What to Do If Your Child Has a Toothache

A toothache can turn a happy kid into a very uncomfortable one and fast. As a parent, it can be tough to know what’s causing the pain and how serious it is. The good news? Most toothaches can be managed at home until you can get in to see your pediatric dentist.

Here’s a step-by-step guide to help you handle your child’s tooth pain calmly and confidently.

Step 1: Stay Calm and Ask Questions

Kids may not always be able to explain their pain clearly, especially younger ones. Try to ask gentle questions like:

• Where does it hurt?
• Does it hurt all the time or only when you chew?
• Is the pain sharp or dull?

Their answers can give clues about whether it’s something simple (like food stuck between teeth) or more serious (like an infection or cavity).

Step 2: Rinse the Mouth Gently

Have your child rinse their mouth with warm salt water (½ teaspoon of salt in a cup of warm water). This can help reduce bacteria and soothe the area.

Avoid mouthwashes that contain alcohol or strong ingredients — they may cause discomfort or irritation.

Step 3: Check for Food or Obvious Issues

Using clean hands and a flashlight, gently check for:

• Food stuck between teeth (try flossing gently)
• Swelling or redness in the gums
• Cracked or chipped teeth

Sometimes the pain is simply from a popcorn kernel or apple skin lodged between teeth — easy fix!

Step 4: Apply a Cold Compress (If Swelling Is Present)

If your child’s cheek or jaw looks puffy, a cold compress can help reduce swelling and ease the pain. Wrap an ice pack in a towel and apply it to the outside of their face for 15 minutes at a time.

Step 5: Offer Pain Relief (If Necessary)

If your child is in significant discomfort, you can offer over-the-counter pain relievers like children’s ibuprofen or acetaminophen (always follow the dosage instructions). Avoid placing aspirin directly on the gums or teeth — it can cause burns.