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How to manage deep cavity in the right upper molar?

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

Patient's Query

Hi doctor,

I have attached pictures of a black hole in my right upper molar. It is enlarging in size, painful, and causes migraines daily. So I tried to remove the infected cusp.

Please help.

Answered by Dr. Nazima Anjum

Hi,

Welcome to icliniq.com.

From the images attached (attachment removed to protect the patient's identity), it is suggestive of secondary caries or a broken filling. Take an X-ray and do a root canal treatment if possible and replace it with a crown. If it is grossly decayed, then it is better to extract the tooth. I suggest antibiotics to prevent infection.

Here are my suggestions:

  1. Capsule Novamox LB (Amoxicillin) 500 mg thrice daily for three days.
  2. Tablet Combiflam (Ibuprofen and Paracetamol) 400 mg thrice daily for three days.
  3. Tablet Flagyl (Metronidazole) 400 mg thrice daily for three days.

I hope this has helped you. Please feel free to reach me again in case of further queries.

Answered byDr. Nazima Anjum

Medically reviewed byiCliniq medical review team

Published At July 2, 2022
Reviewed AtSeptember 24, 2025

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

Dr. Nazima Anjum
Dr. Nazima Anjum

Dentistry

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