Lo que pasa es que me duele la muela. Tengo que ir al doctor.

Questions & Answers about Lo que pasa es que me duele la muela. Tengo que ir al doctor.

Why use Lo que pasa es que instead of just saying Me duele la muela?
Lo que pasa es que (literally "what happens is that") is a common conversational phrase used to justify a situation, make an excuse, or soften a refusal. It translates well to "The thing is..." or "It's just that..." in English. Here, the speaker is explaining why they are complaining or perhaps why they have to cancel plans: the justification is their toothache. It is followed by a normal indicative verb (duele) because it declares a fact.
The English translation says "my molar", so why does the Spanish use la (the) instead of mi (my)?
In Spanish, when you talk about body parts, you almost always use definite articles (el, la, los, las) instead of possessive adjectives (mi, tu, etc.). Because the sentence already includes the indirect object pronoun me (to me), it is completely clear whose tooth is hurting.
Why is the verb conjugated as duele if "I" am the one in pain?
The verb doler (to hurt) works exactly like gustar. The body part doing the hurting is the actual subject of the sentence, and the person experiencing the pain is the indirect object. Literally, me duele la muela means "the molar causes pain to me." If multiple teeth were hurting, the verb would become plural: me duelen las muelas.
I thought "tooth" was diente. What is a muela?
Diente is the general word for "tooth," usually referring to the front ones. Muela specifically refers to a molar (the large grinding teeth at the back of your mouth). A very common way to talk about a general toothache in Spanish is actually to say dolor de muelas, since the back teeth are usually the ones that cause the most noticeable pain.

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