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Having toothache, x-ray shows root abscess, wisdom tooth growing, bad cavity, pain in neck and head. Treatment?

hi doctor my name is hina .. i m frm india. i have a severe tooth ache in my botton ryt molar. n today wen i had my xrays done. an extra tooth ( wisdom tooth ) wz growing on in a horizontal position i guess it is putting pressure on my decayed tooth, n my tooth dat waz having a bad cavity ,, the xrays showd that i had root abscess ... how should i treat it. my doctor says dat root canal would be useless. he is saying dat he has to remove the tooth inorder to make room fr d wisdom tooth n fr relieving my tooth ache.. dear doctor please tell me wt to do??? :(( its really unbearable.. the pain is like a pressure underneath my jaw .. n the pain is spreading through d side of my neck n head.. i cant swallow properly...:(
Asked On : Mon, 7 May 2012
Answers:  3 Views:  222
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Dentist 's  Response
Welcome to HCM
I would like to suggest you to save your decayed teeth by RCT because posterior teeth are very helpful in mastication while go for extraction of wisdom teeth because they are vestigial & its impacted & causing damage to adjacent teeth.Get an IOPAR done of teeth & concern your dentist.
Also start with antibiotics as would be prescribed by your dentist for periapical abscess.

Take Care
Answered: Thu, 20 Dec 2012
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Dentist Dr. Gunjan Gupta's  Response
hi hina,i will suggest you should go for root canal treatment of that carious toothand the extraction of that wisdom tooth.but before taking any decision i have to see that please go to an oral surgeon or an endodontics and take a proper treatment after the complete examination.
nothing to get worried.take care
Dr.Gunjan Gupta
Answered: Tue, 19 Jun 2012
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Dentist, Oral and Maxillofacial Surgery Dr. Kamal Hasan's  Response
hi hina. U need to take following steps. 1.take antibiotics and analgesias so that ur periapical abscess around 2nd molar will subside.take augmentin 625 mg bd for 5 days, metronidazole 400mg tid for 7 days, ebility tid for 7 days, pantop d od for 7 days, betadine gargle for 7days 2. Then if the infection is not involving the fulcrum of 2nd molar and tooth is not excessively mobile go for rct of 2nd molar followed by ceramic crown 3. Impacted 3rd molar then shd be removed by sectioning of tooth
Answered: Thu, 21 Jun 2012
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