Toothaches can be tough for kids, and it’s never easy for parents to see their child in pain. Whether it’s a dull ache or sharp discomfort, toothaches can make daily activities difficult. Understanding what might be causing the pain and knowing what to do before contacting a pediatric dentist in the Bronx, NY, can help ease your child’s discomfort and prevent bigger dental issues. Here’s a guide to causes, treatments, and when to seek professional care.

Common Causes of Toothaches in Children

There are several reasons why children might experience toothaches, and while some causes are more common than others, it’s always a good idea to pay attention to your child’s symptoms. Here are a few common reasons why kids might have tooth pain

1. Tooth Decay (Cavities)

Tooth decay is the most common cause of toothaches in children. When plaque—a sticky film of bacteria—builds up on the teeth, it can produce acids that erode the enamel and lead to cavities. Once a cavity forms, it exposes the inner part of the tooth, which can cause pain, especially when eating or drinking hot, cold, or sweet foods.

What to Do: If you suspect your child’s toothache is due to a cavity, it’s important to schedule a dental appointment as soon as possible. Cavities don’t heal on their own, and without treatment, they can lead to more serious issues, such as infections or tooth loss. A pediatric dentist can assess the cavity and provide a filling or other necessary treatment to stop the decay from spreading.

2. Tooth Sensitivity

Sometimes, children experience sensitivity to hot or cold foods without having a cavity. Tooth sensitivity can be caused by several factors, including weakened enamel, gum recession, or even certain dental treatments. If your child’s teeth hurt when they eat ice cream or drink hot chocolate, sensitivity might be the culprit.

What to Do: To help manage tooth sensitivity, try switching to a toothpaste designed for sensitive teeth. Encourage your child to avoid extremely hot or cold foods and beverages, and be sure to schedule a dental checkup to rule out other possible causes of their discomfort.

3. Teething (in Younger Children)

For babies and toddlers, teething is a normal part of development, but it can be quite painful. As new teeth push through the gums, they can cause swelling, soreness, and general discomfort. This is especially common when molars come in.

What to Do: Teething pain can often be managed at home. You can gently massage your child’s gums with a clean finger or offer them a chilled (but not frozen) teething ring. If the pain persists or seems to be causing a lot of discomfort, ask your pediatric dentist for advice on safe, over-the-counter pain relief options.

4. Gum Disease (Gingivitis)

Gum disease isn’t just a problem for adults; children can develop it too. Gingivitis, the earliest stage of gum disease, can cause swollen, red, and tender gums that might bleed when brushing. If your child’s toothache is accompanied by sore or bleeding gums, gum disease could be the cause.

What to Do: The best way to address gum disease is through good oral hygiene. Make sure your child brushes twice a day, flosses daily, and uses an antibacterial mouthwash if recommended by their dentist. Regular dental cleanings can also help keep gum disease at bay.  

5. Tooth Injury or Trauma

Children are active, and accidents can happen. A fall, a bump while playing sports, or biting down on something hard can lead to a cracked, chipped, or even knocked-out tooth. Tooth injuries can cause immediate pain or discomfort that appears later, even if the tooth looks fine on the outside.

What to Do: If your child experiences a tooth injury, it’s important to contact a pediatric dentist right away. Even if the damage seems minor, an examination can determine if there are hidden issues that need to be addressed. For immediate relief, applying a cold compress to the area can help reduce swelling and pain.

6. Erupting Permanent Teeth

As children grow, their baby teeth make way for permanent teeth. While this is a natural process, it can sometimes cause discomfort. Pain can occur when permanent teeth are pushing against baby teeth that haven’t fallen out yet or when new molars come in.

What to Do: Encourage your child to wiggle loose baby teeth to help them fall out naturally. If a permanent tooth is struggling to emerge because a baby tooth is still in place, your pediatric dentist may need to remove the baby tooth to make room. Regular checkups will ensure that teeth are developing correctly and that any issues are caught early.

What You Can Do to Help Your Child at Home  

When your child complains of a toothache, there are a few things you can try at home to relieve their discomfort:

Rinse with Warm Salt Water

Have your child rinse their mouth with warm salt water. This can help reduce inflammation and kill bacteria, providing some relief from pain. Mix half a teaspoon of salt into a glass of warm water and have them swish it around their mouth for about 30 seconds before spitting it out.

Cold Compress

If swelling accompanies the toothache, applying a cold compress to the outside of your child’s cheek for 15 minutes can help numb the area and reduce swelling.  

Encourage Gentle Brushing and Flossing

Sometimes, food particles stuck between teeth can cause temporary discomfort. Encourage your child to brush and floss gently, making sure not to irritate the area further.

When to See a Pediatric Dentist

While minor toothaches can sometimes be managed at home, there are times when a visit to the dentist is necessary. You should schedule an appointment with a pediatric dentist in the Bronx, NY, if:

• The toothache lasts for more than a day or two.

• The pain is severe or throbbing.

• There’s noticeable swelling in the face or jaw.

• The toothache is accompanied by fever.

• Your child has difficulty eating, sleeping, or speaking because of the pain.

Getting professional care is essential to identify the root cause of the problem and ensure your child’s dental health remains strong.

Need to Talk to a Pediatric Dentist in The Bronx, NY?

Toothaches are never fun, but knowing what to do can make a big difference. If your child is experiencing dental pain, the team at Perfect Smile Doc is here to help. We provide gentle, effective care to ensure your child’s comfort and health. Schedule an appointment today, and let us take care of your child’s smile.