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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Tooth Abscess Be Treated?

hello, I believe I have a tooth abscess? though i have no pain my throat below my jaw on the left side is swollen. I have been taking aspirin--well Excedrin for it and it goes down much but comes back when I eat. I have or need dental work, just haven't had the money. someone is trying to tell me i can die from this? I had one on my right die before and after days gotten amoxicillion for it and it cleared. I had this for several days now and am calling my dentist tomorrow to see if i can get amoxicillin again, i am ok with this or in a death situation? please
Wed, 7 Feb 2018
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Dentist 's  Response
Hi

Thanks for the query

It looks like an obstructed duct of submandibular salivary gland that is present under the jaw.
Swelling under the jaw that increases just after eating is clear indication of obstructed duct as when there is obstruction in the duct of the salivary gland due to formation of crystalline stones known as Sialolithiasis from the minerals present in saliva the duct is blocked.
When saliva flow increases suddenly when we start eating and it cannot flow into the mouth there is back flow of saliva into the gland and it swells.
As the salivation gradually reduced and also some saliva seeps through narrow spaces left in the ducts there is reduced swelling.
You should consult an Oral Physician and get evaluated and he can do a thorough clinical evaluation, although as you are pregnant x rays cannot be taken. If it is suspected to be due to stone formation you can be advised to suck tart candies as at times the stones can flush out with heavy saliva flow. Superficial stones can however be pushed manually towards the duct orifice and can be removed.
Deeper stones needs surgical removal and for this it will be better till you deliver the baby.

Hope this helps

Regards

Dr. Honey Arora, Dentist
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How Can A Tooth Abscess Be Treated?

Hi Thanks for the query It looks like an obstructed duct of submandibular salivary gland that is present under the jaw. Swelling under the jaw that increases just after eating is clear indication of obstructed duct as when there is obstruction in the duct of the salivary gland due to formation of crystalline stones known as Sialolithiasis from the minerals present in saliva the duct is blocked. When saliva flow increases suddenly when we start eating and it cannot flow into the mouth there is back flow of saliva into the gland and it swells. As the salivation gradually reduced and also some saliva seeps through narrow spaces left in the ducts there is reduced swelling. You should consult an Oral Physician and get evaluated and he can do a thorough clinical evaluation, although as you are pregnant x rays cannot be taken. If it is suspected to be due to stone formation you can be advised to suck tart candies as at times the stones can flush out with heavy saliva flow. Superficial stones can however be pushed manually towards the duct orifice and can be removed. Deeper stones needs surgical removal and for this it will be better till you deliver the baby. Hope this helps Regards Dr. Honey Arora, Dentist