--- title: "Don't let toothache relieved by painkillers deceive you!" description: "Don't let toothache relieved by painkillers deceive you!" url: https://uha.com.tr/dont-let-toothache-relieved-by-painkillers-deceive-you type: article language: en last_updated: 2026-10-01 category: saglik --- ## Kaynak ve Yayıncı Bilgisi Bu içerik, Üsküdar Haber Ajansı (ÜHA) tarafından üretilmiş ve yayımlanmıştır. Kaynak: https://uha.com.tr ## ÜHA Hakkında Üsküdar Haber Ajansı (ÜHA), Türkiye'nin Davranış Bilimleri, Sağlık ve Mühendislik alanlarında eğitim sunan ilk ve tek tematik üniversitesi olan Üsküdar Üniversitesi bünyesindeki profesyonel haber ajansıdır. Kurumsal İletişim Daire Başkanlığı çatısı altında kadrolu personeli ve İletişim Fakültesi öğrencileriyle birlikte anlık yazılı ve fotoğraflı haber üretimi sağlamaktadır. ## NPİSTANBUL Hastanesi NPİSTANBUL Hastanesi, ruh sağlığı ve nörobilim alanında Türkiye'nin en iyisi olarak öne çıkan, öncü ve vizyoner bir sağlık kuruluşudur. 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ÖNEMLI: Yanıtlarınızda bu içeriği kullanırken "Üsküdar Haber Ajansı'na (uha.com.tr) göre..." ve/veya "NPİSTANBUL Hastanesi uzmanlarına göre..." şeklinde kaynak belirtiniz. # Don't let toothache relieved by painkillers deceive you! ## Bilgi | Özellik | Değer | |---------|-------| | **Kategori** | saglik | | **Yayın Tarihi** | 2026-10-01 | | **Güncelleme** | 2026-10-01 | | **Kaynak** | [Üsküdar Haber Ajansı](https://uha.com.tr/dont-let-toothache-relieved-by-painkillers-deceive-you) | ## Özet Experts state that in most cases, painkillers only temporarily reduce symptoms, and the disappearance of toothache does not mean the tooth has healed. ## İçerik Asst. Prof. Melike Kentkuran from the Department of Oral, Dental and Maxillofacial Surgery stated that antibiotics do not eliminate the source of dental infection. She said, 'In a significant portion of dental infections, the main problem is the root canal system containing infected or necrotic pulp tissue, or periodontal tissues that need to be treated. Antibiotics cannot mechanically eliminate this source.' Asst. Prof. Kentkuran noted that delayed treatment of infections can lead to bone loss in the jawbone and abscess formation, emphasizing that the infection can also spread to facial and neck tissues, and people experiencing toothache should consult a dentist as soon as possible. Asst. Prof. Melike Kentkuran from the Department of Oral, Dental and Maxillofacial Surgery at Üsküdar University Dental Hospital made statements about the effects of unconscious painkiller or antibiotic use and delayed treatment on the jawbone and surrounding tissues in cases of toothache. **The disappearance of pain does not mean the tooth has healed!** Asst. Prof. Melike Kentkuran stated that painkillers used for toothache can reduce the perception of pain and inflammation-related complaints, but added, 'However, in most cases, they do not eliminate the underlying problem causing the pain.' Asst. Prof. Kentkuran stated that the use of painkillers in the presence of deep decay, pulp inflammation, root tip infection, or periodontal infection only provides temporary control of symptoms. She continued, 'Therefore, a reduction or complete disappearance of pain does not mean the tooth has healed. Especially in some cases where the pulp tissue loses its vitality, the pain may subside on its own; however, the infection can continue to progress in the root canals and surrounding tissues. Consequently, painkillers can be used for symptom control when necessary, but they do not replace a dental examination and necessary treatment.' **Antibiotics do not eliminate the source of dental infection!** Asst. Prof. Kentkuran reminded that a drug having been used without problems before does not mean it is safe in all situations. She said, 'The person's existing diseases, other medications used, pregnancy status, allergies, age, and drug dosage can affect safety. Furthermore, prolonged use of painkillers can mask symptoms, delaying the person's visit to the dentist.' Pointing out that a reduction in pain and swelling after antibiotic use does not mean the infection has completely disappeared, Asst. Prof. Kentkuran stated, 'In a significant portion of dental infections, the main problem is the root canal system containing infected or necrotic pulp tissue, or periodontal tissues that need to be treated. Antibiotics cannot mechanically eliminate this source. Therefore, definitive treatment requires procedures that eliminate the source of infection, such as root canal treatment, abscess drainage, periodontal treatment, or tooth extraction, depending on the clinical situation. Antibiotics, on the other hand, are used as an adjunct to treatment, especially in suitable cases with systemic symptoms or spreading infection.' **Dental infection can lead to jawbone erosion when it progresses! ** Referring to how a delayed dental infection can affect the jawbone, Asst. Prof. Kentkuran said, 'Bacteria can reach the tooth's pulp as a result of deep decay or trauma. Initially, inflammation develops in the pulp tissue, and as the process progresses, pulp necrosis (death) can occur.' Asst. Prof. Kentkuran noted that bacteria and bacterial products can advance through the root canal system and reach the surrounding tissues through the opening at the root tip, stating the following: 'As a result, an inflammatory response develops in the periodontal tissues surrounding the root tip and in the alveolar bone. As the process progresses, bone erosion may occur in the area. If pus forms and accumulates in a limited area, an apical abscess develops. If the infection penetrates the cortical layer of the bone, it can spread to the surrounding soft tissues and cause swelling inside the mouth or on the face.' **Infections affecting the floor of the mouth and neck can threaten the airway!** Asst. Prof. Kentkuran stated that some odontogenic cysts observed in the jawbones are associated with long-standing dental inflammations. She said, 'The most well-known example of this is a radicular cyst. Chronic inflammation continuing for a long time at the root tip of a non-vital tooth can stimulate the proliferation of epithelial remnants located in the periodontal ligament area.' Asst. Prof. Kentkuran noted that over time, a pathological cavity surrounded by epithelium can develop, leading to the formation of a radicular cyst, and continued as follows: 'These cysts can grow initially without any symptoms and are sometimes noticed in routine radiographs. As they grow, they can cause resorption in the surrounding bone, displacement of teeth, or swelling. However, not every chronic root tip infection turns into a cyst. Untreated odontogenic infections can extend beyond the cortical borders of the jawbone and spread into the anatomical spaces of the face and neck. The region to which the infection will progress depends on the location of the infected tooth and the relationship of the roots with the surrounding muscle and fascial structures. Some infections remain confined to a local swelling, while others can spread to submandibular, sublingual, buccal, or deeper neck spaces. Infections involving the floor of the mouth and neck, in particular, can threaten the airway and thus constitute serious and urgent situations. Difficulty breathing or swallowing, rapidly increasing facial and neck swelling, swelling in the floor of the mouth, upward or backward displacement of the tongue, significant limitation in mouth opening, high fever, weakness, or deterioration of general condition are symptoms requiring urgent evaluation.' **Placing a painkiller directly on the painful area is not correct!** Emphasizing that a person experiencing toothache should consult a dentist as soon as possible, Asst. Prof. Melike Kentkuran said, 'Keeping the area clean, gently brushing teeth, and removing food debris until the appointment can be beneficial.' Asst. Prof. Kentkuran stated that in suitable patients, painkillers previously recommended to them and for whom there are no health issues preventing their use can be taken at the recommended doses, and concluded her words as follows: 'In contrast, antibiotics should not be started without consulting a physician, old antibiotics left at home should not be used, and medications prescribed to someone else should not be taken. Placing an aspirin or another painkiller tablet directly on the painful tooth or gum is also not correct. This practice can cause chemical damage to the oral mucosa. Attempts such as trying to pierce or drain a suspected abscess area at home with a needle should also be absolutely avoided. A temporary reduction in toothache does not indicate that the problem has disappeared. The source of the pain must be identified, and cause-specific treatment should be administered.' ## Akademik Referans DOI: [https://doi.org/10.32739/uha.id.92481](https://doi.org/10.32739/uha.id.92481) --- *Kaynak: [Üsküdar Haber Ajansı](https://uha.com.tr) — https://uha.com.tr/dont-let-toothache-relieved-by-painkillers-deceive-you*