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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lip Numb, Constant Pain After Drilling, Filling The Teeth. No Relief With Ibuprofen, Vicodin, Penicillin. Cause?

hi my boyfriend went to the dentist because his two bottom teeth were bothering him. when he went he told the dentist that he thought he had an infection before they did anything the doctor said he didn't see any swelling but everyone else did. he went ahead and drilled the two teeth and filled them, now his lower lip still goes numb from time to time and his mouth sometimes feels like it on fire along with constant pain. It has been nearly three days since his visit to the dentist. The same night as his visit at the dentist, we went to the hospital because of the symptoms, and they prescribed him ibuprofen, vicodin, and penicillin. None of the meds seem to be working. Can anyone tell me what might be going on?
Mon, 19 Aug 2013
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Dentist,  's  Response
Hi,

Thanks for asking the query,

Have you taken a local anesthesia at the time of tooth filling?
If there is presence of constant pain, i suppose that there may be presence of infection along the drilled tooth.

I would encourage you to visit to the concerned Dentist and get an IOPA x-ray of the region, if required Root canal treatment of the affected tooth can be done.

Take a course of antibiotics and analgesics under the prescription of your Dentist.

Take lukewarm saline rinses to give a soothing effect.
Start with multivitamin suplements.
At home take balanced diet avoid eating of hot and spicy foodstuffs and drink plenty of water to keep yourself hydrated.

Hope this helps out,

Regards.
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Dentist,  Dr. Souranjita Chattopadhyaya's  Response
Hello,

Thanks for writing in this forum,

After reading your boyfriend' symptoms I feel he was given local anesthesia before starting the treatment...for that reason probably he is feeling numbness...but the effect of anesthesia should resolve within 3 hrs...

I think there is infection in the teeth and proper x-ray required for that...

Whatever antibiotic and analgesic he is having is right...the infection will be subsided due to antibiotic..

Take warm salt water rinses...

It may be also due to any trauma which leads to temporary paresthesia of nerve...

Consult with your concerned Dentist..tell him not to bite lip as this may cause lip injury...

God luck...

Take care...
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Dentist, Orthodontics,  Dr. Mrunal Meshram's  Response
HELLO
THANK YOU FOR SHARING YOUR CONCERN IN HCM FORUM
ACCORDING TO YOUR HISTORY , HE IS MORE LIKELY SUFFERING FROM INFECTION RELATED TO TREATED TOOTH.
NUMBNESS , HE IS FEELING CAN BE EFFECT OF LOCAL ANESTHESIA.
HE NEED TO GET X RAY DONE OF THE TOOTH.
I WOULD LIKE TO SUGGEST YOU REVISIT YOUR DENTIST FOR CLINICAL EXAMINATION.
COMPLETE THE COURSE OF ANTIBIOTICS AND ANALGESICS AS PRESCRIBED BY DENTIST.
AVOID SPICY , HOT , HARD FOOD FOR FEW DAYS.
START LUKEWARM WATER RINSES 3 TIMES A DAY.
ANTIBIOTIC MOUTHWASH BEFORE GOING TO BED.
START WITH VITAMIN C TABLETS AND TAKE HEALTHY DIET.
FOR ANY DOUBT , FEEL FREE TO WRITE US BACK.
TAKE CARE
REGARDS
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Dentist,  Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for posting your query.

Initially,cause for swelling has to be evaluated clinically as well as radiologically.

The swelling may be due to deep caries,periodontitis,traumatic injury involving pulp tissue,impacted wisdom tooth which is inflammed.

I would advice you to get a thorough clinical evaluation by a dentist.

The filled teeth has to be examined and refilled or rct has to be done if necessary.

Take metronidazole as well as amoxycillin tablets.

Hope this helps.
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Lip Numb, Constant Pain After Drilling, Filling The Teeth. No Relief With Ibuprofen, Vicodin, Penicillin. Cause?

Hi, Thanks for asking the query, Have you taken a local anesthesia at the time of tooth filling? If there is presence of constant pain, i suppose that there may be presence of infection along the drilled tooth. I would encourage you to visit to the concerned Dentist and get an IOPA x-ray of the region, if required Root canal treatment of the affected tooth can be done. Take a course of antibiotics and analgesics under the prescription of your Dentist. Take lukewarm saline rinses to give a soothing effect. Start with multivitamin suplements. At home take balanced diet avoid eating of hot and spicy foodstuffs and drink plenty of water to keep yourself hydrated. Hope this helps out, Regards.