Your Toothache May Be Trying to Tell You Something
One sharp jolt when you bite into dinner can be easy to dismiss. Maybe you chew on the other side for a few days and hope the discomfort disappears. But when a tooth consistently hurts when you bite down, that pain can signal an underlying dental problem that deserves attention.
At Summit Family & Cosmetic Dentistry, Dr. Anibal Lopez can evaluate your tooth pain, identify the likely source, and discuss appropriate treatment options.
If your tooth hurts when you bite down, call our Spokane dentist at (509) 466-1200 to schedule an appointment with Dr. Lopez. We also welcome patients from Mead, Colbert, and Five Mile Prairie.
Why Choose Summit Family & Cosmetic Dentistry for Tooth Pain Relief?
Clear Answers Before Treatment
Tooth pain can have several possible causes, and our Spokane dental team takes time to explain what he finds during your examination. Whether your discomfort is related to decay, a cracked tooth, an infection, your bite, or another concern, understanding the problem can make treatment feel much less overwhelming.
A Comfortable Environment for Nervous Patients
Tooth pain can be especially stressful if you’re already anxious about dental treatment. Summit Family & Cosmetic Dentistry places a strong emphasis on patient comfort and offers sedation for patients who experience significant dental anxiety.
Convenient Care When You’re in Pain
When you’re hurting, waiting weeks for an appointment isn’t ideal. Summit Family & Cosmetic Dentistry provides emergency and urgent dental services and encourages patients to call when they have an unexpected dental concern.
1. A Cracked or Fractured Tooth
A cracked tooth is one of the most common reasons a tooth may hurt when you bite down. A fracture can allow pressure to move through the tooth unusually, irritating the inner tissues.
Some cracks are easy to see, while others are extremely difficult to detect without a dental examination. You may notice:
- Sharp pain when chewing
- Pain that occurs with certain foods
- Sensitivity to hot or cold
- Discomfort that comes and goes
- Pain when releasing your bite
Cracked teeth can develop from injuries, biting hard foods, tooth grinding, large fillings, or normal wear over time.
If a tooth suddenly starts hurting when you bite into something crunchy or hard, don’t assume the problem will disappear. Dr. Lopez can examine the tooth and determine whether the pain may be related to a crack or another dental condition.
2. Tooth Decay or a Deep Cavity
A cavity begins when bacteria and acids gradually damage tooth enamel. Without treatment, decay can progress through the enamel and dentin toward the inner pulp.
Early cavities may cause no noticeable symptoms. As decay becomes deeper, you may experience:
- Tooth sensitivity
- Pain when chewing
- Sensitivity to sweets
- Temperature sensitivity
- Persistent toothache
A cavity that has reached deeper layers of the tooth may become particularly sensitive to pressure.
3. A Dental Filling or Crown That Is Too High
Sometimes the tooth itself isn’t infected or cracked. The problem may involve a dental restoration that interferes with your bite.
After receiving a new filling or crown, you may notice that one tooth hits first when you close your mouth. This can place excessive pressure on the tooth during chewing and cause discomfort.
Signs that your restoration may need an adjustment include:
- Pain when biting down
- A feeling that your bite is uneven
- One tooth contacting before the others
- Jaw discomfort after chewing
If your tooth begins hurting after receiving a filling or crown, let your dentist in Spokane know. A simple bite evaluation can help determine whether the restoration is contributing to your symptoms.
4. An Infected or Inflamed Tooth
Pain when biting down can sometimes indicate inflammation or infection inside a tooth.
The soft tissue inside your tooth contains nerves and blood vessels. If bacteria reach this area through deep decay, a crack, or trauma, the pulp may become inflamed or infected.
Additional symptoms may include:
- Persistent tooth pain

- Severe sensitivity
- Pain when chewing
- Swollen gums
- A pimple-like bump on the gums
- Tooth discoloration
- Facial swelling
Severe facial swelling, difficulty breathing, difficulty swallowing, or rapidly progressing swelling may require emergency attention.
5. Gum Disease or Inflammation Around the Tooth
The source of biting pain isn’t always the tooth itself. The gums and supporting structures around the tooth can become inflamed and tender.
Gum disease develops when plaque and bacteria accumulate around the teeth. Early gum disease may cause bleeding or swollen gums. More advanced periodontal disease can affect the tissues and bone supporting the teeth.
You may notice:
- Red or swollen gums
- Bleeding while brushing or flossing
- Persistent bad breath
- Gum recession
- Loose teeth
- Tenderness when chewing
If your tooth feels sore because the surrounding tissues are inflamed, treating the underlying gum problem becomes an important part of restoring comfort.
6. A Dental Abscess
A dental abscess is a collection of pus caused by a bacterial infection. It can develop around the root of a tooth or within the gum tissue.
Possible symptoms include:
- Severe toothache
- Pain with chewing
- Swollen gums
- Facial swelling
- Fever
- Bad taste in the mouth
- Pus around the affected tooth
- A swollen lymph node
If you’re experiencing significant swelling or signs of infection in Spokane, contact Summit Family & Cosmetic Dentistry at (509) 466-1200.
7. Tooth Grinding or Clenching
Do you wake up with a sore jaw or notice that your teeth hurt after stressful days? Tooth grinding and clenching may be contributing to your discomfort.
Bruxism places repeated pressure on your teeth. Over time, it can contribute to:
- Tooth sensitivity
- Flattened or worn teeth
- Cracks
- Jaw soreness
- Headaches

- Pain while chewing
Some people grind their teeth during sleep without realizing it. A dental examination can reveal signs of excessive wear or damage.
Should I Wait and See If My Tooth Pain Goes Away?
Occasional mild sensitivity isn’t always a sign of a serious dental problem. However, pain that repeatedly occurs when you bite down deserves attention.
Don’t wait for an appointment if you develop:
- Severe or worsening pain
- Facial or jaw swelling
- Fever
- A dental abscess
- Significant bleeding
- A knocked-out permanent tooth
- A broken tooth causing severe pain
- Difficulty swallowing or breathing
Dental problems can become more complicated when treatment is delayed. Getting an evaluation early may allow for simpler treatment and help preserve more natural tooth structure.
How Is Tooth Pain When Biting Down Treated?
Dental Fillings for Tooth Decay
If a cavity has caused your tooth to become sensitive or painful when chewing, a dental filling may be enough to restore the damaged area. Removing the decay and replacing the weakened tooth structure can help restore normal function and protect the tooth from additional damage.
Bite Adjustment for a High Filling or Crown
If your tooth started hurting after a filling or crown was placed, the restoration may be interfering with your natural bite. When one tooth receives too much pressure during chewing, it can become tender. A simple bite adjustment may reduce that pressure and allow the tooth to feel comfortable again. Dr. Lopez can check how your teeth come together and determine whether an adjustment is appropriate.
Dental Crowns for Cracked or Weakened Teeth
A cracked, fractured, or significantly weakened tooth may require a dental crown. A crown covers the tooth and provides additional support during everyday biting and chewing. For patients in Spokane, this type of restorative treatment can help protect a compromised natural tooth while restoring its shape, appearance, and function.
Root Canal Therapy for an Infected Tooth
If bacteria have reached the pulp inside the tooth, you may need root canal therapy. During treatment, Dr. Lopez removes the infected or inflamed pulp, cleans and disinfects the root canals, and seals the tooth. Root canal therapy can often preserve a natural tooth that might otherwise require extraction.
Don’t Let One Painful Tooth Change Your Day
When your tooth hurts every time you bite down, it’s easy to hope the discomfort will disappear on its own. Sometimes it does temporarily, while the underlying problem continues developing. Getting answers can give you peace of mind and may help prevent a small dental concern from becoming a much bigger one.
Dr. Lopez and the team at Summit Family & Cosmetic Dentistry are here to listen to your symptoms, identify the cause of your pain, and help you find the right path toward a comfortable, healthy smile. If you’re from Mead, Colbert, or Five Mile Prairie, call our Spokane dental office at (509) 466-1200 to schedule an appointment.

