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This site will help you decide about treatments for severe toothache – also known as Severe Pulpitis.
What is Severe Pulpitis?
Severe Pulpitis is a form of severe toothache which can be very painful but is not life-threatening. When the nerve of the tooth gets inflamed (e.g. dental cavity/trauma/previous deep filling), it causes the pain and symptoms you may be experiencing. This is called Severe or Irreversible Pulpitis.

What are the symptoms?
You may experience in your mouth:
- Intense pain that is difficult to pinpoint to one tooth
- Throbbing (feels like heartbeat)
- Pain worse with cold/ hot
- Pain worse when lying down
- Painkillers not helping
Do you need treatment?
If you experience symptoms, we strongly recommend seeking dental support with your local dentist or dental emergency/NHS 24 to prevent any further complication (dental abscess, tooth loss, further toothache). You can take nonsteroidal anti-inflammatory drugs (like ibuprofen) if it’s safe for you, or paracetamol as an alternative. Be sure to follow the recommended doses.