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What's Causing Your Toothache? The Answer Determines Your Treatment

WhatsCausingYourToothacheTheAnswerDeterminesYourTreatment

Pain has a purpose: it tells us when something's wrong with our bodies. Sometimes it's obvious, like a cut or bruise. Sometimes, though, it takes a bit of sleuthing to find out what's wrong.

That can be the case with a toothache. One possible cause is perhaps the most obvious: something's wrong with the tooth. More specifically, decay has invaded the tooth's inner pulp, which is filled with an intricate network of nerves that react to infection by emitting pain. The pain can feel dull or sharp, constant or intermittent.

But decay isn't the only cause for tooth pain: periodontal (gum) disease can trigger similar reactions. Bacteria living in dental plaque, a thin film of food particles on tooth surfaces, infect the gums. This weakens the tissues and can cause them to shrink back (recede) from the teeth and expose the roots. As a result, the teeth can become painfully sensitive to hot or cold foods or when biting down.

Finding the true pain source determines how we treat it. If decay has invaded the pulp you'll need a root canal treatment to clean out the infection and fill the resulting void with a special filling; this not only saves the tooth, it ends the pain. If the gums are infected, we'll need to aggressively remove all plaque and calculus (hardened plaque deposits) to restore the gums to health.

To further complicate matters, an infection from tooth decay could eventually affect the gums and supporting bone, just as a gum infection could enter the tooth by way of the roots. Once the infection crosses from tooth to gums (or gums to tooth), the tooth's long-term outlook grows dim.

So, if you're noticing any kind of tooth pain, or you have swollen, reddened or bleeding gums, you should call us for an appointment as soon as possible. The sooner we can diagnose the problem and begin appropriate treatment the better your chances of a good outcome — and an end to the pain.

If you would like more information on diagnosing and treating tooth pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain: Combined Root Canal and Gum Problems.”

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Testimonials

What Our Clients Say About Us

  • "Hands down the best dentist I’ve ever been to. Dr Damelio is a master of his trade and the dental hygienists were the nicest and most professional I’ve ever dealt with. I would recommend this place to anyone!"
    Alex O.
  • "I had a great experience at my first appointment with Dr. Damelio and my hygienist Cally. The office is clean, staff is friendly and you can tell they really care about their patients!"
    Kyle C.
  • "Dr. Damelio has been exceeding my expectations ever since we first met them. Everyone is wonderful to work with and have great communication."
    Mel P.
  • "Dr. Damelio has an awesome team working with him. They all work very well together to make your visit efficient and productive. They are great at making the experience painless and I have nothing but compliments for the entire practice."
    Matt A.
  • "My children and I are always treated very well at Dr. Damelio's. The care is excellent. The staff is the best. We all enjoy going there very much."
    Carla P.
  • "Dr Damelio is competent, courteous, friendly and he has trained his staff in that mode. Everybody know your name and greets you upon coming. They out of their way to schedule to meet your convenience. Everyone knows their role and they do it well. It is a pleasure, an an honor, to have Dr. Damelio as my dentist."
    Jerry M.
  • "I have always had a tremendous phobia of the dentist growing up but things changed after I went to Dr. Steve. I had a few bad experiences in the past but after going to Dr. Steven Damelio they have completely gone away. I have never had a minute of pain and the staff are really great they are the best."
    Jim S.
  • "I love the friendly staff at Steven G. Damelio, DMD. I always leave this dentist office with my teeth looking great."
    Jamiee L.
  • "I always have an excellent experience at Dr. Damelio's office. Everyone is so nice and they have a great staff, keep up the good work."
    Brett M.
  • "I recently had a dental issue that needed quick attention. Dr. Damelio's staff was excellent. They worked with me and got me right in to the office for an appointment. Dr. Damelio gave me his full time and attention and was able to take care of the problem quickly and painlessly. I think this is a great dental practice and recommend Dr. Damelio to all of my friends."
    Megan M.
  • "Everyone at Dr. Damelio's office always so professional and friendly. Dr. Damelio always takes the time to explain everything and puts me at ease. I know I'm receiving the best care at each of my visits."
    Bonnie T.
  • "My family has been patients of Steven Damelio for a few years. My children and I are always treated very well. The care is excellent and the staff is top-notch. We all enjoy going to see Dr. Damelio."
    Lana B.
  • "I love coming to see Dr. Damelio. Everyone is so welcoming and friendly, it totally eliminates the fear of of being at teh dentist. Dr Damelio also performs his work so well that I never feel pain and I am rarely in any discomfort. I highly recommend them for sure."
    Coleen M.