Toothaches: What is going on?

From delicate cervical suppuration to life: Only the specialist can interpret it correctly!

Depending on the origin and from different tissues, depending on the disease that results in a very complex field often difficult differenzierbarer pain conditions:

Affected tissue may be: masseter muscles, temporomandibular joints, nerves, gums, mucous membranes, bones, bones, skin, root skin, cervical, Zahnnerv.

First, the actual tooth pain, which the Zahnnerv or out of the pulp, which is made up of connective tissue, veins and nerves battle there. If there is an inflammation, says the expert pulpitis: Unlike all other tissues of the body, the connective tissue of the pulp does not swell, which is the first normal reaction is, if some bacteria from a deep penetration from caries. Because it is so rigid in the tooth "walled in", and only a fine access to the root tip about one tenth of a millimeter keeps the connection to the outside world. The approach to swelling strangled so the blood supply, and therefore already have a decent enough inflammation to the tooth nerve "to let die. And this death may take months, even years.

If it is clear that the pain from an inflammation of the pulp, a pulpitis, is the crucial question: Reversible or irreversible? Even when einwurzeligen tooth is the "look to the future" is often not safe. Yet far more on several teeth with root canals is that the conditions in the transition from reversible mild irritation on inflammation to irreversible pronounced inflammation often dazzlingly irritating, because different states can coexist. Can survive but only the nerves of all channels together, or none. Therefore, it is a good dentist all possible causes, such as caries and remove the doubt prefer to wait to make sure, before the hope of the survival of the pulp must be abandoned.

For irreversible inflammatory pain speak to heat, spontaneous pain without a cause, pain on pressure, knocking pain, severe pain, long-lasting pain to cold. Hope to ease pain and short on sweet, cold, acidic. Important but really, the pain from this tooth? Sometimes the positioning of the cause difficult.

With pain in masseter muscles and temporomandibular joints, the so-called parafunction in the foreground, so the overload caused by unconscious forces applied in the field of body weight during pressing, rubbing, crunching. This is the chapter "precision, function and durability" below.

Pure nerve pain, called neuralgia, thank God, are rare. It is important here is certainly a hidden cause excluded. Then, the treatment at the hands of specialists. Something else is the pain of so-called Zahnnerv, the pulp, which is in truth from connective tissue, veins and nerves there.

Also inflamed jaw caves can often stabbing to pushing-pulling or throbbing pain that is exactly feel like a toothache. No wonder, the roots of the teeth touch the top of the page so directly to the bottom of the maxillary sinus. Typically there is a pressure in the eye, in front of herunterhängendem head or more will occur.


From the neck of the tooth gums outgoing pain can dazzlingly irritating character and pretend real toothache. While, unfortunately, are the most chronic forms of gum disease (periodontitis) are painless and often not recognized, triggers an acute inflammatory pain often violent, oppressive, or the like to be perceived pochend. Sometimes it is simply a dining eingebissenen rest, but sometimes a deep gum pockets, which pus forms.

Typical very painful inflammation of the mouth are the so-called mouth ulcers, which like in a temporary immune burden "alongside" and occur as The food is very sensitive to touch. After about ten days they will disappear without trace.

Any type of acute inflammation in the bone is doing particularly hurt when the Knochenthaut tense, because the inflammation is the way to the outside bahnen wants. Mostly it is an acute inflammation of a long-existing inflammation, from a dead tooth out. Heat and pressure Averstärken pain, cold eases temporarily. This condition (abscess) is dramatic, but today certainly manageable. More dangerous is it when an inflammation in the bone (osteomyelitis) or in the adjacent connective tissue (Phlegmon) disseminated, without it the body can cause the confusion.

The pain from the root of skin is typical of a fresh wurzelbehandelten tooth with critical defensive position. Since the root only skin can react to pressure, there is no direct temperature pain. However, by increasing the flow of heat also reinforcing effect. Even if a dead root is broken, the pain comes from the root skin.

Exposed tooth necks highly heat-sensitive and can be particularly sensitive to cold, without the fruit of a serious underlying disease. Also sour and sweet for seconds to minutes person being reunited trigger pain. Caused by disclosing Dentinkanälchen that directly lead to Zahnnerv. The closures of Kanälchen succeed more or less with various toothpastes and dental measures.