Tooth ache

Author
Discussion

sinizter

3,348 posts

187 months

Monday 13th June 2011
quotequote all
Pain should improve once the antibiotics begin to kick in. It will take some time. Until then, take painkillers as required, without exceeding the recommended dose.

rog007

5,761 posts

225 months

Monday 13th June 2011
quotequote all
Floss the ones you want to keep...biggrin

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
It's been 24 hours and the anti biotics have done nothing ..

Babu 01

2,343 posts

200 months

Tuesday 14th June 2011
quotequote all
Possibly need another 24 to start working, possibly not.

I remember my dentist telling me that the antibiotics I was given were just to prevent the infection getting worse before she got chance to get busy with the drill and as a cover for the possibility of it spreading when she dealt with the abscess.

On the positive side I have never been so happy to walk into the chair as I was come the day of the root canal.

sinizter

3,348 posts

187 months

Tuesday 14th June 2011
quotequote all
okgo said:
It's been 24 hours and the anti biotics have done nothing ..
Hold on a little longer. Upto 48 hours .... Occasionally it might not work to reduce pain at all. Only to control infection.

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
Fair enough.

That's bad news, it's getting intolerable now, my temper has never been shorter and I'm ready to pull it out myself.

Driller

8,310 posts

279 months

Tuesday 14th June 2011
quotequote all
Sorry to hear you're still having pain Okgo frown As said, give it a bit longer. There is a possibility that the kind of antibiotic you were prescribed is not right for the kind of bacteria in the infection.

Was it Metronidazole or Amoxicillin?

MacGee

2,513 posts

231 months

Tuesday 14th June 2011
quotequote all
I always give cefradine..seems to work wonders!

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
Dalacin c capsules.

sinizter

3,348 posts

187 months

Tuesday 14th June 2011
quotequote all
okgo said:
Dalacin c capsules.
Are you allergic to Amoxycillin or Metronidazole ?

You seem to have been given Clindamycin - which is not that commonly used in my experience.


okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
Are these not right?

Driller

8,310 posts

279 months

Tuesday 14th June 2011
quotequote all
I usually prescribe Metronidazole which always seems to work well against the anaerobic bacteria of abscesses. Not heard of using a cephalosporin for dental infection before MacGee. Is that newish or have I been missing out? A newish one I prescribe sometimes is Zithromax.

Okgo, Dalacin is clindamycin (and is used more in the states from I know) but it is good against anaerobes. In the dental world it's more often prescribed for antibiotic prophylaxis with heart conditions where the patient is allergic to penicillin.

None of this helps you I'm afraid but if it's still not better after another day, if it was me I'd start asking myself questions about the antibiotic I had prescribed. It still may be fine though so give it a bit longer if you can.

sinizter

3,348 posts

187 months

Tuesday 14th June 2011
quotequote all
okgo said:
Are these not right?
They will do the job - please don't get the wrong idea. Different dentists prefer different options to prescribe, depending on their training and experience.

My weapon of choice would have been Metronidazole. So just wanted to clarify the situation.

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
Ok.

No, not allergic to anything, the painkillers even appear to have stopped working now, constant pain is the order of the day.

I will give it another day and see where I am, I have not gone into work today as I just can't concentrate and as said above my temper is at boiling point.

MacGee

2,513 posts

231 months

Tuesday 14th June 2011
quotequote all
I would prob get to dentist and get the nreve out! Depends how much pain you can tolerate.

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
I just bought some paramol, which has dihydrocodiene in, I hope that will ease the pain somewhat.

I can generally tolerate a lot of pain, it's other people who are ignorant to the pain I would lose it with.

Driller

8,310 posts

279 months

Tuesday 14th June 2011
quotequote all
MacGee said:
I would prob get to dentist and get the nreve out! Depends how much pain you can tolerate.
Wot he said ^^

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
So why didn't he just do that yesterday?

Also what are they going to do crown wise?

The tooth it's on has a crown on it already, which is attached to the originL tooth that was grinded down to a peg. If they drill through the crown and the original tooth to get to the root, what would the new crown attach to?

Driller

8,310 posts

279 months

Tuesday 14th June 2011
quotequote all
okgo said:
So why didn't he just do that yesterday?

Also what are they going to do crown wise?

The tooth it's on has a crown on it already, which is attached to the originL tooth that was grinded down to a peg. If they drill through the crown and the original tooth to get to the root, what would the new crown attach to?
Personally I probably would have but it's never easy and you can't say for sure without having the patient in front of you.

New crown would be on a post in the root canal, dead easy.

okgo

Original Poster:

38,072 posts

199 months

Tuesday 14th June 2011
quotequote all
Ok.

So if it's still hurting a lot tomorrow after work it's worth asking if I can bring my Monday appointment forward.

I guess they would have to take a mould etc to make a new crown, does that mean if have a peg for a few weeks? I can't remember the process last time as it was so many years ago