Toothache in Children: What to Do?

In this article we look at what causes toothache in children, how to ease the pain, and what steps to take to treat and prevent it.

Causes of Toothache in Children

Toothache can have a number of causes, some of the most common being:

1. Tooth Decay: One of the main causes of toothache, especially if the decay is advanced.
2. Gum Inflammation: Inflammation and gum infections can cause significant pain.
3. Infections in the Pulp or Tooth Roots: These can result in painful abscesses.
4. Dental Trauma: This includes fractures to the crown or the root of the teeth.
5. Teething: The phase when the teeth come through can cause discomfort and pain.
6. Pain of Non-Dental Origin: Some pain can be mistaken for toothache but has another origin.

Depending on the cause, the pain may require the intervention of a paediatric dentist. However, some steps can be taken at home to ease the pain until professional care is available.

How to Ease Toothache in Children

Here are some strategies for easing toothache in children:

1. Maintain Good Oral Hygiene: Brush the teeth regularly (plaque should be removed every 12 hours) and use floss to remove debris between the teeth.
2. Rinsing with Mouthwash: Using a mouthwash can help keep the mouth clean and reduce the pain.
3. Applying Cold: If the pain is caused by trauma, applying ice to the cheek near the affected area for 15–20 minutes every 1–2 hours can help reduce the pain and swelling. The ice should be wrapped in a compress or a cloth.
4. Use of Painkillers: An over-the-counter painkiller can be given, following the dose appropriate to the child's age.
5. Compression in Case of Bleeding: Apply a sterile compress directly to the site of the bleeding for 30 minutes.

When to Seek Medical Care

Although some home measures can help ease the pain, it is crucial to see a dentist if:

• The pain does not improve after 48 hours.
• There is a fever.
• A tooth is fractured or lost.
• There is extreme sensitivity to touch, cold or heat.
• There is a headache or dizziness.
• There is swelling, redness of the gums, a bad smell or a strange taste in the mouth.
• There is persistent bleeding.
• There is difficulty opening and closing the mouth, forming words, breathing or swallowing.

Preventing Toothache

Preventing toothache involves maintaining good dental hygiene and taking safety measures to avoid trauma. Some recommended practices include:

1. Dental Hygiene: Teach children to brush their teeth twice a day and to floss regularly.
2. Avoiding Trauma: Use protective devices during sports, and stop children from putting non-food objects in their mouths.
3. Careful Eating: Avoid letting children eat while walking or running, to prevent falls and injuries.

Products for Teething Pain Relief

For relief from the pain associated with teething, seek advice from the paediatric dentist about topical products suitable for children. These products can provide temporary relief and make the experience more comfortable for the child.

How to Book a Paediatric Dentistry Appointment in Lisbon at Kids and Teens

To book a paediatric dentistry appointment at Kids and Teens in Lisbon, get in touch by phone – 927 561 634 –, email or visit the clinic's website for more information about the services offered and opening hours.

Meet the Paediatric Dentists at Clínica Kids and Teens

Clínica Kids and Teens has a team of paediatric dentists who are experienced and qualified. They include Prof. Sofia Arantes e Oliveira, Dr Joana Castanho, Dr Ana Catarina Claro and Dr Inês Almeida. Visit the clinic's website for detailed information about each professional and to book an appointment with the specialist of your choice.

Remember: taking good care of children's teeth from an early age is fundamental to ensuring good oral health and preventing future problems.