There are two major classifications: primary toothache and concurrent toothache
Primary toothache is caused by the direct causes of teeth and gums. It is mainly caused by some oral diseases
1. Toothache caused by tooth decay: it is commonly known as pulpitis or periapical periodontitis.
this kind of toothache shows that tooth decay has been formed, especially for the stimulation of sugar, dairy food and cold, hot and other substances, which is particularly sensitive. Therefore, when it occurs, it is a kind of bone drilling pain, and it is usually not accompanied by gingival reaction.
This kind of toothache is usually more painful at night than in the daytime, and it is more painful when lying down than when sitting
2. Toothache caused by periodontitis: Patients with periodontitis do not necessarily have toothache, but it is caused when the gingiva shrinks, so the majority of patients are middle-aged and elderly people, and the range of toothache is not the same, some people only have one tooth or two or three adjacent toothache.
some people have upper and lower gums, and the teeth in a large range will ache.
The reason for this phenomenon is that the pain of periodontitis is not caused by the tooth itself, but by an anaerobic bacteria in the oral cavity that causes the inner gingiva, that is, the periodontal tissue is congested and inflamed, and the pain (especially the ache) caused by stimulating the tooth nerve will directly aggravate the pain in the process of biting In addition, this kind of toothache does not cause gingival redness and swelling
3. Redness and swelling toothache: it is mainly manifested in the gums of the upper and lower incisors. It is acute and can also be called acute gingivitis, commonly known as “wind fire toothache”.
gums are seriously swollen, and the pain points are mainly gums, which are very painful with a little touch, not to mention chewing food, and even opening the mouth will feel pain, which is worse than the real toothache.
Severe cases may have symptoms such as sore throat, swollen lymph glands, fever, poor stool or constipation.
thick tongue coating, dry or yellow, bright red tongue.
It can be seen from these series of symptoms that the gingival acute inflammation is caused by the pathological changes of the body (commonly known as “inflamed”), and the pathological changes are not caused by the gums and the oral cavity itself, so this kind of toothache is also called the toothache complications
There are some complications of toothache, which are mainly caused by some diseases of the whole body. Of course, there are also some psychological factors that need special attention.