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Toothache Causes

An aching tooth you get from a cavity is no fun, but it's something that can be easily seen and quickly solved. Unfortunately, toothaches also stem from problems that aren't so easily recognized.

Tooth pain can be a little like that weird noise your car engine makes but always disappears the moment you drive it into the repair shop.

A tooth that aches only in the morning may be the result of overnight tooth grinding (bruxism). Bruxism is quite common, and has the potential of deteriorating tooth enamel. But it's also treatable. Occasionally a patient will experience some hot/cold sensitivity after a new filling or crown. That's normal, and should go away after a few days. If it doesn't, the problem may lie elsewhere. And we want to know about it.

There's also pain from "root surface sensitivity." This can result from years of brushing teeth too hard, "heartburn acid" which enters the mouth overnight and attacks the enamel of your teeth, receding gums, or periodontal pockets of infection. A toothache may even be the result of a microscopic crack in a molar. These pains are not easy to pinpoint, and often require that you and I work together to help determine the actual cause.

And, yes, toothaches come from decay. But whatever the reason, if you're experiencing tooth discomfort, call the dentist so we can help you solve the mystery of an achy tooth. With all the resources at our disposal, an aching tooth is something no one should have to live with.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

How To Stop Dry Mouth: What You Should Know

Saliva, which contains essential protein molecules, electrolytes, and minerals, is critical to good oral dentistry health. Saliva lubricates and cleanses the mouth, preserves and bathes tooth structure, neutralizes acids that cause cavities, limits growth of bacteria, viruses, and fungi, dissolves and breaks down food, assists with taste, keeps the mouth moist (no dry mouth which helps with speaking and eating), and facilitates the retention of dentures.

Research has shown that healthy, unmedicated older adults do not have any significant decrease in saliva flow. Loss of saliva and dry mouth are not the result of normal aging, but are instead associated with illness, disease, medication treatments, and medication.

Reduced saliva flow increases the harmful effects of the organisms of the mouth, causing dental cavities, bleeding gums, plaque, burning mouth, pain, soft tissue infections, and cracks. In addition, an individual may have difficulty speaking, tasting, and swallowing food. Dentures do not fit well or feel comfortable when saliva is reduced.

Older adults take many over-the-counter and prescription medications for chronic medical conditions and disorders. For many of these medications, decrease in saliva flow is a common side effect. In fact, over 500 prescriptions and over-the-counter medications cause dry mouth (xerostomia). The medications most often associated with dry mouth are:

• tricyclic antidepressants
• antipsychotics
• antianxiety
• antihistamines
• decongestants
• antihypertensives
• diuretics
• antiparkinsonism
• anticholinergics

Although medication use is frequently associated with dry mouth, certain medical diseases, conditions, or treatments reduce saliva flow. Examples are

• head and neck radiation treatment for cancer
• Sjögren's syndrome
• poorly controlled diabetes
• bone marrow transplantation
• HIV
• cystic fibrosis
• scleroderma
• amyloidosis
• sarcoidosis
• vitamin deficiency
• thyroid disorders
• mental stress and depression

By Denise J. Fedele, DMD, MS