The toothache it is one of the most intense pains one can experience. At the origin there may be problems with the dental tissues or linked to other pathologies. The most common cause of toothache is pulpitis, inflammation of the dental pulp. It can be a complication of advanced caries. Sometimes it can come from trauma to the teeth.
Symptoms are: acute toothache, with Throbbing pain very intense; often intermittent pain; sensitivity to thermal stimulisometimes swelling of surrounding tissue. As the result of a caries, the crown of the tooth appears damaged and a dark spot is noted. Other possible causes of toothache include: trigeminal neuralgia, temporomandibular joint problems, otitis media, sinusitis, lesions of the mucous membranes of the oral cavity, and improper dentures.
Possible remedies while waiting for the dental visit
Waiting for the dentist visit, and in any case by consulting your doctoris it possible to stop the toothache by following a few precautions: take a medicine if necessary painkiller. With moderate pain, it is recommended to take non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and, in case of intolerance to NSAIDs, paracetamol. If the pain is very strong, the association can be taken paracetamol and codeine. Brush your teeth with warm water, as thermal stimuli can aggravate the pain. Use one toothbrush with soft bristles. Brush your teeth with warm water. Sometimes applying an ice pack externally (on the cheek) can help. Avoid hiring food that is too hot or frozen.
In case of urgency
For dental emergencies (acute infection, bleeding, trauma, worsening pain) all citizens have the right to be helped immediately by resorting to the First Aid (Emergency Room). How different they are planned treatments for dental pathologiesthat the National Health Service (NHS) guarantees only for certain categories of subjectsi.e. minors from 0 to 14 years of age, persons with diseases that may be aggravated by dental problems (cancer patients undergoing chemotherapy or radiotherapy, awaiting a transplant or already transplanted, with severe immunodeficiency), suffering from conditions related to with dental complications (such as some rare diseases), but only in the presence of a state of poverty, in addition to all those who are in a situation of poverty (the access criteria are set at the regional level).
In any hospital emergency room, health personnel immediately stop the bleeding from the mouth and manage the toothache (by administering drug treatment), bringing relief to the patient. But have specialist assessment and treatment it is necessary to contact a dental Ps, normally present in hospitals equipped with a dental department. The service is active during office hours, in the morning (or until noon), from Monday to Friday (sometimes also on Saturday). In rare cases, it is available 24 hours a day, such as at Asst Spedali Civili in Brescia and at the Umberto I General Hospital in Rome.
Outside time slot
“Outside the hours guaranteed by the specialists, the general emergency room staff can call on the assistance of the maxillofacial surgeon if the problem is not exclusively dental and also involves the jaw” he explains Edward Stellini, director of the odontostomatological clinic of the University Hospital of Padua. “In some cases, it’s the generalist PSs who directly send us patients who need specialist intervention,” he says Livio Cordonchief of the dental emergency department of the Civil Spedali Asst.
“Once the most urgent symptom is resolved, the patient who is among the beneficiaries of the NHS-guaranteed services accepted and noted for the necessary follow-up treatments, such as fillings, prostheses and dental repairs, for which a ticket may have to be paid – continues Stellini -. On the other hand, if the citizen is not within the vulnerability target due to pathology or economic hardship, they should contact the private dentist and pay for the treatments yourself. Including replacement of teeth after trauma.
In what cases should the Ps be used?
“In the presence of a pulpitis, that is, a pulsating pain in the teeth of increasing intensity and usually determined by caries – he answers Andrea Sardella, head of the complex operational unit of dentistry and stomatology of the Asst Santi Paolo e Carlo of Milan -. In case of bleeding after tooth extraction or trauma, tooth fracture, breakage of a prosthesis or orthodontic appliance to prevent spontaneous swallowing, infection of the mucous membranes, tooth abscess causing swelling of the cheek, or abscess on the gums, a dislocated jaw that can cause the patient to have a gaping mouth, or widespread and painful sores caused by the herpes simplex virus, especially in children, that make eating and drinking difficult.
Final recommendation: «To prevent unauthorized access to the PS, when one does not know whether it is appropriate to go there or not, citizens are invited to first consult their general practitioner or the continuity of care service at times when the doctor’s office is closed» concludes Sardella. This also applies in the (important) case of early diagnosis of oral cavity cancer: “If you notice persistent changes in the oral mucosa, for example red or white lesions, you should have yourself checked immediately and if there is a suspicion of a tumor, proceed with a histological examination» underlines Stellini.
I am Barbara Redford, a professional journalist and writer with extensive experience in news reporting. I have been writing for The News Dept since 2019, covering topics related to health and wellness. My passion is to keep people informed about the latest developments in healthcare and the medical industry. With my articles, I strive to create awareness on various diseases while also highlighting their remedies or treatments.
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