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HomeAnswersDentistrydental fillingsWhat can be done to bring down swelling associated with tooth pain and dislodged filling?

Can dislodged filling cause swelling and tooth pain?

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 5, 2019
Reviewed AtMay 2, 2024

Patient's Query

Hello doctor,

For the past three days, I have had severe tooth pain and swelling. My filling fell out and it has started to decay to the point that I only have half a tooth and a giant hole where food is constantly getting stuck. The swelling is so bad I can only describe it as it looks as if I am hoarding a golf ball in my cheek. The pain has subsided due to warm salt water rinses, Peroxide or warm water rinses, Tylenol for every four hours, warm compress, and brushing my teeth every three hours. But the swelling has not gone down at all. How can I get it to go down?

Hello,

Welcome to icliniq.com.

There is a swelling. It means that it still has an infection. Please do not use a warm application in infection side. You need a dental check up as soon as possible. Your dentist will take an X-ray and see the infected area after he or she decides treatment (either root canal treatment or extraction of the tooth) followed by antibiotics. So I suggest you please see your dentist as soon as possible because our smile matters.

The Probable causes

Periapical abscess due to deep dental caries.

Investigations to be done

Clinical examination and dental X-ray.

Differential diagnosis

Periapical abscess, dental caries, perioendo lesion.

Probable diagnosis

Periapical abscess.

Treatment plan

Root canal or extraction (decided after clinical examination).

Preventive measures

Avoid hot food, pressure on the affected side.

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

Dr. Gaurav Kumar Pandey
Dr. Gaurav Kumar Pandey

Dentistry

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