Severe tooth ache and tooth sliding down

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Posted on By Ann Taylor In Esthetic Therapy (General)

Hi. A friend of mine has a severe toothache and decay. She says it bleeds while brushing her teeth even while using soft bristle toothbrushes. She cannot consume any hard solid foods. She feels as if the teeth may fall off at any movement. Which type of procedure is recommended in her case? She is planning to visit a dental care which offers family dentistry services in High park ( ). Before that, she just asked my opinion. Any thoughts?

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It sounds to me the person has moderate to severe periodontal disease which can cause so much bone loss that the involved tooth or teeth become loose and can migrate. The dental clinic the patient will visit should be able to take X-rays that can help determine the extent of the problem.


Toothache caused by dental diseases or pain referred to the teeth by non-dental diseases. Common causes include inflammation of the pulp, usually in response to tooth decay, dental trauma, or other factors, dentin hypersensitivity (short, sharp pain, usually associated with exposed root surfaces), apical periodontitis (inflammation of the periodontal ligament and alveolar bone around the root apex), dental abscesses (localized collections of pus, such as apical abscess, pericoronal abscess, and periodontal abscess), alveolar osteitis ("dry socket", a possible complication of tooth extraction, with loss of the blood clot and exposure of bone), acute necrotizing ulcerative gingivitis (a gum infection, also called "trenchmouth"), temporomandibular disorder and others. Toothache is the most common type of orofacial pain :125–135 and, when severe, it is considered a dental emergency, since there may be a significant impact on sleep, eating, and other daily activities. It is one of the most common reasons for emergency dental appointments. [needs update] Correct diagnosis can sometimes be challenging. The treatment of a toothache depends upon the exact cause, and may involve a filling, root canal treatment, extraction, drainage of pus, or other remedial action. The relief of toothache is considered one of the main responsibilities of dentists. In 2013, 223 million cases of tooth pain occurred as a result of dental caries in permanent teeth and 53 million cases occurred in baby teeth. Historically, the demand for treatment of toothache is thought to have led to the emergence of dental surgery as the first specialty of medicine. You can visit at for knowing more details on that topic.


The treatment for a toothache may involve a somewhat invasive dental procedure such as a dental filling, root canal, dental bridge, dental crown or ultimately, a tooth extraction. But treatment today can be comfortable, and in fact, often helps you avoid tooth extraction. In addition, today’s cosmetic dentistry options, like dental veneers and dental implants, offer alternatives to traditional treatment, and provide a greater esthetic and functional benefit. _________________________________________________ Toothache Types and What They May Mean _________________________________________________ Evaluation and diagnosis by a dental professional can determine the type of toothache you are suffering from, and its source. Sharp, Intermittent Tooth Sensitivity or Pain:Sensitivity to cold may denote gum recession, enamel loss from over-brushing or aging, wear and tear or a small dental cavity. Sensitivity to heat may also signify a small cavity, but it could be the result of an abscess, crack or severe decay. Chronic Toothache: If one or more of your teeth is affected by chronic pain, nerve damage could be the cause. Nerve damage may result from teeth grinding, severe tooth decay or trauma to the teeth through injury. Intense, Throbbing Pain: Intense, throbbing pain, sometimes accompanied by a swollen face, is often a sign of an infection or abscess. Painful Eating: If it is painful for you to eat, the culprit could be tooth decay, or a slight fracture (crack) in a tooth. Back-of-the-Jaw Pain: Pain in the back of the jaw may be associated with impacted wisdom teeth (back molars). But it could also be a sign of TMD or teeth grinding, both of which can cause jaw pain, and pain throughout other facial bone areas. Toothaches range in severity, particularly in terms of tooth sensitivity and pain levels. An intermittent pain may seem little more than an occasional bother, while a chronic pain may prompt you to take immediate action. Regardless of the type, your toothache should be evaluated by a dental professional through an oral health examination.