A dentist will perform an oral examination and ask about the related symptoms that you have been experiencing, the duration of pain and discomfort, accompanied symptoms, contributing factors which initiate the pain, things that you might have done for the pain such as taking pain killers or seeing a dentist, and so on.
An limited or comprehensive examination might take between 30 to 50 minutes, in which some clinical tests might also be done. The clinical tests related to toothache, which your endodontist will do, are categorized in:
- Tests for the vitality of a tooth and/or presence of the nerve and alive tissues inside your tooth, such as cold tests and test a machine called an Electric Pulp Tester (EPT);
- Tests indicating that there is inflammation around the end of the roots of your tooth, such as tapping over your tooth/teeth;
- Tests for inflammation and infection in the gum tissues surrounding your tooth/teeth;
- Tests revealing cracks inside the crown of your tooth, for example using a transilluminator device;
- Tests for mobility of your tooth inside the bone
- Tests when you bite over a making paper or when you chew on it. This mainly show the high points of a recent filling or a newly inserted crown;
- dental X-rayor radiographs to see if there are any issues going on beneath your gums. In adjunction to normal two-dimensional X-Rays or an Panorex (so called OPG), there might also be a need for a three-dimensional X-Ray such as a CBCT or a CT.
Several treatments for relieving dental pain are available. Your dentist will discuss these treatments with you during the examination, in which you will be provided one that’s right for you depends on the severity of your situation.