Definition

Sharp, shooting tooth pain is a sudden, intense pain that feels like an electric shock or stabbing sensation in a tooth.
It usually indicates irritation or damage to the dentine or nerve and often requires urgent dental assessment.

Is This a Dental Emergency?

Yes — sharp, shooting tooth pain often requires prompt clinical assessment, particularly when it is sudden, recurring, or worsening.
Emergency dental care focuses on identifying the underlying cause of nerve-related pain and determining whether immediate stabilisation is needed, as outlined in our emergency dentistry care framework.

Use the guide below to understand urgency

Immediate dental emergency (seek care today):

  • Electric shock–like pain
  • Pain triggered every time you bite or chew
  • Pain waking you at night
  • Swelling, fever, or feeling unwell

Same-day urgent dental problem:

  • Sharp pain triggered by cold air or drinks
  • Pain when releasing after biting
  • Pain that is worsening or recurring

Possibly non-urgent (still needs assessment):

  • Mild sensitivity that settles quickly and is not worsening

Sharp pain is a warning sign — delaying assessment increases the risk of nerve damage or cracks spreading.

Common Causes of Sharp, Shooting Tooth Pain

  • Exposed dentine from enamel wear, gum recession, or chips
  • Cracked tooth syndrome, where cracks flex under pressure
  • Nerve inflammation (pulpitis) from decay or trauma
  • Failed or leaking fillings allowing bacterial irritation
  • Bite-related issues, including high fillings or grinding

Sudden pain occurs because pressure, temperature, or air rapidly stimulates the nerve through exposed or unstable tooth structures.

What Happens If You Delay Treatment

Sharp, shooting tooth pain rarely resolves on its own and often worsens without treatment.

Short-term risks:

  • Increasing pain frequency or intensity
  • Heightened sensitivity to temperature or pressure

Medium-term risks:

  • Without treatment, repeated sharp pain can indicate progression into a cracked tooth, which becomes harder to stabilise and more likely to damage the nerve.
  • Irreversible nerve inflammation

Severe outcomes:

  • In some cases, untreated sharp pain can progress into constant or throbbing discomfort, developing into a severe toothache that needs urgent care.
  • Dental infection or abscess
  • Root canal treatment or tooth loss

How Sharp, Shooting Tooth Pain Is Treated at Deepcar Dental

Treatment focuses on identifying the exact cause and stabilising the tooth before damage progresses.

At Deepcar Dental, sharp tooth pain is assessed by our clinical team led by Dr Ibraheem Ijaz, GDC-registered Principal Dentist with advanced training in restorative and digital dentistry. Same-day assessment is available where clinically appropriate.

1. Assessment and diagnosis

  • Clinical examination
  • Digital X-rays
  • Bite and sensitivity testing

2. Emergency stabilisation

  • Removal of irritants or high bite points
  • Temporary protection of exposed dentine

3. Definitive treatment options

  • Composite bonding or fillings
  • Crowns or onlays
  • If nerve inflammation becomes irreversible, emergency root canal treatment may be required to remove the source of pain and infection.
  • Occlusal adjustment or bite management

What You Should Do Right Now

You Should

  • Avoid chewing on the affected side
  • Avoid very hot, cold, or sugary foods
  • Use pain relief as directed if needed
  • Rinse gently with warm saltwater
  • Seek same-day assessment if pain is sharp or worsening

Do NOT:

  • Ignore recurring sharp pain
  • Test the tooth by biting repeatedly
  • Use household glues or fillers

FAQs About Sharp, Shooting Tooth Pain

1. Why does cold trigger sharp pain?

Cold rapidly stimulates exposed dentine tubules connected to the nerve.

Yes. Cracked teeth often cause intermittent pain that appears with pressure.

It may help mild sensitivity, but sharp pain usually needs professional assessment.

Get Same-Day Help for Sharp Tooth Pain

Sharp, shooting tooth pain rarely improves on its own. Early assessment helps prevent nerve damage or cracks from worsening.