A hole in a tooth, caused by decay or the loss of a filling or crown, exposes the sensitive inner layers of the tooth. This exposure can quickly lead to significant pain, sensitivity, and potential infection. Any at-home attempt is a temporary measure to manage symptoms and protect the tooth until a professional dental appointment can be secured. Maintaining meticulous oral hygiene around the affected area is paramount, as home care cannot provide a permanent fix for the structural damage.
Immediate Relief for Dental Pain
The intense discomfort associated with a hole in a tooth requires immediate management. Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are effective because they reduce inflammation around the affected site. Always follow dosage instructions for safe use.
Applying a cold compress or ice pack wrapped in a cloth externally to the cheek for 15 to 20 minutes can also help numb the area and reduce swelling.
A warm salt water rinse is a beneficial step for cleaning the area and soothing irritated tissues. Mix one teaspoon of salt into eight ounces of warm water and gently swish the solution for 30 seconds. This hypertonic solution helps draw fluid away from swollen tissues, providing temporary relief and keeping the area clean.
Until you see a dentist, avoid extremely hot, cold, or sugary foods and drinks, as these can trigger sharp pain in the exposed area.
Temporary Sealing Products Available for Home Use
Directly addressing the hole requires using temporary dental repair materials. Over-the-counter dental filling kits are available at most pharmacies and typically contain a material based on zinc oxide, sometimes combined with eugenol or calcium sulfate. These materials harden when exposed to moisture, creating a temporary barrier that seals the sensitive structure from food particles and temperature changes.
Before application, gently clean and dry the cavity to ensure the material adheres properly and does not trap bacteria.
To apply the material, roll a small amount into a cone or ball shape and carefully pack it into the cavity using the provided applicator tool. Avoid overfilling the space, as excess material protruding into your bite can cause the temporary seal to crumble under chewing pressure.
Some kits may include dental wax, which can be molded and pressed over a sharp edge to provide a quick, smooth surface. Use only approved dental products; never attempt to seal a hole with common household materials like superglue, chewing gum, or cotton, which can introduce toxins or worsen the infection.
Urgent Warning Signs and Professional Follow-Up
A hole in a tooth requires prompt professional attention. Contact a dentist immediately if you experience severe, throbbing pain not relieved by over-the-counter medication, as this signals a deeper nerve issue or an abscess. Visible swelling in your face, cheek, or jaw that is spreading is a dangerous sign, indicating the infection may be moving into deeper tissues.
Other urgent warning signs necessitating emergency dental care include a fever, general feeling of illness, or difficulty breathing or swallowing. These systemic symptoms suggest the localized infection has become widespread and potentially life-threatening.
When calling your dentist, describe the situation clearly, including whether you have lost a filling or crown, so the office can schedule an urgent appointment.