Are you having tooth pain that throbs spontaneously but comes and goes away on its own? One moment it will bother you and you can't ignore it but then it just disappears. However, it returns with a vengeance a few hours later. Is that normal or does it need to be looked at by a dentist?
Surely you can't be thinking that this will go away on its own did you? We're here to tell you what can be causing it and what you should do about it.
![Throbbing tooth pain that comes and goes](https://static.wixstatic.com/media/nsplsh_e167a25790a446ed881f00c943894680~mv2.jpg/v1/fill/w_980,h_653,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/nsplsh_e167a25790a446ed881f00c943894680~mv2.jpg)
Table of Contents:
Why is your tooth randomly throbbing?
If you are having throbbing tooth pain that comes and goes, it means that the nerve of the tooth is either infected or severely inflamed. That throbbing sensation is your body's way of sending you a signal that something unhealthy is going on with your tooth.
The pain will come and go because it serves as a periodic reminder that you should have the tooth looked at. The pain will feel like a heartbeat that is pulsating. Do not ignore it just because it goes away sometimes. We can guarantee that it will come back and most times, it comes back fiercer than ever.
What are the causes of throbbing tooth pain?
The throbbing tooth pain is a result of pulpitis, which means inflammation of the tooth nerve. The nerve inflammation may or may not be accompanied by an infection or an abscess. It all depends on the specific cause of the nerve inflammation.
A cavity that has reached the nerve
The most common cause of the throbbing is a big cavity that has gotten into the nerve. The bacteria in the tooth decay is eating away at your pulp so your body is sending you pain signals for help.
![Cavity into nerve - small red dot is the pulp](https://static.wixstatic.com/media/8960a6_9ec1a153c2ea48a4b0ec141bda464ef6~mv2.jpg/v1/fill/w_400,h_300,al_c,q_80,enc_auto/8960a6_9ec1a153c2ea48a4b0ec141bda464ef6~mv2.jpg)
A tooth fracture into the nerve
If you chipped a tooth or fractured it badly enough, it may involve the pulp. The fracture will cause severe pulp inflammation, which will give you a sporadic throbbing sensation. A small chip on a tooth will usually not cause any pain because it is not close to the nerve.
![tooth fractured down to gum line](https://static.wixstatic.com/media/8960a6_f4d2e1d69d584064ab96cf9e9c4898e7~mv2.jpg/v1/fill/w_640,h_480,al_c,q_80,enc_auto/8960a6_f4d2e1d69d584064ab96cf9e9c4898e7~mv2.jpg)
An abscess in the bone
If the tooth decay has gotten past the pulp and into the bone, it can turn into an abscess. If the abscess is growing inside of the bone, you can feel it swelling up. The pain that you feel from it may throb.
![Abscess in bone](https://static.wixstatic.com/media/8960a6_015d09d1c8e741b6a94d2ad8510a0473~mv2.png/v1/fill/w_667,h_936,al_c,q_90,enc_auto/8960a6_015d09d1c8e741b6a94d2ad8510a0473~mv2.png)
An infection in the gums
Sometimes the abscess in the bone can spread outwards and into the gum, causing the gums to swell up. The gum swelling is an infection and that will cause you pain.
![gum infection](https://static.wixstatic.com/media/8960a6_c44227688e834f7497a357aecc5a6a78~mv2.jpg/v1/fill/w_640,h_480,al_c,q_80,enc_auto/8960a6_c44227688e834f7497a357aecc5a6a78~mv2.jpg)
A large cavity filling that is close to the nerve
You can get pulpitis even if the cavity filling didn't get into the nerve. The reason is because your nerve likes its own personal space. If the tooth filling is placed too close to the pulp, it can get very irritated and start throbbing to let you know that the filling is too close.
Does the throbbing pain mean that you have a tooth infection?
The throbbing tooth pain definitely means that the tooth nerve is inflamed but it may or may not have a full blown infection. You have no way of telling unless you get it checked out by your dentist.
If there is no swelling or abscess present, then it is simply pulpitis or pulp inflammation.
If there is an abscess then we would classify it as an infection.
Regardless of it being a tooth infection or not, the throbbing definitively means that the tooth needs help and it needs treatment by a dentist.
How to relieve throbbing tooth pain.
There is no home remedy that will relieve a throbbing tooth pain because even anesthesiologists who have access to the most potent painkillers still come in as emergency patient to the dentist. Our dentists in long island city have seen this on multiple occasions and only we can help you get some pain relief for your toothache.
There are only two ways to get relief for a throbbing toothache and that is to either remove the nerve or remove the entire tooth along with the nerve. Both ways will kill the tooth pain nerve.
Root canal
The source of the throbbing is coming from the inflamed nerve and your dentist can remove the entire nerve with a procedure called a root canal. If the pulp is gone, then it would no longer be possible for you to feel any pain. This is what a root canal looks like afterwards.
![Completed root canal](https://static.wixstatic.com/media/8960a6_f7e215d41d914a7bbab576ed9ef0883e~mv2.jpg/v1/fill/w_662,h_921,al_c,q_85,enc_auto/8960a6_f7e215d41d914a7bbab576ed9ef0883e~mv2.jpg)
Tooth extraction
This is the more drastic treatment for treating the source of the toothache. Instead of removing just the nerve, your dentist can remove the entire tooth along with the nerve and that procedure is called a tooth extraction. This method ensures that no infected nerve remains in your mouth.
As you can see, it is simply impossible for you to remove the nerve or remove the tooth by yourself at home. In fact, even antibiotics alone won't get rid of this tooth infection. The only way to relieve this toothache is by making an appointment with your dentist. Our emergency dentists on staff can help take you out of pain.
The point that we want to emphasize is that you should probably skip the home remedies and go straight to the dentist. It makes no sense in trying to wait it out because you're only causing yourself more pain.
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