If you have toothache
Toothache can be caused by tooth decay, a dental abscess or a cracked or damaged tooth.[1] The cause is found at the examination, so toothache that lasts more than two days or does not go away needs a dentist.[1]
For the pain, follow what your dentist advises; do not choose medicines on your own. While you wait to be seen, avoiding foods that are sweet, very hot or very cold may help.[1]
A swollen face or jaw and a high temperature are among the signs of a dental abscess; with an abscess, contact a dentist without delay.[2]
Fillings
If decay has made a hole (cavity) in a tooth, a filling is usually needed.[3] Decay may cause no symptoms at first; as it progresses it can lead to toothache and sensitivity.[3] Early decay can be reversed with fluoride treatments recommended by the dentist.[3]
Root canal treatment
If decay has reached the soft tissue in the middle of the tooth (the pulp), root canal treatment may be needed.[3] Root canal treatment removes the infection from inside the tooth; the tooth is then cleaned and filled to help prevent it from becoming infected again. The aim is to keep the natural tooth.[4]
It is done under local anaesthetic and usually takes two or more appointments. Afterwards the area around the tooth may feel swollen and sore for a while; this usually gets better within a couple of weeks.[4] However, call the clinic if you notice visible swelling inside or outside your mouth, or if severe pain or pressure lasts more than a few days.[6]
Gum care
Gums that bleed when you brush or eat hard foods are among the signs of gum disease. Gum disease is caused by a build-up of plaque on the teeth.[5]
In the early stages, a professional clean and good cleaning at home come first; more advanced cases may need deep cleaning under the gums.[5] Very sore and swollen gums, or teeth that feel loose, need an examination without delay.[5]
Tooth extraction
Sometimes a tooth affected by decay or infection needs to be removed.[3] If an infected tooth cannot be kept with root canal treatment, extraction is discussed.[4] How the gap can be filled afterwards is covered on the Dental Implants and Dentures and Bridges pages.
Why regular check-ups matter
Because decay may cause no symptoms at first, regular dental check-ups are recommended even when you have no problems.[3] Brushing at least twice a day with fluoride toothpaste and cleaning between the teeth every day help prevent decay and gum disease.[3, 5]
Who examines you?
If you come in with toothache, Dr. Ferit Çiftçi examines you himself. Your concern is discussed first, then the teeth, gums and bite are examined; the treatment plan and the options are explained to you before anything starts.
