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Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 7342
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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My dentist attempted to start root canal therapy a week ago

Resolved Question:

My dentist attempted to start root canal therapy a week ago on a back molar, but the pain from a very inflamed nerve was too intense, despite 3 separate injections. This was after having already prescribed 5 days of antibiotics beforehand. As a result we halted the treatment and she prescribed another 5 days of a very powerful antibiotic, but after 4 days of that my tooth still is very painful when exposed to cold water, much as before. Hence I am concerned about a rerun when I visit again tomorrow. Is there anything I can do beforehand (e.g. take an oral painkiller) that will help? Should I postpone until the antibiotics have some effect?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Uzair replied 2 years ago.
Dr Uzair :

. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

Dr Uzair :

If the tooth is still painful, that mean there is still inflammation there.

Dr Uzair :

The best thing to do will be to start anti inflammatory medication along with the antibiotics resolution.

Dr Uzair :

I would suggest that you start on Ibuprofen 400 mg thrice a day from today.

Customer:

OK, so I should call my dentist and suggest postponement and this approach?

Customer:

I do take Omeprazole reflux so usually avoid Ibuprofen?

Dr Uzair :

Well, yes, you can discuss this with her, or may be she can use an alternative approach , do the procedure under anesthesia or a stronger nerve block.

Customer:

I do take Omeprazole reflux so usually avoid Ibuprofen?

Dr Uzair :

Okay, then the simplest will be to start on Tylenol two tablets every 6 hours.

Dr Uzair :

Because everything else that is gastroprotective is also prescription only.

Dr Uzair :

Do you have more queries?

Customer:

Only to ask if there exists a nerve block that will guarantee no pain?

Dr Uzair :

If the dentist injects directly in to the inflamed pulp and does a pulpectomy there after that will be the most effective.

Dr Uzair :

But injection in the pulp is itself painful 2 to 3 seconds.

Customer:

OK, thanks

Dr Uzair :

Any nerve block around it will not be very effective because of the inflammation.

Dr Uzair :

Sure, it was a pleasure to help.

Dr Uzair :

Please do leave a positive rating service. Best wishes and good luck.

Customer:

Will do.

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