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Broken right wisdom tooth, acute pain, constant headache. How to get relief from this pain?

im 25 yrs old male and have had a lot of cavities and fillings. A lot of the fillings and cavities have fell out since ive had no insurance, but my wisdom teeth were never pulled and my bottom right wisdom tooth is broken at gum line half way and a huge hole. i have a picture to upload but its on my phone but i have no address to send it to for an opinion. I have excrushiating pain and have a contant headache for the past 5 days and cant sleep, knee dropping pain and i have a high tolerance for pain but it feels like the tooth is still growing into my jaw and so much pressure it feels awful! i have penicillin bc i have swollen lymph nodes due to my infection from tooth n cutn gums. i have a picture for a better description ............... please i need advice i cant take the pain and havent slept for 2 days, but i jus got laid off bc of the factory closing and have no money and no clue where to go. : ( please help me
Asked On : Sun, 6 May 2012
Answers:  6 Views:  787
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Dentist 's  Response
Welcome to HCM
I would like to tell you that you have got caries in your wisdom teeth which is very close to pulp & that's the reason its paining. Wisdom teeth is vestigial part & has no role in mastication,its better to get it extracted .I would have appreciated if picture have been uploaded but would definitely advise you to get it extracted.Meanwhile start taking few precautions like:-
-don't use any hot compresses on associated region.
-do betadine gargles
-Start with amoxi-clav 625 twice a day along with zerodol-SP thrice a day & some multivitamin.Also take rabeprazole 20 mg if any gastric problem persists.
Consult your dentist for further details.

Take Care
Answered: Sun, 14 Oct 2012
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Dentist Dr. Bindiya Bhaskar's  Response
the symptoms are associated with pericorontis,ie,infection of pericoronal flap over wisdom tooth which is erupting.
usually patient experience difficulty in swallowing/chewing food/opening mouth,metallic taste in mouth,throat and ear infection,mildly ill with fever,lymphadenopathy,enlarged tonsils and uvula.
visit your dentist and base on his clinical/radiological interpretation,if the normal eruption of wisdom tooth is possible,operculectomy has to be this,flap covering the tooth is incised and removed to enhance tooth eruption.
if there is inadequate space for tooth eruption,get it surgically extracted.
take complete course of antibiotics and analgesics prescribed by your dentist.
Answered: Mon, 15 Oct 2012
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to HCM forum,
first of all i would like to inform you that i can understand how painful the tooth might be. due to caries in your wisdom tooth, and the infection due to caries has widespread, i would have appreciated if you would have attached a picture of your tooth with this query, but anyways do not worry.
you have not mentioned if swelling is also present along the tooth or not.
i would recommend a few points which you should follow;
1. avoid hot food/drinks,
2. do not massage or apply hot compresses,
3. start using antibacterial mouth rinse(betadine),
4. start with antibiotic(augmentin) and anti-inflammatory medication(serratiopeptidase), penicillin alone won't help.
please visit your dentist, your tooth needs a kind attention.
i wish you good health,
take care.
Answered: Thu, 26 Jul 2012
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Dentist Dr. Udaykumar Bondre's  Response
Hello & welcome,

Broken down right corner wisdom tooth at the gum line along with a huge hole in it, surely indicates there is exposed pulp tissue which is giving shooting pain.

Swollen lymph nodes clearly shows underlying infection which needs to be treated with Antibiotics & Anti-inflammatory drugs depending severity of the swelling. If there is pus formation due to infection & its not being drained, then due to constantly building pressure of the forming pus creates painful situation which needs incision & drainage along with medicinal support.

So, final words are, visit your dentist, get an x-ray done. And more likely you will have to go for extraction of the same tooth as soon as infection gets under control.

Use of penicillin without dentist's consultation is not acceptable at any cost. Remember to avoid hot fomentation or intake of hot food items or drinks as it may aggravate the pain & swelling.

Take care.
Answered: Mon, 15 Oct 2012
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Dentist Dr. Varun Mishra's  Response
your condition needs extraction of infected third molar.
till then, take ordent or augmentin twice daily for 2 days with a painkiller.
do warm saline gargles 2 times as well

Answered: Thu, 26 Jul 2012
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