Why Does My Tooth Hurt? 7 Common Causes of Tooth Pain Explained

by Dr. Jared Nelson | May 20, 2026 | Dental Repair

man holding cheek experiencing tooth pain

Tooth pain can range from a mild annoyance to severe, throbbing discomfort that disrupts your daily life. While some toothaches may come and go, dental pain is usually a sign that something isn’t quite right. Ignoring the issue can allow it to worsen over time, potentially leading to infection, tooth damage, or more complex treatment needs.

At our Lethbridge dental clinic, we help patients identify the cause of tooth pain and provide treatment designed to relieve discomfort and protect long-term oral health.

What Causes Tooth Pain?

There are many reasons why a tooth or your gums may hurt. Sometimes the issue is minor, while other cases may require urgent dental care. Here are some of the most common causes of toothaches.

1. Cavities and Tooth Decay

One of the leading causes of tooth pain is tooth decay. Cavities form when bacteria and plaque gradually wear down your tooth enamel. In the early stages, you may not notice symptoms, but as the decay progresses deeper into the tooth, sensitivity and pain often develop.

Common signs of a cavity include:

  • Sensitivity to hot, cold, or sweets
  • Pain when biting down
  • Visible dark spots or holes in the tooth
  • Lingering toothaches

If left untreated, cavities can lead to infection or even tooth loss. Early treatment with a filling is often the simplest solution.

2. Cracked, Chipped, or Damaged Teeth

A cracked or damaged tooth can cause sudden pain, especially when chewing or drinking hot or cold beverages. Damage may happen from:

  • Sports injuries
  • Accidents or falls
  • Biting hard foods
  • Teeth grinding (bruxism)

In some cases, cracks are so small they are difficult to see, but they can still expose sensitive inner layers of the tooth.

Depending on the severity of the damage, treatment may include dental bonding, a crown, or other restorative care.

3. Teeth Grinding (Bruxism)

Many people grind or clench their teeth while sleeping without realizing it. Over time, this pressure can wear down enamel, strain the jaw, and create tooth sensitivity or pain.

Signs of grinding may include:

  • Morning jaw soreness
  • Headaches
  • Worn or flattened teeth
  • Tooth sensitivity

Your dentist may recommend a custom night guard to help protect your teeth while you sleep.

4. Wisdom Tooth Problems

Wisdom teeth can become painful when there isn’t enough room in the mouth for them to erupt properly. Impacted wisdom teeth may push against nearby teeth, irritate the gums, or become infected.

Symptoms may include:

  • Pain at the back of the mouth
  • Swollen or tender gums
  • Difficulty opening your jaw
  • Pressure or crowding

In many cases, wisdom tooth removal is recommended to prevent future complications.

5. Gum Disease

Tooth pain doesn’t always start with the tooth itself. Inflamed or infected gums can also create tenderness, swelling, and discomfort.

Early gum disease (gingivitis) may cause:

  • Red or swollen gums
  • Bleeding when brushing or flossing
  • Persistent bad breath

If gum disease progresses, it can damage the supporting bone around the teeth and eventually lead to tooth mobility or loss.

Professional dental cleanings and periodontal treatment can help stop gum disease before it becomes more serious.

6. Tooth Abscess or Infection

An abscessed tooth is a serious infection that develops near the root of a tooth or within the gums. Dental abscesses often cause intense, throbbing pain and require prompt treatment.

Signs of a tooth infection may include:

  • Severe toothache
  • Swelling in the gums or face
  • Sensitivity to pressure
  • Fever or bad taste in the mouth

Dental infections typically do not resolve on their own and may require antibiotics, root canal treatment, or tooth extraction.

7. Tooth Sensitivity

Some people experience temporary sensitivity to hot, cold, or sweet foods. This can happen when enamel becomes worn down or gums begin to recede.

Using toothpaste designed for sensitive teeth may help reduce discomfort. However, if sensitivity lasts more than a few days, it’s important to schedule a dental exam to rule out underlying issues.

Can Pain Around My Teeth Be Caused by Something Else?

Yes. Occasionally, discomfort that feels like a toothache may actually be related to another issue, such as:

  • Sinus infections
  • Colds or viral illnesses
  • Jaw joint problems (TMJ)
  • Headaches or facial muscle tension

Because many conditions can mimic dental pain, an evaluation by a dentist is the best way to determine the true cause.

What Can Help Relieve Tooth Pain?

While waiting for your dental appointment, there are a few things you can do to help reduce discomfort temporarily:

  • Rinse gently with warm salt water
  • Apply a cold compress to the outside of your cheek
  • Take over-the-counter pain relief as directed
  • Avoid very hot, cold, or sugary foods
  • Keep the area clean by brushing and flossing carefully

These remedies may help manage symptoms, but they do not replace professional dental treatment.

When Should You See a Dentist for Tooth Pain?

You should contact your dentist if you experience:

  • Persistent or worsening pain
  • Swelling in the gums or face
  • Pain when chewing
  • Sensitivity lasting more than a few days
  • Fever or signs of infection

Dental pain is your body’s way of telling you something needs attention. Early treatment can often prevent more extensive procedures later on.

If you’re experiencing tooth pain or sensitivity, our Lethbridge dental team is here to help diagnose the problem and restore your comfort and smile.