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Given antibotics but no treatment?
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Kelly__ posted:
Hello,

I'm hoping I can get some advice regarding a crown. I chipped my tooth and had a bond for many years. It is one of my two front teeth.

Recently I had a crown done (a few months ago). The crown was cold/hot sensitive and a little tender, but fine otherwise. I only noticed this at all because I've never had sensitive teeth. About five days ago, I started having a mild toothache. Then the toothache progressed into something that was preventing me from sleeping. There was throbbing, sharp pain. I squeezed Orajel all over my mouth and took pain killers but it didn't help that much. The toothache would start as a pulsing/throbbing, then slowly increase to unbearable, then it'd feel like my whole mouth was in horrible pain and then it'd subside. It'd come and go. Also, if I bit into anything there was a sharp pain.

I avoided biting anything and found that I felt a little better. I went to the dentist. The dentist gave me an x-ray to be safe and so no infection or anything to suggest I needed a root canal.

He prescribed me with antibiotics. He told me avoid biting into foods and to call him in a week if it wasn't better.

I went home and the tooth was fine for the rest of the day. The next day the pain came back with a vengeance. I barely slept last night. Today it has been alright but I haven't bitten into anything. I totally avoid my crown when eating, as advised.

However, if I touch my tooth at all (at any angle) it hurts quite badly.

Everything I've looked up and read says to never just give an antibiotic so I'm totally baffled.

Also, it hurts SO bad but I had an x-ray so what could be the matter?

I feel like a crazy woman. I've had so much dental work in my life and nothing has bothered me like this. I've had oral surgery, root canals, teeth pulled, wisdom teeth pulled, chipped teeth, a crown and a cavity. Nothing has ever really bothered me until this. I've been told countless times that they're surprised I'm not more uncomfortable... and now I feel crazy.

Any idea what could be wrong? I was told to wait a week, when my antibiotics are finished but since it's hurting me so much should I call tomorrow?
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Kelly__ responded:
Of course I have a typo right in my title. I'll blame the pain.
 
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Zev Kaufman, DDS responded:
Dear Kelly:

I am so sorry to hear about your pain and trouble. It actually sounds as if your tooth is turning non-vital (the nerve is dies).

Since I only got to your question today, the pain should have started to subside by now. The nerve, artery and vein that feed the tooth, as well as the cells which compose the inside of it, it takes a few days for it to completely die. At that point the tooth should stop hurting, but an infection will start forming at the apex (the tip of the root). The infection (abscess) WILL be visible on the X-ray in about a month.

You must go back to your dentist and have the tooth tested for vitality. If the tooth is dead, and there is no response to cold and electrical stimulation, root canal treatment has to be performed and the tooth sealed. You should be able to maintain the tooth in good condition throughout life. The antibiotics were given to you in order to try and stop the infection process. However, this will continue if the physical infection IS NOT removed, such as with root canal treatment.

Take the prescribed antibiotics to curtail the infection and have the root canal treatment done with local anesthesia and teeth that stay in one place.

Please talk to your dentist as soon as possible.

Best of luck,
Dr. Zev Kaufman
 
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Kelly__ replied to Zev Kaufman, DDS's response:
Thank you Dr. Kaufman!

I actually did end up just calling and going back in. I explained how uncomfortable I was and I ended up getting a root canal the same day. I feel so, so much better!

Thank you for your response!
 
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Zev Kaufman, DDS replied to Kelly__'s response:
I am so glad that you are feeling better. There is no need to suffer.

Best wishes,
Dr. Zev Kaufman


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