The symptom pain

Pain is the most common symptom of diseases of the teeth, and it is the main reason to book an appointment at a dental office.

The type and characteristics of the pain are specific to each disease and the dentist could make a diagnosis based on that. Pain can vary in intensity, duration and nature. It may be localized in one or several teeth or covering all teeth.

Diseases according to type of pain

Slight pain caused by cold and sweets, appearing occasionally, is characteristic of caries  (read more…), while strong and pulsating pain increasing at night is indicative of pulpitis (read more…).

Pain which is severe and persistent and occurs on contact with the tongue or food is indicative of periapical periodontitis (read more…) .
A broken tooth (read more…) can be characterized by no pain, slight pain with strong clenching, or severe pain during eating.
In periodontitis (read more…) there is most often no pain, but there is a certain discomfort in the gums, and only in rare cases severe pain may occur.
Dental abrasion (read more…) is characterized by pain and sensitivity with thermal (hot and cold) or chemical irritants (sweet) due to the exposed dentine.
In abscesses (read more…) the pain is strong and it is in the affected tooth and the soft tissue around it.
In mouth ulcers (read more…) pain is only in the lining of the ulcer, which is very painful on touch and during eating.

Sensitivity in teeth

Tooth pain can be spontaneous or provoked by thermal stimuli (cold or warm). If cold intensifies the pain, there is serous inflammation, but when the pain in the tooth increases by warm, the process is purulent. Often, it occurs in bouts, where the pain-free periods are different in length. Another feature of the tooth pain is that it may be felt elsewhere, not in the causative tooth (referred/ reflective pain). In pulpitis the pain can be perceived at adjacent teeth on the same side and even at the ear and temple. In other cases it could amplify over time and from weak and tolerant, it can become unbearable and unresponsive to analgesics.
Depending on the individual circumstances of an individual, pain is perceived differently. Some people can endure more pain (higher threshold of sensitivity), while others have a low threshold of pain and even weaker pain cause great suffering. Pain is a leading symptom of dental diseases and is of great importance in the diagnosis and proper treatment of conditions of the teeth.

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