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Medical Forum / General / Dentistry / November 2007

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Toothache & antibiotics - how long for pain relief?

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skull_leader7@yahoo.com - 21 May 2007 03:57 GMT
Hi all...

My dentist prescribed 500mg amoxicillin  every 8 hours for my
toothache in my upper front tooth.  I'm coming up on 48 hrs since I
took the first pill and I'm still in a great deal of pain.  I've
actually been taking a single Aleve  every 12+ hours (usually when the
pain starts to return) as necessary, per the dentist's advice, but
each time the Aleve wears off the pain returns, pretty much as bad as
ever.  The dentist is also planning on doing a root canal on this
tooth in a few days, but in the meantime, should the amoxicillin
eventually get rid of the pain, or will I need to keep relying on
Aleve until the root canal?

By the way, this tooth was traumatized over 12 years ago from a
physical blow - I was around 20 at the time.  It was partially
dislodged (bent backwards at an angle), but eventually settled back
into its natural position or close to it.  It also started to
discolor, and for that reason, plus the fact that the adjacent tooth
had earlier been chipped from an unrelated injury, verneers were
placed on both teeth.  Anyway, my dentist the other day, upon looking
at the xray,says she can tell that the tooth was traumatized while it
was still developing, and says that this injury is likely the cause of
my current trouble - like the nerve is finally dying.  Is she right
about this?  12+ years seems like a very long time for it to be coming
back and causing this, now.

Thanks in advance for any advice / help.
Dartos - 21 May 2007 13:57 GMT
I'm coming up on 48 hrs since I
> took the first pill and I'm still in a great deal of pain.  

 The dentist is also planning on doing a root canal on this
> tooth in a few days, but in the meantime, should the amoxicillin
> eventually get rid of the pain, or will I need to keep relying on
> Aleve until the root canal?

To me, this situation is an emergency and should be treated on the
day it is reported, or most certainly the next for a REGULAR PATIENT.
Take a shorter lunch, work past 5:00, or cancel a non-emergency
patient.

If there is not time to treat a new patient quickly, they should be
told to try and find someone who can see them sooner.

How can you tell your patients in pain, "I'll get to it in a
week or so"?

JMO,
D
Amatus Cremona - 21 May 2007 14:05 GMT
If he is swollen, a few days of antibiotic might make it possible to get
numb.

Signature

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Amatus

/

>
>  I'm coming up on 48 hrs since I
[quoted text clipped - 18 lines]
> JMO,
> D
Dartos - 21 May 2007 20:49 GMT
Honestly, rarely have that problem, but I won't say 'never'.
:-)
D

> If he is swollen, a few days of antibiotic might make it possible to get
> numb.
Newbie - 21 May 2007 21:47 GMT
>Honestly, rarely have that problem, but I won't say 'never'.
>:-)
>D
>
>> If he is swollen, a few days of antibiotic might make it possible to get
>> numb.

Personally think it's just a bad idea to inject into an obviously infected area.
But then again, didn't say I never do it.
Steven Fawks - 22 May 2007 01:47 GMT
> Personally think it's just a bad idea to inject into an obviously infected area.
> But then again, didn't say I never do it.

You can usually use a block away from the abcess, and there is a
difference between the actual abcess and cellulitis.  The sooner
the cause of the infection is treated, the faster the resolution.
Get the tooth or abcess draining quick and toss in the antibiotics
too.

Still not a reason to wait a week or two, IMO.

Steve
doctai77@gmail.com - 22 May 2007 02:50 GMT
if you are in severe pain and still can not see your general dentist,
you can always go to the endodontist as an emergency patient.  you are
self diagnosing but I agree with D, you really shouldn't wait.
Steven Bornfeld - 30 Nov 2007 14:54 GMT
>  I'm coming up on 48 hrs since I
>> took the first pill and I'm still in a great deal of pain.  
[quoted text clipped - 17 lines]
> JMO,
> D

Agreed.

Steve

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