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Unbearable pain in teeth, losing bone density. Gums peeling, tongue swollen. Advised biopsy. Pain relief?

The left side of my mouth both the bottom and upper teeth hurts really bad, I cannot talk for two long the pain becomes unbearable. went to the ER they said was sinus infection , however the pain was so bad I went to my dentist , who referred me to a specialist. upon examination i was told that i was losing bone density , the specialist referred me for a biopsy because my gums are peeling and under my tongue is swollen it looks like it has pus. with all that I am still in pain.
Asked On : Sun, 10 Mar 2013
Answers:  6 Views:  141
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Dentist 's  Response
I am Dr.Neha Gupta (dentist) and am glad to address to your query here.
Since your gums are swollen,there is chance of periapical infection.
Usually x-ray will reveal such infections.
If periapical abscess occurs,teeth has to be root-canal treated,the abscess has to be drained out and curetted.
Deep scaling and root planning has to be done to prevent gingivitis.
maintain good oral hygiene.
brush your teeth twice daily using toothbrush.
rinse your mouth after every meals.
chlorhexidine mouthrinses can prevent plaque accumulation
Take care and please keep me informed of your progress at healthcaremagic through my profile directly.
Answered: Tue, 12 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello ,

After reading your history i suspect you rare suffering from severe periodontal infection.
peeling of gums , redness , bleeding gums , bone loss are the signs of periodontitis , that is inflammation of the attachment apparatus of the teeth .

This condition can be confirmed further by taking an OPG radiograph which will show the entire picture of all the teeth , jaws , level of gums , bone loss and presence of infection if any .

Accordingly treatment can be planned. i suspect you have developed periodontal abscess which can be resolved by medication .

You may need scaling , root planing , deep currettage of gums to remove the granulation tissue . So please approach an periodontist for the necessary treatment.

i hope this helps ,

take care,
Answered: Mon, 11 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome,

As per the details,Your gums 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.
bone grafting and splinting has to be done in case of bone loss.
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.
Answered: Sun, 10 Mar 2013
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Dentist Dr. Qazi Ammara's  Response
Thanks for asking the query,

I would advice you to get complete dental examination done , get an x-ray done. The pain can be due to abscess formation . get an biopsy done.

Maintain a good oral hygiene , use mouthwash chorhexidine solution, use saline water gargles

Apply metrogyl oral ointment topically.

For pain management you can take tad Dolonex DT three times a day for three days.

Answered: Mon, 11 Mar 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for posting your query,
You might be having abscess
A periodontal abscess is extremely destructive, and if not treated promptly, can quickly result in irreversible damage to the surrounding ligaments and bone, ultimately causing you to lose the tooth.
• The primary goal of treatment is to drain the infection; scraping the pocket lining.
• remove the plaque and calculus adhering to the root surface with scaling and root planing; this hopefully prevents a recurrence of the infection.
• Antibiotics may be helpful in eradicating the infection.
• pain medications to alleviate the discomfort associated with the abscess.
• Once the abscess has healed, we recommend guided tissue regeneration and/or osseous surgery; without this definitive treatment, you are inviting future recurrence of the abscess.
I hope this information has been both informative and helpful
Answered: Tue, 12 Mar 2013
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