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Pain in gums radiating to chin after deep cleaning. How to get relief from pain?

I am currently a Medic in Iraq. I saw a patient in my clinic this morning, who had a deep cleaning done two months ago. Since the cleaning, he has had pain in the lower middle left gums that he states he has been able to resolve with Ibuprofen . Last night, he stated the pain was severe and now radiates into his chin. He states the pain is relieved when he sits up, but at it worst when he lays supine. Any ideas?
Asked On : Sat, 7 Apr 2012
Answers:  2 Views:  249
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Dentist, Endodontics 's  Response
the pain may be due to injury to the gum or bone during deep cleaning. Alternatively, it may be due to infection in the bone. There are also chances that some tooth structure i.e cementum has been eroded due to improper subgingival scaling resulting in severe pain.please ask the patient to go for a dental OPG to see the cause . Please prescribe powerful analgesics like Ketorol and Aceclofenac along with antibiotics to give relief till the cause is known and treated. Take care!
Answered: Sat, 14 Jul 2012
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General & Family Physician Dr. Divya Kuttikrishnan's  Response
Hi ,
I would suggest that he gets a dental and cardiac evaluation. Jaw pain could also be a symptom of MI.
Hope this helps :)
Answered: Sat, 7 Apr 2012
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