A toothache can range from a dull throbbing sensation to an intense shooting pain, and can occur with any tooth. If you have extreme sensitivity to hot or cold drinks or foods, it might indicate tooth decay, which can lead to a toothache. See your dentist right away if you experience a toothache.
History
A toothache develops when decay forms on your teeth. When you eat, your saliva breaks down food into smaller particles that you can swallow and digest. Some of these particles become trapped in between your teeth and can hang around the bottom of your teeth, near your gums. If the particles remain on your teeth, your saliva begins to convert food particles into acid, which erodes the enamel off your teeth. Once the enamel, our outer layer disintegrates, it exposes inner layers of your teeth, such as the pulp and dentin, which surround the nerves inside your teeth.
Types
You might experience toothache after eating certain foods, drinking certain drinks, or after taking vitamins. While vitamins are good for your overall health, including your teeth, vitamins can interact with certain medications and cause your teeth to hurt, whether you have tooth decay or not.
Medications
Benzocaine is a local anesthetic that can be used orally or topically. Oral benzocaine is generally used for tooth pain, while topical benzocaine is used to soothe sunburn and other skin irritation. It also can be used prior to performing certain procedures to help numb your skin. Taking vitamins while using benzocaine can cause toothaches, according to Drugs.com. Certain drugs used to treat schizophrenia, such as asenapine, can cause toothache if taken with vitamins, according to MedlinePlus.
Considerations
Tell your doctor if you take vitamins and any other over-the-counter medications before using benzocaine or asenapine. Talk to your doctor about how you feel after you've taking asenapine, especially if you begin to notice any unusual feelings or changes in appetite, sleep or mood.
Warning
Do not use benzocaine or asenapine if you have a known drug allergy. Inform your dentist and other health care providers if you are allergic to benzocaine prior to having any procedures performed. If you do not know of an allergy but begin to experience side effects from these medications, alert your health care provider right away.



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