Even though the nerve may not be present, vertical apical root fractures cause a lot of pain, which occurs in the tooth. Normally, vertical apical fractures will cause you more pain than any other type of fracture. The resulting pain comes from the fragments putting pressure on the bone, causing the fractured pieces to strain. A toothache can come at any given time, even though you may not expect it. The pain can be unbearable at times, and you ll do practically anything you can to make the pain stop. When a toothache first comes on, many of us start to wonder what caused it to happen. Some of the main causes of toothaches include decay, a fracture in the teeth, and cavities. 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. These civilizations offered root canals to those such as queens, kings, pharaohs, and the rich. The teeth from peasants were normally extracted then sold to aristocrats. With the areas missed by the toothbrush, the debris and plaque will continue to build up until they eventually result in a cavity or decay. To get this debris and plaque before it builds up into something more serious, you ll need to floss. If you ve been afraid to try flossing due to the bleeding, you should really get over that fear and floss after you brush. For many years, there has been a lot of controversy as to the need to remove these teeth. If the teeth don t cause any harm or pain, they are normally fine to stay in place. If they present a bad position or cause you a lot of pain or discomfort, they will need to be removed. When the wisdom teeth first come in, they will sometimes be impacted. IV sedation can either be conscious or put you out totally. Normally, IV sedation is preferred during wisdom teeth removal, as most people don t want to hear the grinding and snapping of the teeth. It works through your veins, as the anaesthesia is inserted into your arm through a vein. If you have chosen either laughing gas or an IV sedation, your dentist will administer either of the two before he gives you shots or goes any further.