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Dental filling came out. Pain in the tooth. Need help

hello i have a filling that was placed about 5 years ago and it fell out now i have great pain in the side of my mouth and no insurence i need to find somone to help and im worried it has began to cause me to sleep alot and now i cant even sleep cause the pain wakes me up its unbareable what can i do to get some help and where
Asked On : Fri, 29 Mar 2013
Answers:  5 Views:  54
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Dentist 's  Response
Dear friend.

Thanks for sharing your concern.

your history suggests that your old filing is dislodged and infection has penetrated deep causing periapical infection.

Now in this case, you can get some relief by suitable antibiotic and analgesics,but that is not a complete cure.

you must visit your dentist and get an x ray done for the present condition and then get started with RCT.if possible.

EXtraction is the other option ,which is rarely advisable.

you can discuss it with your dentist and choose the suitable option for yourself in present scenerio.

meanwhile you can look for charity dental camps.

Hope it helps.

Take care.
the second option is ex
Answered: Sun, 31 Mar 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for writing to us.
From the description it seems that you are suffering from periapical infection.
Usually x-ray will reveal such infections.
If periapical abscess occurs,teeth has to be root-canal treated,the abscess has to be drained out and curetted.
Deep scaling and root planning has to be done to prevent gingivitis.
maintain good oral hygiene.
brush your teeth twice daily using toothbrush.
rinse your mouth after every meals.
chlorhexidine mouthrinses can prevent plaque accumulation
Hope this information helps you.
Wishing you good health...
Answered: Tue, 2 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome,

The pain wrt the exposed cavity may be due to infected pulp as well as sensitivity of dentin.
The infected pulp as well as decay has to be removed completely.
Pulp capping agents can enhance reparative dentin formation.
An x-ray will help to rule out the extent of decay.
The tooth has to be restored at the earliest.
Analgesics can give temporary relief.
Meanwhile place a cotton soaked in formocresol over the exposed cavity.
Hope this helps.
Answered: Fri, 29 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello and welcome to HCM,

Tooth ache indicates bacterial decay or infection in the tooth that has exposed the tooth nerve tissues to the oral environment.

since you dental filling came out , open dental cavity gets more prone to infection due to deposition of food stuffs , irritants and bacterial decay.

such infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist.

since you cannot visit a dentist right now , i would suggest you to strt with antibiotic Augmentin 625mg along with analgesics like aceclofenac two times daily for 3 to 5 days .

This course of medicines will help in subsiding pain and nad prevents infection.

i hope this helps ,

take care.
Answered: Fri, 29 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Tooth pain indicates bacterial infection that had spread to the pulpal tissue,
Since you have a old filling came out there are more chances of getting infection and sensitivity .

I would suggest you to take an x-ray of the tooth this will give the periapical condition of the tooth.
You have to go for Root Canal Treatment of the tooth , in this procedure the pulp tissue is removed and the tooth is devitlised and sealed to apex . Placement of prosthetic crown is necessary after this procedure.

Since you cannot visit the Dentist now you can start with course of antibiotic and analgesic take tab odoxil 500mg TDS , tab Zerodol TDS for 5 days .

Maintain a good oral hygiene , use chlorhexidine mouthwash gargles twice daily.

Hope this helps out.

Answered: Fri, 29 Mar 2013
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