What causes severe tooth ache in a 4 year old boy?
Patient: I have a 4yr old complaining of tooth ache in lower (non 1st teeth) he started teething late at around 8-9 mtgs. He says he was biting a rubber and hurt. Doesn't want to eat anything, not even marshmallow because says it hurts. I checked gum for change in color but nothing appears out of ordinary. Can u help? Thanks! Doctor: Hi,As per your complain it seems that severe toothache after biting on rubber can be due to either deep tooth decay or fractured tooth. For ruling out the exact cause you should consult an Oral Physician or Pedodontist and get evaluated and a thorough clinical evaluation and investigation like x ray can help in diagnosis and treatment can be done accordingly.He can be advised Pulpectomy procedure followed by antibiotics and painkillers for relief. As of now you can give him Tylenol or Ibuprofen for pain relief..Give him soft diet.Hope this helps. Let me know if I can assist you further. Regards,Dr. Honey Arora