Treatment of tooth worms varied depending on the severity of the patient's pain. Often, practitioners would try to 'smoke' the worm out by heating a mixture of beeswax and henbane seed on a piece of iron and directing the fumes into the cavity with a funnel. Afterwards, the hole was filled with powered henbane seed and gum mastic. This may have provided temporary relief given the fact that henbane is a mild narcotic. Many times, though, the achy tooth had to be removed altogether. Some tooth-pullers mistook nerves for tooth worms, and extracted both the tooth and the nerve in what was certainly an extremely painful procedure in a period before anesthetics.
The piece of art is titled 'The Tooth Worm as Hell's Demon.' It was created in the 18th century by an unknown artist, and is carved from ivory. It is an incredibly intricate piece when you consider it only stands a little over 4 inches tall. The two halves open up to reveal a scene about the infernal torments of a toothache depicted as a battle with the tooth worm, complete with mini skulls, hellfire, and naked humans wielding clubs.
The Battle of the Tooth Worm