Child has painful white spots with pain around the dental caps. Prescribed Tylenol\codeine but no relief. Suggestions?
Patient: On Monday  my 5 yr daughter had caps put on her teeth. Since yesterday shes has been complaining of pain.  So last night I looked at them and they are swollen with white spots. I called the dentist and he said it sounded like ulcers and he just refilled her medicine from when she first had the procedure done. that just stops  the pain and makes her drowsy (Tylenol\codeine) She only complains and cries when she has to eat or drink something so she barley eats... What can do to help her? I've tried salt water. But nothing seems to help ease the pain. Doctor: Hello and welcome to HCM,Appearance of painful swollen lesion with white spots after putting on the dental caps is suggestive of ulcers in the oral mucosa.Drowsiness may be due to codeine that your dentist has prescribed for the pain.Painkillers will relieve the pain for some time,  however an examination of the oral mucosa is required.The dental cap could be causing the problems.Re-fitting of the cap may be required to prevent the ulcers.In the mean time, you can apply local anesthetic eg lignocaine ointment to prevent the pain during eating food.Thanks and take careDr Shailja P Wahal