[37F] Experiencing facial pain and swelling potentially related to gum disease

Patient Description

A 37-year-old female presents with a one-week history of throbbing pain and tenderness on the left side of her face, extending to the area adjacent to her left nostril. The pain is described as severe when the area is touched. She has a known history of gum disease diagnosed two years prior and suspects a connection between her dental issues and current symptoms. The patient has a known allergy to Penicillin and is not currently on any medications. She denies any recent injuries or accidents.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Dental Abscess: This is an infection that occurs in or around a tooth root. It can cause severe and persistent throbbing pain that can radiate to the ear, jawbone, or neck. Other symptoms can include fever, sensitivity to hot and cold, and swelling in the face or cheek.

    • Treatment typically involves draining the abscess and getting rid of the infection, which may include a root canal treatment or tooth extraction. Antibiotics may be prescribed to help fight the infection.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. When they become blocked and filled with fluid, germs can grow and cause an infection. Pain and tenderness in the face (near the infected sinuses) can be a symptom.

    • Treatment often involves the use of decongestants and pain relievers. If caused by a bacterial infection, antibiotics may be prescribed.
  • Temporomandibular Joint Disorder (TMJ): This disorder affects the joint that connects your jaw to the side of your head. It can cause pain in your jaw joint and in the muscles that control jaw movement.

    • Treatment often involves pain relievers, muscle relaxants, or a mouth guard to prevent teeth grinding.

What you can do

While waiting for a formal assessment from a healthcare professional, here are some things you can do:

  1. Continue taking over-the-counter pain relievers like Ibuprofen as directed on the package, unless advised otherwise by a healthcare professional.
  2. Apply a warm compress to the painful area for about 15 minutes at a time to help reduce pain and swelling.
  3. Avoid eating hard or crunchy foods that might put additional stress on your teeth and jaw.

What you should look out for

Please seek immediate medical attention if:

  • The pain becomes severe or unbearable.
  • You develop a fever (temperature over 100.4°F).
  • You experience difficulty breathing or swallowing.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of a dental abscess?

Common symptoms of a dental abscess include severe, persistent throbbing pain in the affected tooth or surrounding area, swelling in the face or cheek, sensitivity to hot and cold, fever, and sometimes a bad taste in the mouth if the abscess ruptures.


How can sinusitis be distinguished from a dental issue?

Sinusitis often presents with symptoms such as nasal congestion, facial pain or pressure, and a reduced sense of smell, which can overlap with dental issues. However, sinusitis pain is usually more diffuse and may be accompanied by nasal discharge, whereas dental pain is often localized to a specific tooth or area.


What are the treatment options for someone allergic to Penicillin with a dental infection?

For someone allergic to Penicillin, alternative antibiotics such as clindamycin or azithromycin may be prescribed to treat a dental infection. It's important to inform the healthcare provider about the allergy to ensure safe and effective treatment.


What lifestyle changes can help manage Temporomandibular Joint Disorder (TMJ)?

Lifestyle changes to manage TMJ include avoiding hard or chewy foods, practicing stress-reduction techniques to prevent teeth grinding, using a mouth guard at night, and performing jaw exercises to improve mobility and reduce tension.


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