What Is A Toothache

What Is A Toothache

Many of us has experienced a toothache in our lifetime and for those of us who have, know it is a terrible experience and the toothache can drive you nuts. In the ancient days, before modern pain relief all sorts of crazy and not crazy remedies were used. An old wives tale toothachethat actually works is to chew on spices which sometimes can actually numb the area.

The science of a toothache

The innermost part of the tooth is the nerve chamber. In this hollow area of the tooth, the nerve sits. The nerve inside the tooth is attached to a larger nerve which inturn makes it’s way back into the brain. When that nerve is irritated, we can have tooth sensitivity or a toothache. Swelling or inflammation causes the area to be irritated through a series of chemical steps that the body uses and it secretes various inflammatory chemicals. These can be the cause of the pain in a toothache.

The main cause of dental pain is decay. Decay, a cavity is the hole made by bacteria eating through your tooth. As they make their way into the center of the tooth, the infection cause severe pain and swelling sometimes being noticeable even on the face.  Other reasons for a toothache can be trauma. If a tooth is suddenly jarred like by biting down hard on something or even chomping hard on your own teeth by getting hit on your jaw. There can also be fractures in the tooth that have not yet caused the tooth to break apart. These irritate the nerve causing a toothache.toothache

The main way to treat the toothache is by removing or eliminating the offending stimulus. So , dealing with the decay, or treating the fractured tooth will remove the pain

Dental Pain Relief

Dental Pain

Dental pain is one if those things that until you have experienced it, you can’t imagine how bad it can be. You want to just knock your head against the wall to make it go away. What is dental pain and how can we treat it and prevent it?dental pain dr ari greenspan jerusalem dentist

In general pain allows the body to know that something is wrong. In a tooth the nerves are in the center canal known as the pulp chamber. When that nerve is affected then dental pain occurs. There can be many reasons for dental pain, for example a tooth may have a fracture in it causing inflammation of the nerve. Or, if a cavity is so deep that the decay has penetrated into the nerve, then bacteria enter the area and cause an infection. Since the nerve is in an enclosed area the infection begins to create pressure that can be terribly painful. Often, patients will say their tooth “feels high” when they bite. That is because pus building up under the tooth actually pushes it and makes it a bit higher than the adjacent teeth. Ultimately, the pus breaks through the bone around the tooth causing it to flow into the cheek and cause swelling.

Medications for Dental Pain

dental painkillersIf the source of the pain is an infection, then your dentist has to prescribe the correct antibiotic for you. If you do get an antibiotic, be careful to follow the instructions exactly. If not done so, the pain could actually get worse.

There are 3 basic type of pain relievers

1.Cox-1 inhibitors

Acamol and Non steroidal anti inflammatory drugs -NSAIDs. These drugs, like acamol, optalgin,advil reduce inflammation. They work by inhibiting an inflammatory chemical in the body known as cyclo-oxygenase 1 or COX1. This reduces pain.

2. Cox-2 inhibitors

Cox 2 was discovered with research on pain and found not to be affected by NSAIDs. SO a new class was developed that treats the cyclo-oxygenase 2 or COX2 chemicals preventing inflammation. Both of these reduce swelling locally reducing pain.


These drugs affect dental pain not at the source of the pain but in pain centers of the brain. So codeine or morphine are potent dental pain relievers. They have side effects like, tiredness, dizziness and are addictive.

No matter what, your dentist should be contacted to receive a prescription for dental pain.


Jerusalem dentist

Jerusalem dentist

Dr. Ari Greenspan is a Jerusalem dentist. Our office offers an unusually wide array of dental services at the highest level of quality. Dr. Greenspan, a Jerusalem dentist, studied in The University of Medicine and Dentistry of NJ in the USA.

What is unique about Jerusalem dentist Dr. Ari Greenspan?

  • Dr. Greenspan was the first dentist in the country to use the revolutionary CEREC 3d technology to form crowns in an hour.Jerusalem dentist
  • A great emphasis is placed on continuing education. See here for a complete list of his constant striving for  improving and keeping updated.
  • Jerusalem dentist Dr. Greenspan, is one of a handful of Jerusalem dentist’s who have the permission of the ministry of health to do dentistry under general anesthesia in his office.
  • Dr. Greenspan also is one of a handful of dentists that perform frenectomies for babies who have a tongue tie and have nursing difficulties.
  • The office performs a large amount of esthetic dentistry including full porcelain crowns in Jerusalem as well as porcelain veneers.
  • Naturally, we also do implantology placing dental implants as well as doing sinus lift surgery and bone grafting.
  • We have an active dental hygiene program offering patients the ability to upkeep their mouth in a state of health.
  • We offer childrens dentistry done by Dr. Joel Cohen Jerusalem dentist who is a graduate of Hadassah dental school and an expert in pediatric dentistry. Dr.Cohen has worked for the Ministry of health’s dental division
  • We offer facial pain, TMJ and sleep apnea treat performed by Dr. Larry Lockerman, Jerusalem dentist who practices in the Boston facial pain clinic as well as in Jerusalem.

For more information on Jerusalem dentist Dr. Ari Greenspan at 02 679-8040

Ebola and Dentistry

Ebola and Dentistry

How Ebola and Dentistry affect each other is now a topic that must be thought about. With the recent outbreak of Ebola virus in West africa, we face the concern of a patient with Ebola possibly visiting the dentist. As such Ebola and Dentistry must be evaluated in terms of safety to patients and dental staff.Ebola and Dentistry

The Ebola Virus

This virus is part of a class of viruses called hemorrhagic fevers. Once it is acquired, the patient begins a rapid process of disease culminating in massive internal bleeding and bleeding from bodily orifices. It has a death rate of 50%-90%.  Until this present outbreak, Ebola appeared in remote parts of Africa , and it killed who it was able to but due to the  isolated area, it rarely spread. What makes this outbreak so dangerous is that it has now found its way to population centers and from there it can travel via an infected patient on a plane to other parts of the world. It is only transmitted by direct fluid exchange. Ie, blood, semen,sweat,saliva. It is not transmitted via the air.

Signs and Symptoms of Ebola

In any discussion of Ebola and Dentistry,, we need to understand the disease. The American Dental association in conjunction with the Centers For Disease Control (CDC) list the following.

The most common signs and symptoms of Ebola infection are:

  • fever (greater than 38.6°C or 101.5°F) and severe headache
  • muscle pain
  • vomiting
  • diarrhea
  • stomach pain or unexplained bleeding or bruising

Disease Transmission

The good news is that  Ebola and Dentistry have a small chance of interacting. The disease is non transmissible if there are no symptoms. Since it takes from 2-21 days Ebola and Dentistryfrom exposure to symptoms, we should first be asking patients who have the above symptoms  if they have recently been in West African nations. Most people with symptoms will be too sick to visit a dentist, making our expose unlikely. Universal precautions of gloves and proper sterilization methods renders the virus noninfective. So in summary,  Ebola and Dentistry can theoretically be a concern, but as of now, it is extremely minor.

Wine as an antibacterial

Wine gums

One of the components of red wine protects against tooth decay
May 31st 2014 | From the print edition

jerusalem dentist

WITHOUT regular brushing and flossing, teeth accumulate bacterial films that secrete acid and cause cavities (see article). But sometimes even these good habits are insufficient to shift such films, and a chemical called chlorhexidine has to be deployed as well, in the form of a mouthwash. Chlorhexidine, however, stains teeth and affects people’s sense of taste, so an alternative would be welcome. And Victoria Moreno-Arribas of the Institute of Food Science Research in Madrid believes she may have one: a derivative of red wine. jerusalem dentist

Dr Moreno-Arribas knew from previous work that red wine has antimicrobial properties, but she could find few studies which looked at whether it attacks dental biofilms specifically. To rectify that, she and her colleagues grew five troublesome oral bacteria, Actinomyces oris, Fusobacterium nucleatum, Streptococcus mutans, Streptococcus oralis and Veillonella dispar, on discs of hydroxyapatite, the main component of dental enamel. They fed the bugs by dipping the discs into solutions of sugar mixed with saliva collected from volunteers, who spent several hours spitting into jars. The results have just been published in the Journal of Agricultural and Food Chemistry.

In this section
Muscled out
Power down
Daisy, daisy, give me an answer do
Wine gums
An enlightened approach
Related topics
Culture and lifestyle
Food and cooking
Health and fitness

jerusalem dentist
As expected, the bacteria grew to form films on the discs, just as they do on teeth. After a week of such growth the researchers exposed each disc to one of five treatments every day for a further seven days. Some were swished around in red wine (a pinot noir, vintage 2010) for two minutes. Some were swished in a de-alcoholised version of this wine. Some were swished in chlorhexidine, some in a 12% solution of ethanol (ie, of the same alcoholic strength as the wine) and some in plain water. This combination of experiments let Dr Moreno-Arribas determine whether wine has antibiofilm properties beyond those bestowed by its alcohol content, and also how well it compares with chlorhexidine.

Sadly for oenophiles, chlorhexidine still came out on top. But wine did well against two of the five species, F. nucleatum and S. oralis. Intriguingly, in the case of S. oralis the de-alcoholised version was even more effective than the full-strength stuff.

To find out which chemicals within the wine were having the desired effect, Dr Moreno-Arribas and her team added wine extracts such as flavanols and yeast polysaccharides to the mix and repeated their experiments. The magic turned out to be provided by a group of chemicals called flavan-3-ols.

Regrettably, this work does not suggest that a nightly glass of wine is a sensible substitute for a thorough dental brushing before you go to bed. But it might, if pursued, allow an alternative to chlorhexidine mouthwash to be developed—perhaps one that does not have such a horrible effect on taste buds.

التخدير العام لعلاج الأسنان General Anesthesia

التخدير العام لعلاج الأسنان

هل أنت خائف  من فكرة علاج أسنانك؟

If you are having difficulty having dentistry done  because you are frightened? Do what many others before you have done.  Treat your teeth painlessly while you sleepالتخدير العام لعلاج الأسنان.

إذا كنت تواجه صعوبة في علاج الأسنان لأنك خائف؟ افعل ما فعله الكثير من قبلك. عالج أسنانك بدون ألم وانت نائم.

Now even the most frightened person can have their teeth treated safely and comfortably while you sleep.  Here is how it works. After having an exam and a treatment plan done, the anesthesiologist evaluates your health. If you are a candidate, we gently make you drowsy and then you fall asleep. While you sleep, we finish your dental treatment.

الان حتى الأشخاص الاكثر خوفا يمكنهم معالجة أسنانهم براحة بدون ألم أثناء نومهم. بعد عملك للفحص نقوم باعداد خطة للعلاج ومن ثم يقوم طبيب التخدير بتقيم وضعك. إذا كنت مرشحا ، نقدم لك بلطف النعاس ثم تغفو. بينما أنت نائم ، سوف ننهي علاج أسنانك.

It really is that simple: Wake up with perfect teeth!

بمنتهى البساطه: استيقظ واسنانك مثالية!!

Our anesthesiologist Dr. Ziegelman, American trained and board certified  with 25 years of experience, runs the intensive care unit in Shaarei Tzedek Medical Center in Jerusalem.  Dr. Greenspan has been doing General anesthesia dental cases for more than 20 years.

لدينا طبيب التخدير الدكتور زيغليمان, يحمل البورد الأمريكي ولديه خبرة 25 سنة في هذا المجال, ويدير وحدة العناية المركزة في مسشفى شعاري تسيدك في القدس. وقد قام  الدكتور غرينسبان بالتخدير العام لحالات علاج  الأسنان  لأكثر من 20 سنه.


Billions Worldwide Suffer from Major Tooth Decay

Billions Worldwide Suffer from Major Tooth Decay

May 30, 2013 — Billions of people across the globe are suffering from major untreated dental problems, according to a new report led by Professor Wagner Marcenes of Queen Mary, University of London, published in the Journal of Dental Research.tooth decay


Professor Marcenes of the Institute of Dentistry at Queen Mary led an international research team investigating oral health as part of the Global Burden of Disease (GBD) 2010 study.

The report shows that oral conditions affect as many as 3.9bn people worldwide — over half the total population. Untreated tooth decay or cavities in permanent teeth — also known as dental caries — was the most common of all 291 major diseases and injuries assessed by the GBD 2010 study, affecting 35 per cent of the world population.

“There are close to 4bn people in the world who suffer from untreated oral health conditions and Tooth Decay that cause toothache and prevent them from eating and possibly sleeping properly, which is a disability,” comments Professor Marcenes. “This total does not even include small cavities or mild gum diseases, so we are facing serious problems in the population’s oral health.”

The GBD 2010 estimated that the disability associated with severe tooth loss was between those reported for moderate heart failure and moderate consequences of stroke.

Oral conditions accounted for an average health loss of 224 years per 100,000 people (years lived with disability or YLDs) — more than 25 out of 28 categories of cancer assessed in the GBD 2010 study.

tooth decayThe study found that the global burden of oral conditions is shifting from severe tooth loss towards severe periodontitis and Tooth Decay. It found that the global burden of oral diseases increased 20 per cent between 1990 and 2010, while a reduction of 0.5 per cent was observed for all conditions together. This increase was mainly due to population growth and ageing.

Professor Marcenes interprets this observed shift: “Tooth loss is often the final result when preventive or conservative treatments for tooth decay or gum disease fail or are unavailable. It is likely that current dental services are coping better to prevent tooth loss than in the past but major efforts are needed to prevent the occurrence and development of gum diseases and tooth decay. Ironically the longer a person keeps their teeth the greater the pressure on services to treat them.”

The largest increases in the burden of oral conditions were in Eastern (52 per cent), Central (51 per cent) and Sub-Saharan Africa, and Oceania (48 per cent).

The Global Burden of Diseases, Injuries, and Risk Factors Study commenced in the spring of 2007 and was a major effort involving nearly 500 scientists carrying out a complete systematic assessment of global data on all diseases and injuries.

Professor Marcenes comments on tooth decay: “Our findings are set to shake up the setting of health priorities around the world, providing an unparalleled amount of up-to-date, comparable data on the diseases, risk factors, disabilities, and injuries facing populations.

“The findings of the GBD 2010 study highlighted that an urgent organized social response to oral health problems is needed. This must deal with a wide array of health care and public health priorities for action.”

Report is entitled: Global Burden of Oral Conditions 1990-2010: A Systematic Analysis

This article appeared in Sciencedaily.com

Pancreatic Cancer And Your Teeth

Recent studies have shown a link between Oral Hygiene and Pancreatic cancer.

We all know flossing is important to keep your mouth healthy. However, recent studies have found a much greater link between oral hygiene and general health. The debris and bacteria that lurk in between the teeth, an area that brushing does not reach, can have a great impact on your general health.

pancreatic cancer oral hygiene

Pancreatic cancer

Studies have shown that the inflamed and infected gums cause the bodies inflammatory system to kick in, causing a host of different actions and flooding the blood system with inflammatory hormones. We have seen how there is a relationship between periodontitis and heart disease, erectile dysfunction, prostatitis and other medical problems. Now the scientists see a connection between gum disease and pancreatic cancer.

Pancreatic Cancer

Pancreatic cancer is a very severe one. Almost 1/4 of the deaths from cancer in the US are from pancreatic cancer. It also  has a very poor prognosis. Even being discovered at stage 1, there is only a 25% 5 years success rate. while definitive causes for this cancer have not been clearly defined, smoking seems to be a major factor accounting for 30% of these tumors.

Flossing Benefits

Flossing has many benefits. Besides making your gums healthy it also plays a role in preventing bad breath. The American Diabetes association says that gums disease is a causative factor in diabetes and can certainly make the diabetic worse. Bacteria in the

Benefits Of Flossing

Benefits Of Flossing

mouth also can affect the respiratory system.

Researchers from the Harvard School of Public Health in Boston surveyed more than 50,000 male health professionals (about half of them dentists) to determine who had periodontal disease, then followed them for 16 years; 216 eventually developed pancreatic cancer. After controlling for known risk factors like smoking, alcohol intake, and body weight, the researchers found that those with gum disease were 64 percent more likely to develop the cancer than those with healthy gums; those who had lost teeth because of severe gum disease had 2.7 times the risk. “Since the cancer is so highly fatal, it’s interesting to have a new risk factor to help us understand the disease better,” says study leader Dominique Michaud.


Correlation Between Benign prostatitis and psa Levels and Periodontitis

Correlation Between Benign Prostatitis and PSA Levels and Periodontitis

Generalized inflammatory processes affect the body and mouth. Erectile dysfunction has a relationship to gum disease. Benign Prostatic hypertrophy an PSA levels that are elevated , are common as men age. They can be benign or could be an indication of prostatic cancer,

Recently, a correlation has been found between, prostatitis and psa levels and  gum disease.

see this recent article on the correlation.

Periodontal disease and high PSA levels