Tooth Decay: When To Call A Doctor

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When To Call a Doctor

You should make an appointment with a dentist if:

• You have not seen the dentist in 6 months to a year.
• You have a toothache. Sometimes a toothache will go away for a while, but the tooth decay will continue. A constant toothache that does not go away could mean that you have severe decay, and you may lose your tooth.
• You have swelling in your gums near a sore tooth. This may mean that there is severe tooth decay or an abscessed tooth. For more information, see the topic Abscessed Tooth.

Watchful Waiting

Watchful waiting is a wait-and-see approach. If you get better on your own, you won't need treatment. If you get worse, you and your dentist will decide what to do next.

Watchful waiting is not appropriate for a toothache. If you ignore the decaying tooth after the pain goes away, the tooth may become seriously damaged.

Who To See

A dentist is best able to evaluate your tooth decay and pain.

If you have severe decay, the dentist may refer you to a specialist, such as:

• An endodontist, who specializes in the diagnosis and treatment of problems of the pulp.
• An oral or maxillofacial surgeon, who specializes in removing teeth and other mouth surgeries.

To prepare for your appointment, see the topic Making the Most of Your Appointment.

Last updated:	July 30, 2007
Author:	Jeannette Curtis
Reviewed By:	Kathleen Romito, MD - Family Medicine, Arden Christen, DDS, MSD, MA, FACD - Dentistry
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC