During the time that the tooth had a toothache, the pulp (nerve) inside the tooth was severely inflamed and infected causing the death and necrosis of the pulp. It no longer hurts because following an inflammatory challenge, the pulp may have died and become chronically inflamed showing little or no symptoms. However, the infection remains inside causing irreversible damage to the surrounding tissues and to your wellbeing. Removal of bacteria from inside the tooth is essential to your health and to avoid another toothache.

