[27M] With tooth pain and swollen gums

Patient Description

A 27-year-old male has been experiencing a throbbing toothache in a molar for about a year, with a recent increase in pain. The pain is rated as 6 out of 10. The patient also reports swollen gums for a week, occasional fever, and discharge from the gums. The patient has been using Tylenol 600 mg and Advil 200 mg every 6 hours, along with amoxicillin, to manage symptoms. There has been a change in oral hygiene routine, and the patient has not been able to see a dentist due to lack of insurance. No allergies or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Dental Abscess: This is an infection at the root of a tooth or between the gum and a tooth. It can cause throbbing pain, swelling, fever, and discharge. Treatment typically involves draining the abscess and antibiotics. A dentist may also recommend a root canal or tooth extraction.

  • Gingivitis or Periodontitis: These are gum infections that can cause swelling, pain, and bleeding. Poor oral hygiene can lead to these conditions. Treatment involves professional cleaning and improved oral hygiene.

What you can do

  1. Maintain Oral Hygiene: Brush your teeth at least twice a day and floss daily to help reduce swelling and prevent further infection.

  2. Salt Water Rinse: Rinse your mouth with warm salt water several times a day to help reduce swelling and fight bacteria.

  3. Pain Management: Continue using over-the-counter pain relievers like Tylenol and Advil as directed.

  4. Seek Dental Care: Even without insurance, consider visiting a community health clinic or dental school for affordable care.

  5. Use MDandMe: Track your symptoms and any changes using the MDandMe journal. This can help you monitor your condition and provide useful information to a healthcare provider.

What you should look out for

  • Increased Pain or Swelling: If the pain or swelling worsens, seek medical attention.

  • High Fever: If you develop a high fever, it could indicate a spreading infection.

  • Difficulty Swallowing or Breathing: This could be a sign of a serious infection and requires immediate medical attention.

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the symptoms of a dental abscess?

Symptoms of a dental abscess include throbbing pain in the affected tooth, swelling of the gums, fever, and discharge or pus from the gums. It may also cause a bad taste in the mouth and swollen lymph nodes.

How can I manage a toothache at home if I can't see a dentist immediately?

To manage a toothache at home, maintain good oral hygiene by brushing and flossing regularly, use over-the-counter pain relievers like Tylenol or Advil, and rinse your mouth with warm salt water to reduce swelling and fight bacteria.

What are the risks of not treating a dental infection promptly?

Not treating a dental infection promptly can lead to the spread of the infection to other parts of the body, potentially causing serious complications such as sepsis. It can also result in tooth loss and damage to surrounding tissues.

Are there affordable options for dental care without insurance?

Affordable options for dental care without insurance include visiting community health clinics, dental schools, or seeking services from non-profit organizations that offer sliding scale fees based on income.

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