What caused me severe tooth pain and gum swelling?

Hello,

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Kindly upload an image of the tooth to me if possible. As a specialist, I am here to help you.

Based on what you are experiencing, this is most likely due to tooth decay that has progressed to the inner nerve (pulp) of the tooth, which can cause infection at the root. A dental X-ray and examination will help confirm the extent of the problem and rule out other possibilities, such as a gum infection or a cracked tooth. The probable diagnosis is apical periodontitis, meaning inflammation or infection at the tip of the tooth root.

Treatment usually involves a root canal to save the tooth if possible, or extraction if the damage is severe. To prevent similar problems in the future, try to limit sugary and sticky foods, maintain good oral hygiene, and attend regular dental check-ups. Regular follow-up with your dentist will help ensure proper healing and prevent further issues.

Pain upon biting means the infection from the infected pulp has reached to the root apex and got collected locally. It is known as apical periodontitis. You need a root canal or extraction, but kindly do not delay, as it might progress to further infection. I am prescribing you medications for the same.

1. Capsule Sporidex 500 mg (Cephalexin 500 mg) one capsule twice daily for five days.
2. Tablet Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) one tablet twice daily for five days.
3. Capsule Pan D (Pantoprazole and Domperidone), one capsule twice daily before a meal for five days.
4. Betadine mouthwash, gargle in lukewarm water two to three times a day. (Povidone Iodine)
5. Avoid sticky or sweet food as much as possible.
6. Brush twice daily, rinse every time you eat.

I hope this has helped you.

Kindly revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

Kindly try not to use the flash as it brightens the image too much. I will assist you immediately.

Kindly revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

As per the image (attachment removed to protect patient identity), the caries seems to be located in the lower left second molar. It is an apical periodontitis. It needs a root canal treatment. The tooth looked fine otherwise. Try to have it as soon as convenient. If the abscess increases, extraction will be our only option. So do not delay. You will be fine, nothing to worry. Start the medications, I have already mentioned the generic names, it will be easy to get them. It will buy you enough time.

It is not so important, but if you want, you can upload an image showing the occlusal surface of the tooth (the chewing surface of the tooth). It is not important but it will help to know whether lower left first molar is healthy. The medications I wrote are the safest and most effective. I would recommend starting those medicines and following the instructions as soon as possible. You will be relieved soon.

I hope this has helped you.

Kindly revert in case of further queries.

Thank you.