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Have a tooth ache, mouth pain. Done X ray. On amoxicillin. Help?

I went to the dentist on Thursday with a toothache at te back top left hand side of my mouth and he done an xray and said I had an abcess. He prescribed me 250mg of amoxicillin to ake 4 times a day. I am still in pain 3 days later and it feels like a toothon the bottom near the front of my moth is sore. The pain is much worse at night.
Asked On : Wed, 17 Apr 2013
Answers:  6 Views:  80
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Dentist 's  Response

Hello there ,

Thanks for writing your query,

Tooth ache indicates bacterial decay or infection in the tooth that involves the tooth nerve tissues or dental pulp.

i suspect the tooth infection has gone worse and you have developed a periodontal abscess due to spread of infection to the underlying tissues.

This type of periodontal abscess drains in the oral cavity and may lead to nausea and vomiting.

once the abscess is drained the infected tooth needs to be explored for root canal procedure.

you need to get an x ray done the affected area to confirm the presence of infection, approach a dentist for the treatment.

i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives pain.

i hope this helps ,

take care.
Answered: Thu, 18 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome,

The tooth ache is associated with the abscess developed.
The pus has to be drained out through root canal treatment and curettage.
Infected pulp has to be removed completely.
Avoid chewing hard,solid foods at the treated area.
Intake of hot/apicy foods has to be limited.
Always maintain good oral hygiene.
Rinse your mouth after every meals.
Use chorhexidine mouth wash to gargle,
Take care.
Answered: Wed, 17 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Tooth pain indicates infection in the tooth involving the pulpal tissues, such type of tooth is treated with Root canal treatment to save it permanently.

The pain increases during night due to change in posture, when you lie down there is increase in pressure in the tooth increasing the pain simultaneously.
I would suggest you to get the clinical evaluation done, take an x-ray of the tooth.

Antibiotics and analgesics will give temporary relief, unless the tooth is completely devitalised by root canal procedure you will face pain.

At home maintain a good oral hygiene, use chlorhexidine mouthwash gargles twice daily.

Hope this helps out.

Answered: Wed, 17 Apr 2013
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  User's Response
Hello dear
Mearly taking antibiotics wont help.To treat a tooth with abcess, you have to go for eitherroot canal treatment ( RCT or extraction of this tooth.So better fix an appointment with your dentist and get this treatment done.
Dr. Amit k. Gaba
Answered: Wed, 17 Apr 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014

As per your description, tooth ache and mouth pain main cause is pulp infection which has progressed into periodontal abscess.
This may be due to-
Poor oral hygiene, systemic diseases like diabetes,epilepsy,auto-immune diseases, plaque and calculus deposition.
Visit your dentist and get RCT done and take antibiotics and analgesic for swelling and pain.
I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline wateror antiseptic mouthwash like chlorhexidine or betadine.
Answered: Mon, 12 Aug 2013
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Dentist Dr. Satish Singh's  Response
hello, thanx for chosing this forum..
taking medication only will give u the temporary relief, for the parmanent solution of the problem u will need to get the treatment of the afected tooth, for this u will need to get RCT of the tooth and get drain the abcess followed by antibiotic and painkiller..
Answered: Sun, 11 Aug 2013
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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