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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Toothache, Swollen Gums, Lump In The Roof Of Mouth. Suggestions?

Four days ago my teeth on my right side of my mouth started to be extremely painful with stabbing pains. I had flossed earlier that day and may have cut my gum. After a day the pain shifted to just one tooth that I had filled a year ago and has been sensitive since (molar top right). Two days after the initial pain, my gums are swollen all along the top right side of my mouth and there is a swollen painful lump near the roof of my mouth slightly off from where the tooth that is hurting. What is it? I can’t get to the dentist for a couple of days, is there anything I can do until then?
Fri, 26 Apr 2013
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Dentist 's  Response
Hi,

Thanks for asking the query,

Tooth ache along with swelling indicates infection in the tooth that had spread to the periapical tissues leading to formation of periodontal abscess.

I would suggest you to visit to Dentist and get the checkup done.
Take an x-ray of the tooth.

As you cannot visit the Dentist right now start with tab Augmentin and tab Aceclofenac twice for three days.
Take lukewarm saline gargles 3-4 times a day, and antiseptic mouthwash gargles tiwce daily.

Hope this helps out.

Regards.....
I find this answer helpful
Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Tooth ache along with swelling indicates infection in the tooth that had spread to the periapical tissues leading to formation of periodontal abscess.

I would suggest you to visit to Dentist and get the checkup done.
Take an x-ray of the tooth.

As you cannot visit the Dentist right now start with tab Augmentin and tab Aceclofenac twice for three days.
Take lukewarm saline gargles 3-4 times a day, and antiseptic mouthwash gargles tiwce daily.

Hope this helps out.

Regards.....
I find this answer helpful
Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,


Dental pain in an already filled tooth indicates the presence of infection below the filling .

Tooth ache indicates bacterial decay or infection in the tooth that involves the exposed tooth nerve tissues .

such infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist.

Formation of lump on the floor of the mouth indicates the abscess draining in the surrounding area.

you may need an OPG radiographic examination done for your teeth to confirm the spread of infection or to rule out the exact cause of the pain and swelling.

i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and pain.

i hope this helps ,

take care.
I find this answer helpful
Dentist Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for posting your query.
Regarding your dental health,a detailed clinical examination is required.
To relieve gum infections,get scaling and root planning done.
Filled tooth has to be checked and refilled/root canal treated depending on the severity of decay.
Use cholrhexidine mouthrinse to gargle.
Maintain oral hygiene well.
Brush and floss your teeth twice daily.
Apply mucopain gel to relieve pain temporarily.
Hope this helps.
I find this answer helpful

1 Doctor agrees with this answer

Dentist Dr. Benley George's  Response
Hello,
The problem of your seems to be an abscessed tooth. There could be an infection of the tooth resulting in an abscess formation. Consult your dentist immediatly and take a course of antibiotics, analgesics. Take saline gargle for 3-4 times a day. An x ray of the tooth will reveal the problem and root canal treatment or extraction is the choice of treatment.

Regards
I find this answer helpful
Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,
Thanks for asking the query,
Swelling on the roof of my mouth is due to the infected tooth which is draining its abscess
Drainage of the abscess is required followed by course of antibiotics and analgesics.
I would suggest you to visit the Dentist get the clinical examination done take an x-ray of the tooth , root canal treatment is needed in the infected tooth.
Maintain a good oral hygiene.
Hope this helps out.
Regards.
I find this answer helpful
Dentist Dr. Neha Gupta's  Response
Hello,
Thanks for posting your query.

You might be having some infection.
First of all you can gargle with salt in warm saline.
You can take ibuprofen or paracetamol.

You can visit dentist for proper diagnosis and treatment plan according to it.
Hope I have answered your query.

Wishing you good health.
Regards.
I find this answer helpful

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Toothache, Swollen Gums, Lump In The Roof Of Mouth. Suggestions?

Hi, Thanks for asking the query, Tooth ache along with swelling indicates infection in the tooth that had spread to the periapical tissues leading to formation of periodontal abscess. I would suggest you to visit to Dentist and get the checkup done. Take an x-ray of the tooth. As you cannot visit the Dentist right now start with tab Augmentin and tab Aceclofenac twice for three days. Take lukewarm saline gargles 3-4 times a day, and antiseptic mouthwash gargles tiwce daily. Hope this helps out. Regards.....