How to manage the pain caused by a broken molar tooth?

Question

Hello doctor,

I have a broken molar that causes a lot of pain and lethargy. I cannot afford to visit a dentist and I fear about sepsis. It has been over a year since the tooth was broken but now, it pains a lot and makes me feel feverish. Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and I can understand your concern.

I reviewed the attached image (attachment removed to protect the patient's identity). Lethargy and elevated temperature are classical signs of infection from sepsis. As your lower left second molar is grossly carious leading to a root stump, it is getting infected. I would advise getting it extracted as soon as possible, as medicines will work only on a temporary basis and the infection will revert.

Kindly mention if you have any medical history such as blood pressure, or diabetes. Do you have any drug allergies? Kindly answer because the medications might get altered accordingly. So it is important.

I would advise you to do the following:

Take a capsule of Sporidex 500 mg (Cephalexin 500 mg) BD for five days, Metronidazole one tablet BD for five days, Ibuprofen one tablet BD for five days, and Omeprazole one capsule BD before meals for five days.
Use Betadine mouthwash, and gargle with lukewarm water twice or thrice daily.
Avoid sticky or sweet foods as much as possible.
Start the medication. They are the safest drugs and will buy you enough time till you get your tooth extracted from your local dentist.

I hope this helps.

Thank you.