Could all my teeth hurt at once?

The tooth hurts badly. Each of us has had to deal with this unpleasant situation more than once or twice. Many regular patients of the dental clinic already independently differentiate pain due to caries from pain due to pulpitis.

If pain occurs spontaneously, intensely, and worsens at night, they will rush to the dentist the next morning, and if pain arises from external irritants and indicates the development of deep caries, they will allow themselves to postpone treatment for a couple of days. But what to do when all your teeth hurt at once? First, let's figure out why we feel toothache in the first place.

Why is this happening?

The most common causes are the following factors:

Presence of carious cavities. In this case, pain occurs when eating. Discomfort extends to the entire dentition.
A cyst localized on the root of a tooth. When it reaches its maximum size, the neoplasm can compress the nerve endings, which is what causes this alarming sign.
Inflammation of the pulp. In the presence of this dental disease, acute, unbearable radiating pain occurs. The problem is only in one tooth, but it feels like the entire dentition is bothering you.
Enamel hyperesthesia. We are talking about increased sensitivity of units. When eating foods that are too hot, cold, sour or sweet, a person feels severe pain.
Trinitarian neuralgia. The most common cause of this symptom. The pain is very piercing; there is a feeling that absolutely the entire lower part of the face, including all the teeth, is bothering.

There are also a number of pathological processes that are not dental. For example, we can talk about ear pain. Discomfort spreads to the jaw, the pain is throbbing and acute. Having eliminated the root cause (that is, inflammation in the ear), pain in the oral cavity will go away on its own; no separate treatment is required.

What is jaw pain like?

Pain in the jaw usually brings very severe discomfort and anxiety.
By nature, they can be acute, sudden, pulsating, or vice versa - aching, chronic, protracted. Often these sensations are so intense that they can even cause a depressed emotional state and depressive disorders [1]. It largely depends on the nature of the pain in the facial area, as well as accompanying symptoms (joint mobility, clicks in it, the presence of swelling, etc.) why the patient’s jaw hurts. During the examination, doctors also pay attention to the localization of sensations - whether they are unilateral or bilateral [1]. It is often difficult to determine exactly whether pain in this area is associated with injury or pathology of the bones, joints, or is caused by some other reason.

Ways to eliminate pain

You need to visit a dentist as soon as possible to identify the specific cause of the discomfort. Self-medication will not be successful; such actions can only lead to the development of complications. At home, you can only reduce pain for a short time in order to wait for a trip to a specialist:

Painkillers. They will help reduce the manifestation of pain, regardless of what caused the symptom. You can take Nise or Ketarol according to the instructions. If there is nothing suitable, a Paracetamol tablet will do.
Infusion of chamomile. Pour boiling water over a tablespoon of dry raw materials. When the liquid has cooled, rinse your mouth.
Soda + salt. Dissolve a teaspoon of salt + baking soda in a glass of warm water. You need to rinse your teeth every two hours.

Diagnostics

To find out what may be causing your jaw pain, you must immediately consult a doctor for diagnosis and appropriate treatment.

List of sources

Isaykin A.I., Smirnova D.S. Dysfunction of the temporomandibular joint // RMJ. 2022. No. 24. pp. 1750-1755 https://www.rmj.ru/articles/bolevoy_sindrom/Disfunkciya_visochno-nighnechelyustnogo_sustava/#ixzz6EmX7dOtR (access date: 02/23/2020).
Dentistry. Textbook Aleksandrov M.T., Bazhanov N.N., Medvedev Yu.A., Platonova V.V., Sergeev Yu.N. / Ed. N.N. Bazhanova. - M.: GEOTAR, 2008.
Gingivitis and Periodontal Disease (Gum Disease) // WebMD Medical Reference Reviewed by Michael Friedman, DDS on March 17, 2019 https://www.webmd.com/oral-health/guide/gingivitis-periodontal-disease#1 (access date : 02/23/2020).
Fedorova I.N. Bruxism. Unsolved problem. – Moscow, 2009, pp. 1-2.
Bezzubikova M.V. Dental and somatic manifestations of bruxism syndrome // BMIK. 2022. No. 2. URL: https://cyberleninka.ru/article/n/stomatologicheskie-i-somaticheskie-proyavleniya-sindroma-bruksizma (date of access: 01/31/2020).
Why Your Jaw Hurts // WebMD Medical Reference Reviewed by Alfred D. Wyatt Jr., DMD on March 21, 2022. https://www.webmd.com/oral-health/why-your-jaw-hurts#1 (date access: 01/30/2020).
Gaifullina R.F., Kim Z.F. and others. Infarction-like myocarditis: difficulties and solutions in diagnosis // Bulletin of modern clinical medicine. 2022. No. 1. URL: https://cyberleninka.ru/article/n/infarktopodobnyy-miokardit-trudnosti-i-puti-resheniya-v-diagnostike (date of access: 02/23/2020).

Preventive actions

To reduce the risk of dental diseases, you should follow these rules:

Brush your teeth twice a day.
Visit the dentist twice a year.
Preventative professional cleaning of units once a year.
Avoiding foods that are too hot or cold.
Carry out enamel whitening only in trusted dental centers.
Treat your teeth in a timely manner.
Be more attentive to your health and avoid complications such as otitis media.
Get rid of bad habits.
Choose a paste without abrasive particles.
Additionally, use an antibacterial mouthwash, dental floss and irrigator.

Associated symptoms

Not only pain syndrome can indicate the development of diseases of teeth and gums. Warning signs are also:

bad breath,
bleeding gums,
swelling of the cheek or lip,
redness and swelling of the gums,
mobility of teeth,
local temperature increase.

Have you noticed several of the listed signs at once? Make an appointment with a dentist. An experienced doctor will help eliminate the problem and maintain dental health.

Wisdom tooth and bite

Due to incorrectly positioned figure eights, traumatic nodes are formed in the bite. They lead to overstrain of the chewing muscles and problems with the TMJ. From processing, articular cartilage wears off and changes. Chronic inflammation appears in the joints, manifested by clicking and painful sensations. In severe pathologies, a violation of the lower jaw leads to the inability to open the mouth. Therefore, treatment of TMJ teeth begins with the study of the wisdom tooth and bite. Dentists carry out functional diagnostics, during which the movement of the jaws relative to each other is determined. Assess how wisdom teeth affect your bite. If interference is detected, units are removed. It also eliminates malocclusion if it already exists.

What does pulsation in the gums indicate?

Pulsating sensations in the gum against the background of its swelling and pain are a clear signal of the presence of an inflammatory process in the mucous membrane associated with injury to soft tissues and the penetration of infection into them (the strength and frequency of attacks are important in diagnosis).

In addition, the symptom may be a consequence of various pathological processes. The most frequently diagnosed are:

progressive caries short-term attacks of pulsating pain are possible with carious destruction of the middle and deep stages, most often provoked by external irritants - such as a reaction to cold/hot, sweet/salty.
acute pulpitis is a complication of caries associated with the penetration of harmful microorganisms deep into the dental tissues: upon reaching the pulp, they provoke a serious inflammatory process, accompanied by severe painful sensations, which usually intensify at night.
periodontitis is a consequence of untreated pulpitis (or, alternatively, the result of poor-quality treatment of dental canals), accompanied by the formation of a purulent abscess at the root of the tooth.

Other factors can also provoke pulsating pain in the gum tissues; only a specialist can determine the real cause of the problem, therefore, if you feel pulsation in the gums, do not delay your visit to the dentist!

How to act, which doctor to contact

If you undergo preventive examinations in a timely manner, have recently been to the dentist, had teeth treated and removed, have fillings, dentures and braces installed, then it is recommended to wait for a while and observe your condition. Usually the pain subsides a few days after medical procedures. If after 3-5 days they become stronger, then be sure to consult your doctor again.

Haven't you visited the dental clinic for a long time? Then, most likely, pain that spreads not only to damaged teeth, but also throughout the entire jaw, is associated with advanced caries, pulpitis and periodontitis, as well as other dental pathologies. Be sure to make an appointment and get tested. You may need to visit not only a general dentist, but also an orthopedist, orthodontist, and periodontist.

In what situations should you start an examination not with a dentist, but with a therapist or other doctors with a narrow focus (for example, a cardiologist, neurologist, psychologist, oncologist)? This should be done if, in addition to toothache and discomfort in the jaw, you have a stuffy nose, a sore throat, headache, ears, chest pain, a runny nose and cough, you are experiencing overload and severe stress, and you have noticed the appearance of strange growths and tumors.

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toothache

Meyer G., Bernhardt O., Asselmeyer T. Occlusal disorders of teeth as a decisive factor in the occurrence of headaches // Problems of dentistry, – 2013.

Expert “Obsessive pain in any part of the jaw, gums and teeth is a symptom of pathology. Of course, you can temporarily suppress it with the help of drugs from your home medicine cabinet, reduce it with soda-salt solution and chamomile decoction, but such methods will not get rid of the disease that caused discomfort. Therefore, seeing a doctor is mandatory.” Dental hygienist Victoria Nikolaevna Kashaeva

Consulting specialist

Varlamova Tatyana Vitalievna

Specialization: Dentist-therapist Experience: 6 years

What can you do if all your teeth hurt at once?

It is important to understand that you cannot endure severe pain, especially in all teeth at once. If you experience discomfort, you should visit the nearest dental clinic as soon as possible and undergo an examination. Under no circumstances should you take strong painkillers for a long period of time, especially without a doctor’s prescription.

If you neglect your health, the consequences can be irreversible and very serious. Experts do not recommend applying hot compresses to the sore spot, as increased blood circulation can lead to even more unpleasant sensations.

To alleviate your condition a little before going to the clinic, you can rinse your mouth with a soda solution. It is also allowed to take 1-2 tablets of the most common painkiller, for example, analgin. Before purchasing, you should definitely consult with the seller; most likely, he will be able to suggest the most suitable drug.

What to do if a tooth is overgrown with gum?

Structure and functions of the temporomandibular joint

The joint is formed by the head of the horn of the lower jaw and the articular surface (fossa) of the temporal bone. Between these bone formations there is a fibrous intra-articular disc, which is fused on all sides with the joint capsule. Ligaments and muscles help keep the joint in the correct position. They limit the range of motion in the joint. Attempting to exceed this functional limitation causes pain and prevents damage to the TMJ.

The main function of the joint is to ensure movement of the lower jaw in three directions:

vertical: opening and closing the mouth;
horizontal: lateral displacements of the lower jaw relative to the upper;
sagittal: movement of the lower jaw back and forth relative to the upper.

The combination of movements of one jaw relative to the other allows us to chew, speak, and express emotions through facial expressions.

Prevention of aching teeth

The best way to prevent an unpleasant symptom is to follow preventive measures. Despite the fact that the enamel itself is very strong, improper lifestyle and exposure to the external environment gradually weaken and destroy it. If you have sensitive enamel, you need to carefully choose hygiene products. In particular, it is recommended to avoid hard toothbrushes and use toothpastes with calcium and fluoride. An equally important point is the right diet. It is necessary to reduce the consumption of spicy, sour and sweet foods to a minimum, and give preference to fermented milk products and foods high in vitamins A and B. Temperature changes are a big stress for sensitive enamel, so the best solution is to drink drinks at room temperature.

Publisher: Expert magazine about dentistry Startsmile.ru

Author of the material: Yaroslav Ikonnikov

Causes of osteomyelitis

Penetration of bacteria into bone, which traditionally occurs as follows:

against the background of tooth damage by caries, that is, by odontogenic means. First, microorganisms penetrate the pulp, after which they enter the hard tissue through the lymph nodes or canals;
after fur. tooth damage: dislocations, fractures, operations, etc.
due to the penetration of infection during ENT diseases, skin inflammation, when microorganisms from one source of inflammation pass into the bone.

How to treat arthrosis of the jaw?

Treatment for arthrosis of the jaw joint varies depending on the causes of the disease. Its purpose is:

restoration of mobility of the lower jaw;
suppression of degenerative and dystrophic processes in the joint.

As a rule, the doctor prescribes analgesics and recommends wearing a splint - an elastic, removable mouth guard that distributes the load on the jaw. The selection of an individual splint (based on an impression), palatal plate or other orthodontic device for arthrosis of the jaw joint is carried out for relaxation in case of muscle hypertonicity or maintaining a healthy position of the TMJ. If the splint is not enough, a specialist may prescribe a Botox injection. Then permanent dentures are created for the patient, which help support the joint affected by arthrosis and correct the bite. Also, with arthrosis of the lower jaw, selective grinding of teeth can be performed.

Treatment of arthrosis of the jaw joint involves a moderate change in habits. Patients should avoid eating solid foods, frequent vocal exercises, and chewing gum. Therapy for arthrosis of the jaw joint requires lifelong limitation of mechanical loads and regular visits to the dentist or gnathologist. Preventive courses of physical and pharmacotherapy are carried out at least 2 times a year. It is important to minimize stress and physical strain. The further the disease progresses, the softer the food should be - until the patient switches to purees, cereals, soups and juices.

It is considered optimal to start treatment at stage 1 or 2. In advanced cases of arthrosis of the jaw joint, only surgical intervention can help the patient.

Osteoarthritis of the jaw joint - which doctor should I contact?

The first step if you suspect arthrosis of the jaw is to consult an orthodontist or gnathologist. They will give the patient a referral for an x-ray, and will also determine whether there are any malocclusions or dental contact problems. You may also need to consult a prosthodontist.

If the cause of the disease is primary diseases, in parallel with a specialized doctor, narrow specialists participate in the treatment of jaw arthrosis - for example, a rheumatologist, endocrinologist, neurologist, psychotherapist or otolaryngologist.

Drug treatment of jaw arthrosis

Treatment of arthrosis of the jaw joint with medications is usually carried out in a hospital setting. At home, patients can take painkillers, use warming and analgesic local drugs, and also take chondroprotectors.

To relieve inflammation and improve jaw mobility, patients take non-steroidal anti-inflammatory drugs (NSAIDs) intravenously or orally - for example, ketoprofen, ibuprofen, paracetamol, nimesulide. For topical use, ointments and gels are recommended - finalgon, nicoflex, voltaren, butadione and indomethacin. In the absence of allergies, preparations based on medical bile and bee venom are used. Muscle relaxants, such as mydocalm, help relieve spasm in arthrosis of the jaw joint.

For severe pain, in addition to glucocorticosteroids (hydrocortisone), injections of opioid analgesics are prescribed - for example, tramadol, trimeperidine.

If there are injuries or foci of infection in the body, treatment of arthrosis of the jaw joint is accompanied by antibiotic therapy in the form of injections of cefazolin, metronidazole, cefuroxime.

For better regeneration of cartilage and synovial fluid, it is recommended to take chondroprotectors - for example, artracam, Dona or Movex.

Drug therapy for arthrosis of the jaw joint is carried out 2-3 times a year as prescribed by a doctor. The administration of drugs is often combined with physiotherapeutic techniques - for example, in the form of electrophoresis with novocaine, lidase and iodine, Trilon ointment.

Physiotherapy in the treatment of jaw arthrosis

Physiotherapy in combination with properly selected medications and orthodontic devices helps eliminate pain without surgery, even at the 3rd stage of arthrosis. Therefore, the following physiotherapeutic techniques are used to treat arthrosis of the jaw joint and rehabilitate patients.

ultrasound (10-20 sessions);
laser therapy (14 sessions);
microwave therapy (UHF - 10-12 sessions);
electrophoresis (10-12 sessions);
phonophoresis;
mud therapy;
myogymnastics;
massage of masticatory muscles;
balneotherapy (including paraffin therapy and ozokerite);

These procedures improve nutrition of the affected joint, normalize metabolism and activate the processes of natural regeneration of bone and cartilage tissue. With fibrotic changes in tissues, physical therapy helps to soften them and increase the range of motion of the jaw. Also, this type of treatment relieves inflammation, has an analgesic effect and serves to prevent complications of arthrosis of the jaw joint.

Therapeutic exercise for arthrosis of the jaw joint

Therapeutic exercises for arthrosis of the lower jaw help maintain facial mobility, speech intelligibility, improve innervation of the affected area and reduce the impact of the disease on other organs and systems. With hypertonicity of the masticatory muscles, it helps to stretch the ligaments and relax the jaw, and also strengthens the jaw apparatus. This promotes proper distribution of the load, and therefore slows down the progression and reduces the symptoms of arthrosis of the jaw joint. Myogymnastics does not replace wearing a mouthguard, but significantly enhances its effect.

Press your tongue against the hard palate and allow your jaw to drop freely as you relax the muscles in your lower face.
Place your thumb on the affected joint (in front of your ear) and, keeping your tongue against the roof of your mouth, place your index finger on your chin. Lower your jaw halfway, overcoming the gentle resistance of your index finger. Shut your mouth. Repeat 6 times, and then begin to lower your jaw completely (also 6 times).
Raising your shoulders and chest, tuck your chin in so that a “double chin” forms under it. Hold for 3 seconds, then repeat (10 times).
Place your thumb under your chin and gradually open your mouth completely, against the gentle resistance of your finger. Then grab your chin with your thumb and index finger and repeat the exercise - this time closing your mouth (10 times).
With the tip of your tongue in the center of your palate, open and close your mouth.
Grasp a small object with your front teeth and slowly move your jaw from side to side. Then repeat the exercise with back and forth movements. As your range improves and the exercise becomes easier, increase the thickness of the object.

Comments

Recently, pain appeared in the lower tooth, which is covered with a crown. Now my lower jaw is also aching, but I’m very afraid to go to the doctor. Will this tooth be removed immediately?

Vika (01/14/2021 at 00:41) Reply to comment

Editorial staff of the portal UltraSmile.ru (01/16/2021 at 09:01) Reply to comment

In the lower jaw, on some teeth, the gums seem to have decreased and in fact they have become bare. How to grow gum back into these places and is it possible? What medicinal and traditional methods of treatment exist?

Julia (02/05/2021 at 08:44) Reply to comment

I know about caries and pulpitis firsthand! You cure one tooth, another begins to crumble ((I would like to know what needs to be done so that they do not collapse one after another!? This is a disaster!

Marina (02/05/2021 at 09:21) Reply to comment

I had a tooth removed and a purulent sac was found in it. More than a year has passed since the tooth was removed, but the pain in that place does not go away. I have never seen redness or swelling on the gums. Tell me, what could be the reason?

Anna (02/05/2021 at 09:46) Reply to comment

When I have a sore throat, I often feel like all my teeth hurt. And my jaw just hurts like crazy, and it radiates into my ear. I can’t live without painkillers. Is it dental problems? Or do you need the help of an ENT specialist here?

Anetochka (03/04/2021 at 10:29) Reply to comment

I have small ulcers on the inside of my cheeks that are bleeding. I thought it was stomatitis and rinsed my mouth with a soda solution, but it had no effect. What could it be? Isn't this cancer?

Stepan Viktorovich (03/04/2021 at 10:34) Reply to comment

it turns out that the problem can be serious, but it would seem to be nothing of the kind; someone might even think that it was just a leak. can this problem be treated as an emergency?

Marina (03/04/2021 at 10:40) Reply to comment

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Causes and prevention of arthrosis of the facial jaw

Based on the reasons for their occurrence, it is customary to distinguish between primary and secondary arthrosis of the jaw. The first are typical for older people (50-60 years and older) and are not associated with pathologies of the joints or dentofacial apparatus. The latter occur against the background of other disorders - for example, injury, infection, metabolic disease.

Let us consider the causes of arthrosis of the jaw joint in more detail:

infectious disease (acute or chronic, for example, tonsillitis);
sports or household injury (dislocation or subluxation of the jaw joint, bruise, jaw fracture);
systematic overload (for example, when crunching nuts or intense exercise in the gym);
dental diseases (absence of a tooth or part of it, “gentle” chewing on one side due to a dental problem);
bruxism (unconscious grinding of teeth, usually during sleep), stress, high mental stress, mental disorders and nervous tics;
diseases of the cardiovascular system;
endocrine and metabolic diseases (gout, diabetes, hormonal imbalance);
congenital anomalies of the dentofacial apparatus (including malocclusion), in which the load is distributed incorrectly;
genetic diseases of muscle and cartilage tissue (scapulohumeral-facial muscular dystrophy, collagenopathies, as well as systemic lupus erythematosus and other autoimmune diseases);
age-related changes (both senile and hormonal - for example, with menopause).

Often, arthrosis of the facial jaw (or temporomandibular joint - TMJ) begins due to a violation of occlusion - i.e., contact of teeth and functions of the masticatory muscles (with loss of a tooth, tumor or inflammation of the muscle muscles, lesions of the facial and trigeminal nerves). Therefore, in order to prevent arthrosis of the jaw joint, it is important to promptly replace chewing teeth with prosthetics, eliminate inflammation of the gums and dental pulp, and also treat under-erupted wisdom teeth. Do not ignore innervation disorders and muscle injuries due to stroke, surgery or incorrectly selected dentures.

Regardless of the causes, arthrosis of the jaw joint remains a chronic disease that requires lifelong monitoring and inevitably progresses.