June 9, 2019
Many of us live in big cities, where medicine is at the highest level. But this happens during the daytime and on weekdays, and at night, on holidays and weekends, we feel insecure and sometimes don’t know where to turn for help. For example, with an acute toothache that takes you by surprise and gives you no rest. What to do then? So the journalists from the editorial office of the UltraSmile.ru portal asked themselves this question. Let's look for answers to it together!
It’s good if you always have the city’s emergency and emergency phone numbers at hand, so that in the event of an unforeseen situation you can call and ask all your questions without panic. If there are no important numbers, then call the 24-hour helpline of the city or locality where you are currently located.
What to do if the pain takes you by surprise?
24-hour pharmacy
Do you agree that when a tooth hurts, the first thing we think about is not where to run, but how to relieve the pain? And accordingly, we take the right pill. Especially when trouble occurs late in the evening, at night or after hours. I don’t want to go or run anywhere during this period of time. But there are also such situations - you have a toothache, but at that very moment there was no analgesic in your home medicine cabinet: the medicine has run out, the expiration date of the medicine has expired. In this case, it would be a good idea to find out if there is a 24-hour pharmacy in the city and buy a medicine that will relieve unpleasant symptoms for a certain period of time and help you get a restful sleep. This could be Nurofen, Nise, Ketorol, Ketanov, Baralgin.
In the morning, of course, you need to make an appointment with a professional dentist or go without an appointment to any public dental clinic that accepts under the compulsory medical insurance policy.
A 24-hour pharmacy will help if the pain occurs late in the evening or at night
If you are in a village, in a country house, and there are no large settlements nearby, then try using simple folk remedies: a clove of garlic on the wrist, rinsing with soda-salt solution, chamomile, massage.
When none of the listed measures bring relief, then it’s time to think about more serious actions and contact a medical facility.
The child has a toothache. What to do?
Therefore, we strongly recommend that you carefully re-read everything written below. We will tell you what causes toothache, and what first aid you can provide to your child until he sits in the dental chair for qualified professional treatment. And be sure to come to us in the very near future. Tomorrow is the deadline.
What to do if a child has a toothache?
Pay attention to some paragraphs that describe cases of toothache for no apparent reason. Pain is an alarming symptom. It is difficult for children to differentiate pain in a tooth from pain in the gums, traumatic pain, etc. Therefore, with any complaint, you must carefully examine the child’s mouth and assess the complexity of the situation. Don’t immediately look for what you can give your child for a toothache .
The first step is a thorough examination of your mouth. Take a flashlight to see everything better. Because toothache can be caused by a foreign body, a hard piece of food, a fish bone stuck between the teeth or embedded in the gum. If found, try to carefully remove it yourself with tweezers and dental floss. But if you understand that removal on your own is problematic, take your baby to the emergency room. It is better to be safe than to complicate the problem with unprofessional actions and cause more serious injury to the child.
Pain in the teeth, jaw, and gums can occur after a blow to the face or a fall. Here you need to immediately contact specialists. The fact is that if a tooth is knocked out, it does not necessarily fall out immediately. Or, if he falls out, he can still be saved for the first half hour. This is described in detail in the article “Injuries to the teeth and mouth in children.”
During the period of teething, pain is quite common. Small children cannot explain what and how it hurts. They are just being capricious, intensively rubbing the sore spot. If teething is painful, you can use toothache gel for children . You can buy at the pharmacy: gels with lidocaine - Kamistad, Kalgel, for allergy sufferers - Baby Doctor ointment. But we recommend consulting at least a pediatrician, because the child may have an individual intolerance to the components of the gel and cause a sharp reaction in the body.
Real toothache is a symptom of many diseases: caries, pulpitis, periodontitis, fluxes and fistulas, enamel cracks, etc. The pain can be nagging, aching, or sharp, greatly increasing when pressing on the tooth, from hot or cold food, from sweet or sour drinks . At the same time, swelling and redness of the gums, even bleeding, may appear. The face may swell, the submandibular lymph nodes become enlarged, the temperature rises, and the pain may radiate to the ear and temple. By the way, the blame for all these troubles primarily lies with the parents, who did not bring the child for preventive examinations to the dentist on time and did not cure dental diseases in the initial stages of development. And now the baby will not only have to suffer from pain until dental care is provided, but also take painkillers and endure long and rather unpleasant treatment with anesthesia.
Pain from caries
What to do if the baby has caries, pulpitis, and the pain occurs at night or there is no opportunity to immediately seek professional help?
- First, you should suggest rinsing your mouth with a warm soda or saline solution (0.5 tsp soda or 1 tsp salt per glass of boiled water). Or sage decoction. Keep it in your mouth for at least a minute, rinse every 2-3 hours. Sometimes this is enough for the baby to feel relief - with inflammation of the gums, with cracks in the enamel, if food particles get into the carious cavity.
- Massage of active points on the auricle. On the side of the diseased tooth, intensively massage the top of the ear for 5 minutes.
- Place a cotton swab with mint or clove oil and propolis into the tooth hole (if you are not allergic!). Under no circumstances should you use aspirin, analgin or other adult medications. The tooth will stop hurting, but the functioning of other organs can be disrupted. It is not for nothing that the instructions for these medications strictly prohibit giving them to children under 12 years of age.
- Of the medications, only children's ibuprofen, nurofen, paracetamol, and panadol can be given.
- Disturb the aching tooth as little as possible - only eat soft food and drink at room temperature. Warming up is unacceptable, as it causes increased inflammatory processes, and therefore pain.
- Try to distract your baby from pain as much as possible with your favorite game or cartoon. And as soon as possible - to the pediatric dentist.
Sometimes toothache goes away on its own after 2–3 days. This means that the disease has become chronic and that a permanent source of infection has appeared in the child’s mouth. Which will periodically manifest itself in the most unpleasant way. You can’t let this happen; contact the Utkinzub clinic immediately. We will save your child from big problems.
Urban emergency dental care centers
As a rule, these are ordinary clinics, which are supported by the state and the city, or an emergency room at a regional dentistry, where round-the-clock duty is organized. But even in the largest cities, such as Moscow, there are no more than one or two of them for the entire population. These clinics have an on-call room where you can go to resolve an emergency.
To be accepted at night or on holidays, it is enough to provide an identification document and a compulsory health insurance policy. It does not matter whether you belong to this organization at your place of residence or your official registration. It also does not matter which clinic you are assigned to.
For example, in Moscow there are two night departments: for children under eighteen years of age, you can count on help in emergency cases at Dentistry No. 28. The center’s specialists provide their services free of charge from 18:00 to 8:30 on weekdays. And also at any time of the day or night on holidays and weekends. For adults - emergency admission of all citizens is carried out by the State Budgetary Healthcare Institution 1 "Maxillofacial Hospital for War Veterans", opening hours from eight in the evening to eight in the morning.
Clinics that are supported by the state
For what types of pain and dental pathologies can specialists provide assistance at night:
- relieve acute pain syndrome in any type of dental problem,
- provide first aid for pulpitis, caries, periodontitis, alveolitis and periostitis, the presence of cysts and granulomas,
- stop alveolar bleeding,
- carry out emergency surgical intervention if the patient presents with jaw injuries, fractures and dislocations of teeth,
- remove a tooth: but not in the case of “eights”. Wisdom teeth removal is often considered difficult and requires a thorough diagnosis of the situation. Therefore, depending on the clinical case and the equipment of the clinic, the doctor may recommend that you come for an appointment during the daytime and make an appointment (although in case of an emergency, city clinics accept patients without an appointment).
Services here will be provided free of charge. The only thing you may need to pay for is an imported anesthetic injection before treatment.
“I am shocked by our city clinic in Chita. We arrived at night, there were four people in line for one doctor, we sat there for two hours. The pain was unbearable, the pills did not help. At the same time, the tooth was intact, there wasn’t even a filling on it, and it was unclear why it hurt. The doctor was rude and said, why are you coming here! You'd think we have nothing else to do at night! Without even looking properly, without x-rays and everything else, she offered to pull the tooth and pay 300 rubles for anesthesia!!! But shouldn’t modern dentists do everything to save the patient’s teeth and how can they be removed without even conducting a normal diagnosis? This is our free medicine and emergency care. The question arises: why be on duty at night if there is only one answer to all situations: we will delete them!”
Marina, woman.ru
Causes of toothache
Let us examine in more detail the reasons that provoke the appearance of various types of toothache in adults and children:
- Caries
- Exposure of dentin at the neck of the tooth
- Chips and cracks of traumatic origin
- Pulp inflammation
- Periodontitis
- Fluoride and calcium deficiency
- Wedge-shaped defect in the area of the tooth neck
- Abscess or purulent inflammation on the tooth root
- Angina and myocardial infarction
- Respiratory diseases
- Pathology of the temporomandibular joint
- Nervous system diseases
- Malignant formations in the maxillofacial area
- Severe stress
You may also experience toothache when wisdom teeth erupt; in this case, you need to consult a doctor to understand whether the tooth is developing correctly and whether there is enough space for it. In addition, one of the causes of toothache is inflammation due to poor treatment of caries and pulpitis. You may also experience toothache under the crown due to incorrect installation. Therefore, it is very important to take a responsible approach to choosing a clinic and a doctor.
If a patient has a toothache after dental treatment, then this is a normal reaction of the tooth to the intervention of a specialist. It goes away within 1-3 days. Toothache after tooth extraction is also a natural consequence of injury to surrounding tissues.
Private dentistry
Acute toothache caught you by surprise at night? People who do not want to spoil their nerves immediately understand where to go: private dental offices or clinics that work around the clock. Here, the service for dental treatment and pain relief, in most cases, will have to be paid according to the current price list. But help will be provided in a timely manner, without unnecessary hassle or questions, and you will feel comfortable.
Some private dentistry may provide free services under the compulsory medical insurance policy, but most often in such cases they ask to provide one more document: SNILS.
You can contact 24-hour private dental clinics
Also, most private dental centers have uninterrupted 24-hour and toll-free communication lines for support and consultation of patients. Therefore, you can always call such a service and get clear recommendations on how to proceed.
Advantages of treating teeth with acute pain at the “Personal Doctor” clinic
Our dental clinic provides a wide range of services, including diagnosis, treatment, prevention of dental diseases, orthodontic treatment, installation of orthopedic structures, dental implantation, etc.
Advantages of the Personal Doctor clinic in Moscow:
- availability of the latest diagnostic and treatment equipment from Italy, USA, Germany, modern instruments. We have laser devices at our disposal that allow us to painlessly and contactlessly treat a diseased tooth;
- sterility, compliance with sanitary and hygienic standards, use of sterilized instruments;
- discounts and promotions for clinic services;
- Dental treatment is possible in installments without interest;
- we treat teeth without pain;
- free consultation.
Regular trauma center
If there are no 24-hour dentists in your city, then there are definitely trauma centers. Yes, the doctors on duty are not dentists and will not be able to cure your tooth, but they will be able to select medications that will relieve acute pain and help you last until the morning.
Help can also be provided at a trauma center.
If an institution operating in accordance with health care standards and providing services under the compulsory medical insurance policy refuses to accept you in an emergency, then you can directly contact the hotline of the City Health Service or the Ministry of Health of Russia, multi-channel telephone2.
Ambulance or urgent care
This option is suitable only for those people who have suffered dental problems and pain as a result of maxillofacial injuries, accidents and falls. In all other cases, the ambulance dispatcher will refuse hospitalization and, as practice shows, will not respond to the call. But the specialist will be able to tell you which institutions in the city you can contact with your problem or give advice on how to relieve toothache before your next visit to the dental clinic.
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toothache
- According to chlgvv.ru
- According to the official website rosminzdrav.ru
Consulting specialist
Dzagurova Elina Ruslanovna
Doctor rating: 9.5 out of 10 (2) Specialization: Dentist-therapist Experience: 11 years
Treatment of toothache
When a toothache occurs, it is very important not to get carried away with self-medication, since in fact this is not a treatment at all, but only a temporary solution to a problem, the development of which can lead to serious consequences. Only a specialist can diagnose the cause of inflammation and prescribe adequate treatment for toothache. It is possible that to determine the source of pain, an x-ray or examination using a radiovisiograph or 3D tomograph will first be required.
It is extremely important to establish as early as possible whether the pain is a consequence of diseases in the oral cavity, or whether it is the result of other pathologies. For example, one of the common causes of toothache is psychosomatics. Then you will need to continue treatment with a specialist of the appropriate profile.
Comments
I once had a toothache at night; painkillers did not relieve the pain well, but I had to endure it until the morning, since there was nowhere to go. It is often recommended to place a crushed analgin tablet on the tooth. But as far as I know, this won't help. Is there any point in such manipulation?
Anna (07/15/2019 at 08:25) Reply to comment
What do you think should be done for a patient who has been refused an ambulance call (by phone), considering the reason for the call to be insignificant, that is, if he had a toothache at night? Where to contact?
Karina (07/15/2019 at 09:08) Reply to comment
Is it possible to take a pain-relieving tablet, Ketanov or Ketorol, if you suddenly have a toothache at night? After all, you can usually get to a private clinic in the morning, and even then, in the best case, there are appointments everywhere, whatever one may say.
Marina (07/15/2019 at 09:45) Reply to comment
I had the same problem, there was no sign of anything, but then one night I had a toothache. A 24-hour pharmacy helped me. I didn’t even think that some dentists could work at night. A good option, not just to relieve pain, but to immediately solve the problem.
Victoria (07/15/2019 at 15:12) Reply to comment
When I had a toothache at night, analgin always helped. But lately my tooth under the crown has been hurting, since I can’t put a pill there, I took it, but to no avail. If it happens again, what should I do?
Anna (07/22/2019 at 11:48 am) Reply to comment
What do you recommend doing if your tooth hurts badly at night? What painkillers will be relevant in this case, and how can you pacify the pain with the help of folk remedies?
Lina (08/14/2019 at 04:48 pm) Reply to comment
An elderly man complains for the second night in a row of severe toothache. How can you help him at home and what can you do if your tooth hurts at night? What infusions or medicinal decoctions can be used to relieve toothache?
Zinaida (08/14/2019 at 06:39 pm) Reply to comment
This is not the first night in a row that the girl has complained of severe toothache in her upper tooth; for some reason it only occurs at night. What do you recommend to do to save yourself from drugs if a girl’s tooth suddenly hurts at night?
Timur (08/14/2019 at 07:24 pm) Reply to comment
What is the first thing to do if you have a toothache during the day or at night? What are the common methods to get rid of severe toothache, especially at night, also if you don’t have the necessary painkiller on hand?
Senkova Inna (08/14/2019 at 07:30 pm) Reply to comment
What should be the first action if you have a toothache at night? Do you really need to take painkillers or is it still possible to relieve severe toothache with the help of proven folk remedies?
Katya (08/20/2019 at 08:27 pm) Reply to comment
Why do teeth begin to ache in the evening, what could this possibly be connected with? What is the best painkiller to take if your tooth hurts at night? They say rinsing with baking soda helps, but I'm not sure for sure.
Yakovleva (08/20/2019 at 20:30) Reply to comment
Are you in Moscow? What about the tooth? Pulpitis probably... In Moscow I know a good clinic on Krasnobogatyrskaya Street, Dr. Razumenko’s dentistry, here’s their website just in case https://www.razumenko.ru/moscow. Their chief doctor, Evgeniy Gennadievich Razumenko, is a very competent and good specialist, and now he personally sees patients. Last week I was there and had a permanent crown installed with permanent cement. I still need to change my old crowns, but Razumenko said that after the quarantine is lifted. The clinic has good equipment, they take temperatures, there are antibacterial gels, well done, in a word, they think about their patients!
Oksana (05/03/2020 at 10:51 am) Reply to comment
soda is really a good topic
Stas (01/29/2021 at 03:13) Reply to comment
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Mandatory visit to the dentist
However, in any case, severe toothache at night will not completely disappear. We can only reduce the unpleasant aching sensations. The dentist can finally relieve the pain.
The dentist will identify the main causes of pain symptoms and will structure the treatment process in such a way as to effectively remove even the slightest manifestations of pain. And the main thing that you should always remember is timely prevention and systematic medical examinations. With this approach to your health, you won’t be afraid of any pain at night.