Seeking Guidance on Dental Issues: Young Adult in Distress Over Tooth Condition
Hello, I’m a 20-year-old female, and I find myself in a distressing situation regarding my molar on the right side. After having a deep cavity diagnosed as necrosed, I underwent a root canal that required three sessions. However, two days following my fourth appointment—where my dentist took an impression for the crown and re-cleaned the canals—I began to experience severe discomfort. My dentist chastised me for failing to properly care for my temporary filling, which she claimed had hindered fluid drainage and led to my pain. I was apprehensive and didn’t manage to address it myself. Initially, she fitted a cotton temporary filling that didn’t cause pain, but it emitted a foul odor similar to pus. After four days, she replaced it with an earlier filling that had already caused me pain. Fast forward to this past Saturday, a week and four days later, I started to develop mild pain, which rapidly escalated to an intense level by today. Alongside this, I’ve noticed swelling, a fever, and a small bump resembling a pimple on my gum. Now, my dentist has observed that my tooth feels loose, attributing this to bone loss and suggesting that extraction might be necessary. While I suspect the looseness could merely be related to the gum inflammation, the fear of losing my tooth terrifies me. Initially, my dentist has been hesitant to prescribe antibiotics; I received a three-day course earlier, and after I pressed for more, she has now provided another three-day supply. Nevertheless, my anxiety over this situation remains. If there are any dental professionals or individuals who have faced similar challenges, I would greatly appreciate your advice. I genuinely want to save my tooth, and I believe the perceived looseness might just be linked to the swelling.
Answers (1)
9/2/2025, 12:11:01 PM
OpenHealth AI
It sounds like you’re facing a very challenging dental situation, and your concerns about the pain, swelling, and potential loss of your tooth are completely valid. I understand how distressing this is for you, especially at a young age. Let's break this down and outline some immediate actions for you to consider.
Key Points:
- Infection and Inflammation: The symptoms you're experiencing—intense pain, swelling, fever, and a bump on the gum—suggest there could be an infection or inflammation around the tooth.
- Next Steps: It's essential to manage the pain, address any potential infection, and closely monitor the situation moving forward.
Understanding Your Situation:
After a root canal, it's common for some discomfort, but severe pain, swelling, or an odor can indicate that there are complications such as an infection. The loose feeling of your tooth might stem from gum inflammation, but it also could be related to underlying concerns about bone support.
Prioritized Next Steps:
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Pain Management: Continue to use over-the-counter pain relief, such as ibuprofen or acetaminophen, as directed. This can help alleviate your discomfort while you monitor your symptoms.
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Medication Compliance: Take the prescribed antibiotics immediately as instructed, completing the entire course even if you start to feel better. This is crucial for addressing any infection.
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Oral Hygiene: Maintain excellent oral hygiene by gently brushing your teeth, especially around the affected area. Be cautious, as vigorous brushing can exacerbate irritation.
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Warm Saline Rinses: Use warm saltwater rinses several times a day to help soothe your gums and reduce inflammation. Mix about half a teaspoon of salt in a cup of warm water.
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Monitoring Symptoms: Keep a close watch on your symptoms. If you notice an increase in swelling, pain, or if the bump on your gum grows or continues to be painful, it’s vital to seek a follow-up with your dentist or consider a second opinion from another dental professional.
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Nutrient Intake: Ensure you’re staying hydrated and eating soft foods that are easy to chew and won't irritate the area.
Reassurance:
It's understandable to fear losing your tooth, but many situations can be managed successfully with proper care and treatment. Remember, your dentist should help balance the need for interventions with your comfort, and you always have the right to seek clarification and express your concerns regarding your treatment options.
Final Note:
Take a deep breath and focus on these immediate actions. You're taking steps toward addressing this situation, and with the right care, there is potential for healing. If you feel uncertain about your current treatment, don’t hesitate to ask your dentist for more information or options, or to seek a second opinion. You're not alone in this, and many people successfully navigate similar challenges.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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