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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Stiffness In Mouth After Filling

Went to dentist on Jan 26 for routine cleaning and a white filing on a wisdom tooth. It was not a big filing. Had to be frozen with, i believe, 3 needles. Drilling was short and everything was painless even though I was told it was a difficult area in the mouth to reach. I was fine for a couple of days then on the 29th Jan. I started feeling some tenderness around tooth. This escalated to soreness in upper and lower gum/jaw area on side of filing. Went to dentist on Feb 1st and he told me everything looked fine and to take Advil for pain and wait and see. Pain got worse and it was dificult to open mouth or eat. Went back on Feb. 3rd, dentist had a look and I was told there was an infection. I am now taking Amoxicillin. Dentist said I probably chewed on that side while I was still frozen(which I didn't). What are your thoughts. Does this happen easily and often?
Mon, 1 Sep 2014
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Dentist 's  Response
Hello,
Quite often sensivity afterwards can be due to some soft tissue trauma. Usually some discomfort is noticed when numbness wears off. Giving time to heal, avoiding the areas, soft diet and warm salt water rinses usually allows a complete recovery. Sometimes you can repeat injuring some inflamed, swollen tissue and have this delayed response due to new trauma.
Since you were placed in an antibiotic, is there any periodontal concern or any chance of the tooth having an abscess? I prescribe antibiotics only when there is infection present. Monitor for increased swelling, hot sensitivity and a reaction to pressure. Return to the dentist for further evaluation if symptoms persist.
Does your bite feel ok? Sometimes a high filling causes discomfort and a change in your bite. A simple adjustment will relieve symptoms if this is the case. Ask to have your bite checked.
I hope this is helpful. Take some antiinflammitory medication if needed for your discomfort. Thank you for your inquiry.
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Dentist Dr. Uzma Rahaman's  Response
Thanks for using Health Care Magic.

Read your query.

Pain in the filled tooth continuosly and increase in swelling can be probably due to the presence of underlying infection in the last tooth.

Amoxicillin can be continued as adviced.

I would advice you visit your oral surgeon and have a radiograph done.If the tooth can undergo root canal treatment,please go ahead with.If not have it extracted.Removal of the filling will provide relief.

Do salt water gargling.

Hope this was useful.
Thanks and regards.
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Suggest Treatment For Pain And Stiffness In Mouth After Filling

Hello, Quite often sensivity afterwards can be due to some soft tissue trauma. Usually some discomfort is noticed when numbness wears off. Giving time to heal, avoiding the areas, soft diet and warm salt water rinses usually allows a complete recovery. Sometimes you can repeat injuring some inflamed, swollen tissue and have this delayed response due to new trauma. Since you were placed in an antibiotic, is there any periodontal concern or any chance of the tooth having an abscess? I prescribe antibiotics only when there is infection present. Monitor for increased swelling, hot sensitivity and a reaction to pressure. Return to the dentist for further evaluation if symptoms persist. Does your bite feel ok? Sometimes a high filling causes discomfort and a change in your bite. A simple adjustment will relieve symptoms if this is the case. Ask to have your bite checked. I hope this is helpful. Take some antiinflammitory medication if needed for your discomfort. Thank you for your inquiry.