Usually, by the time your teeth are aching, a lot of work needs to be done. If a tooth is sensitive to temperature or sweets, but the sensitivity goes away when the cold/sweetness goes away, then this can be either a cavity in the tooth or just a normal tooth response . If a tooth is aching, throbbing, and keeping you awake at night, you can classify it as a toothache. Either way, sensitivity in teeth should always be evaluated by a dentist in order to rule out decay or dying teeth or infection. As previously posted, regular visits to your dentist are not just for the purpose of cleaning your teeth, but also for the purpose of evaluating any needs. Once evaluated, if any cavities or fractures are found by your dentist, treatment can be recommended.
Even though your teeth may not hurt, they still may have something like a cavity or fracture developing that is best to treat early. Early treatment is usually more conservative, leaves more natural tooth structure, and is less costly. The cost-effectiveness of prevention is much less than the cost of fixing things that are to the point of causing pain, and don't wait if you have a toothache because it won't get better on it's own: there will always be an underlying threat of severe infection.
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