This is generally, caused by an exposure of the nerve which fills the internal cavity of the tooth. This exposure is caused by a fracture, or, more commonly, by the rotting away of a part of the tooth. This nerve is extremely sensitive; and, by coming in contact with t he air and acrid substances, inflammation is excited, and toothache is the consequence.
Teeth sometimes ache when they are, to all appearance, perfectly sound. This may be caused by bony enlargements of the ends of the fangs, inflammation of the periosteum, a peculiar irritability and ague of the face, which excite neuralgia, etc.
Pain of a sound ' tooth is sometimes caused by sympathy with a decaying one, by a disordered stomach, or by scurvy, pregnancy, tartar, or whatever excites painful sympathetic action in the nerves of the face.
Treatment. Tooth ache may be quieted by placing a drop of oil of cloves, or cajuput, or a drop of creosote upon a piece of cotton, and inserting it into the cavity of the tooth, and bringing it into contact with the exposed nerve. A few drops of a five per cent solution of cocaine placed in the tooth by means of absorbent cotton, or even wiped around the gum, acts very beneficially and usually quiets the worst tooth ache. Chloroform likewise is often good.
Pains of the face and jaw, when not the consequence of rotten teeth, may be relieved by holding brandy, or whiskey, or rum, or diluted tincture of cayenne, or hot water, in the mouth., and by external applications of laudanum, Oliver's plaster, a mustard plaster, or bops steeped in alcohol, or apply a hop bag heated. But for teeth too much decayed to be saved by filling, there is no remedy so proper as extraction.
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