Emergency analgesic method for toothache
Dental caries is commonly known as tooth decay. When the lesion is serious, you will feel toothache, especially if you eat hard food or encounter ups and downs, the pain will be aggravated. Middle-aged and elderly people will also feel sore because of gingival atrophy and root exposure. Fresh garlic can be peeled, mashed into mud and stuffed into cavities; You can also take a proper amount of Yunnan Baiyao, mix it with warm water and apply it to the periodontal and gingival areas; In addition, you can apply essential balm and ten drops of water to the affected area, or brush your teeth with a large amount of acid-resistant toothpaste continuously, and the pain will be relieved quickly and then disappear. For patients with tooth allergy and pain, 2-3 pieces of baking soda can be ground and dissolved in 1 cup of cold boiled water, and mouthwash several times a day. Or put garlic soaked in yellow wine, it will work.
Tooth neuralgia is caused by bacterial infection when dental caries invade the pulp. It is characterized by spontaneous and paroxysmal severe pain, which can occur without any stimulation. Moreover, it is easy to attack at night, and the pain is more severe than during the day. I can't sleep and it is extremely painful. The reason is that after lying in bed, the pressure in the pulp cavity increases, and a certain amount of gas will be produced when the pulp is suppurated, which will cause severe pain when it meets thermal expansion. In emergency analgesia, cold compress can be used to relieve pain. You can also dip a cotton ball in 75% alcohol and apply it to the toothache for 2-3 minutes, and then press the alcohol cotton ball on the pain. Or take 1 slice of fresh ginger and put it on the sore spot.
Another cause of periodontitis and toothache is swelling and pain of gums, which makes teeth loose and displaced, even periodontal bleeding and pus, accompanied by bad breath and other symptoms. In recent years, medical research has found that it is closely related to anaerobic infection. Metronidazole (also known as metronidazole) can be taken, 2 tablets each time (200 mg each time), 3 times a day, but alcohol should be avoided. You can also take compound sulfamethoxazole, 2 tablets each time (500 mg each), twice a day, doubling for the first time, but it is forbidden for allergic people.
Used for toothache caused by dental caries complicated with infection, periodontitis, gingivitis and pulpitis. Six tablets of Liushen Pill can be ground with a little yellow wine and placed in the cavity of dental caries, or mixed with saliva on the gum after grinding, which can quickly relieve the pain until it disappears.
Anyone with a history of toothache can choose the above drugs for emergency analgesia as appropriate. But this is only a stopgap measure after all. After the transition time, you should still go to the hospital for treatment.
Toothache, a common disease in stomatology
It is mainly caused by diseases of teeth and periodontal tissues. In addition, other diseases can also cause toothache. Such as maxillofacial tumor and trigeminal neuralgia.
In an emergency, only emergency analgesic treatment is generally taken to temporarily relieve the pain. After the acute inflammation subsides, special treatment will be carried out for dental pulp diseases. Take acute pulpitis as an example, and its treatment:
1) pulp drainage: it is the most effective method to relieve pain and prevent the spread of inflammation. When there is no dental instrument, a small pointed spoon or a pointed probe can be used to pierce the bottom of the blocked hole. In order to alleviate the pain and fear of patients, pulp can also be opened under local anesthesia. After pulp opening, you can put a clove oil cotton ball in the hole, but you can't press it too tightly to avoid poor drainage.
2) Acupuncture to relieve pain: the body acupuncture is mainly Hegu, and other acupoints are matched according to the position of the affected teeth, such as Xiang Ying or Renzhong, the upper teeth; Lower posterior teeth: Xiaguan, buccal car, etc. Lower anterior teeth: pulpy, big welcome or cheek car; Lower posterior teeth: Xiaguan, buccal car or underground warehouse. Dental anesthesia points, etc.
3) Local anesthesia plays a temporary analgesic role, and the affected teeth are pulled out when necessary. Anti-inflammatory and analgesic drugs, such as toothache water, eugenol and trigeminal neuralgia, can be taken orally with carbamazepine. External application of liuhe dan or Ruyi Huangjin Powder to treat facial swelling.
Why do people have toothache?
Because there are nerve fibers in the teeth, when the teeth are damaged, the nerve tissue of the teeth is directly or indirectly stimulated and transmitted to the center, and people will feel toothache.
The tooth body is the tooth itself, which consists of three calcified hard tissues: enamel, dentin and cementum, and a soft tissue pulp. Dentin constitutes the main body of teeth, enamel covers the crown surface, cementum covers the root surface, and there is a cavity in the center, which contains dental pulp tissue, in which blood vessels and nerves are connected with periodontal tissue through narrow apical foramen. Dentin has obvious response to external mechanical, temperature and chemical stimuli. There are nerve fibers in dentinal tubules. Generally speaking, the sensory transmission of dentin is that external stimuli directly stimulate the nerve endings of dentin and then transmit them to the center, or external stimuli cause the contents of dentin tubules to flow, which indirectly causes the nerve endings at the junction of pulp and dentin to generate impulses (fluid mechanics hypothesis), or odontoblasts are stimulated and then transmitted to the cell body, which causes the changes of surface charges of the cell body and affects the nerve endings in contact with them. There are abundant nerves in the pulp cavity, and the branches from the alveolar nerve with blood vessels enter the pulp from the apical foramen, and then are divided into many thin and thinner branches. Most of the nerves entering the pulp are myelinated nerves, which transmit pain, and a few are unmyelinated nerves, which are sympathetic nerves, which can regulate the contraction and relaxation of blood vessels. Therefore, when tooth trauma hurts dentin and pulp, patients will feel obvious toothache.
What diseases can cause toothache?
Toothache is one of the most common symptoms in oral diseases. It may be caused by many diseases, such as dental caries, acute periodontitis, acute and chronic periapical periodontitis, periodontitis, dentin hypersensitivity, tooth fracture and so on.
Dental caries can cause toothache, which is manifested by holes in the teeth. At the beginning, there was no conscious pain. In case of acid, sweet, cold, heat stimulation or food embedded in the tooth cavity, you can feel toothache, and the pain can be stopped after the stimulation is eliminated. Acute pulpitis can also cause toothache, which is manifested as spontaneous paroxysmal pain of teeth, which is aggravated when it is stimulated by cold or heat and when lying down at night. Patients can't clearly point out the position of teeth, but they can find deep cavities, deep periodontal pockets or non-caries dental diseases. The hot and cold test of their teeth will cause severe pain, and this pain will last for a long time after the stimulation is eliminated. After pulp opening, the pain can be relieved. Chronic pulpitis patients have long-term cold, heat stimulation pain, eating pain or regular spontaneous dull pain, most of which can be located in. Acute periapical periodontitis can also cause toothache, which is characterized by persistent toothache, clear tooth position, feeling of elongation or floating, and inability to chew food. Check that the teeth have severe knocking pain, and the local gums are red, swollen and tender. Periodontitis can also cause toothache, which is characterized by persistent dull pain of teeth, accompanied by redness, bleeding, purulent secretion of gums, and even loosening of teeth and atrophy of gums. Dentin hypersensitivity can also cause toothache. The tooth surface of the affected tooth is often worn, the enamel is destroyed, or the gum shrinks, exposing the neck of the tooth, resulting in dentin exposure. When stimulated by cold, heat, acid and sweetness, it will cause toothache. In addition, diseases that can induce and accompany toothache include trigeminal neuralgia, osteomyelitis of jaw, dry socket, pericoronitis of wisdom teeth, acute suppurative maxillary sinusitis, malignant tumor of jaw, gingival malignant tumor, odontoid cyst of jaw, root resorption of impacted teeth, upper respiratory tract infection, ischemic heart disease, leukemia, hysteria, neurasthenia, etc.