Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
A toothache refers to pain around the teeth or jaws primarily as a result of a dental condition. In most instances, toothaches are caused by tooth problems, such as a dental cavity, a cracked tooth, an exposed tooth root, or gum disease. However, disorders of the jaw joint (temporomandibular joint) can also cause pain that is referred to as "toothache." Moreover, sinus infection can mimic a toothache.
The severity of a toothache can range from chronic and mild to sharp and excruciating. The pain may be aggravated by chewing or temperature (cold or heat). A thorough oral examination, which includes dental X-rays, can help determine the cause of the pain and whether it is coming from a tooth or other non-dental problem.
What are dental causes of toothaches and how are they treated?
Common dental causes of toothaches include dental cavities, dental abscess, gum disease, irritation of the tooth root, cracked tooth syndrome, temporomandibular joint (TMJ) disorders, impaction, and eruption.
Reviewed by William C. Shiel Jr., MD, FACP, FACR on 1/11/2013
Over-the-counter pain medications such as acetaminophen (Tylenol) or ibuprofen (Advil) may be used. Take these as directed on the package and around the clock on a schedule while you arrange a dental appointment.
Avoid very cold or hot foods because this may make the pain worse.
Relief may be obtained from biting on a cotton ball soaked in oil of cloves. Oil of cloves is available at most drug stores.
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