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Medical Forum / General / Dentistry / November 2005

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I have a MASSIVE problem,  can anyone advise?

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Number One - 30 Oct 2005 01:42 GMT
 Hoy hoy,

 I posted here a few weeks back and got some really good help from you
guys,  maybe you can give me some good advice again?  I just lost my
job suddenly,  out of the blue, cut, after six years.  Along with that
I lost my insurance, including, of course, Dental.  I don't know what I
did, or how I did it,  but I somehow have triggered the WORST toothache
I have ever had in my life.  I am in so much pain it's not funny.
Upper left side of my jaw,  it's really BAD.  The pain in the tooth is
triggering these really bad headaches as well.  I'm sure this has been
asked before,  but, is there any kind of "home remedy" for bad tooth
pain? Or, since I can't get to a dentist, can someone recommend a good
OTC pain reliver?  I ahve taken about 7 Tylenol and had no effect.
It's the equivelant of punching someone if the face and they laugh at
you, well,  you get the idea..

Any hope for me??

 I thought that if anyone could help it would be someone in this
group.

 Thank you to all who cn give any advice at all.

 JJD
George Chatzipetros - 30 Oct 2005 02:01 GMT
Please give some more detail about the pain. Particularly:
- Are you able to tell which tooth causes the pain or does the pain
seem to "spread" along the jaw?
- Is there any swelling?
- When you excercise gentle pressure with your finger at the point
where the gums surrounding the offending tooth meet your cheek, is
there any pain?
- Does hot or cold aggravate the pain?
- Does it hurt more during the night? Does the pain increase when you
lie down?
- Did the pain kicked in suddenly, or were there some warning "signs",
like sensitivity.
- Did you recently suffered from common cold/flu/sinunitis. Do you have
sinus problems in general?
- Has the tooth received any recent dental treatment? Does it have a
crown or filling on it or is it a "virgin" tooth?

Tylenol has acetaminophen, which if I'm not hugely mistaken is what we
call paracetamol on the other side of the pond. It is a
centrally-acting analgesic with almost no anti-inflammatory action,
therefore almost useless for dental pain IMHO. What you probably need
is a non-steroid anti-inflammatory drug, like Ibuprofen for example.
Assuming of course you don't have a health condition that prohobits use
of such painkillers. 400-600mg of ibuprofen should work a lot more
effectively than any amount of Tylenol.

Good luck,
George
Number One - 30 Oct 2005 04:02 GMT
THANK YOU for replying George!

 It came on very suddenly.  It is almost as if there is a "throbbing"
pain in my tooth area. It may be the third or fourth tooth on the left
side of my face. This is the first day,  and it is still bothering me
really bad, so I would say yes it does bother me at night.  I will try
the ibuprofen route.  Thank you George!!

 Jay

> Please give some more detail about the pain. Particularly:
> - Are you able to tell which tooth causes the pain or does the pain
[quoted text clipped - 24 lines]
> Good luck,
> George
Number One - 30 Oct 2005 04:34 GMT
George,

 Would Motrin be a better choice and I also have left over from a bout
of Mono back in the summer a drug called "IC PREDNISONE 10MG".  I
believe this was an anti inflamitory steriod.  Do you think that migh
help?  My PCP apparently over wrote the prescription and I have about
10 left.  Would that help?  I can also get from a neighbor some what I
think is 600 or 800 mg Motrin.  My wife has been out of Tylenol and
"borrowed" those from the next door, who I think has them for an
arthritic condition.   Now that you mention it, when I close my jaw on
the left side of my face I can feel some swelling, like there is a
balloon inside the tooth area in question. Any thoughts?

 And thank you again George!
Ann - 30 Oct 2005 09:30 GMT
>George,
>
>  Would Motrin be a better choice

As far as I know Motrin is Ibuprofen which is what the previous poster
advised taking.

>and I also have left over from a bout
>of Mono back in the summer a drug called "IC PREDNISONE 10MG".  I
>believe this was an anti inflamitory steriod.  Do you think that migh
>help?

No, you should not take steroids without medical backup.  For one
thing you shouldn't stop taking them suddenly but need to tail off the
dose or you can get bad effects.

Ann
not a dentist, just an ex nurse.

>My PCP apparently over wrote the prescription and I have about
>10 left.  Would that help?  I can also get from a neighbor some what I
[quoted text clipped - 3 lines]
>the left side of my face I can feel some swelling, like there is a
>balloon inside the tooth area in question. Any thoughts?
Number One - 31 Oct 2005 03:48 GMT
 Good call, thank you for the advice Ann.

 Still in alot of pain.

 JJD

> >George,
> >
[quoted text clipped - 22 lines]
> >the left side of my face I can feel some swelling, like there is a
> >balloon inside the tooth area in question. Any thoughts?
George Chatzipetros - 30 Oct 2005 11:26 GMT
Jay, try the Motrin. Forget about the steroid. If you feel a swelling
or a sense of "heaviness" in that area, chances are you've got a dental
abscess. Antibiotics could help[, if you have access to them. What can
help is also cold water held in that area of the mouth.
You will need to see a dentist!

George
Number One - 31 Oct 2005 03:53 GMT
Excellent,  thanks George!  I got my hands on some strong Motrin.
Also,  the problem seems to have spread to the roof of my mouth,  real
wacky thing here.  I am going to get to a dentist for tomorrow. I've
never been out of work before.. I have a feeling I am going to have a
new appreciation for my health insurance plan, LOL.

 Thank you for the help George,

  JJD

> Jay, try the Motrin. Forget about the steroid. If you feel a swelling
> or a sense of "heaviness" in that area, chances are you've got a dental
[quoted text clipped - 3 lines]
>
> George
kureforcrohns@sbcglobal.net - 01 Nov 2005 01:26 GMT
What is the difference between an abscess and an infection.
What is it when a pimple filled with pus appears on the gum where the root
is.
Can either an infection or an abscess be totally cleared by an antibiotic,
not needing further treatment.
What is the treatment for an abscess and what is the treatment for an
infection.   There has been discussion on self treating an abscess.    I
gather that in every instance a dentist should be seen?      Does swelling
always  accompany an abscess or infection?     The below post does discuss
some of this, but so many variances occur, that every facial pain with or
without swelling   is suspect for root canal or worse?  Dentist has moved
out of available area and it is so difficult to adjust.     I know the
safest course is to see a dentist, but what a hassle.
Went into  the local Dental implant Associates and there were a couple of
newspaper clippings on the board that said one of the dentists extracted a
tooth from a patients mouth, fixed it and restored it back in the patients
mouth.  Is this possible.   Seemed that the article was in the Enquirer.
The dentist is real.
Gail

> Jay, try the Motrin. Forget about the steroid. If you feel a swelling
> or a sense of "heaviness" in that area, chances are you've got a dental
[quoted text clipped - 3 lines]
>
> George
kureforcrohns@sbcglobal.net - 01 Nov 2005 01:28 GMT
Incidentally, there is a Kremona musical co. in a bldg. close by.
Gail

> Jay, try the Motrin. Forget about the steroid. If you feel a swelling
> or a sense of "heaviness" in that area, chances are you've got a dental
[quoted text clipped - 3 lines]
>
> George
Number One - 07 Nov 2005 03:58 GMT
Hi All,

 Just wanted to follow up after my frantic post last week about my
tooth issue.  I found some Amoxicillin in my med cabinet and took for a
few days along with tons of Advil.  Got to dentist on Friday after I
just couldn't take it anymore.  The guy was GREAT,  he looked at me and
told me I needed another root canal, took the pics and gave me a
referal to a local Endiodontist.  They were local and saw me within one
hour.  I don't have insurance,  but since I have found a new job, they
agreed to start the procedure, no money up front (!!!!), and will
finish and bill when my insurance kicks in at my new job, which should
be in a week or two.  He basicly pulled the roots out I guess and put a
temp filling in, should be good to go until I get back there in a few
weeks.  Much better now.  I really got lucky.  Thank you to all who
replied and tried to help!

 JJ
Joel M. Eichen - 30 Oct 2005 13:29 GMT
>George,
>
>  Would Motrin be a better choice and I also have left over from a bout
>of Mono back in the summer a drug called "IC PREDNISONE 10MG".

TOSS IT OUT now.

Joely

>  I
>believe this was an anti inflamitory steriod.  Do you think that migh
[quoted text clipped - 7 lines]
>
>  And thank you again George!
DrSteve - 30 Oct 2005 17:57 GMT
What the OP describes can only be helped with physical treatment from a
dentist.  Drugs and home remedies may mask the pain for a few hours, but it
will keep coming back.  He needs to spend money and have the tooth treated.
Sorry that it occurred when there is no insurance, but that is not an excuse
to stop living.  Charge it to your CC and pay it off over time if you have
to.

SM

>>George,
>>
[quoted text clipped - 16 lines]
>>
>>  And thank you again George!
Number One - 31 Oct 2005 03:56 GMT
 You are exactly right.  I can get a few hours of relief here and
there,  but it needs to be treated.  I will have to find someone
tomorrow.  Thanks for replying to my post.

 JJ

> What the OP describes can only be helped with physical treatment from a
> dentist.  Drugs and home remedies may mask the pain for a few hours, but it
[quoted text clipped - 25 lines]
> >>
> >>  And thank you again George!
Number One - 31 Oct 2005 03:50 GMT
 Ok,  sent to the sewers.  Thanks Joel.

 Ouch,

 Jay

> >George,
> >
[quoted text clipped - 16 lines]
> >
> >  And thank you again George!
JimSocal - 31 Oct 2005 06:56 GMT
I suggest you check and see if there is a Free dental clinic or a
Dental School in your area if you are not too far from a decent sized
city, and if money is super tight. Here in L.A. there is UCLA and USC;
not sure if there is a school near you.

If not, you'll just have to bite the bullet (no pun intended) and go
to a dentist. Dental pain ONLY GETS WORSE with time, 9 times out of
10, so get to a dentist somehow, somewhere, a.s.a.p.!
 
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