Can cause temporomandibular joint swollen lymph nodes

Mouth and teeth
The main problems: pain

How bad a toothache is felt varies greatly from person to person. One feels and endures it, the other almost goes crazy. Pain is a signal from the body: "Something is wrong here." Those who ignore it and bravely endure it are doing themselves no good. Because the pain can go away, but mostly it returns - much worse - again. If a painful tooth is not treated, the pulp can die. A small inflammation inside the tooth can spread to the surrounding area through small openings in the root ends. The dead tissue and bacteria can burden the whole organism.
It usually starts with minor discomfort when enjoying hot coffee or desserts. This slight "pulling" can - initially - disappear again after a few weeks. In many cases, this is an indication of secondary caries: a filling or crown has probably leaked and caries has developed again underneath. Some time later, this pain may come back - it has gotten worse. In some cases the pain is very diffuse and cannot be exactly assigned to a particular tooth.
The next level - a wild, throbbing pain: the typical acute toothache. Insidiously, he often calls in at night when all the dentists are asleep. Usually as a result of advanced, deep caries (Caries profunda, Cp), the pulp (nerve and blood vessels) has become inflamed (acute pulpitis). Usually this pain lasts for days. Only at an advanced stage do the cheek and lymph nodes swell.
The tissue around the tip of the root can also become inflamed and painful. The affected tooth seems to have become a little longer, the patient suffers from severe pain, fever, swollen lymph nodes and a poor general condition. The tooth often begins to hurt and throb in the morning or mid-morning.
Pain in the ear or in the temporomandibular joint can also be triggered by other causes in the dental area; after inserting a filling, for example, if it is too high or too low.

If the rows of teeth do not interlock optimally, or if you only bite and chew on the right side, then this one-sided load can attack the left temporomandibular joint. It reacts with pain, which can manifest as headache or tension in the head, neck and jaw area.

Excerpt from: teeth. Prevention, treatment, costs. (Berlin 1999. ISBN 3-931908-20-8).
With the kind permission of Stiftung Warentest, Berlin


The main problems: what to do if the tooth hurts

As a first aid, placing an ice pack or a damp cloth on top has proven to be effective. It does not make sense to take homeopathic remedies in the form of globules. They contain sugar, and sugar makes the pain worse. Nothing is known about the effectiveness of liquid homeopathic remedies. A cotton ball soaked in alcohol can damage the lining of the mouth. Chewing cloves, on the other hand, can bring some relief.
The well-known painkillers remain. If you have a choice: take a pain reliever that you know you can tolerate well, preferably one with only one active ingredient.

The proven active ingredients are paracetamol, acetylsalicylic acid (ASA) and ibuprofen. ASA inhibits blood clotting; a possible wound will then bleed much longer. Inform your dentist if you have taken ASA - even if it was two or three days ago. In addition, always take ASA with plenty of fluids and never on an empty stomach. Tablets usually begin to work fully after two hours, pain relief lasts for about two hours; With effervescent tablets, the soothing effect sets in more quickly. Ibuprofen with lysine salt, which is also much easier on the stomach than ASA, has proven to be particularly effective.

Help with pain

Take a pain reliever that you know you can tolerate well.

  • No warmth
  • no alcohol
  • no nicotine
  • no caffeine

Emergency dental services

You can find out the opening times and addresses of dental emergency services from telephone services, dental associations and the local daily newspapers. The various university dental clinics and individual dental and jaw departments in general clinics also offer help - to varying degrees.

Excerpt from: teeth. Prevention, treatment, costs. (Berlin 1999. ISBN 3-931908-20-8).
With the kind permission of Stiftung Warentest, Berlin.



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