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A toothache

is pain that is caused by irritation of the nerves in the center of your tooth. The irritation may be caused by several problems, such as a cavity, an infection, a cracked tooth, or gum disease.

Tooth Anatomy

Return to the emergency department if:

  • You have trouble breathing.
  • You have swelling in your face or neck.
  • You have a fever and chills.
  • You have trouble speaking or swallowing.
  • You have trouble opening or closing your mouth.

Contact your dentist if:

  • You have questions or concerns about your condition or care.


depends on the cause of your toothache. You may need any of the following:

  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask if NSAIDs are safe for you. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • Antibiotics help treat or prevent a bacterial infection.

Manage your toothache:

  • Rinse your mouth with warm salt water 4 times a day or as directed.
  • Eat soft foods to help relieve pain caused by chewing.
  • Apply ice on your jaw or cheek for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it. Ice helps prevent tissue damage and decreases swelling and pain.

Help prevent a toothache:

  • Brush your teeth at least 2 times a day.
  • Use dental floss to clean between your teeth at least 1 time a day.
  • See your dentist regularly every 6 months for dental cleanings and oral exams.

Follow up with your dentist as directed:

You may be referred to a dental surgeon. Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Toothache (Ambulatory Care)

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.