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HomeAnswersDentistrydental cariesMy mother has a toothache with swelling. Is it an emergency?

What has to be done for hole in tooth with pain and swelling?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At February 23, 2019
Reviewed AtNovember 23, 2022

Patient's Query

Hello doctor,

My mother is 45 years old. She got a hole in teeth and she is complaining of a toothache for three days and from yesterday, she developed swelling on the right half of the face. Is this any sort of emergency?


Welcome to icliniq.com.

After going through your query and image sent by you (attachment removed to protect patient identity), this seems to be a case of severe infection inside the right tooth. Tooth decay has resulted in infection in the innermost part of the tooth called pulp that contains nerves and blood vessels.

The Probable causes

Deep dental caries.

Investigations to be done

Intraoral periapical radiograph (X- ray).

Differential diagnosis

Acute periapical abscess or buccal space infection.

Probable diagnosis

Acute exacerbation of chronic periapical abscess.

Treatment plan

1. Treatment can be planned after analyzing the X-ray. 2. To reduce pain and swelling, antibiotics and anti-inflammatory drugs can be given for 3 to 5 days. 3. If infection beneath the root is not in excess, then root canal treatment can be done. 4. In case of excessive pus and infection, pus drainage followed by extraction should be done. 5. Immediate extraction is not advisable.

Preventive measures

1. No hot fomentation should be done. 2. The face should not be covered. 3. No massage should be done. 4. Biting from the affected side should be avoided.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Deepti Jakhmola


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