HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Painful Broken Tooth?

Early last week I started to have pain in a broken tooth. The tooth is broken off at the gum line......as there is only a small section poking out. The pain increased to where I was taking 800mg of ibuprofen every 5 hours. Then I began to notice swelling right a live the broken tooth. At first when touching it....it was hard. Due the the area it also hurt when I blew my nose. A few days later I noticed it began to softy. Correctly or not I push on it despite the pain. I did manage to feel a pop and then discovered a foul taste from the discharge. I am currently pushing on it at least 3 times and get less and less draining. However at certain parts of the day I can taste discharge. It is currently late Saturday night.....I have an appointment with a trusted oral surgeon on Monday. I would just like your thoughts on my situation....and if it is OK to wait till Monday? Should I seek urgent care tomorrow? Any advice/guidance would be greatly appreciated

Thank You
Jason
Tue, 28 Jul 2015
Report Abuse
Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain as you have a deeply decayed tooth with almost complete loss of the crown of tooth there has been infection in the area below the root tips of the tooth due to through and through communication of the inside of tooth with the mouth which has led to bacteria reaching below the rot tips causing pus formation and the condition is known as DENTAL ABSCESS..
At times the pus and infection perforates the bone and accumulates in the soft tissues leading to swelling and in your case there is formation f a draining sinus over the gums...
The best treatment for this kind of condition is Extraction of the tooth followed by a prosthesis like Implant or Bridge..
As of now you need not to go to ER and just start taking broad spectrum antibiotic like Augmentin 625 mg three times a day [only if not allergic to penicillin group],Ibuprofen 400mg thrice daily for pain,and
Pantoprazole 40mg every morning once empty stomach..
Take for three days and by then consult your dentist and get the treatment done..

Hope this information helps..

If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..

Thanks and regards..
Dr.Honey Nandwani Arora..
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Painful Broken Tooth?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain as you have a deeply decayed tooth with almost complete loss of the crown of tooth there has been infection in the area below the root tips of the tooth due to through and through communication of the inside of tooth with the mouth which has led to bacteria reaching below the rot tips causing pus formation and the condition is known as DENTAL ABSCESS.. At times the pus and infection perforates the bone and accumulates in the soft tissues leading to swelling and in your case there is formation f a draining sinus over the gums... The best treatment for this kind of condition is Extraction of the tooth followed by a prosthesis like Implant or Bridge.. As of now you need not to go to ER and just start taking broad spectrum antibiotic like Augmentin 625 mg three times a day [only if not allergic to penicillin group],Ibuprofen 400mg thrice daily for pain,and Pantoprazole 40mg every morning once empty stomach.. Take for three days and by then consult your dentist and get the treatment done.. Hope this information helps.. If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation.. Thanks and regards.. Dr.Honey Nandwani Arora..