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Sometimes teeth break because they have been weakened by untreated tooth decay, or because old dental work is failing. Repairing this may involve any of the procedures mentioned above. If the tooth has broken off at the gum line, it will probably have to be extracted.
Other reasons for a toothache might include: An infection of or around the tooth (abscess). A red, swollen, painful bump may be found near or on the side of the sore tooth. The tooth may especially hurt when you bite down. A tooth that has not broken through the gum (impacted tooth). Gums may be red, swollen, and sore.