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Severe tooth ache, eases with cold water in mouth, difficulty in sleeping. Remedy to alleviate the pain?

i have a very bad tooth ache of which only soothes and pain goes away while i swish cold water in my mouth. I have bad teeth and the tooth that i bothering my does have a hole on the top very near the gum line. I have tried everything and water seems to be the only way to sooth the pain... however i need to sleep and i cant swish water while i sleep and i am a mouth breather so when i open my mouth to breath the air it starts hurting again. anything i can do so get me to sleep without the pain? Male 41 years old overwieght smoker and take heart meds to slow rate down (propafenone, metoprolol , bayer)
Asked On : Mon, 24 Sep 2012
Answers:  3 Views:  9316
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Dentist 's  Response
Hello and thank you for your question.
Your tooth has a large cavity which has infected the nerve, the nerve is inflamed and swollen. The cold relieves the pain because it causes the pressure to decrease for a minute. The damage to the nerve is irreversible and the tooth if restorable needs to have the decay removed, a root canal performed and a crown or large restoration placed in the tooth. Or if the tooth is non-restorable, the tooth needs to be pulled before you get a large infect in your jaw.

Best regards

Dr. Ward
Answered: Sat, 13 Oct 2012
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Dentist Dr. Sapna Purwaha's  Response
it seem your teeth had deep cavity reaching nerves chamber
called i would advice you to get a dentsl xray
done of the affected tooth and most probably
root canal treatment will be done.
spraying cold water do brings soothing effect but that
is need to undergo root canal treatment
i would also prescribe you with antibiotics like amoxicillin
500mg twice daily and analgesic like iboprufen400mg
twice daily for 5days.along take a multivitamin single
Answered: Tue, 25 Sep 2012
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,
the pain and difficulty you experience is due to the decayed tooth present.
the pain won't subside unless and until you are getting treatment for your decayed tooth by your x-ray is required to finalise the treatment as the decay is deep and involved pulp.
if there is radiolucency in periapical area,root canal treatment is needed.
if only coronal pulp is infected,pulpotomy with formocresol or indirect pulp-capping with calcium-hydroxide or vitapex should be done.
if there is abscess periapically,drainage and curettage should be done.
take antibiotics complete course prescribed by your dentist to subside infection.
get your teeth cleaned by your dentist.
take care.
Answered: Tue, 25 Sep 2012
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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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