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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Intense Toothache And Sensitivity

Hello I have intense toothache which started about 4 months ago as a sharp pain lasting about 5 minutes twice a day building up to what I have now which is intense throbbing and pain under a crown which is super sensitive to touch. The pain is spreading to my ear and I have a rash on my cheek on the same side that flares up and down.. I thought it was to do either my pillow irritating my face but now think it may be associated with the tooth! Help! I can t bear the pain and have been awake all night.. Waiting for dentist to open. I don t have an appointment and it is Saturday so not sure if any dentists will be present - it could be hygienist only at weekend. Can t bear the pain - need to get it looked at today. Please advise
Fri, 10 Jul 2015
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Dentist,  's  Response
Hi Dear,

Understanding your concern.

As per your query you have symptoms of intense toothache and sensitivity under a crown which is due to presence of infection in underneath area of crown. Infection keeps on building up there due to severe pulp exposure and leads to formation of abscess which is causing severe pain and spread of infection to ear and neck regions.

I would suggest you to start with antibiotic combination, take Azithromycin 500 mg as you have severe form of infection. You can take combination of Diclofenac and Ibuprofen. Do warm saline gargles and betadine gargles. Visit dentist once and get IOPA done and start with root canal therapy of concerned tooth again. After this get crown placement done. Go for scaling and root planning of that particular quadrant. Follow all the instructions and maintain proper oral hygiene by brushing and flossing.

Hope your concern has been resolved.
Get Well Soon.
Best Wishes,
Dr. Harry Maheshwari
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Suggest Treatment For Intense Toothache And Sensitivity

Hi Dear, Understanding your concern. As per your query you have symptoms of intense toothache and sensitivity under a crown which is due to presence of infection in underneath area of crown. Infection keeps on building up there due to severe pulp exposure and leads to formation of abscess which is causing severe pain and spread of infection to ear and neck regions. I would suggest you to start with antibiotic combination, take Azithromycin 500 mg as you have severe form of infection. You can take combination of Diclofenac and Ibuprofen. Do warm saline gargles and betadine gargles. Visit dentist once and get IOPA done and start with root canal therapy of concerned tooth again. After this get crown placement done. Go for scaling and root planning of that particular quadrant. Follow all the instructions and maintain proper oral hygiene by brushing and flossing. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari