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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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The Swelling In Jaws And Face Post RCT Is Not Reduced Even After Dentist Advice. Should I Look For Another Dentist?

I had a root canal treatment (BMP) done a week back and had some pain in the following days along with swelling of the face (same side). I was told by the dentist (on phone, when i explained the problem) to have Clavam 625, twice daily for 5 days. The course got over yesterday but the swelling is not completely over. It is much better now (i would say 80-90% better), but some discomfort in the jaw joint while opening the mouth to full extent and I feel a funny taste and bad breath in the mouth too. I am due to meet the dentist again this week for crown cutting. Should I be worried about my present dentist or take a second opinion. Also, please note that my root canal was done on the upper tooth, right adjacent to another tooth where an earlier root canal had been performed, with post and crown around 5 years ago by a different dentist. thank you.
Tue, 7 Jan 2014
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Dentist,  's  Response
Hello and welcome.

After going through the history posted here it appears that the infection has not recovered completely.Even after taking a course of antibiotic.

Therefore in my view please discuss with your present dentist regarding alternative antibiotic course like metronidazole and ciplox course too.

Once the swelling comes down and when you start feeling better only then the next procedure can be started.There should be no hurry in this.

Meanwhile please do warm saline rinses too and do not be worried it would be fine.

I would like to remind you that in case of diabetes and hypertension, any wound takes longer time to heal as you have not mentioned your medical history.
Only when you are not convinced by your present dentist then please look for Endodontist in this regard.

Thanks.
Take care.
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The Swelling In Jaws And Face Post RCT Is Not Reduced Even After Dentist Advice. Should I Look For Another Dentist?

Hello and welcome. After going through the history posted here it appears that the infection has not recovered completely.Even after taking a course of antibiotic. Therefore in my view please discuss with your present dentist regarding alternative antibiotic course like metronidazole and ciplox course too. Once the swelling comes down and when you start feeling better only then the next procedure can be started.There should be no hurry in this. Meanwhile please do warm saline rinses too and do not be worried it would be fine. I would like to remind you that in case of diabetes and hypertension, any wound takes longer time to heal as you have not mentioned your medical history. Only when you are not convinced by your present dentist then please look for Endodontist in this regard. Thanks. Take care.