It will start out to be a throbbing pain, then continue to get worse and worse until you get it treated. If you wait too long and allow the infection to spread throughout the tooth, you ll end up having to get it pulled or cut out. Anytime you start to experience a toothache, you shouldn t hesitate to make an appointment with your dentist to have it checked. Chewing tobacco is a common contributor to toothaches and tooth pain, as the tobacco will eat away at your teeth until there is nothing left. It doesn t take long for it to happen either, especially if you have been chewing for a long time. Smoking can trigger toothaches as well, as the smoke is bad for your teeth and eats away at them as well. The second type of crack exceeds way below the gum line, and is known as an oblique subgingival fracture. Once the fractured piece of tooth breaks off, it normally remains attached to the gums and cause result in terrible pain until you get it removed. Once you have had the piece of tooth removed from the gums, the tooth will be similar to the supragingival fracture. When someone asks for a root canal on the other hand, most of us, including dentists, find it to be very absurd to say the least. Although many aren t aware of this, root canals have been around for many generations. Many years ago, ancient civilizations used this method to save teeth that would have been lost otherwise. Impacted teeth will normally need to be extracted. Sometimes they can be pulled, although in most cases they need to be cut out by a qualified surgeon. When the time comes to have your wisdom teeth extracted, you ll need to go to an oral surgeon and have a consultation first. During the consultation, you ll take a few x-rays that will let the surgeon know how bad your wisdom teeth are. You shouldn t use a lot of force, simply because it could damage the tooth. You shouldn t force the tooth into place, rather try and jiggle it around. You can also use moist tissue to hold the tooth in place, until you can get to a dentist. If you ve got a fractured tooth, the treatment will all depend upon how bad the booth has been fractured.