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Tooth infection
Yesterday I had RCT after pus was cleaned. Before the procedure, I had severe pain, a 103°F fever and high BP. I started Metrogyl 200 and Augmentin 1g twice daily.
On Day 2, the pain reduced a lot, but at night it returned with a 100°F fever.
Now I see new, painful pus/swelling on another side of the treated area. My dentist advised warm salt-water rinses and very gentle finger massage. Is this normal after RCT, or could it mean a new abscess or spreading infection? Is gentle massage safe? How often should I rinse? Since I had a 103°F fever yesterday and fever has returned today with new pus, should I see my dentist urgently? What symptoms need emergency care?
Answers (15)
Hi mam
After a succesful RCT the pain and fever should have completely resolved, you experiencing the above said symptoms indicates there could be leftover infection or newly formed abscess. Kindly stop the massages and rinses. Do continue the antibiotics. You should see your dentist asap.
Emergency symtpoms will be
Pain radiating to neck, forehead and swelling over the area and high fever.
Next Steps
consult good Endodontist
Get a Intraoral Periapical Radiograph (IOPA = Dental Xray)
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Need proper evaluation please consult for assessment and treatment
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Fever returning after RCT, with new painful swelling and pus, is not a normal recovery sign and can mean persistent infection or an abscess. Please contact the treating dentist/endodontist today for examination, dental X-ray and drainage or further treatment; do not massage or squeeze it, and do not extend antibiotics without review. Go to emergency care immediately if swelling spreads to the face, eye or neck, or if you have difficulty opening the mouth, swallowing or breathing. You may book a Practo consult with me for coordination, but dental review should not be delayed.
Next Steps
See the treating dentist/endodontist today for examination, dental X-ray and drainage or further treatment. Use only prescribed antibiotics; seek emergency care for facial/neck swelling or difficulty opening the mouth, swallowing or breathing.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Three ti.es I HAD RCT NEVER HAD SUCH SYMPTOMS.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take Balanced diet.
For diet details and prescription contact me at WhatsApp at +91959508739nine or consult by practo app.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app.
Thanks.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Antibiotics take minimum 48 to 72 hours to act, hence relapse or new infection is possible.
You can do warm salt water rinse, 3 times daily.
Get clinical examination done by your dentist.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Visit your dentist asap
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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