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Symptoms

What your symptom usually means

Start from what you are actually experiencing rather than from a treatment name. Each page leads with the signs that make it urgent, then the likely causes, what helps before you are seen, and what treatment costs in Lucknow.

Toothache

Most toothache comes from decay reaching the nerve inside the tooth, and it does not resolve on its own because the inflamed pulp is sealed inside a rigid chamber with nowhere to swell. Painkillers and salt water rinses buy time, not a cure. Pain that keeps you awake, or throbs when you lie down, usually means the pulp is dying and needs a root canal or extraction.

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Wisdom tooth pain

Wisdom tooth pain is usually pericoronitis: infection under a flap of gum over a partly erupted tooth that traps food and cannot be cleaned. It recurs until the tooth either erupts fully or is removed. A wisdom tooth that is fully through, cleanable and biting properly does not need removing simply for existing.

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Bad breath

About 85 percent of persistent bad breath originates in the mouth, most often from bacteria on the back of the tongue and in gum pockets producing sulphur compounds. Mouthwash masks this for roughly twenty minutes without touching the cause. Cleaning the back of the tongue and treating gum disease resolves the large majority of cases.

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Sensitive teeth

Sensitivity to cold usually means dentine has been exposed, either by gum recession or by enamel worn away through acid or hard brushing. Dentine contains microscopic tubules leading to the nerve, so temperature reaches it directly. A brief sting that stops when the cold is removed is typical sensitivity. Pain that lingers past thirty seconds suggests pulp inflammation and needs examination.

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Bleeding gums

Bleeding gums almost always mean gingivitis, inflammation caused by plaque at the gum line. Healthy gums do not bleed when brushed. The common instinct to brush the area more gently makes it worse, because the plaque causing the inflammation stays. Early gingivitis reverses within one to two weeks of proper cleaning plus a professional scaling.

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Yellow teeth

There are two different problems here. Surface stain from tea, coffee, tobacco and paan sits on the enamel and comes off with a scaling at ₹800 to ₹2,500. Internal discolouration, from thinning enamel revealing the yellower dentine underneath, does not respond to cleaning and needs whitening at ₹8,000 to ₹20,000. Most people have some of both.

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Mouth ulcers

Most mouth ulcers are aphthous ulcers and heal on their own in 7 to 14 days. Treatment relieves discomfort rather than speeding healing. The one rule that matters: any ulcer that has not healed within three weeks needs examining, regardless of whether it hurts, because painless persistence is the presentation that matters.

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Jaw pain and clicking

Most jaw pain comes from the muscles that move the jaw rather than the joint itself, and it is usually driven by clenching and grinding. The large majority settles with conservative measures: soft diet, heat, jaw rest and a night guard. Painless clicking on its own needs no treatment. Irreversible treatment should be the last resort, not the first.

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Dry mouth

Dry mouth is most often caused by medication; several hundred drugs reduce saliva, and the effect compounds when someone takes several. It matters beyond comfort because saliva is your main defence against decay, so dry mouth causes cavities rapidly and in unusual places. Management is sipping water, sugar-free gum, saliva substitutes and high-fluoride toothpaste.

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Missing teeth

A gap does not stay stable. Neighbouring teeth tip into it, the opposing tooth over-erupts because nothing meets it, and the jawbone at the site resorbs steadily. Each of those makes later replacement harder and more expensive. The three options are an implant at ₹25,000 to ₹60,000, a bridge at ₹12,000 to ₹50,000, or a denture from ₹3,000.

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Broken or chipped tooth

Keep the fragment in milk, because a clean break can sometimes be bonded back on. Cover a sharp edge with orthodontic wax or sugar-free gum. A small chip with no pain can wait a few days. A fracture exposing pink or red tissue in the middle of the tooth has exposed the pulp and needs same-day attention.

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Facial swelling from a tooth

Facial swelling from a tooth is a spreading infection and needs same-day care, not a routine appointment. Go to an emergency department immediately if the swelling is closing your eye, spreading under the jaw or into the neck, or if you have difficulty swallowing, opening your mouth or breathing. Antibiotics alone do not resolve it; the infection has to be drained.

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If you have facial swelling, do not wait

Swelling that is closing your eye, spreading under the jaw or into the neck, or coming with difficulty swallowing, opening your mouth or breathing, needs emergency medical care the same day. That is a spreading infection heading towards the airway, and it is the one dental problem where delay is itself the risk.

Facial swelling from a tooth →

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Acute pain, swelling and dental trauma are prioritised within working hours.

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