What is the cause of a toothache along with an earache?
Dr. Clove is here to answer that question.
It is often said that "Toothache is not a disease, but a pain that kills", but in fact, toothache can be a disease.In cases like the subject's, where the toothache is accompanied by an earache, or even a faceache, Dr. Ting thinks it could be pulpitis.
The dental pulp, commonly known as the dental nerve, is the physical structure inside the tooth that plays a role in nourishing the tooth and sensation. Dental caries, tooth wear, and dental trauma can cause the pulp to become infected by bacteria, resulting in inflammation and pain.
There are more manifestations of toothache due to pulpitis:It can be a sharp burst of pain that occurs when there is no stimulation; it can be painful with hot stimulation and relieved by cold stimulation; it may be impossible to identify which tooth hurts, and even ear and facial pain may occur.
If the toothache is caused by pulpitis, most of them need root canal treatment, commonly known as 'nerve extraction'.
What are other causes of toothache besides pulpitis?
1. Cavities (dental cavities)
Cavities are what is often referred to as "teeth that have been infested with worms, cavities and wormholes".Tooth pain occurs when the cavity is deep, and this pain may be transient when experiencing hot, cold, sour, or sweet stimuli, or it may occur when food becomes lodged in the cavity.
If the toothache is caused by a cavity, the cavity will need to be repaired by an oral surgeon, known as a filling.
2. Periodontitis
The main signs of periodontitis are red, swollen and painful gums, bleeding when brushing, and loose teeth. When periodontitis develops, it can also lead to inflammation and pain in the meniscus of the eyes.
Periodontitis treatment usually includes scaling and even periodontal surgery. Daily life requires careful brushing, regular checkups, and dental maintenance.
3. Other diseases
Other dental conditions that cause toothache include apical periodontitis, dental trauma, and periodontal abscesses. The pain from these conditions often has its own characteristics, such as apical periodontitis, which can be felt as a painful tooth that 'grows longer' and hurts more when biting.
Coronary heart disease (or heart attack) may also appear toothache, if the toothache at the same time there is chest tightness, chest pain, shortness of breath and other symptoms must promptly go to the hospital.
What should I do if I have a toothache?
Toothaches have different causes, and you can stop the pain on your own until the cause is clear.
1. Taking painkillers
Before seeking medical attention, painkillers such as ibuprofen can be taken, but in the dose and according to the instructions. For those who have gastrointestinal ulcers, severe liver or kidney insufficiency, it is recommended that painkillers be used under the supervision of a doctor.
2. Some `preferred remedies'
For those who can't use painkillers or don't have painkillers, biting peppers and containing ice cubes can be a last resort to relieve pain. However, the effects of these 'remedies' vary from person to person and may even aggravate the pain, so they are not highly recommended.
3. Timely visits to the dentist
Pain relief only "treats the symptoms" but not the "root cause", it is recommended that friends with toothache go to the dentist, and when any of the following situations occur, it is even more important to go to the hospital in a timely manner:
Severe, unbearable toothache;
The toothache lasts longer than a day or two;
The toothache is accompanied by fever, chest tightness, chest pain, and shortness of breath.
Dental diseases are usually not life-threatening, but they can seriously affect the quality of life and work. At the same time, a healthy mouth is a guarantee of adequate nutrition and good health.
How can I avoid a toothache?
The following is an explanation of how to prevent toothaches caused by dental diseases.
1. Attention to tooth brushing
Brush your teeth twice a day, on every surface, with the toothbrush angled at 45 degrees and placed at the junction of the teeth and gums, gently vibrating from side to side. Brush for at least two minutes each time.
2. Oral examination once every six months to one year.
Regular checkups and cleanings at the dentist can remove tartar deposits and prevent periodontal disease. At the same time, regular checkups can detect potential dental problems as early as possible so that treatment can be provided as early as possible to improve the effectiveness of treatment.
3. Early treatment of toothache
Painkillers can stop the pain for a while, but diseases such as cavities and pulpitis cannot be cured by pain relief. Therefore, the most important way to avoid recurrence of toothache is to treat the "root cause" of the toothache as soon as possible.
Contents refer to Dr. Clove App article: "What to do with a toothache?".
Editor / Lee Bad
"Toothache is not a disease, the pain really kills", not only is said to be a toothache itself hurts badly, the main thing may also cause head, face, ears and other parts of the pain, so that many patients screamed bitterly!
So why would a toothache cause an earache, or even a head and face pain together?
There are many causes of toothache, such as dental caries, pulpitis, periapical inflammation and its own tooth allergy, etc., especially and encountered hot, cold, sour, sweet and other stimuli, which will lead to increased pain, inflammation is not good for a long time, the toothache is not reduced for a day, but also more and more pain, and the main thing is that we canFrom the human anatomy can be found: the left and right anterior teeth pulp nerve cross each other to reach the neurons in the opposite side of the trigeminal ganglion, upper and lower posterior teeth pulp nerve in the trigeminal ganglion also has a clear cross, directly to the upper cervical, posterior ganglion of the neurons, it can be seen that the trigeminal nerve at the same time innervates the human body's periodontal, cephalo-facial, and maxillo-mandibular and a wider range of sensory, so as long as a position of the pain, is likely to lead to other parts of the radioactive pain! Therefore, whenever pain occurs in one location, it is likely to lead to radiating pain in other parts of the body! 
A simple way to understand this is that the teeth are in charge of the trigeminal nerve along with the ear, and if the tooth nerve hurts it can involve the ear or the head!
So when a toothache triggers an earache, do you just need to treat the toothache?
This is not really true either! If indeed a toothache is causing the earache, then it is possible to have synchronized pain relief for the earache when the toothache is treated, but not always!Because not all earaches are necessarily caused by toothaches, they can also be caused by otitis externa, otitis media, etc. Especially some caused by infections such as Staphylococcus aureus, which must be treated with anti-infections!
It is true that similar cases have been found in clinical practice, where infectious diseases of the teeth have induced radiating pain in the ear, but also localized pain due to otitis media, etc., has occurred.Therefore, after the treatment of toothache, still do not see relief, should go to the local hospital to check an otoscope, as well as stomatology manual examination to see if the examination found that pulpitis or root inflammation caused by the application of antibiotics, if necessary, but also fillings or extractions, otitis media need to be localized cleansing treatment.
From the physiological and anatomical point of view, the left and right anterior teeth pulpal nerves cross each other to reach the neurons within the opposite side of the trigeminal nerve, the upper and lower posterior pulpal nerves in the trigeminal ganglion obviously cross to reach the neurons within the upper cervical, postauricular ganglion, at the same time, a neuron within the trigeminal nerve to control the sensation of the 2 teeth, but also innervates the upper and lower jaws, periodontium, the head, the face of the wider tissues of the sensation, this complex distribution of pulpal nerves decided to This complex distribution of the pulpal nerve determines the occurrence of sensory derangement in toothache, and also leads to toothache causing the face, eyes, face, throat, neck, etc. to go to the pulling pain!
The first type of toothache is caused by damage to the tooth itself.
Infected pulpitis toothache caused by tooth decay, with visible black spots on the teeth, a very pronounced and fixed pain point in the toothache, and great sensitivity to sugar and dairy substances.
Dental enamel by acid erosion of the surface damage enamel mineralization caused by severe dentin allergy, pre-cold, hot, acid-induced toothache, which is often referred to as tooth acid, inverted tooth phenomenon; dentin allergy there is a special case, is due to the gums recession is more serious, exposing the root of the teeth caused by people used to call the exposed tooth nerve.
The second type is caused by inflammation of the gums (periodontal tissues) and includes acute and chronic periodontitis toothaches.
Symptoms: Gum margins are visibly low, teeth are visibly long, and calculus is evident at the root of the teeth. 牙龈颜色深红或者暗红，牙痛反复发作，时好时坏，牙齿咬合时部分患牙疼痛明显，大部分亚次痛点不明显。
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