Dental guides

What Is the Difference Between Tooth Infection and Tooth Pulpal Nerve Pain?

If you’re struggling with dental pain, you may be wondering what the difference is between tooth infection and nerve pain. While they can feel similar, understanding the main symptoms to look out for is important so you know when to seek treatment.

We regularly investigate cases involving dental infections, delays in diagnosis and avoidable nerve injuries following dental treatment. In this guide, we’ll explain the key differences between tooth infection and pulpal nerve pain, what symptoms to look out for, and when dental negligence may be a contributing factor.

What is a tooth infection?

A tooth infection occurs when bacteria enter the inner layers of the tooth or the surrounding tissue. This can happen as a result of untreated decay, gum disease, or complications following dental work.

When bacteria multiply, they can form a pocket of pus, leading to pain, swelling, and other symptoms that may worsen over time if left untreated.

Common symptoms of a tooth infection

Common symptoms of a tooth infection include:

  • Persistent, throbbing toothache
  • Swelling in the face, cheek, or gums
  • Pain when biting or chewing
  • A bad taste in the mouth or unpleasant smell
  • Fever or feeling generally unwell

Infections can spread if not treated promptly, so it’s important to seek dental care as soon as possible if you experience any of these symptoms.

What is pulpal nerve pain in a tooth?

Pulpal nerve pain occurs when the nerve inside a tooth becomes irritated or damaged. This can happen due to decay, trauma, or dental procedures such as fillings or root canals.

Unlike infections, pulpal nerve pain doesn’t always involve bacteria or swelling. It often results from inflammation or direct injury to the nerves and other tissues inside a tooth.

Common symptoms of nerve pain

Nerve-related tooth pain can vary in intensity and duration. Typical symptoms can include:

  • Sharp or shooting pain in the tooth
  • Sensitivity to hot or cold food and drinks
  • Pain that comes and goes (rather than being constant)
  • Tingling or altered sensation in the surrounding area

In some cases, mild pulpal nerve pain may ease as the tooth heals. However, if the pulpal nerve damage is severe, and you are experiencing persistent and worsening pain, you should always get this assessed by a dentist, as further treatment may be required.

Tooth infection vs pulpal nerve pain: what’s the difference?

Although the two conditions have some overlapping symptoms, there are several key differences between tooth infection and pulpal nerve pain.

Nature of the pain

Tooth infection pain is usually constant, throbbing, and can become increasingly severe over time. It often doesn’t go away without treatment.

Pulpal nerve pain, on the other hand, is more likely to be sharp or intermittent. It may be triggered by certain stimuli, such as hot or cold foods, and is more likely to come and go rather than being a constant pain.

Presence of swelling or visible symptoms

Infections often cause visible swelling in the gums or face, and may be accompanied by pus or a noticeable abscess.

Nerve pain typically doesn’t cause visible swelling. The tooth and surrounding area may look normal, even if you’re feeling discomfort.

Cause of the issue

Tooth infections are caused by bacteria entering the tooth or gums. This can be due to untreated severe decay, untreated gum disease or complications from dental work.

Pulpal nerve pain is usually the result of irritation, inflammation, or injury to the nerve inside the tooth. This may also occur due to undiagnosed dental decay, during dental procedures or as a result of trauma.

Urgency of treatment

You should see a dentist no matter which condition is the cause of your symptoms. However, infections generally require more urgent attention. If left untreated, a tooth infection can spread to other areas of the body and lead to serious health complications.

Some mild pulpal nerve irritation may ease on its own, but you should always see your dentist if you experience persistent or worsening symptoms.

When should I seek help?

You should contact your dentist as soon as possible if you experience:

  • Severe or persistent tooth pain
  • Swelling in the face or gums
  • Signs of infection such as fever or pus
  • Pain that lasts longer than a few days after treatment
  • Unusual or worsening sensitivity

Even if the issue turns out to be minor, getting it checked can help prevent further complications and give you peace of mind.

Can dental treatment cause tooth infection or pulpal nerve pain?

While most dental procedures go according to plan, things can sometimes go wrong. Both tooth infections and nerve pain could occur following treatment.

Examples include:

  • Incomplete removal of decay during a filling
  • Poorly performed root canal treatment
  • Use of excessive force during procedures
  • Failure to identify or treat infection early

It’s important to note that not all complications are the result of negligence. However, if your symptoms were caused by avoidable errors or substandard care, you may have grounds to make a claim for compensation.

If you’d like to learn more about your options, visit our page on infections after dental work compensation claims.

Start a claim with the Dental Law Partnership

If you believe your tooth infection or pulpal nerve pain was caused by negligent dental treatment, the first step is to seek advice from a specialist dental negligence solicitor firm, like the Dental Law Partnership.

We offer a free, no-obligation consultation and work on a no-win, no-fee basis. This means there’s no financial risk in finding out whether you’re eligible to claim.

Starting your claim early is important, as time limits apply. In most cases, you have three years from the date of the injury or from when you first became aware that negligence may have occurred.

Get in touch with the Dental Law Partnership today to discuss your situation and take the first step towards making a claim.