HomeAnswersDentistrydental cariesHow to manage a decayed tooth presenting with swollen cheeks?

I have a decayed tooth and swollen cheek. How to manage?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Tinu Thampy

Medically reviewed by

iCliniq medical review team

Published At February 26, 2017
Reviewed AtDecember 12, 2023

Patient's Query

Hello doctor,

Yesterday I visited my dentist for a decayed tooth and infected gums. The dentist failed to extract the tooth, as Novocaine did not work because of the infection. Now my cheek is swollen and painful. I was prescribed Amoxicillin and Vicodin.

Answered by Dr. Tinu Thampy

Hi,

Welcome to icliniq.com.

The swelling of your cheek is due to infection extending from your tooth and root apex into the underlying bone and the facial surface and has reached the soft tissues (muscle and fat). This infection can spread further to the adjacent areas and cause bacteremia (bacteria in the blood) and complications in breathing. I would suggest you get the infected tooth extracted before the antibiotic course gets completed, as the swelling will not come down without removing the cause.

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

Dr. Tinu Thampy
Dr. Tinu Thampy

Dentistry

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