$Unique_ID{PAR00171} $Pretitle{} $Title{Medical Advice: Toothache} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Toothache Toothaches tooth Pain Redness gum swelling swollen gums dental hygiene brush teeth floss fluoride fluoridated teeth injury injuries infection infections abscess abscesses pus cavity cavities root pulp aspirin acetaminophen painkiller painkillers antibiotic antibiotics dentist dentists} $Log{ Tooth Decay*0017101.tif} Your Child: A Medical Guide Toothache Quick Reference SYMPTOMS - Pain - Redness and swelling of the gums HOME CARE - Give aspirin or acetaminophen for pain. - Apply an ice pack to the jaw. PRECAUTIONS - Do not apply heat to the site of a toothache. - A careful program of dental hygiene is the first defense against toothache. Your child should brush his teeth at least once daily and use dental floss. - Have your child see the dentist regularly from age two or three on. - Never apply aspirin directly to the site of a toothache. - Provide extra fluoride if the water in your area is not fluoridated. Ask your dentist about this. In common with earaches and the onset of labor, children's toothaches seem always to happen at the least convenient time--after pharmacists have closed their doors and doctors and dentists have closed their offices. A toothache can be caused by an injury to a tooth, an infection between the gum and the tooth, or an abscess (a cavity containing pus and surrounded by inflamed tissue) of the root of the tooth due to extension of a cavity (even a filled one) into the tooth's pulp (central portion). SIGNS AND SYMPTOMS The cause of a toothache is obvious if the gum near the tooth is red, swollen, and tender or if a cavity is visible. If the source of the pain is in doubt, tapping gently with the handle of a spoon will cause sharp pain in the affected tooth. HOME CARE Temporary treatment is to ease the pain of the toothache with aspirin or acetaminophen. An ice pack on the jaw may help. Heat may make the toothache worse. Call your dentist. An important part of home treatment is prevention. Your child should see a dentist regularly, beginning at age two or three. The child should brush his teeth at least daily and use floss. Through adolescence, fluoride must be provided each day. If you live in an area where the water is not fluoridated, supplementary fluoride is needed. Talk to your dentist about this. PRECAUTIONS - Do not apply heat to the site of a toothache. - Take your child to a dentist regularly to avoid any emergency situation involving a toothache. - Never apply aspirin directly to the site of a toothache. (This practice can cause a chemical burn.) MEDICAL TREATMENT Your doctor may prescribe a painkiller or, if infection is present, an antibiotic. Treatment of the tooth is left to the dentist. RELATED TOPICS: Gumboils; Teething