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Pain in tooth
Please suggest what can be done here, also I checked yesterday, attached x ray report here
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Answers (20)
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you need to get a root canal treatment done.make sure the dentist and you both are free from any covid symptoms.
once your tooth is opened you will get relief. antibiotics and painkillers will work for a short time only and if delayed could lead to a cyst formation.
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What is your isse with the teeth....is it hurting while chewing...or sensitivity while drinking water...or continuous pain...
Next Steps
answer above questions first
Health Tips
proper oral hygiene and warm saline gargle...
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Oops shows carious lesion n pulp.. better consult an endodontist for RCT followed by capping
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Rct is required followed by capping
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What are your symptoms??
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If pain or hypersensitivity than you may have to go for rct ??
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Carious process in first premolar is reaching the pulp .if it is tender on clinical examination.then root canal is needed.For PDL widening prophylaxis is needed which can be done only after Covid.
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Hello Sir , Welcome to Practo .
I have gone through your query and the xray attached . Nothing to worry ,you will ne needing a Root Canal treatmnt followed by a cap . You will have to visit the Dentist 3-4 times (sittings) and every things will get resolved. You might be in pain as the caries is near pulp .
Tab Mox 500mg
1 tab td x 5 day
Tab Zerodol Sp
1 tab Td x 5 days
Cap Pan D
1 Cap bd before meal x 5 days .
Warm saline gargle 2-3 times a day .
Avoid if possible for a Dental visit due to Covid 19 . Till then have medications and follow the steps.
If you need a precription or delail query please drop a query request to me, I will surely help you out.
Thanks alot.
Health Tips
Avoid sweet or sticky food.
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The restoration is dislodged and impinging onto your nerves.
Next Steps
visit dental clinic
Direct pulp capping or RCT to be advised
Health Tips
Avoid eating from that side and take pain killers in case there is pain
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The x ray shows dislodged restoration reaching till pulp cavity...u are advised to opt for indirect pulp capping followed by restoration /rct depending upon pain after the procedure
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From xray we can see deep filling in premolar which is very close to the nerve fibers and putting pressure on it..if you are not allergic to any medicine then take
Tab Zerodol p twice daily for three days
Tab augmentin 625mg twice daily for three days
Cap biglac twice daily for three days
Next Steps
you require root canal treatment of the concerned tooth..you will get relief with the medicine..for time being you can delay rct
Health Tips
take soft diet
don't put any direct pressure on the tooth
do warm saline gargles
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Problem is with your previously filled tooth(premolar). You need to remove the filling to relieve pressure of tooth. N then root canal treatment of tooth with cap
Now due to continuous irritation you must be feeling pain over their.
Next Steps
If the filling is loose, mobile and if you can remove it very easily try to remove.
Take following medicines. U can postpon ur root canal treatment for 1 month to 2.
Rx
1.Cap Moxikind CV 625 (10)
2times in day for 5 days after meal
2.Tab Zerdol SP (10)
2times in day for 5 days after meal
3.Tab pan 40 (5)
1time in day for 5 days before meal 20min
Health Tips
Dont chew from that side.
Avoid hot food
if something stuck remove by toothpick in gentle way
don't brush on that side with force
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Hello sir,
Are you experiencing any pain.your premolar( the tooth with filling) seems to be having a deep cavity and may require a RCT.
Next Steps
consult your dentist after lockdown
Health Tips
1.salt water gargle with regular temp water
2.Avoid hot cold,hard and sweet food from that side
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Hi,
Consult on personal chat box for detail discussion and treatment plan
Next Steps
Visit dentist for root canal treatment
Health Tips
Don't chew food from that side
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requesting you to visit site for more info about root canal
https://www.ar32.in/root-canal.html
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The root end is cut off upper 1st premolar. So presence of any periapical pathology can't be elicited
Depending on the depth and extent of secondary caries related to the restoration. It has to under go RCT.
Due to the covid pandemic, you can still delay for a month or 2.
But you need to be very careful with the tooth.you should eat any hard food at all, which may lead to fracture of restoration as well as the tooth structure.
AVOID HARD/VERY HOT/ COLD /SWEET/STICKY food.
Maintain soft diet.of normal temperature.
Brush thoroughly twice a day,after meal.
Use dental floss to avoid further food lodgement in between teeth 2-3 times/day regularly.
For the time being, do have these medicines prior to visit dentist,
T. augmentin duo 625, 3 times/day.after food 10 tablets.
T.metrogyl 400, 3 times/day.after food 10 tablets.
T.ultracet/zerodol PT, maximum 3 tablets a day, if pain,after food
T. Roles D,once a day, before food,for 4 days
T.A to z gold, once a day, after food,10 tablets.
If feverish, that can be as a secondary infection from tooth.
Next Steps
visit dentist and get RCT done after 2 months.
1-2 month's delay won't harm if the other precautions are well kept in mind and maintained accordingly.
Health Tips
do not do hot compression /balm/ointment application extra-orally.
avoid very hot/cold/hard/sweet/sticky food
soft diet
do not neglect brushing after meal.
hold mouthful of Luke warm salt water in for sometime; you can do it for few times a day, if it's relieving your pain, even partially.
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Please consult a restorative dentist
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Dr. Sayona Swati Das
Dentist
11 yrs exp
Bangalore
If you are having pain then you required RCT to be done ,and then followed by cap
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Dr. Ved P Kapoor
Dentist
52 yrs exp
Chandigarh
Your 4 need root treatment and 5and 7 need rest your treatment advised is perfect
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The filling done in this tooth has reached pulp and that is causing pain to you..
Next Steps
The immediate remedy is to remove the filling so that the pressure will be relieved and you should undergo antibiotic prophylaxis for three days and start with root canal treatment
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Dr. Gayatri Soin
Endodontist
22 yrs exp
Delhi
Please visit an endodontist for RCT. RCT will give you immediate relief.
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