A member asked:

What causes toothache when it gets cold?

27 doctors weighed in across 6 answers

Inflammation: Sensitivity to cold temperature is a classic symptom of the pulp of a tooth being inflamed. This can be caused by deep decay, recent dental treatment, trauma or exposed roots. See our dentist to have it evaluated.

Answered 10/21/2015

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Nerve changes: When a tooth becomes infected, cold stimulates nerve fibers inside the tooth's pulp. This stimulation is generally perceived as pain, which tells the body that the tooth is "injured" and needs treatment.

Answered 10/21/2015

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Get it checked: An inflamed nerve causes the tooth to respond painfully to cold. An important thing to note is how long the pain lasts. If responds to cold only and lasts just a few seconds this indicates the problem may be reversible and can be fixed with a filling, bite adjustment, or desensitization. If the pain lingers for minutes, needs painkillers, or is spontaneous a root canal may be needed.

Answered 10/21/2015

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Dr. Paul Grin answered

Specializes in Pain Management

See your dentist: or endodontist to diagnose the problem before the pain becomes severe. Take care.

Answered 10/21/2015

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Dr. Gary Sandler answered

Specializes in Dentistry

Toothache to cold: There is nerve tissue within the tooth whose purpose is to detect stimuli and transmit it to the brain as a protective mechanism. In similar fashion if you hold your hand near fire, the brain says : "careful, danger"? The cause can be from merely extreme cold, to defective filling, to decay, to cervical erosion, a fractured tooth, to exposed nerve, etc. See a dentist to determine which one it is.

Answered 10/4/2017

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Dr. Randolph Todd answered

Specializes in Endodontics

See below: There is a theory, first described by M. Brännström in 1966, which suggested that dentine hypersensitivity is due to movement of fluid within the dentinal tubules in response to mechanical, osmotic, and evaporative stimuli.Cold stimuli cause an outward flow of fluid and hot stimuli cause an inward flow.Contrary to others opinions this is not a "nerve" test. Electric pulp tests confirm neural state

Answered 7/12/2015

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