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What could cause severe pain in a filled molar tooth?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing severe pain in the first molar tooth. I had a filling done one year back. I had three Combiflam tablets to reduce the pain. Please advise.

Thank you.

Answered by Dr. Kandi Disha Dnyanendra

Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

As per your description, it seems that there is a reinfection in your treated tooth. Do you see any discoloration in that tooth? For a permanent solution, you have to get it treated in a dental clinic. Reinfection can be confirmed only after taking an X-ray of that tooth. But as per the current outside scenario of a viral outbreak, one should not visit the dental clinic unless it is an emergency. So what you can do at home is take the tablet Augmentin 625 mg (Amoxicillin and Clavulanic acid) twice daily for three days after food, Ultracet P (Tramadol) twice daily for three days after food, and gargle with lukewarm water by adding a pinch of salt to it. Do this for two to three times daily. If possible upload the image of the concerned area.

I need to know a few more details. Is there any swelling or pus associated with that tooth or gums? Is there any reddish discoloration or are you having any fever? I want to know what kind of restoration you had. Kindly answer my queries.

I hope this helps.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Yes, there is swelling observed from the outside. I have no fever but my jaw is paining. No discoloration is observed. I am not sure about the kind of restoration. I will check the prescription and revert.

Thank you.

Answered by Dr. Kandi Disha Dnyanendra

Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Your images are not that clear (attachments removed to protect the patient's identity). If swelling and inflammation are there, then take the tablet Zerodol SP (Aceclofenac plus Paracetamol plus Serratiopeptidase) twice daily for three days after food instead of Ultracet P (Tramadol and Acetaminophen). Take Ultracet P (Tramadol and Acetaminophen) only if you have severe pain. Also, take Pan 40 mg (Pantoprazole) half an hour before food once daily for three days to prevent acidity. Yes, from this application only, I have written down a prescription. I have prescribed medicines for acidity, infection, and swelling.

I wish you good health.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At April 14, 2020
Reviewed At December 19, 2024

Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MDS

Professional Bio:

Dr. Kandi Disha Dnyanendra is a Senior Lecturer in Orthodontics and a skilled Consultant Orthodontist, dedicated to advancing both clinical practice and dental education. With a strong academic foundation and hands-on expertise, she specializes in diagnosing and treating complex orthodontic cases. Passionate about creating confident smiles, she combines precision, innovation, and patient-centered care to deliver exceptional results in both teaching and clinical settings.  

This doctor is not available for online consultations on the platform anymore.

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