Toothache can range from mild sensitivity to severe, throbbing pain. It’s your body’s signal that something needs attention.
Common causes
- Tooth decay reaching the nerve
- A cracked tooth or broken filling
- An abscess (infection at the root of the tooth or in the gum)
- Gum disease
- A wisdom tooth coming through
- Grinding or clenching
- Sinus problems, which can cause pain in the upper back teeth
What you can do at home
- Rinse with warm salt water.
- Gently floss around the tooth to remove any trapped food.
- Take over-the-counter pain relief according to the packet. Never put aspirin directly on the gum, as it burns the tissue.
- Use a cold compress on the cheek for swelling.
- Keep your head raised when lying down.
- Avoid very hot, cold or sweet food.
When to see a dentist urgently
- Swelling of the face, jaw or gum
- Fever or feeling unwell
- Pain that keeps you awake or isn’t helped by pain relief
- A bad taste or pus in the mouth
- Difficulty swallowing or opening your mouth
Swelling with difficulty breathing or swallowing needs emergency care immediately.
Don’t wait for it to pass
Toothache that settles may come back, as decay and infection don’t heal on their own. Early treatment is usually simpler and lower in cost.
Dr H.B Mohamed sees patients with toothache at the practice in Lenasia. Call 011 852 7866 and we’ll see you as soon as we can.

