Urgent - Gum Issues
Hello, doctor.
I have two cavities in the back of my upper teeth that are down to just a little bit left.
My current symptoms are as follows: 1.
The gums around the affected teeth are swollen and painful, and this has lasted for over two days.
I feel like the pain is spreading from the upper right back area to the rest of my mouth.
2.
My throat and deeper areas feel swollen and painful, I have pain around my ears, and my mouth hurts to the point where I can hardly open it.
3.
My neck feels swollen upon touch, and my face also feels puffy.
4.
My teeth are painful and feel unstable (I cannot get an appointment with a dentist until at least a few days later due to the weekend).
I have gone to the pharmacy to get anti-inflammatory and pain relief medication for two days.
I have been rinsing with salt water and brushing my teeth.
Could you please help me with the following questions: 1.
What could be the possible causes of my condition? 2.
If I cannot see a doctor immediately, how severe could my symptoms become if they persist? Could there be other health issues that arise? 3.
Is it possible for my teeth to fall out? What else can I do to alleviate my discomfort? I am really worried and would greatly appreciate your assistance.
Thank you very much.
Mei, 30~39 year old female. Ask Date: 2020/12/06
Dr. Zeng Guanghui reply Dentistry
Hello Ms.
Mei: 1.
It may be due to severe cavities causing periodontal inflammation.
2.
It is recommended to see a dentist immediately to prevent the residual root infection from progressing to cellulitis.
3.
Extraction of the severely decayed tooth may be necessary to eliminate the source of infection.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2020/12/06
More Info
I'm sorry to hear about your dental issues. Based on the symptoms you've described, it sounds like you may be experiencing a serious dental infection or abscess, which can lead to significant complications if not treated promptly. Let's break down your concerns:
1. Possible Causes: The swelling and pain in your gums, along with the discomfort radiating to your throat and neck, suggest that there may be an infection associated with the decayed teeth. When tooth decay progresses, it can lead to pulpitis (inflammation of the dental pulp) and subsequently to a dental abscess, which is a localized collection of pus. The infection can spread to surrounding tissues, causing swelling and pain. The fact that your teeth feel loose indicates that the supporting structures (bone and gums) may be compromised due to the infection.
2. Potential Complications: If you are unable to see a dentist immediately, the infection could worsen. It might lead to systemic issues, such as fever, chills, or even sepsis, which is a life-threatening condition resulting from the body's response to infection. The swelling in your throat and neck could indicate that the infection is spreading, which could potentially obstruct your airway or lead to further complications. It's crucial to monitor your symptoms closely; if you experience difficulty breathing, swallowing, or if the swelling increases significantly, you should seek emergency medical care.
3. Risk of Tooth Loss: Yes, if the infection is severe and left untreated, it can lead to the loss of the affected teeth. The supporting bone and gum tissue can be destroyed by the infection, making it impossible to retain the teeth. Additionally, if the infection spreads, it may necessitate more invasive treatments, such as tooth extraction or surgery to drain the abscess.
4. Immediate Relief Measures: While waiting for dental care, you can continue to manage your symptoms with over-the-counter anti-inflammatory and pain relief medications, as you've been doing. Saltwater rinses can help reduce inflammation and keep the area clean, but they are not a substitute for professional treatment. Avoid any hard or crunchy foods that could exacerbate the pain or further damage the affected teeth. Staying hydrated and maintaining a soft diet may also help.
In summary, your symptoms indicate a potentially serious dental issue that requires prompt attention. If you cannot see a dentist right away, consider visiting an urgent care facility or an emergency room, especially if your symptoms worsen. It's important to address dental infections quickly to prevent complications and ensure the best possible outcome for your oral health. Please take care and prioritize seeking professional dental care as soon as possible.
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