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Pain in lower side of mouth. Taken antibiotics. White spot under teeth. What could this be?

Hi, I have been having problems with the left side of my mouth for 3 days now. One night the lower left side of my mouth started throbbing and I could not touch the area, my gums and teeth were throbbing. I have had anti-biotics and penicillin the pain eased off but it has now come back. I have noticed that I have got a small white spot under one of my teeth at the bottom of my gum what could this be?
Asked On : Sun, 28 Apr 2013
Answers:  5 Views:  63
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Dentist 's  Response
Hi,

Thanks for asking the query,

Tooth pain along with swelling in the gums indicates infection in the tooth that had spread to the periapical tissue leading to abscess formation.
Drainage of the abscess is required i would suggest you to visit the Dentist get the clinical evaluation done take necessry x-rays and plan for the root canal treatment of the tooth.
Go for symptomatis treatment of complete mouth scaling and polishing.
Start with the course of antibiotics and analgesics.
Maintain a good oral hygiene take antiseptic mouthwash rinses.

Hope this helps out.

Regards...
Answered: Sun, 28 Apr 2013
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Dentist Dr. Sushma Rajesh's  Response
Hello Isha-imani,

Thanks for posting your query.

From what you've explained, I presume that you have a decayed tooth on your lower left side which could be the cause of your pain.

Did you visit a dentist? If so, were antibiotics and painkillers prescribed by your dentist? If an xray of the affected area was taken, can you upload a photo of that xray?

If you have not visited a dentist yet, I advise you to visit one immediately. I understand that you may have a deacyed tooth with an abscess. This means that your tooth has a decay which has reached the pulp and has got infected. Long standing tooth decay leads to losing the vitality of the tooth [tooth becomes dead in layman's terms].

This in turn causes abscess formation in the root area, which you're seeing as a white spot in your gums. In a few days, there might be sinus formation (opening) in the bone as the pus tries to drain out that way.

Your dentist may advise you to take an xray. Based on analysis and severity of the infection, you may need a root canal treatment or the infected tooth may even need to be extracted out.

I hope your queries have been answered.

Take care, and wish you good health.

Regards,
Dr. Sushma Rajesh.
Answered: Sun, 28 Apr 2013
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1 Doctor agrees with this answer

Dentist Dr. Farah Hussain's  Response
Hello there ,

Thanks for writing your query,

According to your history i suspect that the white spot beside your lower tooth is either a gingival abscess or periapical abscess arising from an infected tooth.

gingival abscess is caused may be due trauma, poor oral hygiene ,improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.

It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants ,this will help in resolving the symptoms followed by a course of antibiotic and analgesics.

If it a a periapical abscess the infected tooth needs to be treated by root canal treatment.

exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. please visit a dentist and consider getting the treatment done.

i hope this helps ,

take care.
Answered: Tue, 30 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to health care magic forum,
The white spot appeared under the tooth may be due to abscess developed as a result of gum infection.
I would suggest you to get a thorough clinical and radiological evaluation.
Root canal treatment and curettage has to be done if required.
Drainage of abscess has to be done.
Plenty of fluids and nutritious food has to be taken.
Get your teeth cleaned.
Use chorhexidine mouthrinse to prevent plaque accumulation.
Take complete course of antibiotics .
Take care.
Answered: Sun, 28 Apr 2013
I find this answer helpful
Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,

According to your history i suspect that the white spot beside your lower tooth is either a gingival abscess or periapical abscess arising from an infected tooth.

gingival abscess is caused may be due trauma, poor oral hygiene ,improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.

It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants ,this will help in resolving the symptoms followed by a course of antibiotic and analgesics.

i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.

If it a a periapical abscess the infected tooth needs to be treated by root canal treatment.


exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. please visit a dentist and consider getting the treatment done.

i hope this helps ,

take care.
Answered: Sun, 28 Apr 2013
I find this answer helpful

1 Doctor agrees with this answer

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