Is toothache caused by "excessive internal heat"?

Tooth pain caused by stimulation of the dental pulp is one of the common symptoms in oral diseases, with dental caries being the most frequent cause among all conditions that can irritate the pulp. But is toothache due to "excess internal heat" (so-called "shanghuo")?

Is Tooth Pain Caused by 'Excess Internal Heat' (Shanghuo)?

Tooth pain is not necessarily caused by "excess internal heat." If there is gum pain accompanied by pus discharge, ulceration, or bad breath, and if you have recently consumed spicy or "heat-inducing" foods, stayed up late, or experienced high work stress, then this type of tooth pain may indeed be attributed to "excess internal heat." However, if the pain originates from a cavity inside the tooth, it is not caused by "excess internal heat." Similarly, pain resulting from pulpitis due to tooth decay is also not related to "excess internal heat." In cases truly caused by "excess internal heat," local dental treatments combined with medications like Niuhuang Jiedu Tablets—commonly believed to clear "internal heat"—may help. However, for pain caused by cavities or acute pulpitis, such "heat-clearing" medications are ineffective, and professional dental treatment at a clinic becomes essential.

Systemic Risks of Tooth Pain: Bacteria from dental infection sites may trigger various systemic diseases, such as subacute bacterial endocarditis and rheumatoid arthritis. Periodontal disease and diabetes can influence each other: diabetic patients often suffer more severe periodontal disease than non-diabetics, and uncontrolled periodontal disease can negatively affect diabetes management.

Local Risks: Chronic inflammation in the mouth can become a localized infection source, affecting adjacent teeth, the jawbone, and overall oral health. We hope this information helps you. Wishing you good health and happiness!