Why do teeth ache?

16 June 2025


One of the most common complaints of my patients is the sudden onset and sometimes intermittent tooth aching. It is often postponed, but there is often an underlying problem. Here are the five most common causes and my solution suggestions:

  1. Caries

When the tooth enamel decays and breaks, the dentin layer underneath is exposed and leads to leakage. In this case, the decay should be cleaned and filled without wasting time.

  1. Gum recession

When the tooth root is exposed, hot-cold sensitivity begins. In this case, I recommend a soft brush and desensitising toothpaste to my patients.

  1. Enamel wear

Enamel becomes thinner due to acidic drinks, hard brushing or teeth grinding. In such cases, I apply preventive treatments such as the use of night plates and filling the abraded area.

  1. Tooth clenching/grinding

Bruxism, i.e. clenching, causes microcracks in the teeth. In this case, a night plate and masseter botox may be useful.

  1. New procedures

After some fillings or coatings, there may be temporary oozing. If this lasts for several weeks, your dentist may need to check the procedure.

Remember, a aching tooth is a signal. Do not ignore this warning your body gives you. Early intervention saves the tooth from extraction…

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