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Severe tooth pain, swollen jaw, numbness in lips, pain shooting to ears and temple. Treatment?

I have the worst toothache ever. Its the left side bottom 3rd tooth from back it had a filling that came out and it looks cracked i been on keflex double dose for 4 days now and now jaw is swollen and have knot in jaw and my lip keeps going numb on that side and shooting pain goes to my ear and timple and my dentist is out of town til monday, what should i do thanks
Asked On : Wed, 13 Mar 2013
Answers:  3 Views:  994
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Dentist 's  Response

Thanks for choosing HCM forum,

Your filled teeth has cracked which may lead into periapical infection.
Since the jaw is swollen and numbness in lip occurs,chance of developing periapical abscess is high.

an x-ray will help to rule out periapical infection if present.
If teeth can be retained,root canal treatment is indicated.
If further treatment is impossible,it has to be extracted.
Meanwhile warm saline gargle and betadine rinse has to be done.
Avoid chewing hard/solid foods on the affected site.
hope this helps.
Answered: Wed, 13 Mar 2013
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Dentist Dr. Neha Gupta's  Response
I am Dr.Neha Gupta (dentist) and am glad to address to your query here.

Your cracked tooth are affected with periodontal infection which has progressed into periodontal abscess.
This may be due to-
Poor oral hygiene.
systemic diseases like diabetes,epilepsy,auto-immune diseases.
plaque and calculus deposition.

I would suggest you to-
get scaling and root planning done.
maintain good oral hygiene.The abscess has to be drained and curetted.
Meanwhile,avoid intake of hot/spicy/cold foods.
Brush your teeth using soft-bristled toothbrush.

Take care and please keep me informed of your progress at healthcaremagic through my profile directly.
Answered: Mon, 18 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Pain in the tooth can be because of periapical infection abscess formation , it can also be because of crack in the tooth .
You need to visit Dentist get the clinical evaluation of tooth , take an x-ray .
If infection is deep it can be treated with RCT and if the tooth is fractured it is to be extracted .

Take tab combiflam 500mg thrice for 3 cays .
Take saline water gargles 3-4 times a day .
Take 0.2% of chlorhexidine mouthwash gargles twice daily .

Numbness in the ear and lips can be because of temporomandibular joint disorders ,neurological disorders or ear infection .
Visit an Oral Surgeon and an ENT specialist and get complete check up done .

Hope this helps out .

Answered: Wed, 13 Mar 2013
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