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Sometimes, pain around the teeth and jaws can be symptoms of diseases of the heart, such as angina or heart attack, or of the ears, such as inner or external ear infections, and sinuses, like air passages of the cheek bones. The pain of angina, which is due to the inadequate supply of oxygenated blood to the heart muscle because of narrowing of the arteries, usually occurs in the chest or arm. However, in some cases of angina, a toothache or jaw pain, are the only symptoms of heart problem. Infections and diseases of the ears and sinuses can also cause toothache. Thus, evaluations by both dentists and doctors are sometimes necessary to diagnose medical illnesses causing toothache. Otherwise the common dental causes of toothache include dental cavities, dental abscess, and gum diseases, irritation of the tooth root, cracked tooth syndrome, temporo-mandibular disease, impaction, and eruption.

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