How long can one tolerate a cavity?
Hello, doctor.
I am currently studying abroad and will return to my home country in two weeks.
Three weeks ago, I started experiencing severe pain in the last molar of my upper left jaw.
This tooth had been previously filled, but the filling completely came out a few months ago.
Since seeing a doctor abroad is very expensive and I don't have health insurance, I plan to seek treatment when I return home.
I have been taking painkillers almost every day to manage the pain, which has recently become unbearable and has also triggered severe headaches.
The decayed area is noticeably black and has progressed quite deeply.
I would like to know if enduring this for another two weeks will worsen the condition.
Are there any side effects from long-term use of painkillers? Are there alternative methods to alleviate the pain? Additionally, what should I do to maintain my dental health and prevent further decay before I return home? Thank you.
Sarah, 20~29 year old female. Ask Date: 2003/06/05
Dr. Liu Tiancai reply Dentistry
Hello! Based on the symptoms you described, it seems that the tooth has likely affected the nerve (pulpitis).
It may not be advisable to wait another two weeks; it is best to visit a dental clinic for emergency pulp treatment (removal of the nerve from the pulp chamber and medication) and then have a thorough root canal treatment done when you return to your home country.
Please note that when the dental nerve is inflamed, the pressure within the pulp chamber is quite high, and simply taking painkillers may not alleviate the pain.
Wishing you good health, Dr.
Liu Tian-Cai, Director of Dentistry, Taoyuan Hospital, Department of Health, Executive Yuan.
Reply Date: 2003/06/05
More Info
Tooth decay, also known as dental caries, can lead to significant pain and discomfort, especially when it progresses to deeper layers of the tooth. In your case, it sounds like you are experiencing severe pain in your upper left molar, which has already been treated in the past. Given that the filling has fallen out and the decay appears to be worsening, it is crucial to address this issue promptly.
1. How Long Can You Tolerate Tooth Decay Pain Before Seeking Treatment?
While it is understandable that you want to wait until you return home to seek treatment, it is important to recognize that tooth decay can progress rapidly. If you are experiencing severe pain that is affecting your daily life and requiring you to take pain medication regularly, this is a clear sign that you need to seek dental care as soon as possible. Delaying treatment for two more weeks could lead to complications such as an abscess, which is a localized infection that can cause swelling, fever, and even systemic infection. In some cases, untreated decay can lead to the need for more extensive procedures, such as root canals or extractions.
2. Long-Term Use of Pain Medication:
Relying on pain medication to manage your discomfort is not a sustainable solution and can have side effects. Over-the-counter pain relievers like ibuprofen or acetaminophen can cause gastrointestinal issues, liver damage, or kidney problems if used excessively. Additionally, masking the pain does not address the underlying issue of tooth decay, which will continue to worsen without treatment.
3. Alternative Pain Management:
While waiting for your dental appointment, there are a few strategies you can employ to help manage your pain. Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area temporarily. You might also consider rinsing your mouth with warm salt water to help soothe the gums and reduce inflammation. Clove oil, which has natural analgesic properties, can also be applied to the affected area with a cotton swab for temporary relief.
4. Preventing Further Decay:
To prevent the decay from worsening before you can see a dentist, maintain good oral hygiene practices. Brush your teeth at least twice a day and floss daily to remove food particles and plaque buildup. Avoid sugary foods and drinks, as they can exacerbate tooth decay. If possible, consider using a fluoride mouthwash, which can help strengthen tooth enamel and protect against further decay.
5. When You Return Home:
Once you return home, make it a priority to see a dentist as soon as possible. They will be able to assess the extent of the decay and recommend appropriate treatment, which may include a new filling, a root canal, or other interventions depending on the severity of the damage.
In summary, while it may be tempting to wait until you return home to seek treatment for your tooth decay, doing so could lead to more severe complications and pain. It is advisable to seek dental care sooner rather than later, even if it means finding a local dentist in your current location. Your oral health is important, and addressing issues like tooth decay promptly can save you from more extensive and costly treatments in the future.
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