A toothache that comes and goes can be frustrating and worrying. Unlike a constant, throbbing pain that points to a clear, urgent problem, intermittent pain can make it harder to pinpoint the cause and seek appropriate treatment. This article explores the various reasons why your toothache might be intermittent and what you should do about it.
What Causes Intermittent Toothache?
The fluctuating nature of the pain often points to a less severe, but still concerning, underlying issue. Several factors can contribute to a toothache that comes and go:
1. Dental Cavities (Caries): Early-stage cavities may only cause pain when exposed to certain stimuli, like hot, cold, sweet, or acidic foods and drinks. As the cavity deepens, the pain might become more persistent. The intermittent nature arises because the cavity doesn't continuously irritate the nerve.
2. Cracked Tooth: A small crack in your tooth might not always be painful. However, when you bite down or apply pressure in a specific way, the crack can widen slightly, triggering a sharp, sudden pain that quickly subsides when the pressure is released. This explains the intermittent nature.
3. Gum Disease (Gingivitis/Periodontitis): Inflammation and infection of the gums can cause intermittent pain. The pain might be more noticeable when the gums are irritated (e.g., after brushing or flossing) or when food particles become lodged between teeth and gums.
4. Abscess: While an abscess usually causes constant pain, in its early stages or if the infection is partially draining, the pain might be intermittent. This is a serious condition, and any sign of an abscess requires immediate dental attention.
5. Sinus Infection: Pain from a sinus infection can sometimes radiate to the upper teeth, causing intermittent toothache-like pain, especially in the upper jaw. This is because the roots of upper teeth are close to the sinuses.
6. Temporomandibular Joint (TMJ) Disorder: Problems with the TMJ, the joint that connects your jaw to your skull, can cause pain in the jaw and sometimes radiate to the teeth, resulting in intermittent tooth pain. Stress, clenching, or grinding your teeth can exacerbate TMJ disorders.
How Long Does Intermittent Toothache Last?
The duration of intermittent toothache varies greatly depending on the underlying cause. A minor irritation might resolve itself within a day or two, while a more serious issue like a cracked tooth or developing abscess could last for weeks or even months if left untreated.
When Should I See a Dentist for Intermittent Tooth Pain?
While some minor irritations might resolve on their own, it's crucial to seek professional dental care if your intermittent toothache:
- Persists for more than a few days: Don't wait for the pain to become unbearable.
- Is accompanied by swelling, fever, or sensitivity to touch: These could indicate a more serious infection.
- Is severe or intense, even intermittently: Intense pain warrants immediate attention.
- Changes in character or location: A shifting pain pattern could suggest the problem is worsening or spreading.
Can I Treat Intermittent Toothache at Home?
While home remedies can provide temporary relief from mild pain, they should not replace professional dental care. Rinsing your mouth with warm salt water can help soothe irritated gums. Over-the-counter pain relievers like ibuprofen or acetaminophen can temporarily reduce pain, but address the underlying cause as soon as possible.
What Happens During a Dental Checkup for Intermittent Tooth Pain?
Your dentist will conduct a thorough examination of your teeth and gums, possibly including X-rays to identify the source of the pain. They will then discuss treatment options based on the diagnosis. This might include fillings for cavities, root canals for infected teeth, extractions, or other necessary procedures.
By understanding the possible causes of intermittent tooth pain and seeking professional dental care when necessary, you can protect your oral health and prevent more serious complications. Remember, early intervention is key to effective and less invasive treatment.
