As a dentist, I typically don’t go to Google to get information about dental problems, but I know that a lot of people do – particularly in the middle of the night or when their dentist’s office is closed. One day I decided to find out what w actually comes up on the internet when people search for toothache remedies. So I did some Google searches myself. What I discovered is most of the advice is for home remedies for toothaches. Some I was familiar with, some I wasn’t.
The majority of the home remedies I found online are not what I typically recommend to my patients. But I was curious if any of them actually work. So, I did some research (mainly to dispel some of the myths) and to my surprise, some of them actually make sense scientifically.
Here’s the list, my opinion on each, and some NYC humor to go along with it:
Common Home Remedies for Toothache
1. ASPIRIN
Many people believe that a good way to relieve tooth pain is to place an aspirin on the gum of the affected tooth. Don’t do it! Aspirin is acidic and will burn your gums. You’d be surprised by how many people I have seen over the years who tried it and caused harm to their soft tissue.
Note: If you had a headache, would you put an aspirin on your forehead? Swallow the aspirin.
2. GARLIC
In addition to using it to ward off vampires, garlic also has medicinal value. When garlic is crushed or finely chopped two chemicals that join to form allicin, which has antibiotic properties and can offer a bit of pain relief. If you try this, make sure you crush the garlic and be aware that it can be irritating to your gums, so put it only in the cavity in the affected tooth.
Note: Garlic powder is not a substitute for fresh garlic. (It’s great on pizza, though.)
3. ONION
A lot of the websites I found tell you to put a piece of raw onion on the affected tooth. Because onion has antimicrobial properties it may provide a slight bit of tooth pain relief.
Note: This is not good for one’s social life.
4. CLOVES
Oil of cloves, also known as eugenol, has both antimicrobial and pain relieving properties and is a common ingredient in many dental products. Here’s how to use it to relieve tooth pain: mix 2-3 drops with olive or cooking oil and saturate a piece of cotton with the mixture. Place the cotton directly into the cavity of the affected tooth. Place a piece of dry cotton over the tooth and bite down. You can also grind or crush whole cloves with a few drops of cooking oil for the same effect.
Note: You might get some relief, but you’ll smell like the holiday ham. (I can think of worse smells.)
5. BOURBON OR WHISKEY
The alcohol in bourbon and whiskey is both an antiseptic and an astringent. Some of my patients believe they get pain relief from swishing it around in their mouths. However, any pain relief they perceive is likely due to the irritating effects of the alcohol on their gums districting their brain from the pain signals coming from the tooth.
Note: You’re better off drinking the booze. (Neat – not on the rocks because cold aggravates painful teeth.)
6. WARM SALT WATER
Warm salt water is one of the most recommended and most effective ways of soothing a toothache. Here’s how to use it: place 1/4 – 1/2 tsp. of salt in 8 ounces of very warm (not hot) water. Swish the mixture around in your mouth, then spit it out. The salt water will draw fluid away from the tissues of the affected area and reduce pressure on your nerve endings.
Note: Eating salty potato chips will not have the same effect.
7. BAY BERRY BARK AND VINEGAR
I found quite a bit on the web that recommends mixing bay berry bark and vinegar into a thick paste and applying it onto the hurting tooth as a home remedy for toothache. I’ll give this one an honorable mention.
Disclaimer: I have no idea what bay berries are.
And there you have it – a review of the most commonly recommended home remedies for tooth pain you can find on the web.
But Remember!
A toothache is a horrible experience and ALWAYS signals that something is wrong. When left untreated it can lead to serious health problems beyond just your affected tooth. So, if you’re in pain or have swelling in or around your mouth, you must contact a dentist as soon as possible. Even if your toothache goes away, the problem that caused it will not.
At my office, when a patient calls with an emergency when the office is closed, they will get my personal cell number (so help is literally a phone call away.) I usually tell them to drink a big glass of straight bourbon and call it a night (kidding).
For more remedies for toothache pain, check out my article: 5 Ways to Get Relief for a Toothache
Dr. Michael Sinkin is a general dentist in New York City. He loves being a dentist and is known throughout the city for taking wonderful care of his patients and for his wicked sense of humor. For more about Dr. Sinkin, click here.
68 Responses
Loved it, very well written, the notes and disclaimers made me laugh especially “If you had a headache, would you put an aspirin on your forehead? Swallow the aspirin” was really awesome but I do agree to the main idea of the blog to concern a professional in such situations rather than trying such remedies and taking risk. Thank you for sharing it.
Hi, Dr. Simkin. I found your website through Google and hope you’re still answering. My regular dentist is out of town for a week and (just my luck) I have some sensitivity, bordering occasionally on pain, in the upper right area of my mouth. Not sure if it’s a gum or tooth issue. Tylenol seems to help enormously. When I called my dentist’s office, the receptionist told me he is away, made an appointment for me in a week (his first day back), and said if I felt it was an emergency, she would set me up with his back-up dentist. How do I judge whether waiting a week is doing harm? I love and trust my dentist, and I have a complicated and tricky set of teeth and gums, so I’m wary of seeing somebody not familiar with my story. But am I taking too high a risk trying to wait it out? Again, with Tylenol, it’s perfectly manageable, but I fear there’s an issue lurking that will escalate suddenly, and I’ll regret waiting. What do you think? Thanks so much!!!
Dear Geri,
I fully appreciate your apprehension over seeing a new dentist and based upon what youve told me. That said, I am sure that your dentist has full confidence in the dentist with whom he has entrusted his patients well-being in his absence. See how it goes, and have a little faith in your dentist’s judgement should you run into a problem.
Good luck!
Dr. Michael Sinkin
I’ve been having pain on my 2nd to last bottom right molar since a week already. Went to the
dentist and she said that I have no cavities. She also mention that my last bottom right molar shows that the nerve is almost touching the filling of my tooth, that I needed a root canal. So why do I feel pain on the 2nd to last molar when the last molar is the one that she said needs a root canal? Do I really need to get a root canal for the last molar or can I just extract the molar?
Dear Angie,
There is a phenomenon known as referred pain where the cause of one’s tooth pain is perceived to be from another tooth. Referred pain is not an obscure occurrence. That said, before any treatment decision is made careful diagnostic evaluation is critical, lest the wrong tooth is treated. Might I suggest speaking to your dentist as to his level of confidence that the tooth that may need root canal is the actual cause of your pain (as opposed to the 2nd to last tooth)?
You could also see an endodontist (a root canal specialist) for a second opinion.
I hope I was helpful.
In Health,
Dr. Sinkin
Hi Doctor! Thank you for your kindness i. Answering all these questions after all this time!
I had a root canal done about 5 years ago on one of my molars. For the past few days it has been aching really bad. The pain travels to my neck and ear. I’m going to try and schedule something soon with someone, but I’m wondering, how is this possible if a root canal was already done? It hurts worse now than it did pre-root canal. I can’t even bite down or sleep well 🙁
Dear Vee,
While your tooth may have had root canal that doesn’t mean that you can’t/don’t have sensation. The tooth is not vital in the sense that in as much as the nerve has been removed you won’t respond to cold, sweets or temperature changes. But the tooth is very much a part of your body and will respond to pressure and biting forces because it is surrounded and connected to living tissue such as bone,connective tissue (what is commonly referred to as the periodontal ligament) and of course gums. One possible cause of pain is a gum infection around the tooth. This can manifest itself by the symptoms you describe.
Also, when a tooth fractures (especially along the root), severe pain on biting and abscess formation can result. Sometimes, even years after root canal was completed, a reinfection can occur around the root. Possibly, there is an extra nerve canal that was not detected when the original treatment was performed. Whatever the cause, clearly you need to see your dentist for an evaluation and hopefully your problem can be easily addressed.
Best of luck,
Dr. Sinkin
Hi ive had a broken tooth since last year i think its been hurting so much latly and i cant go to the dentist till jan and my teeth cannot stand cold water should i try the onion or garlic trick? Also asprin dont rly help either thanks and plz reply and im female
Dear Whitney,
Aside from alternatives to aspirin like Advil or Tylenol (only if you can take them) I can recommend frequent warm salt water rinsing. I’m afraid that home remedies only go so far. You may have an access forming which will most certainly need a dentist’s care. If there’s any way you can get to the dentist before January, do it! If it’s a financial issue, perhaps your dentist will work with you to delay or spread out payments. Good luck.
Dr. Sinkin
Hey I have a throbbing pain I my last top left molar. I had broke it months ago and have never felt pain. This pain started a few days ago. First it was a couple of my top left teeth, then the next day the pain was barely there. Then this morning no pain. Then a few hours later I had pain. Took a nap after taking 2 -599mg Tylenol and not my lad too left molar is throbbing. It hurts to bite down. It feels like it might be swollen since that side seems to but down a little lower then the right. What should I do? What could this be? What’s sown temporary relief?? Pleas help thanks
Dear Jenn,
Sorry for your troubles. Clearly what you need to do is to see a dentist. The swelling that you describe might very well be an abscess (infection). Please, seek out professional care before matters worsen. Good luck.
Dr. Sinkin
Dr. Sinkin, you are so wonderful and kind for answering these dental questions. I am 46 and have had all 4 wisdom teeth out. This weekend I developed serious pain in one of my top molars. Out of the blue with no previous problems. I have an appointment for the dentist tomorrow but of course I have tremendous anxiety and fear. My whole face is throbbing and I look like a chipmunk. This pain is seriously worse than child birth.
Dear Michelle,
I am so sorry for your suffering. What you didn’t say was when your wisdom teeth were extracted. So I can’t surmise is whether you are experiencing post-operative sequella or if there might be another problem going on. Either way, you obviously did right by scheduling a dental appointment. I am confident that your dentist will be able to get to the “root” of the problem. Please try to find some calm. The intensity of your pain may be greater than the underlying problem causing it and pain in and of itself can engender a lot of anxiety and stress.
Good luck and feel better.
Dr. Sinkin
Hello, I have a broken maxillary bicuspid that my dentist told me was infected, and she recommended extraction. The problem? I live in an a very remote area where the only options are oral surgery at a hospital known for having an inordinately high rate of death during non-risky procedures. I have multiple sclerosis, and our hospital’s high rate of septic deaths concerns me greatly. Because infection alone can lead to disability for me thanks to the M.S., I’m automatically wary of any place with less than stellar reputation for infections. On top of the M.S., I also have a midline anomaly which in youth complicated my dental health (have one singular front tooth, exactly in the middle).
Oral surgery when I was young to “make room” in my mouth removed 8 teeth, including 2 impacted teeth up top that they’d said were blocked by baby teeth, but I recall actually losing the teeth that were in the way (i.e., the surgeon actually removed permanent teeth even though he assumed they were deciduous teeth, probably because other teeth were still stuck beneath them), so I think what I had maybe fits under the category of “supernumary teeth” even though it was only two of them.
After surgery, I began having sinus problems, requiring 2 sinus surgeries, one of which my surgeon said was the worst case of swelling he’d seen in his 3,000 times performing the procedure. I had large gaps in my upper jaw due to the oral surgery, that eventually filled in but I suspect I’ve experienced some bone loss in my alveolar plate over the years (I’m 40, have family history of severe osteoporosis, and the broken tooth crumbled pretty easily…. it’s immediately adjacent to a bridge, and it actually broke while I was flossing!).
After the oral and sinus surgeries, I went on to develop chronic migraines and M.S….. I’ve no idea how this is all related, if at all, but I’m far too worried about post-surgical complications in an area with one neurologist in a 600 mile radius (no joke), and a “Hotel California” type hospital. I’m considering traveling to a city near my family, where I could get an oral surgeon well versed in some of the sinus issues and hopefully some of the congenital dental anomalies I have as well.
MY QUESTION FOR YOU:
What subspecialty of oral surgeon should I seek out for this? Is a craniofacial surgeon appropriate?
And should I return to my dentist for antibiotic treatment for the infection, until I can get to a surgeon out of state? I feel like the infection may be affecting my M.S. Thank you.
Hello there,
That is quite a story….sounds, more like A Little Shop of Horrors than Hotel California!
May I suggest you see a board-certified (or equivalent if you’re not in the U.S) oral and maxillary surgeon to evaluate your condition. And yes, you should definitely return to your dentist immediately if you have an infection.
Good luck and safe travels.
Dr. Sinkin
Hi doc,
I’m 15 years old and have got agonising tooth ache in the top and bottom of my mouth on the right side. I have tried doing the salty water and I’ve also taken 2 nefopam. I cannot sleep because the pain is agonising and as it is a Sunday//Monday morning all emergency dentists are closed until 9am. I don’t know what has caused this however I have got decay in the base of my tooth. My gums are inflamed and the pain just won’t go away! Help me please???
Many thanks Beth
Dear Beth,
I am sorry for your troubles. Nefopam is not a commonly prescribed medication, but is in the family of non-opioid centrally acting pain relievers. You simply need to see a dentist. Warm salt water swishing and possibly an NSAID, like ibuprofen (assuming you have no allergies or have not experienced effects from similar medications) or Tylenol is all I can recommend. Given your age, I am reticent to give you any advice that would postpone your needed dental visit. Good luck and feel better.
Great,
Dr. Sinkin
I have a hole in my tooth it’s been hurting last few days been eating ibuprofen like candy I am a single mom so can’t really afford a dentist Wat do u suggest
Dear Tiffany,
I can’t tell you the number of times that I have received cries for help because of tooth pain and financial distress. Either condition is bad enough, but together….uggh! There are certain over-the-counter dental products that you may try, like Dent-Temp. You can usually find them a well stocked pharmacy. Follow the directions on the package. You will need to see a dentist at some point as your tooth most likely has decay which will only get worse. Be well and good luck.
Dr. Sinkin
Hi Dr. Sinkin,
I need a root canal and that particular tooth the hole got a bit bigger and started killing me a couple days ago.
Oragel and 800mg ibuprofen was doing the job until last night. I’ve put on some clove and more oragel and the pain is OKAY right now. More of that throbbing pain where my gums hurt too…I have taken some clindamycine for the past couple days just in case. Do you recommend a medicated filling will hold until I get the funds for the root canal? I have one in another tooth that actually needs the same tx, and it’s held for over a year! No pain…thanks . and I did contact my dentist but she hasn’t answered me as of yet.
Dear Maria,
You are certainly resourceful and have managed your mini-crisis effectively. It is possible that an over-the-counter temporary filling may buy you some more time as it usually contains cloves and might offer continued relief. BUT…sealing up a potentially abcessed tooth may make the situation worse. Even if you need root canal and finances are a problem, your dentist could offer palliative care as a stop-gap measure and help you with a treatment plan that will address your needs in a staged treatment approach. Reach out to your dentist again and see if a personalized plan can be devised that considers your dental, personal and financial particulars. Good luck. And, please if you find relief from our discussion of home remedies, remember that pain is a symptom of an underlying condition that needs professional attention. Don’t get lulled into a false sense of security.
Good luck,
Dr. Sinkin
I understand your position and thank you for taking the time to reply. I have considered the nerve, gums and protecting adjacent teeth. I’m going to practice building a tooth before I simply stick material on the actual tooth. I’m just unsure of what is actually required to make the resin adhere to the tooth. The acid etching especially makes me nervous and finding laymen information is not easy. Seeing a dentist is just not an option. I understand a person in pain will do or pay anything to make it stop, what i don’t understand is how many dentists can take advantage of that.
Dear Dr,
I’m 56 and a mouthful of problems and very limited funds. The two pressing issues are a broken front tooth that has ruined my smile and a broken(missing filling)/infected molar. I’m getting some vlc composite resin to build a new front tooth and possibly fill my molar. My question is this: will it work to use a light activated one step etching cement on the broken tooth and then just apply the resin onto that? I don’t think just putting the resin into the tooth and curing the thin applications will actually stick to existing tooth by itself. I’m not needing anything perfect , just better than what it is now. Thank you
Dear Bob,
I truly sympathize with your situation, but I can’t in good conscience advise you how to proceed. It’s a bit more complicated than just sticking material on your tooth. There’s the tooth’s nerve to consider, the surrounding gum tissue, the adjacent teeth, your bite, how are you going to shape and polish once you light cure it? You really need to see a dentist. That’s my advice to you.
Best of luck,
Dr.Sinkin
So i went to the dentist Thursday to have braces put on and 4 teeth pulled…well on the top right tooth it’s hurting still really bad. That’s the tooth my dentist crumbled into pieces while trying to pull it out. Is it suppose to hurt like this…i feel like my nerve is throbbing…my other teeth feel fine,except the one she damaged into pieces. HELP!!! Pain pain go away i cant sleep and i even took my pain meds!!!
Yes, it’s possible to feel the pain you are experiencing because you are obviously feeling it! You need to see your dentist as soon as possible. The other extractions went well, but this one clearly has complications. Your dentist should be able to give you some relief and reassurance.
Feel better,
Dr. Sinkin
Dear Dr
I have two fractured teeth in the back of my mouth can’t afford to go to dentist I am a stay at home mom and caregiver for my grandmother so I am in severe pain and tried salt water orajel pain meds and the only relief I have got is for like 5 mins and it’s when I put liquid children’s tylenol on the tooth any suggestions I’m hurting really bad maybe another abcess so I started taking some cipro I had laying around the house
Dear Brittany,
Oh boy! I am so sorry for your troubles. By the sounds of it, you really need to see a dentist – home remedies will be of limited value and may only offer some very temporary relief. Based on your comments, you have experienced dental abscesses before and while antibiotics can address the acute infection, if you don’t address the “root” cause, it will return (and the bacteria may become more resistant to the antibiotic).
If you have no allergies or sensitivities to medication or other underlying medical conditions, I suggest Ibuprofen. Warm salt water is always helpful. Over the counter aids that contain eugenol {oil of cloves) can be applied topically for relief.
With all of your responsibilities, you can’t afford to develop a more serious infection. Seeking out a low cost dental clinic may be the way to go. Call your personal doctor or your children’s pediatrician and ask for some guidance and possible recommendation for a dentist. He/she might be willing to prescribe a broad spectrum antibiotic that is better suited to your problem than Cipro. You can also call the local dental society for a recommendation. But, you need to see a dentist before you have a real crisis. I wish you well.
Please let me know how you make out.
Dr. Sinkin
I started getting a toothache on my top molar a couple weeks before my cleaning. It’s very sensitive to anything cold but the pain lingers on and is a dull ache. Similar to the soreness I felt after getting my wisdom teeth out. I had the cleaning yesterday and they said everything looked good and thought the pain could be from a leaky filling since I have a large filling in that tooth that goes down the side but couldn’t find any infection or cavity. I’m scheduled for a crown in a month (the soonest they could get me in). Is it really possible a leaky filling could cause this much pain and the tooth is really alive? Everything online makes it sound like I’d need RCT… Also what would you recommend to handle the pain for the next month? So far I’ve just been taking painkillers and using salt water rinses. I’ve heard a lot of good stuff on clove oil but not to use it for extended periods. I’ll take any recommendations! Thanks!
Dear Tammy,
Home remedies are not what you need right now. Lingering discomfort after cold stimulus can be a sign of pulpitis (inflammation of the nerve). The type of pain you describe is likely to be nerve-related.
Call your dentist immediately and speak with him/her directly (not the staff). Explain what you are experiencing exactly the way you described it in your comment. If you can’t be seen right away, ask for a referral to an endodontist (root canal specialist) to evaluate your tooth.
Best wishes for a quick resolution,
Dr. Sinkin
Dr. S,
I happened upon your site and figured I would ask your opinion. I have several tooth issues however, the problem I am having right now that is causing me severe pain is in tooth #31. It has a massive cavity that has sloped the molar from about half way from the top mid section down to the gum line against my cheek. Not having dental insurance until June of this year I have tried many different remedies some work for a bit, some do not. I have seen a dentist but the expense involved is too much for me to currently pay. The dentist did today give me penicillin vk 500mg and tramadol 37.5-325. How long before the tramadol is in my system to help relieve some of the pain and will the penicillin kill off the bacteria enough to cause some relief from the pain? Also, I seem to have better relief from cold things than I do with anything heated. Like cold air, ice, etc. Any idea why that would be? Thanks for any advice.
Dear Vito,
I’m sorry for your dental problems. Unfortunately (as I have stated many times), dental, and for that matter, medical conditions, requiring treatment arise independent of one’s insurance status. TraMadol is an opioid pain medication that is not intended for long term use, especially in your described situation which is of an acute nature. Yes, it will offer relief by dulling your central nervous system’s pain response, but until the cause of the problem is addressed resolution and ultimate relief will not occur. The penicillin prescription will address the infection that I assume you have (why else would you be given an antibiotic?) but the source of your dental abscess needs remedied.
It would guess that you do have an inflamed/infected dental pulp based on the size of the cavity you describe and the pain elicited by heat and cold. A deteriorating nerve can generate gas build up within the tooth. Heat causes the gas to expand placing more pressure on the nerve endings and hence, pain. Cold water reduces the gas expansion.
Waiting until June is unlikely a viable option as you may develop a more serious infection and more pain. If my assessment is correct, your tooth may require either root canal (and a crown) or extraction. If you have as many dental problems as you indicated you need to see a dentist and triage (prioritize treatment) your dental landscape and eliminate infections and decay with the mindset that definitive care (i.e. crowns, bridges, possible implants, partial dentures) may take a back seat to getting your mouth stable.
Seek out a dentist who can help diagnose and plan for treatment for your multiple problems in a thoughtful and logical sequence that takes into consideration your limited financial resources. This can be done. It may take longer to cross the finish line, but dental health and comfort is achievable. Good health.
Dr. Sinkin
I had a broken tooth, which my dentist said left a big hole. He said it could be filled, which is what he did about 2 months ago. He said there is about a 75 percent chance that it will stay. Tonight, I have some throbbing in the gum. The throbbing is not painful, but if I barely push on the tooth with my tongue or start to bite down on something, it hurts up in my gum. I have brushed, flossed, and used salt water. Just no idea why it would be swollen. The filling is all still there. Wondering what your thoughts are.
Dear Lisa,
I can’t diagnose without the benefits of an exam and x-rays, but here’s my impression. You had a very large filling placed and by your dentist’s description I suspect he repaired your tooth by patching it. Finances may have had a play in your treatment often in this type of situation we opt for a crown. Since the filling is very large your tooth’s nerve may have been traumatized or damaged. The swelling in your gum could be an abcess forming. Schedule an appointment with your dentist for an evaluation as soon as possible. Better safe than sorry.
Good Luck!
Dr. Sinkin
I had my wisdom tooth pulled 2 weeks ago, the yesterday the molar next to it because he accidentally broke it and it was beyond painful. When he pulled my wisdom tooth he dug down into my gum and got the tongue side good. It caused bone to pop through my gum, jaw bone I’m assuming. When I went to get my molar pulled yesterday he sanded the jaw bone part which was ok until the swelling went down ands now I have a long sharp piece of bone cutting up my tongue. Will the bone die and come out or will the gum grow over it. I’ve seen a lot about it coming out, but he said my gum would just grow back over it. Will it? Should I have it sanded some more since it’s soooo sharp. And are all these common enough problems that I shouldn’t find a new dentist. I’m worried because it seems like every time he does something he messes something else up. Thank you in advance.
Dear Dana,
I am really not sure how to respond to your report of what happened…but on the surface I would say that you experienced enough complications to seek a second opinion. I just don’t have enough facts to render an informed opinion: was your wisdom tooth impacted or badly decayed? was your adjacent tooth healthy or broken down with decay or large fillings? how is your general health? do you have diabetes, osteoporosis, etc. Potentially many factors can be in play to help shed light on your experience. So I won’t comment on the why’s or how’s of what happened. That said, I believe that you should get another professional to evaluate your condition.
Difficult extractions can yield the type of complications you describe. Pieces of bone called sequestrae can break through the gum days, weeks, sometimes months after such an extraction and can usually be removed like a splinter. Sometimes the bone needs to be reshaped if the gum is to thin or the sharp promenance of remaining bone encompasses too large an area. And sometimes there is “collateral damage” during truly difficult procedures. I suggest you seek out an oral surgeon for an evaluation. You have questions about your dentist’s ability. Seek out a second opinion before making any decisions.
Good luck and I’m sorry for your troubles.
Dr Sinkin
Sen