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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant Having Severe Dental Pain Due To Abscessed Tooth. Tingling In The Jaw, Tender Lymph Nodes

I am 33 weeks pregnant. I went to the ER on Tuesday for extreme mouth pain and was diagnosed with an abscessed tooth. They gave me Keflex and Norco. The Norco didn't touch the pain at all and it took 3 days for the pain to finally subside. I've been taking the Keflex like clockwork. I am worried, however, because even with antibiotics, I woke up this morning with a tingling, numb feeling in my lower jaw, right side of my tongue, and my teeth. My lymph nodes are still a bit tender, but only when I swallow. Should I be worried? I have a dentist appointment on Wednesday, which is the soonest they could get me in. I have read that the numbness could be cause from either the nerve of the tooth starting to be exposed or from the infection spreading to the jaw bone. Help, please?
Mon, 13 May 2013
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OBGYN 's  Response
Hello.
Thanks for writing to us.
The symptoms that you are having are suggestive of an infection in your teeth. This needs a direct examination from a dentist for treatment. You will need systemic antibiotics and pain killers to be prescribed.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Rakhi Tayal
drrakhitayal@gmail.com
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OB & GYN Specialist Dr. Dr. Ahmed Bahaa's  Response
Dear user, welcome to healthcare magic.
If medical and conservative treatment is not successful, surgical drainage of the abscess is a must. It will not affect your pregnancy at all wether local or general anesthesia were used. On the other hand, neglecting the surgical option means we are waiting for complications to occur. Please consult your dentist and reassure him that surgery is safe for your pregnancy and do not hesitate. Penicillins and cephalosporins are safe antibiotics, paracetamol or acetaminophen as analgesia, also opioids are safe if needed. Non steroidal anti inflammatory drugs can be used only on demand not on a regular basis.
Good luck.
Dr. Ahmed Bahaa.
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Pregnant Having Severe Dental Pain Due To Abscessed Tooth. Tingling In The Jaw, Tender Lymph Nodes

Hello. Thanks for writing to us. The symptoms that you are having are suggestive of an infection in your teeth. This needs a direct examination from a dentist for treatment. You will need systemic antibiotics and pain killers to be prescribed. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com