•  Bleeding gums
•  A foul taste in your mouth

Early diagnosis and treatment can prevent more serious problems and help you keep your smile healthy and pain-free. Don't delay seeking care if you're experiencing significant tooth pain. Your oral health is a vital part of your overall well-being!

Randolph Center for Dental Excellence
Dr. Bryan Freeman and Dr. Cheryl Freeman



(336) 625-3292

134 Davis Street
Asheboro, NC 27203-5469


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