Top 7 Causes of Tooth Pain — And When It’s an Emergency

Tooth pain has a way of showing up at the worst possible moment — before a big meeting, date night, or halfway through your weekend getaway. But not all toothaches are created equal, and knowing the cause can help you decide if it’s time to call us right away.
1. Cavities — The most common culprit. Small cavities can cause sensitivity, while deeper ones hit the nerve and cause sharp pain.
2. Gum Disease — Inflammation, bleeding gums, and discomfort can signal gingivitis or periodontitis.
3. Dental Abscess — A painful infection that requires urgent treatment to prevent serious health risks.
4. Cracked Tooth — May cause pain when chewing or biting, especially on release.
5. Tooth Grinding (Bruxism) — Can make teeth ache from constant pressure and wear.
6. Sinus Infections — Sometimes, upper tooth pain is actually sinus-related.
7. Impacted Wisdom Teeth — Can cause swelling, jaw pain, and headaches.
When to call immediately: If you have swelling, fever, or severe, throbbing pain, it’s time for emergency care. These symptoms can indicate an infection that needs prompt treatment.
At Big Gay Smiles, we treat tooth pain with a blend of modern technology, gentle hands, and zero judgment — because everyone deserves a healthy, pain-free smile. Whether you need a simple filling or emergency root canal, our affirming team is here for you.