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How to prevent gum pain from becoming an abscess?

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

Patient's Query

Hello doctor,

I have pain in the gums of a back molar. The pain started two days back. I would like to treat it before it becomes an abscess. I am currently on Levothyroxine. Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern.

I feel sorry for the pain that you are bearing. Though I needed more details and a photograph, kindly tell me what type of pain it is. Is there pain only around the gums or in the tooth also? If it is only in the gums, then there is some periodontal problem due to food lodgement. Do you remember eating any such thing recently, where you felt a sudden pressure on it or from the sides?

Under the prevailing pandemic situation, you cannot go to a dental clinic for scaling but kindly do it as soon as possible when the situation gets better. For now, I would suggest you do a salt warm water rinse four to five times daily and do a gentle finger massage. You can also apply clove oil if you have one.

If pain is not bearable, you can take a painkiller like Paracetamol or Ibuprofen. As you have not mentioned whether there is a cavity or not, I cannot prescribe you antibiotics.

I hope this helps. Do revert in case of any further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have pain when I bite and I do not feel there is something in my gum. I have used the Waterpik floss and brushed the spot thoroughly.

Thank you.

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Mere brushing does not remove anything that gets stuck in the periodontal area. I will prescribe you medicine that will help subside the pain temporarily. But an X-ray will tell what the actual problem is. For a permanent solution, make sure to take an X-ray as soon as the Corona pandemic gets normal in your area.

Take a tablet of Amoxicillin and Clavulanate combination (500 mg) thrice daily for five days, and Paracetamol 500 mg SOS thrice daily (only if you have pain). Do complete the course of Amoxicillin.

I hope this helps. Do revert after completing the medications.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At April 21, 2020
Reviewed AtDecember 20, 2024

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