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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tooth Broken With Root Still Inside. Tooth Extracted, Pain And Swelling. No Antibiotics Given. Infection?

My 6 yr old daughter has been complaining of upper lip pain. This morning when she woke up her upper lip and the area b/t her lip and nose are swollen and painful. I took her to the dentist today, b/c she has an upper front tooth that was knocked out by her friend about 5 months ago, and apparently the tooth broke off and the root is still in there. The pain in the lip all started last night though while she was trying to eat corn on the cob, so I just assumed it was all related and that maybe there was an infection. The dentist looked and she has an appt next week to have the roots removed, but he said there is no infection and didn't prescribe any antibiotics. She is still complaining of pain and the area is still swollen. I think she may even have a low-grade fever. My question is, if there is no infection, why is it swollen and painful. Should she see her pediatrician?
Wed, 14 Aug 2013
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General & Family Physician 's  Response
Hi,
It seems that there is infection in broken tooth giving rise to forming abscess leading to pain and swelling.
She requires removal of tooth root after infection subsides.
Consult her pediatrician and go for one antibiotic and anti-inflammatory medicine course.
Ok and take care.
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing to healthcaremagic forum.

Broken tooth may be deciduous tooth,the root of which may be resorbed to aid exfoliation of tooth.

Swelling as well as pain is due to infection underlying the root.

Take amoxycillin-250mg as well as diclofenac-50mg prior to procedure.

The swelling will subside once the root has extracted.

Hope this helps.
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Dentist Dr. Souranjita Chattopadhyaya's  Response
Hello,

Thanks for choosing HCM,

From the symptoms I feel there is infection related to the tooth....but the broken tooth should be her milk tooth according to her age...

the root portion of upper milk tooth almost get resolved in this age...but you have to sure the permanent tooth is not injuired inside...

proper x-ray is required for that...

Don't be worried...give proper antibiotic and analgesic according to prescription...don't apply any hot compress from outside that may increase the swelling...

Give her warm salt water rinses 5-6times/day...she will get relief....

Wish your daughter good health....

Regards....

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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,
Swelling is because of infection.
A tooth that has broken off at the gum line, leaving only the root behind, needs to be extracted. Otherwise, the root can become infected and cause a swelling.
If swelling, apply cold compress to adjacent soft tissue, otherwise, avoid extremes in temperature.
Visit the dentist and get an IOPA done.

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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

As your daughter is 6 year old the tooth extracted is a decidous tooth, roots of the decidous tooth are resorbed due to the erruption of the permanent successor.

Pain and swelling can be due to the spread of infection to the periapical tissue, a cleaning and irrigation of the cavity is required. Also take an IOPA x-ray of the region to look for the position of the errupting tooth.

Take a course of antibiotics and analgesics under the prescription of your Dentist.
Give your child lukewarm saline rinses.
Maintain a good oral hygiene.


Hope you find this as helpful,

Regards.
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Tooth Broken With Root Still Inside. Tooth Extracted, Pain And Swelling. No Antibiotics Given. Infection?

Hi, It seems that there is infection in broken tooth giving rise to forming abscess leading to pain and swelling. She requires removal of tooth root after infection subsides. Consult her pediatrician and go for one antibiotic and anti-inflammatory medicine course. Ok and take care.