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Toothache can be excruciating — and it always seems to happen at the worst time. Here's how to manage the pain while you wait to see us, and when you need to come in urgently.
Severe Sharp Pain
Sharp, stabbing pain often indicates nerve involvement or a crack.
Immediate relief:
- Take ibuprofen 400mg (avoid if asthmatic or on blood thinners)
- Apply oil of cloves directly to the tooth with a cotton bud
- Avoid very hot or cold food and drinks
- Don't chew on that side
Seek treatment within 48 hours — this type of pain usually indicates a problem that won't resolve on its own.
Dull Aching or Throbbing Pain
Constant aching often suggests infection or inflammation.
Pain management:
- Alternate ibuprofen and paracetamol every 2 hours (this is more effective than taking them together)
- Example: Ibuprofen at 8am, paracetamol at 10am, ibuprofen at 12pm, etc.
- Rinse with warm salt water 3-4 times daily
- Sleep with your head slightly elevated
Warning signs requiring urgent care:
- Facial swelling
- Fever
- Difficulty swallowing
- Pain spreading to ear or eye
Sensitivity to Hot and Cold
If your teeth hurt with temperature but the pain goes away quickly:
- Apply Sensodyne Rapid Relief toothpaste directly to the sensitive area
- Leave it on for a few minutes before rinsing
- Use a soft toothbrush and sensitive toothpaste regularly
- Avoid very hot or cold food temporarily
This is often manageable but worth mentioning at your next dental health assessment.
Pain When Biting
Pain only when you bite down often indicates a cracked tooth or high filling.
- Avoid chewing on that side
- Stick to soft foods
- Take pain relief as needed
- Book an appointment — we need to investigate the cause
Cracked teeth can worsen quickly, so don't delay.
When It's a True Emergency
Call us immediately if you have:
- Facial swelling (could indicate spreading infection)
- Fever with dental pain
- Pain so severe you can't sleep or function
- Difficulty breathing or swallowing
- Uncontrollable bleeding
These require same-day attention. Call 0115 910 1447.