Severe Toothache
What to do immediately:
Rinse your mouth with warm salt water
Use dental floss – sometimes pain is caused by trapped food
Apply a cold compress to the cheek (not directly on the tooth!)
Take a painkiller (paracetamol or ibuprofen)
Call us – emergency number: [number]
What NOT to do:
Do not place aspirin directly on the tooth
Avoid very hot or very cold drinks
Do not chew on the painful side
When to Call and When to Visit the Dentist?
Call for advice if:
The pain is manageable with medication
A filling has fallen out
Night-time jaw clenching
Sensitivity to hot/cold
Bleeding gums during brushing
Book an urgent appointment (within 24–48 hours) if:
Pain increases despite medication
A broken tooth without exposed nerve
Gum swelling
Injury without tooth loss
Broken or poorly fitting denture
Come IMMEDIATELY if:
A permanent tooth has been knocked out
Facial swelling with fever
Uncontrolled bleeding
Injury with exposed nerve
Suspected jaw fracture
Toothache in a Young Child
How to Help Your Child?
Teething (6 months – 3 years):
A chilled teether (not frozen!)
Gentle gum massage with a clean finger
Paracetamol syrup (dose according to weight)
Teething gels (sparingly, max 3 times daily)
Pain in a baby tooth:
Check for cavities (use your phone flashlight)
Gently clean with a soft toothbrush
Rinse with water (if the child can spit)
Paracetamol or ibuprofen syrup
See a dentist immediately if:
Facial swelling
Refusal to eat for more than 24 hours
Fever above 38.5°C
White or yellow spots on the gum
How to Calm a Frightened Child?
Stay calm – children sense your stress
Distract them – cartoon, game, favourite toy
Explain simply – “your tooth is sick, the dentist will fix it”
Reward bravery – sticker or small toy
Do not lie – “it may pinch a little, but it will pass quickly”
