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Why am I having gums and face swelling with pain in capped teeth?

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 two capped teeth in the top right back of my mouth, and they hurt for three days, but on the fourth day, I woke up and my face and gums were swollen. On the fifth day, I woke up and it was swollen double the size. There is no pus bubble, the gums are just swollen. The pain is unbearable.
Answered by Dr. Muzaffer Hussain Parray

Education:

BDS

Professional Bio:

Dr. Muzaffer Hussain Parray is a passionate Dentist specializing in Oral Medicine and Radiology, with expertise in diagnosing and managing complex oral diseases, jaw disorders, and oral lesions. He is skilled in advanced imaging techniques and non-surgical treatments for oral health issues. Dr. Parray is committed to delivering accurate diagnoses and personalized care, ensuring early detection, effective treatment, and long-term oral wellness for his patients.

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Hi,

Welcome to icliniq.com.

I have gone through your question. I can understand your concern. As per your history, it looks like you are having buccal space infection because of the concerned teeth. The infection is spreading and it needs immediate management. You need to take the following medication, tablet Augmentin 625 (Amoxycillin and Clavulanic acid) twice daily for five days, tablet Zerodol SP (Aceclofenac and Serratiopeptidase) twice daily for three days. Kindly send me a picture to help you further.

The Probable causes

Secondary caries.

Investigations to be done

OPG X-rays.

Differential diagnosis

Acute apical periodontitis.

Probable diagnosis

Buccal space infection because of the apical periodontitis.

Treatment plan

Medication as mentioned above.
Medically reviewed by Dr. K. Shobana
Published At October 19, 2018
Reviewed At August 8, 2025

Education:

BDS

Professional Bio:

Dr. Muzaffer Hussain Parray is a passionate Dentist specializing in Oral Medicine and Radiology, with expertise in diagnosing and managing complex oral diseases, jaw disorders, and oral lesions. He is skilled in advanced imaging techniques and non-surgical treatments for oral health issues. Dr. Parray is committed to delivering accurate diagnoses and personalized care, ensuring early detection, effective treatment, and long-term oral wellness for his patients.

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

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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

Consult other doctors in the same speciality

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

Dr. Muzaffer Hussain Parray
Dr. Muzaffer Hussain Parray

Dentistry

Consult this doctor

Education:

BDS

Professional Bio:

Dr. Muzaffer Hussain Parray is a passionate Dentist specializing in Oral Medicine and Radiology, with expertise in diagnosing and managing complex oral diseases, jaw disorders, and oral lesions. He is skilled in advanced imaging techniques and non-surgical treatments for oral health issues. Dr. Parray is committed to delivering accurate diagnoses and personalized care, ensuring early detection, effective treatment, and long-term oral wellness for his patients.

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

Consult other doctors in the same speciality
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