Toothache is a warning sign
Pain is not a disease, but a signal: the body is drawing attention to a problem. That is why the goal is never just to suppress the pain, but to find and treat the cause. Those who only mask toothache with pills usually just postpone the problem — and risk it getting bigger.
The most common causes
Toothache can arise in very different ways. The most common triggers include:
- Caries — a 'hole' reaches deeper over time and irritates the tooth, often with sweet, cold or hot things.
- Inflamed tooth nerve (pulpitis) — usually a throbbing pain, often at night. A root canal treatment, which saves the tooth, often helps here.
- Gum inflammation / periodontitis — aching, bleeding gums. More on this: bleeding gums.
- Wisdom tooth — presses or becomes inflamed as it erupts. More on this: wisdom tooth pain.
- Dental accident or crack — after a fall or biting on something hard. First aid: tooth knocked out.
- Sensitive tooth necks — brief, pulling pain with cold or sweet, often due to exposed tooth necks.
- It's not always the tooth: grinding and jaw tension can also mimic toothache. More: grinding splint or Botox.
What helps short-term — until the appointment
- Cool the cheek from the outside (not directly on the skin, but wrapped in a cloth)
- Elevate the head when lying down — this can ease throbbing pressure
- Take a painkiller according to the package insert (ask the pharmacy if unsure)
- Avoid triggers — very hot, cold, sweet and hard foods
Do <strong>not place a painkiller tablet directly on the tooth or gum</strong> — it can burn the tissue. And with swelling or pus, <strong>do not apply heat</strong>, as it promotes the inflammation. Painkillers also only mask — the cause remains.
When you shouldn't wait
Toothache belongs at the dentist anyway — but in these cases urgently:
- Swelling in the face or cheek, possibly with fever
- Pus or a throbbing abscess on the gum
- Pain that stays severe despite painkillers or keeps you awake at night
- Difficulty swallowing or breathing — then seek medical help immediately
Have toothache assessed in Zurich
We find the cause and treat it specifically — instead of just dampening the pain. Don't wait too long with persistent toothache: in an emergency you can reach us at +41 44 363 90 90, our practice at Löwenplatz in Zurich will help you as quickly as possible.
This article is for general information only and does not replace individual dental advice. Whether and which treatment is right for you is something we determine in a personal consultation based on your individual situation.




