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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Tooth Infection, Pain Near Collar Bone, Chest, Upper Back, Headaches, Pain And Tender Jaws. Treatment?

Hi I'm a 23 y/o female with anxiety but no other chronic medical conditions. My concern is that I have a tooth infection.

A few months back I broke one of my teeth. Since I have no dental insurance I haven't been able to get it fixed yet. I plan on doing that as soon as I am able to, in a little under two weeks.

I haven't had any pain in the tooth, nor sensitivity to heat or cold, since the accident. But lately I've been having pain near my collar bone, chest and upper back and semi frequent headaches. Occasionally I will also have mild pain in my gums and jaw and if I press under my jaw it's tender. But all these pains come and go and are never more than a mild annoyance, and some days (like yesterday) I don't have pain at all.

I do know a lot of these pains can be cause by anxiety as well, which is why I have been hesitant to take myself to the ER or urgent care.

Also, it may be unrelated but I'm having a longer than normal menstrual period. (day 8)

I literally have no choice as to when I can see a dentist, and I don't have a primary care physician. I'm totally broke until I get my student loans, so even going to a dentist and paying for a cheap extraction is not an option right now. Should I go to urgent care, or can I wait it out?
Wed, 14 Aug 2013
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Dentist 's  Response
Hello,

Thanks for writing to us.

Since the tooth has broken few months back,i would advice you to get a thorough clinical examination done by a dentist.

Chances of periapical infection is very high in this case.

Tooth has to be either root canal treated or extracted depending on severity of lesion.

Core-build up or crown has to be placed to correct the tooth fracture.

Take complete course of amoxycillin to relieve underlying infection.

Take care.
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Since you have a broken tooth with pain it indicates that you have developed infection in the tooth that had spread to the periapical tissues.
Headache and tender are due to radiating pain.

I would suggest you to visit to the Dentist and get the checkup done take na x-ray of the affected region.

Based on the x-ray root canal treatment or extraction can be performed on the tooth.

A course of antibiotics and analgesics has to be taken under the prescription of your Dentist.

At home take antiseptic mouthwash rinses and maintain a good oral hygiene.


Hope this helps out,

Regards.
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Have Tooth Infection, Pain Near Collar Bone, Chest, Upper Back, Headaches, Pain And Tender Jaws. Treatment?

Hello, Thanks for writing to us. Since the tooth has broken few months back,i would advice you to get a thorough clinical examination done by a dentist. Chances of periapical infection is very high in this case. Tooth has to be either root canal treated or extracted depending on severity of lesion. Core-build up or crown has to be placed to correct the tooth fracture. Take complete course of amoxycillin to relieve underlying infection. Take care.