Taking paracetmol and nurophen for painful cracked tooth. Getting pain on side of face. Cure?
Patient: hi there i have a cracked tooth at the back of my left hand side in my mouth and its wobbly also a wisdom tooth at the back at the top i have been taking paracetmol and nurophen i have been in pain since friday with it also it has been effecting my ear and the side of my face the tooth that is woobly is rotten. what would you recommend? many thanks stacey Doctor: Infected broken tooth can lead to pain and soreness of cheeks and jaws. Impacted wisdom tooth eruption can also cause pain in the jaws and teeth. Constant cheek irritation by broken tooth can also cause pain and tenderness.  If tooth is broken, then you need treatment for your broken tooth. If nerve of the tooth is not exposed, then tooth can be restored with dental filling or crown but if nerve of the tooth is exposed or necrosed, then root canal treatment followed by dental crown is required for the tooth. If tooth is badly mutilated, then post and core procedure is required after root canal therapy. If broken tooth is unrestorable, then tooth extraction followed by replacement of missing tooth with dental implants or dental bridge is required. Only pain meds will be of little help. Hot compresses are not indicated as they will aggravate the swelling. You can do warm saline rinses to reduce the swelling.  You need to get treatment done for infected tooth. If you have cost constrains, then you can visit a dental school where treatment is done by dental students under supervision of experienced dentists. You can also look for free dental clinics near you or can talk to your local dentist if you can pay in installments for treatment. By the time you visit your dentist, you can avoid eating from side of broken tooth. You can also apply orajel for some relief. Maintain good oral hygiene to avoid any secondary infections.