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Suggest Treatment For Severe Pain In Premolar Tooth

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Posted on Sat, 19 Sep 2015
Question: My First premolar had a chip in it due to crowding which has now turned into a hole about 2 months ago but never actually hurt. Well 2 days ago the pain was excruciating and now my bottom lip is numb and my neck is aching which comes and goes every couple hours
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Answered by Dr. Honey Arora (38 minutes later)
Brief Answer:
Seems to be suffering from DENTAL ABSCESS.

Detailed Answer:
Hi..
Welcome to HEALTHCARE MAGIC..

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

As per your complain and presentation of symptoms it seems that the decay from your premolar tooth has deepened and reached the central portion of the tooth known as PULP which contains nerves and blood vessels..

The irritation of nerves leads to severe pain..

In your case it seems that the infection from the Pulp has extended to the area below the root tips via root canals and due to infection there is Pus formation.

This leads to formation of DENTAL ABSCESS and when the pus and infection puts pressure over the nerve which passes from the area of infection an lead to numbness of lip..

The pain in neck can be due to either Inflammation of lymph nodes due to tooth infection or radiating pain from tooth..

In this case painkillers does not work as the pus will continuously cause pressure over nerve endings causing pain..

You should immediately consult a Dentist and get evaluated along with an IOPAR (x-ray) to rule out the exact status of tooth and get treated accordingly..

In case if the tooth can be saved get the Root Canal Treatment of the tooth done followed by Antibiotics and Painkillers..
In case if it cannot be saved Extraction of the tooth can be done..

As of now you can start with antibiotics like Augmentin625mg thrice a day, painkiller like Tramadol 50 mg thrice a day and Pantoprazole 40mg once daily empty stomach.
Take for 5 days and only if there are no allergies..

But consultation with a Dentist is must..

You can also revert back to me with the x Ray report.

Wishing you soon recovery..

Any further questions are invited..

Thanks and regards..
Dr.Honey Nandwani Arora..
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Honey Arora

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Practicing since :2011

Answered : 14092 Questions

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Suggest Treatment For Severe Pain In Premolar Tooth

Brief Answer: Seems to be suffering from DENTAL ABSCESS. Detailed Answer: Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concern.. As per your complain and presentation of symptoms it seems that the decay from your premolar tooth has deepened and reached the central portion of the tooth known as PULP which contains nerves and blood vessels.. The irritation of nerves leads to severe pain.. In your case it seems that the infection from the Pulp has extended to the area below the root tips via root canals and due to infection there is Pus formation. This leads to formation of DENTAL ABSCESS and when the pus and infection puts pressure over the nerve which passes from the area of infection an lead to numbness of lip.. The pain in neck can be due to either Inflammation of lymph nodes due to tooth infection or radiating pain from tooth.. In this case painkillers does not work as the pus will continuously cause pressure over nerve endings causing pain.. You should immediately consult a Dentist and get evaluated along with an IOPAR (x-ray) to rule out the exact status of tooth and get treated accordingly.. In case if the tooth can be saved get the Root Canal Treatment of the tooth done followed by Antibiotics and Painkillers.. In case if it cannot be saved Extraction of the tooth can be done.. As of now you can start with antibiotics like Augmentin625mg thrice a day, painkiller like Tramadol 50 mg thrice a day and Pantoprazole 40mg once daily empty stomach. Take for 5 days and only if there are no allergies.. But consultation with a Dentist is must.. You can also revert back to me with the x Ray report. Wishing you soon recovery.. Any further questions are invited.. Thanks and regards.. Dr.Honey Nandwani Arora..