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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Dental Problems

I had a crown beak off over a cracked tooth that i had a root canal on. It didn't hurt when the crown broke off. Gums were a little sore when I chewed firmer food but otherwise good. I then went to the dentist to get the tooth extracted so it wouldn't end up getting infected if food got in it. He numbed me up enough we thought but when he went in for the pull the pain went beyond pressure to total mind bending pain. He refused to work on me further since the pain was too much and abnormal. The dentist referred me to an oral surgeon so i could be put under because he felt I couldn't handle the pain that shouldn't be there in the first place with local anesthesia. And he prescribed me an antibiotic, clindamycin because of my allergy to amoxicillin, because he thought i might have an infection that was causing the severe pain during the procedure. Please tell me there is some alternative to this awful antibiotic. And tell me if i need an antibiotic at all if I only felt pain in my tooth when the procedure was happening. I'm scared. I had a tooth extraction before and it went just fine. Should I see a different dentist that just does normal extractions or see the oral surgeon and be put under? Thank you
Sat, 7 Jun 2014
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Dentist 's  Response
Hello Dear
Thanks for your query and of course thanx for writing in detail. I will be most happy if I could help you out so no need to worry much. I will be discussing all one by one.

*Since your tooth was root canal treated, it is less likely to have infection in it.
But the anesthesia doesn't worked so the possibility of any infection and
inflammation can't be ignored.(Clinical along with Radiographic evaluation is
required)

*Dental extractions need more than one nerve to anesthetize, so in your
case it might be possible that one of the nerve couldn't get anesthetize
due to any technical mistakes or anatomical variations (more common in
lower jaw).
• I will advice you to get an appointment with a general dentist/oral surgeon with whom you are more comfortable as early as possible so that he/she can do thorough clinical examination and will take the radiograph (X ray) to confirm whether there is an infection present or not and start the needful treatment. (Procedure+Medication).

Coming towards the medication, since the dentist tried to extract the the tooth, there should be a wound due to instrumentation.So antibiotic coverage may or may not be required depending upon the wound.

You can't discontinue any medicine if its awful, but if you are not feeling any type of pain/swelling/pus discharge or any other discomfort in that area you may discontinue the antibiotic. I hope You will get the appointment in a day or two.

Till don't forget to Rinse your mouth with Betadene/Viodine/Betakind gargle (contains povidone iodine solution) easily available in medical stores, twice daily.

Hope this will help you. If there is any more query or question regarding this in your mind, you are always welcome.

Take Care

Regards
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Suggest Remedy For Dental Problems

Hello Dear Thanks for your query and of course thanx for writing in detail. I will be most happy if I could help you out so no need to worry much. I will be discussing all one by one. *Since your tooth was root canal treated, it is less likely to have infection in it. But the anesthesia doesn t worked so the possibility of any infection and inflammation can t be ignored.(Clinical along with Radiographic evaluation is required) *Dental extractions need more than one nerve to anesthetize, so in your case it might be possible that one of the nerve couldn t get anesthetize due to any technical mistakes or anatomical variations (more common in lower jaw). • I will advice you to get an appointment with a general dentist/oral surgeon with whom you are more comfortable as early as possible so that he/she can do thorough clinical examination and will take the radiograph (X ray) to confirm whether there is an infection present or not and start the needful treatment. (Procedure+Medication). Coming towards the medication, since the dentist tried to extract the the tooth, there should be a wound due to instrumentation.So antibiotic coverage may or may not be required depending upon the wound. You can t discontinue any medicine if its awful, but if you are not feeling any type of pain/swelling/pus discharge or any other discomfort in that area you may discontinue the antibiotic. I hope You will get the appointment in a day or two. Till don t forget to Rinse your mouth with Betadene/Viodine/Betakind gargle (contains povidone iodine solution) easily available in medical stores, twice daily. Hope this will help you. If there is any more query or question regarding this in your mind, you are always welcome. Take Care Regards