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Toothache (cont.)

Toothache Treatment

Patient Comments

In most cases, the best way to stop dental or jaw pain initially is with pain medications and antibiotics (Amoxicillin). A referral to a dentist for follow-up will usually be arranged. In some cases, the doctor may try an injection of local anesthetic around the tooth for pain control. If there is swelling in the gums or face, or if the patient has fever, antibiotics may be prescribed.

  • At the dentist's office, fillings, pulling teeth, or other procedures may be performed as required. In children with baby teeth, a tooth extraction will be the most likely procedure. On permanent teeth if the problem is severe, root canals (sealing off the root of the tooth) and crown procedures are generally performed.
  • An antibiotic will usually be prescribed if a fever or swelling of the jaw is present. Such procedures are generally done in stages, with pain and infection being cared for immediately, and reconstructive procedures being performed at a later time (weeks to months). The patient will be able to return to work or school while he or she recovers. Dentists and oral surgeons may plan additional procedures at the most appropriate time.
  • If causes other than the teeth or jaw are responsible for the pain, management will be according to the condition.

Toothache Follow-up

After leaving the dentist's office, continue to practice good dental care. Routine and prompt follow-up appointments with the dentist should relieve dental pain faster.

When the patient leaves the emergency department, he or she should take the medications as prescribed and keep their follow-up appointments. If the patient has any concerning signs or symptoms, call the doctor.

Stopping smoking may help improve some dental conditions. If the patient is having trouble quitting, talk to the doctor about assistance.

Medically Reviewed by a Doctor on 6/10/2014

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Read What Your Physician is Reading on Medscape

Dental Abscess »

A dentoalveolar abscess is an acute lesion characterized by localization of pus in the structures that surround the teeth.

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