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Posts for tag: toothache

December 31, 2020
Category: Oral Health
Tags: toothache  

At Dr. George Salem and Associates in Braintree, MA, we take pride in our patients' good oral health. Of course, sudden problems can still occur--a toothache, as a prime example. Here's how our dentists--Drs. Salem, Gionfriddo, Kacewics, and Lann--handle dental pain and get you feeling better.

What causes a toothache?

First of all, understand that you cannot ignore tooth pain of any kind cannot. It signals that something is wrong, and your dentist must diagnose the problem and treat it. Your oral and systemic health depends on it.

At Dr. George Salem and Associates, we provide a full complement of diagnostic and restorative services. From digital X-ray imaging and intra-oral cameras to microscopes for root canal treatment, dental implants, and white fillings, we uncover the reasons for your toothache and take steps to correct it.

The reasons for toothache pain include:

  • Dental sensitivity to sugar, heat, and cold
  • Dental decay
  • Deteriorating fillings
  • Dental abscess (an infection within the tooth itself)
  • Advanced periodontal disease
  • Oral injury from a fall, car accident, or sports mishap
  • Impacted wisdom teeth
  • Poor dental bite
  • Bruxism, or habitual teeth clenching and grinding
  • Jaw joint dysfunction (TMJ/TMD)

How we can help

To restore your aching tooth to full function and aesthetics, Dr. Salem may recommend one of the following restorative services. Fortunately, our practice features a staff periodontist, orthodontist, and the latest in endodontic therapy. They handle most any toothache problem in-house without having to refer to an outside specialist.

Our restorative services include:

  • White fillings for the perfect repair of dental decay
  • Root canal therapy to heal the dental abscess
  • Porcelain crowns to shore up fractured and deeply decayed teeth
  • Dental implants to replace missing teeth
  • Gum disease treatment

Of course, if your tooth is hopelessly damaged, our dentists perform simple and surgical extractions as well as socket preservation for dental implant placement.

Call us about that toothache

When you have a toothache, take acetaminophen or ibuprofen for pain, and ice your face as needed. Then, contact Dr. George Salem and Associates in Braintree, MA. Our dentists will address the problem promptly and do all they can to preserve your natural tooth structure. To see Dr. Salem, Dr. Lann, Dr. Kacewicz, or Dr. Gionfroddo, call us at (781) 843-0660.


Pain is the body’s warning system: It tells us something is wrong. And depending on the location and intensity of the pain, it can give us vital clues about the problem.

Sometimes, though, it’s not so clear and direct—the pain could arise from any number of sources. Toothaches often fall into this category: Although it’s likely indicating a tooth or gum problem, it could be something else — or even somewhere else.

This is known as referred pain, in which you may feel pain in one location, like your mouth, but the actual source of the problem is somewhere else, like an infected and congested sinus passage. If we’re able to identify the true source and location of the pain, the better the chances of a successful treatment outcome.

Besides sinus infections, there are other conditions like trigeminal neuralgia that can refer pain to the mouth. This painful condition involves the trigeminal nerve, a large nerve running on either side of the face that can become inflamed. Depending on where the inflammation occurs, you might feel the pain at various points along the jaw, feeling much like a toothache.

There’s also the case of an earache mimicking a toothache, and vice-versa. Because of the proximity of the ears to the jaws, there is some nerve interconnectedness between them. For example, an infected or abscessed back tooth could feel a lot like an earache.

These and other possible problems (including jaw joint disorders or teeth grinding) can generate pain as if it were coming from the mouth or a single tooth. To be sure you’ll need to undergo a complete dental examination. If your dentist doesn’t find anything wrong with your mouth, he or she may refer you to a medical doctor to explore other possible causes.

Getting to the root cause of pain can help determine which treatment strategy to pursue to relieve it. Finding the actual source is the most efficient way to understand what a pain sensation is trying to tell us.

If you would like more information on dental pain, please contact us or schedule an appointment for a consultation.


What should you do if your child complains about a toothache? Before calling our office, try first to learn what you can about the toothache.

You should first ask them where exactly the pain is coming from — one particular tooth or a generalized, dull ache. Also try to find out, as best they can tell you, when they first noticed the pain. Try then to look at the tooth or area where they indicate the pain is coming from: since tooth decay is a prime cause for tooth pain, you should look for any obvious signs of it like brown spots or cavities. You should also look at the gums around the teeth for any redness or swelling, a sign of an abscess or periodontal (gum) disease.

If you notice any of these signs, the pain persists for more than a day, or it has kept the child awake during the night, you should have us examine them as soon as possible. If you notice facial swelling or they’re running a fever, please call and we will see them immediately. If it’s definitely tooth decay, it won’t go away on its own. The longer we wait to treat it, the worse its effects in the mouth.

In the meantime, you should also try to alleviate the pain as best you can. If when looking in the mouth you noticed food debris (like a piece of hard candy) wedged between the teeth, try to gently remove it with dental floss. Give them ibuprofen or acetaminophen in an appropriate dosage for their age to relieve pain, or apply an ice pack on and off for about 5 minutes at a time to the outside of their jaw.

If any of these remedies stops the pain within an hour, you can wait until the next day to call for an appointment. If the pain persists, though, then an abscess could be developing — you should call that day to see us.

Regardless of when the pain stops, or whether you see any abnormal signs, it’s still important your child see us for an accurate diagnosis. Their toothache maybe trying to tell you something’s wrong — and the earlier a problem is found and treated, the better the outcome.

If you would like more information on dental problems in young children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “A Child’s Toothache.”

Contact Us

Dr. George Salem and Associates, P.C.

Braintree, MA Dentist
Dr. George Salem and Associates, PC
60 Adams Street
Braintree, MA 02184

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