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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cracked Tooth, Roots Wrapped Around Jaw. Medication For Pain Relief?

i am disabled and all i have is medicaid for insurance. none of the clinics are excepting new patients for about a month. i cant take ibprophen due to high blood pressure . is there any way you can prescribe anything for the several bad teeth i do plan on getting removed soon. i cant get into any dentists in my area to even get a prescription and i have one tooth with the roots wrapped around the jaw and cracked in half
Wed, 17 Oct 2012
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Dentist 's  Response
hello and welcome to HCM forum,
i would like to inform you that, the roots which are now left out should be extracted first as they can be the reason for infection, also if all your teeth are periodontally compromised then its better to get them removed which should be followed by dentures, you have not mentioned your age or any other medical condition you are suffering from besides high blood pressure, i hope you are taking medication for that.
i would recommend a few measures which will be easy for you to follow;
1. use a mouthwash, if brushing teeth is not possible,
2. rinse your mouth with plain water after every meal,
3. massage your gums with a gum paint using for finger for a minute,
4. do visit your dentist at regular intervals.
i wish you good health,
take care.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I went through your history & would like to tell you that partially broken teeth is more prone for infection.If don't get it extracted then it may progress to periapical area & may cause abscess which will result in inflammation.
You also get your other teeth diagnosed if there is any problem. If you have generilized recession & mobility in all teeth then its better to get them all extracted but before that you need to get your blood pressure controlled.
Few drugs are contraindicated in hypertensive patients like aspirin, ibuprofen & acetaminophen.
You Can go for nimesulide & paracetamol combination.
Its better to go for extraction of the tooth to avoid further complication.
Few more points to be considered are:-
-brush your teeth very gently
-use gum tone gel for gum massage
-always rinse mouth after eating anything.
Consult your dentist for further treatment

Take Care
Regards
Dr.Neha

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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,
as your roots are cracked ,medication will be only a temporary relief.
for permanent cure,you must get all cracked roots extracted.
two weeks later,you can get removable partial dentures in their place.
i would suggest you to take-
tab.divon-100mg,twice daily for 2 days
tab.spamox-500mg,thrice daily for 3 days
tab.metrogyl-400mg,thrice daily for 3 days.
gum tone gel can be used to massage your gums.
use chlorhexidine mouthrinses to gargle.
regards
dr.bindiya
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Dentist Dr. Udaykumar Bondre's  Response
Hello & welcome,

As you are disabled, you may opt to take a proper course of Antibiotics & Painkillers to reduce your discomfort unless you are able to visit any nearest dentist.

But these drugs should be taken only if prescribed by physician or dentist. So, see if your family members can ask any nearest physician for home visit so that he can temporarily gives you proper doses of Antibiotics & painkillers.

Yes, those root pieces now remaining must be extracted to avoid any further infection & then should be replaced with Denture or fixed prosthesis if possible.

Maintain your oral hygiene by proper use of tooth brush ( even root pieces can be cleaned with brush used carefully ).
You can use local anti-septic mouthwash to oral cavity clean.

Use liquified or soft but high protein containing diet.

Lastly, as you are suffering from high blood pressure, never ever forget to take the anti-hypertensive drugs prescribed to you by your physician.

Take care
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Dentist Dr. Inderpreet Singh's  Response
look as log as the cause i.e. the root is left the problem can only be subsided a little . so i suggest you get to a dentist anyhow.
however for temporary relief i prescribe you novaclox l.b. twice a day and enzoflam thrice a day for 3 days each.
use a hexidine mouthwash too
take care
I find this answer helpful

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Cracked Tooth, Roots Wrapped Around Jaw. Medication For Pain Relief?

hello and welcome to HCM forum, i would like to inform you that, the roots which are now left out should be extracted first as they can be the reason for infection, also if all your teeth are periodontally compromised then its better to get them removed which should be followed by dentures, you have not mentioned your age or any other medical condition you are suffering from besides high blood pressure, i hope you are taking medication for that. i would recommend a few measures which will be easy for you to follow; 1. use a mouthwash, if brushing teeth is not possible, 2. rinse your mouth with plain water after every meal, 3. massage your gums with a gum paint using for finger for a minute, 4. do visit your dentist at regular intervals. i wish you good health, take care.