Toothaches can be caused by a variety of things, from grinding your teeth at night to a cracked tooth. It's like your tooth is saying, "Hey, something's not quite right here!" But, does that always mean you've got a cavity on your hands? Not necessarily, it's like trying to connect the dots, you need to look at the whole picture to understand what's going on.
Sometimes, toothaches can be caused by gum disease or even sinus pressure. It's like your body is playing a game of telephone, and the pain is getting misdirected to your tooth. So, just because you've got a toothache, it doesn't always mean you've got a cavity that needs to be filled.