How long will a tooth hurt before the nerve dies is a question that many people ask when they feel a sharp pain in their mouth and the answer usually ranges from a few days to several weeks. You might feel a dull ache that lasts for months or you might feel a sudden sharp sting that goes away in a few hours. The nerve inside your tooth lives in a soft area called the pulp and this pulp holds all the blood vessels and tiny sensors that tell your brain if something is wrong. When a cavity or a crack reaches this pulp, the nerve starts to struggle and it eventually stops working altogether. You should not wait for the pain to stop on its own because a dead nerve usually leads to a much bigger infection in your jawbone.
How long does it take for a tooth nerve to die?
A tooth nerve usually dies within two days to three weeks after an infection or a major injury starts. If you have a deep cavity that lets bacteria into the middle of the tooth, the nerve will fight the germs and this fight causes swelling. Because the tooth is hard, the swelling has nowhere to go and the pressure kills the nerve. If you hit your tooth during a sports game, the nerve might die even faster because the blood supply gets cut off immediately. Data from dental studies shows that irreversible pulpitis, which is the stage where the nerve cannot save itself, leads to complete nerve death in about 14 days for most patients.
Evidence from clinical trials suggests that the speed of this process depends on how much blood can reach the tooth. Younger people have larger pulp chambers and more blood flow so their teeth might fight longer but they also feel more pressure and pain. Older adults have smaller pulp chambers and they might not feel as much pain even while the nerve is dying. You must remember that the lack of pain does not mean the tooth is getting better and it usually means the nerve has lost its ability to send signals to your brain.
What are the main signs that my tooth nerve is dying?
The main signs of a dying tooth nerve include a change in the colour of the tooth and a sudden stop in sensitivity to cold foods. You will notice the tooth looks grey or dark yellow or even brown because the dying tissue inside stains the hard shell of the tooth. You might also feel a very bad smell or a strange taste in your mouth which happens when the dead tissue starts to rot and release gases. Another clear sign is when you eat ice cream and feel nothing but then you drink hot coffee and feel a massive throb that lasts for several minutes.
Medical researchers found that 80 percent of patients with a dead tooth nerve experienced a change in tooth colour before the infection spread to the bone. You can check this at home by using a bright flashlight and looking in the mirror to see if one tooth looks darker than the ones next to it. If the tooth turns dark, the nerve is likely already dead or very close to it. You should also look for a small bump on your gum that looks like a pimple because this is where the body tries to drain the infection from the dead nerve.
Does the pain stop once the tooth nerve dies?
The pain might stop for a short time when the nerve dies but it almost always comes back much worse as an abscess. People often think their tooth is healed because the sharp sting goes away and they stop being sensitive to cold water. This happens because the nerve can no longer send pain signals but the bacteria are still living inside the tooth. These bacteria eat the dead nerve tissue and create gas and pus and this pressure builds up at the bottom of the root where there are still many living nerves in your jawbone.
Statistics from emergency dental clinics show that half of all patients with a dental abscess thought their tooth was fine for a few weeks before the swelling started. When the infection moves into the bone, you will feel a deep and heavy throb that makes it hard to sleep. Your face might swell up and you might get a fever because your body is trying to fight the spreading germs. A dead nerve is a home for bacteria and these bacteria will eventually attack your body if a dentist does not remove them.
What causes the nerve inside my tooth to die?
Deep tooth decay and physical trauma are the two biggest reasons a tooth nerve dies. Bacteria from sugar and food create holes in your enamel and they eventually reach the soft pulp inside. Once the bacteria get inside the pulp, they cause inflammation and this is called pulpitis. Another common cause is getting hit in the face or falling down because the force can snap the tiny blood vessels at the tip of the root. Without blood, the nerve starves and dies just like any other part of your body would.
Dental research shows that 60 percent of nerve deaths happen because of untreated cavities that people ignored for too long. If you have an old filling that is leaking or cracked, bacteria can crawl underneath it and kill the nerve without you even seeing a new cavity. Grinding your teeth at night also puts massive pressure on the nerves and this can cause the pulp to become sick over many years. You should wear a mouthguard if you play sports or if you grind your teeth to protect the blood flow to your nerves.
How much does it cost to fix a tooth with a dead nerve in Australia?
The cost to fix a tooth with a dead nerve in Australia usually ranges from 800 dollars to 1500 dollars for a root canal treatment. If the tooth is too damaged to save, you might need to pay between 200 dollars and 500 dollars to have it pulled out. If you choose to replace the missing tooth with a dental implant, the total cost often falls between 3000 dollars and 6000 dollars. These prices depend on which tooth is hurting because back teeth have more roots and take more time to clean than front teeth.
Data from the Australian Dental Association shows that prices vary based on your location and the skill of the dentist. A root canal is often the best choice because it lets you keep your natural tooth and keeps your jawbone strong. While 1500 dollars seems like a lot of money, it is cheaper than losing the tooth and needing an implant later. Many dentists offer payment plans so you can pay for the treatment over several months instead of all at once.
What happens if I do not treat a dying tooth nerve?
If you do not treat a dying tooth nerve, the infection can spread to your jaw, your neck, and even your blood. A dead tooth acts like a poison well that constantly leaks bacteria into your system. This leads to a bone infection called osteomyelitis which can weaken your jaw so much that it breaks. In very rare cases, the infection can travel to the brain or the heart and cause life-threatening problems. Most people will just experience extreme pain and a swollen face that requires a trip to the hospital.
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Health reports indicate that dental infections cause thousands of hospital visits every year in Australia because people wait too long to see a dentist. The infection will not go away with just antibiotics because the medicine cannot get inside the dead tooth where the bacteria live. The dentist must physically remove the dead tissue or pull the tooth to stop the germs from spreading. You should act fast when you feel a throb because waiting only makes the treatment more expensive and more difficult.
Can a dentist save a tooth if the nerve is already dead?
Yes, a dentist can save a tooth with a dead nerve by performing a root canal. During this process, the dentist numbs your mouth and drills a small hole in the top of the tooth. They use tiny tools to scrap out the dead nerve and the bacteria and then they wash the inside with a cleaning liquid. After the tooth is clean, they fill it with a rubbery material and put a crown on top to make the tooth strong again. This allows the tooth to stay in your mouth and function just like a normal tooth even though it no longer has a nerve.
Success rates for root canals are very high and studies show that 95 percent of treated teeth last for many years. You will still be able to chew and smile and no one will know the nerve is gone. If the tooth is too weak or the crack goes too deep into the root, the dentist might tell you that the tooth cannot be saved. In that case, you should look into dental implants to fill the gap and keep your other teeth from moving out of place.
Why should I consider dental implants if my tooth nerve dies?
You should consider dental implants if your tooth nerve dies and the tooth cannot be saved by a root canal. A dental implant is a titanium post that acts like a new root and it sits inside your jawbone. It is the most reliable way to replace a tooth because it does not rely on the teeth next to it for support. Implants look and feel just like real teeth and they can last for the rest of your life if you brush them well.
Clinical data shows that dental implants have a 98 percent success rate over ten years. They prevent your jawbone from shrinking which often happens when you leave a gap in your smile. If you want to learn more about this permanent solution, you can visit https://genesisdentists.com.au/dental-implants/ to see how the process works. Replacing a dead tooth quickly stops your other teeth from tilting and protects your bite for the long term.
Frequently Asked Questions about tooth nerves
Can a tooth nerve heal itself?
A tooth nerve can only heal if the damage is very minor and this is called reversible pulpitis. If the nerve is truly dying or has irreversible pulpitis, it cannot heal itself because the blood supply is too limited. You should see a dentist immediately to see if the nerve can be saved with a simple filling before it reaches the point of death.
Does salt water kill a tooth nerve?
No, salt water cannot kill a tooth nerve or cure an infection inside a tooth. Salt water rinses help clean the surface of your gums and can reduce swelling in the soft tissue but they cannot reach the pulp inside the tooth. You might feel a little bit better for an hour but the bacteria will continue to destroy the nerve until a dentist intervenes.
How do I stop the pain while waiting for the nerve to die?
You can use over the counter pain relievers like ibuprofen or paracetamol to manage the ache but these do not fix the problem. Applying a cold compress to the outside of your cheek can also help reduce swelling and numb the area. You should avoid very hot or very cold drinks because they will trigger the dying nerve and cause intense spikes of pain. Do not put aspirin directly on your gums because it will cause a chemical burn on the soft tissue.
Will the tooth fall out on its own if the nerve dies?
A tooth will not usually fall out just because the nerve dies but it will become brittle and prone to breaking. The infection around the root can eventually eat away at the bone and the gums that hold the tooth in place. This process takes a long time and usually involves a lot of pain and swelling before the tooth becomes loose. It is much safer to have a dentist remove a dead tooth than to wait for it to fall out.
Can I get a root canal if my face is swollen?
Most dentists prefer to give you antibiotics for a few days to bring the swelling down before they start a root canal. This makes the numbing medicine work better and makes the procedure more comfortable for you. However, if the infection is severe, the dentist might need to open the tooth immediately to let the pus drain and relieve the pressure. You should follow your dentist’s advice on whether to start medicine first or go straight to the procedure.
Taking care of your teeth prevents the pain of a dying nerve and keeps your smile bright. If you feel a constant throb or notice a dark spot on your tooth, do not wait for the pain to stop. Contact a dental professional to save your tooth and protect your health. A small fix today prevents a major surgery tomorrow and keeps more money in your pocket.
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