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question:I have had several infections treated with antibiotics over the years to my bottom right wisdom tooth. 4 days ago I had this and my top left wisdom tooth removed. The top tooth required two injections and was relatively simple. The tooth with previous infections required 8 injections to numb the area and is causing me a lot of pain. I went to the dentist yesterday to find out I have dry socket. Have been given antibiotics. Still in a lot of pain - not able to sleep. Watching clock to take more painkillers. Not able to eat, loss of appetite. This morning my top lip on the left started involuntarily twitching. It hasn't stopped all day. Is this emotional stress or something else? And why am I still in agony? If the pain affects your sleep and appetite why wasn't I prescribed stronger painkillers! Help!
answer:Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you had a deeply infected tooth then healing will take a longer time..Also pain within 4 days of extraction is also not an abnormal finding and you need not to worry about it as gradually when the healing will proceed pain will start resolving.Twitching of the lip is due to inflammation or injury to the nerve secondary to infection..I would suggest you to take higher painkillers like Tramadol as it is potent in resolving severe pain..You can also go for injectable painkillers for faster relief..Do warm saline gargles..Take soft diet and more of liquids..Hope this information helps.Thanks and regards.Dr.Honey Nandwani Arora.
question:Relatives gum was injured during a cleaning,gum was cut,area got infected and tooth was pulled.gum has not healed in 2 months,have seen 2 dentist and they haven't fixed the problem,astronomy is now weak and in pain,should she see a medical doctor and forget dentist
answer:Hi Dear, Welcome to HCM.As per you query you have cut on gum , which is not healed yet . Well i would suggest you to consult oral surgeon for proper examination . Doctor will examine physically and examine with the help of probe. Doctor will wash it with hydrogen peroxide and recommend graft or give stitches . After the procedure doctor will put you on antibiotics along with anti inflammatory . For now do warm saline rinses , maintain proper oral hygiene and apply dologel if there is difficulty while eating food . Understanding your concern.Get Well Soon.Best Wishes, Dr. Harry Maheshwari
question:Hi,Four years ago, I had a root canal done on my 2nd upper molar on the left side of my mouth. For the past 2 years I have been having severe pains from the tooth and surrounding areas, it has become impossible to chew with that side of my mouth due to the pain. Also, there is a very bad smell coming from between the tooth and the surrounding teeth. I also have problems with my sinuses and it makes my breath smell bad.I've been to the dentist several times but not of the treatments seem to work. Please what could be the problem and can an extraction help?Thanks.
answer:Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that there is re-infection in the tooth or lingering infection since the treatment was done..The other thing is that pain in teeth surrounding the area can be radiating pain from the infected tooth or can also be due to sinus infection..Sinus infection can also occur secondary to the tooth infectionof upper teeth as the roots of upper back teeth lies in close proximity with the sinus floor and at times lies into the sinus..I would suggest you to consult an Endodontist and get evaluated as well as consult an ENT specialist and he can advise you PNS View or MRI of sinuses to rule out the exact cause of problem and treat accordingly..As of now you can take painkillers like Ibuprofen or Tramadol for pain..In case if tooth is found infected, re-root canal or extraction can help..Infection in the sinuses can be treated with antibiotics, anti-inflammatory painkiller, steam inhalations and steroid nasal sprays..Decongestants and steroid nasal sprays can also be advised..Hope this information helps..Thanks and regards,Honey Nandwani Arora.
question:My son is 7 and complaining of toothache over the past week or so. He has a pea sized firm lump at the back of his lower gum and I suspect a molar erupting. He's in a fair bit of pain and rarely complains. Should I be concerned or is the lump normal. I'm worried in case if infection?
answer:Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have painful lump on the lower gum of a child is normal during time of tooth eruption. Need not to owrry. I would suggest you to maintain complete hygiene of child. You should get clinical check up done by a dentist and get an xray done so that it can be ruled out what is exactly causing you the lump. Do brushing an flossing regularly. Avoid intake of sticky food. Get scaling and cleaning done in that area. In case of pain take proper antibiotic course. Massage with dologel as well to increase blood flow. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
question:I had emergency surgery to remove an upper and lower wisdom teeth out last thursday. i then got dry socket but after 3 days of packing it , today they told me they can't pack it anymore because it is delaying the healing. I also have some unresolved stomach issues(pancirus and liver enzyme levels high) therefore they have taken me off all pain meds..ibprofen, tylenol and motrin.I have not been able to open my jaw to eat since the surgery, it feels locked and no matter what I do the pain and tightness is so bad it won't open past half an inch. What could cause this
answer:Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain difficulty in opening mouth along with apin seems to be due to persisting dry socket as well as there can be infection in the area of infection..You are given a wrong information that packing the socket will delay healing..So I would suggest you to consult an Oral surgeon and get evaluated and a thorough clinical evaluation along with x rays of socket can help in diagnosis..In case if there is any left out root piece or foreign body in the socket removal of the same can help..In case if there is dry socket irrigation of socket with hydrogen peroxide, betadine and saline followed by antibiotics and painkillers will relieve..As of now take higher painkiller like Tramadol, do warm saline gargles, take a soft diet and ample of fluids..Hope this information helps.Thanks and regards.Dr.Honey Nandwani Arora
question:I have a small, tooth sized white patch behind my furthest molar on the gum, on the right side of the mouth. It feels a bit sore when i touch it with my tongue. It first started to form a couple of days ago when i felt pain brushing my teeth one morning. I think it may be a scab from eating chips, although i don't remember receiving the feeling of cutting my gums. It doesn't seem to be permanently there and feels kind of "loose" like a scab, and I am able to scrape it off, since I did this thinking it was food at first. So I'm just wondering if my prediction is correct and that it is a scab, or it could be plaque, etc. Thank you.
answer:Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have white patch on gum which seems to be due to accumulation of food and debris in that area leading to formation of plaque and calculas. Need not to worry. I would suggest you to visit periodontist once and get it done. You should go for scaling and root planning of teeth. You should maintain proper oral hygiene. Do warm saline garles on daily basis. Avoid intake of junk food. Do rinses with antimicrobial agent.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari