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Toothaches can be incredibly troublesome, and while some home remedies might provide temporary relief, it’s crucial to address the root problem. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage the pain temporarily, but they won’t resolve the underlying cause. Applying a cold compress to the affected side of your jaw might also reduce inflammation and numb the area for a short period. A potential hidden issue like a cavity, abscess or gum infection might be the source of your discomfort. Since you’ve mentioned that the pain is spreading to your jaw and ear, this could indicate an infection that might require antibiotics, which only a dentist or doctor can prescribe. An untreated dental infection can lead to more serious complications. Rinsing with salt water was a good step as it can reduce swelling and clean the infected area’s surfaces, but its effects are often limited. You could try rinsing with hydrogen peroxide - diluted appropriately with equal parts of water - as this can sometimes alleviate tooth pain temporarily by killing bacteria. Despite these efforts, if the pain persists, increases or is accompanied by fever or swelling, you should seek an immediate dental evaluation. It’s crucial not to ignore these signs or postpone necessary dental care; getting a professional assessment ensures you receive the right treatment such as a filling, root canal procedure or a course of antibiotics, targeted at your specific condition. Although visiting the dentist might feel daunting, resolving the issue early can save you from complications and more serious pain later on.