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Your ‘Toothache’ Might not be Caused by a Tooth

A toothache means a tooth has a problem, right? Most of the time, yes: the pain comes from a decayed or fractured tooth, or possibly a gum infection causing tooth sensitivity.

Sometimes, though, the pain doesn’t originate with your teeth and gums. They’re fine and healthy-it’s something outside of your tooth causing the pain. We call this referred pain-one part of your body is sending or referring pain to another part, in this instance around your mouth.

There are various conditions that can create referred pain in the mouth, and various ways to treat them. That’s why you should first find out the cause, which will indicate what treatment course to take.

Here are a few common non-dental causes for tooth pain:

Trigeminal Neuralgia. The trigeminal nerves situated on either side of the face have three large branches that extend throughout the face; the branch to the jaw allows you to feel sensation as you chew. When one of the nerve branches becomes inflamed, usually from a blood vessel or muscle spasm pressing on it, it can refer the pain to the jaw and seem like a toothache.
Temporomandibular Joint Disorder (TMD). These two joints that connect the lower jaw to the skull can sometimes become dysfunctional for a variety of reasons. This can set up a cycle of spasms and pain that can radiate throughout the jaw and its associated muscles. The pain can mimic a toothache, when it actually originates in the jaw joints.

Teeth Grinding. This is an unconscious habit, often occurring at night, in which people clench or grind their teeth together. Although quite common in children who tend to grow out of it, teeth grinding can continue into adulthood. The abnormally high biting forces from this habit can cause chipped, broken or loosened teeth. But it can also cause jaw pain, headaches and tenderness in the mouth that might feel like a toothache.

These and other conditions unrelated to dental disease can seem like a tooth problem, when they’re actually something else. By understanding exactly why you’re feeling pain, we can then focus on the true problem to bring relief to your life.

If you would like more information on oral pain issues, please contact us or schedule an appointment for a consultation.

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Dental Arts Studio of Cape Cod

North Eastham, MA
55 Oak Road North Eastham, MA 02651

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West Harwich, MA
129 MA-28, WEST HARWICH, MA 02671

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Monday – Friday: 8:00am – 6:00pm
Saturday – Sunday: On-call emergencies

Dmitry L.
Highly recommend Dr.Pokrovskaya. She is always on time, professional and knowledgable. Doctor Pokrovskaya uses the latest techniques and equipment. Very easy to locate, convenient hours.
Al S.
Hands-down the best Dentist on Cape Cod! When I called on a Friday afternoon just before they closed they accepted us as a new patient with one of my children who had an emergency. Her staff was very kind and considerate Dr. Nadia went above and beyond to make my child feel comfortable. She took her time to explain everything to her mother and I. I would unequivocably recommend her practice!
Jamie N.
Not only is Dr. Pokrovskaya brilliant, but she is caring and gentle. After talking to her about my dental concerns I am confident in placing my trust in her expertise and skill. She takes the time to really consider what is right for you in your unique situation. She has so many skills that she can include in her assessment of what is needed and that makes her a top notch professional.
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