The first one is the pathological changes of teeth and pulp. Because the cavity develops to a deeper level, there will be irritating pain such as cold and heat. If it is not treated at this time, it will further develop into pulpitis and cause spontaneous pain. If you don't go to the hospital at this level, you will be too painful to sleep at night! After the acute inflammation period, the pain symptoms will be relieved until they disappear, but don't think that the inflammation will disappear. In fact, the inflammation not only erodes the pulp in the tooth, but also develops to the periodontal tissue. The inflammation penetrates into the alveolar bone and causes the alveolar bone to absorb, reaching the gum to form a fistula, from which white pus flows out. At this time, you should go to the hospital for more complicated treatment, otherwise, the tooth must be pulled out.
the second type is caused by periodontal disease. Common ones are gingivitis and pericoronitis caused by food impaction. At this time, it is only necessary to clean up the impaction food and apply anti-inflammatory, analgesic and gum soothing drugs. There are also cases of gingival atrophy, alveolar bone absorption, root exposure until teeth are loose and fall off due to inattention to periodontal hygiene, and the following manifestations are: pain when stimulated by cold, heat, acid, sweetness, etc., but the pain will disappear after stimulation, and treatment will be more troublesome at this time. Moreover, the bacteria in the deep periodontal pocket caused by severe periodontal disease breed and infect the root tips of teeth, resulting in retrograde infection of dental pulp and pulpitis, which requires comprehensive treatment of tooth-periodontal.
As the ancients said, "nip in the bud", we should keep brushing our teeth every day, clean our oral cavity, keep our periodontal health, go to the hospital regularly for tooth cleaning, check-up and health care, and treat the early lesions of our teeth in time, so as not to have toothache.
Be careful: toothache should not be treated casually ★
Although toothache is a minor illness, it brings great troubles to people's lives. When toothache comes to the door, do you know how to choose medicine?
A few months ago, Xiaozhu discovered that she had a rotten tooth. Because she was busy at work, she never went to see a doctor. Finally, one day, the tooth began to ache, and his colleague gave him a "toothache pill". He stuffed it into the rotten tooth, which seemed better. But at night, the toothache became more and more severe, which made Xiaozhu stay awake all night. It was painkillers and anti-inflammatory drugs, and the effect was not obvious. The next day, Xiaozhu came to the hospital with her face covered. The first sentence she asked the doctor was: "What medicine should I take for toothache?"
To choose the right medicine for toothache, we must first know the cause of toothache and the condition of the disease. Clinically, the diseases most likely to cause toothache are pulpitis, periapical periodontitis and pericoronitis.
※ pulpitis
Some patients with pulpitis have obvious pain when brushing their teeth with cold water, but they feel less pain when switching to warm water; There are also some patients who feel pain when eating and drinking hot soup, and they can't drink until the soup is cold; If it continues to develop, some patients will feel pain for no reason, especially after lying down to sleep at night, which will make the pain worse and even affect their sleep. This is what doctors often say, "cold and hot stimulation pain, spontaneous pain at night."
The inflammatory site of pulpitis is in the pulp cavity in the center of the tooth, and the medicine can only reach through the tiny apical foramen. It can be said that no medicine can completely treat pulpitis, so the statement that there is no medicine to cure pulpitis is reasonable. Many patients with pulpitis go to the hospital in a hurry when they have toothache, and those unprofessional doctors prescribe antibiotics to the patients casually, but the results are completely ineffective. For the pain caused by pulpitis, painkillers have a certain effect, but when the pain is severe, the effect of painkillers is not obvious. Local painkillers such as "toothache pills" may be effective when the pain is mild, but it is not a good solution. When pulpitis occurs, it is best to find a dentist to treat and treat the diseased teeth. If there is pain before going to the dentist, you can take oral painkillers, and other drug suggestions are not needed.
※ Periapical periodontitis
In general, pulpitis develops further, and bacteria invade the tissues around the root tips of teeth, which causes periapical periodontitis. In the early stage of inflammation, patients will feel that their teeth are floating, and it is easy to bite the diseased teeth, and they will feel pain when they bite. Because the scope of inflammation is relatively small in the early stage, the use of antibiotics and anti-inflammatory painkillers is helpful to control inflammation, but it is of little significance. Professional dentists still emphasize local drainage and local medication. Doctors usually dredge the teeth to the tissues around the root tip and place anti-inflammatory and analgesic drugs, such as camphor phenol, locally. If patients with periapical periodontitis are not treated in time, the scope of inflammation will expand, and there may be redness, swelling, heat and pain on the cheeks, purulent, and even fever and general pain. At this time, it is necessary to use antibiotics and anti-inflammatory painkillers for the whole body (broad-spectrum antibiotics and metronidazole are commonly used drugs); Painkillers such as painkillers can be added to patients with pain, and local anesthetics, such as procaine, can be injected around the diseased teeth for patients with severe pain.
※ Pericoronitis
Pericoronitis mostly occurs when mandibular wisdom teeth are incompletely erupted or impacted, and inflammation occurs in the soft tissue around the crown. At the initial stage of inflammation, patients feel swollen and painful gums, and the pain is obvious when chewing, swallowing or opening activities, and the pain is aggravated with the development of the disease; In severe cases, there may be different degrees of inability to open your mouth or even clench your teeth. The treatment is mainly local treatment, and the local area is usually washed with normal saline and 2% hydrogen peroxide, then iodine glycerin is placed, preferably 1 ~ 3 times a day, and then the mouth is rinsed with chlorhexidine mouthwash. If there is an abscess, it should be cut and discharged in time. If there is redness, swelling, heat and pain in the cheeks, or even fever and pain all over the body, antibiotics and anti-inflammatory painkillers can be used. The commonly used drugs are also broad-spectrum antibiotics and metronidazole.
No matter periapical periodontitis or pericoronitis, if the disease is not controlled, it is easy to form oral and maxillofacial space infection. At this time, intravenous antibiotics can also be considered, and doctors should choose drugs according to the patient's situation, such as penicillin.
Is there any way to treat toothache?
1. Mash garlic, warm it and apply it on the pain spot to treat symptoms such as pulpitis, periodontitis and toothache.
2. Dissolve the monosodium glutamate with warm water at a concentration of 1∶5, and then spit out the monosodium glutamate solution in your mouth for a while. Do this several times in a row, and the toothache will get better after two days.
3. When you have a toothache, you can cut a small piece of ginger and bite it on the sore spot. If necessary, you can reuse it. It's no harm to put it in your mouth when you sleep. This is a very safe and reliable prescription.
4. Take 1g of common liquor and put it in a tea jar with 1g of salt; Stir, and put it on the stove to boil after the salt melts. Take a bite on the painful place, be careful not to swallow it, and the toothache will stop immediately.
5. gargle: take a sip of water (the temperature is close to body temperature) and gargle vigorously.
6. Massage hands: This method can relieve 5% pain. Rub a piece of ice on the V-shaped area where the thumb and forefinger bones are connected, and gently press the ice on this area for 5-7 minutes. A Canadian researcher found that 6-9% of people who use this method can reduce their toothache. His research shows that this rubbing method can interfere with the transmission of nerve impulses from toothache.
7. Massage Hegu point with ice cubes for 5 minutes.
The first prescription is: take garlic to make trouble, warm it and apply it on the pain point to treat symptoms such as pulpitis, periodontitis and toothache.
the second prescription is: after the monosodium glutamate is dissolved in warm water at a concentration of 1∶5, the solution containing monosodium glutamate will be spit out in a short time. Do this several times in a row, and the toothache will get better after two days.
the third prescription is: when you have a toothache, you can cut a small piece of ginger and bite it on the sore spot. If necessary, you can reuse it, and it doesn't hurt to put it in your mouth when you sleep. This is a very safe and reliable prescription.
the fourth prescription is: put 1g of common liquor into a tea jar and add 1g of salt; Stir, and put it on the stove to boil after the salt melts. Take a bite on the painful place, be careful not to swallow it, and the toothache will stop immediately.
toothache caused by excess fire and deficiency fire
As the saying goes, toothache is not a disease, but it hurts to death. Traditional Chinese medicine believes that toothache is caused by the rising of excess and deficiency fire in human body. Caused by real fire, the pain course is short and the pain is severe; Caused by deficiency fire < P >, the pain course is long, the pain is continuous, and the teeth are loose.
(1) 1 bitter gourd, mashed as mud, mixed with white sugar, filtered out after two hours, and served cold. Take it three times in a row.
(2) Take fresh chicken blood, cook it and take it hot.
the above two prescriptions are mainly used for toothache caused by excess fire.
(3) Lily, lotus seeds and rice are boiled and eaten after cooling. Once a day.
(4) decoct water eleocharis tuberosa, raw lotus root and fresh lalang grass rhizome, and drink the juice several times a day.
(5) Add 1g of Radix Rehmanniae to the rice and cook it into porridge. Add appropriate amount of sugar to the porridge, and take it after cooling
.
the above three aspects are mainly used for toothache caused by deficiency fire.
ginger relieves toothache
ginger has anti-inflammatory and analgesic effects. When you have a toothache, take a slice of fresh ginger and bite it on the painful tooth. If necessary, you can reuse it.
monosodium glutamate to relieve toothache
Take a little monosodium glutamate and apply it directly to the toothache; Or add a proper amount of monosodium glutamate into boiling water to melt it, and rinse it repeatedly after cooling, with good analgesic effect.
acupressure to stop toothache
For upper toothache, take Xiaguan point, for lower toothache, take Cheek Car point, and for upper and lower toothache, use Hegu point on the same side. Press the acupoints with your thumb and rub slightly, and repeat until the toothache disappears.
Small prescription for toothache
The first prescription is: take garlic to make trouble, warm it and apply it on the pain point to treat symptoms such as pulpitis, periodontitis and toothache.
the second prescription is: after the monosodium glutamate is dissolved in warm water at a concentration of 1: 5, the solution containing monosodium glutamate will be spit out in a short time. Do this several times in a row, and the toothache will get better after two days.
the third prescription is: when you have a toothache, you can cut a small piece of ginger and bite it on the sore spot. If necessary, you can reuse it, and it doesn't hurt to put it in your mouth when you sleep. This is a very safe and reliable prescription.
the fourth prescription is: put 1g of common liquor into a tea jar and add 1g of salt; Stir, and put it on the stove to boil after the salt melts. Take a bite on the painful place, be careful not to swallow it, and the toothache will stop immediately.
toothache therapeutic prescription
toothache can be generally divided into three types: dental caries toothache, wind-heat toothache and asthenic fire toothache. Here are nine therapeutic prescriptions for toothache. You might as well try them.
recipe 1: porridge with salted eggs and oyster sauce
2 salted duck eggs, 1g of oyster sauce (dried oyster meat), and appropriate amount of rice for 2-3 days. Suitable for patients with toothache due to deficiency fire.
recipe 2: preserved egg and dried bean curd porridge
2 preserved eggs, 6 grams of dried bean curd, 1 grams of salted and dried pork, and appropriate amount of rice (or millet) to cook porridge, and eat for 2-3 days. Suitable for people suffering from deficiency fire and dental caries.
recipe 3: salted lean pork porridge with preserved eggs in oyster sauce
1g of oyster sauce, 2 preserved eggs, 1g of salted lean pork, and appropriate amount of rice for porridge. Suitable for people with yin deficiency, swelling and pain in teeth and hoarseness in throat.
prescription 4: black bean porridge, the birthplace of Achyranthes bidentata
12g of Achyranthes bidentata, 15g of Radix Rehmanniae and Radix Rehmanniae Preparata, 6g of black beans and 1g of japonica rice. Wash everything with water, chop up Rehmannia glutinosa, add appropriate amount of water to cook porridge, remove the dregs of Achyranthes bidentata and Rehmannia glutinosa, and season with a little salt to eat at will. It is suitable for elderly patients with weak body and healthy qi.
recipe 5: mussel, cistanche and black bean soup
mussel (mussel, seafood), cistanche deserticola each 3g, and black bean 15g. Wash the mussel mud, wash the black beans, slice the cistanche deserticola, add water to the pot and cook for more than 1 hour, then take the juice and take it once. Take one dose a day for several days until the toothache is cured. Mussels enter the kidney meridian, nourishing yin and reducing fire; Black beans tonify kidney, remove heat arthralgia in chest, and disperse heat accumulated in five internal organs. It is suitable for people with gum swelling and pain due to dental caries, toothache and excessive fire.
recipe 6: dog liver dish and bean curd soup
25g of dog liver dish (herb) and 25g of bean curd. Wash the two ingredients with water, add appropriate amount of water to cook them, remove the dog liver dish, add seasoning and drink the soup to eat bean curd. Suitable for patients with liver fire, wind-heat and dental caries, redness and heat pain. (Do not use it for those with deficiency fire)
Prescription 7: Braised lean meat with willow roots
5g of willow roots and 1g of lean pork. Wash the two flavors and add appropriate amount of water to the same pot. After seasoning, drink soup and eat meat. Suitable for patients with wind-fire toothache with swollen gums and swollen cheeks.
square eight: mung bean and egg syrup
1 grams of mung bean, 1 egg, and appropriate amount of rock sugar. Mash mung beans, wash them with water, add appropriate amount of water into the pot, cook until the mung beans are cooked thoroughly, beat the eggs into the mung bean soup, stir well, take them all at once after cooling for 2-3 days. It is suitable for patients with wind-heat toothache and oral swelling and pain.
Fang Jiu: Tiger Falling Fire Decoction
Gypsum Fibrosum 3g, Achyranthes bidentata 9g, Cortex Moutan 6g, mung bean 1g, and appropriate amount of rice. Mash gypsum and mung bean first, then put them into gauze bags, sew them, put them into casserole, add appropriate amount of water and rice to cook porridge, and then remove the medicine bags and drink porridge. Gypsum chill is the product of diminishing inflammation and falling fire; Achyranthes bidentata leads heat downward to dispel stagnation heat; Mudan bark removes blood and blood stasis; Mung beans clear away heat, detoxify and diminish inflammation. Suitable for strong patients with strong heat. People with weak stomach and qi deficiency should not take it.