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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And White Spots After Draining Tooth Abscess?

I went to the dentist on wed with a tooth abcess ,he drained it and gave pain med and antibiotics it felt good and swelling went down , now it is swollen again with white spots where he drained the abscess and very painfull what to do now ? Kayskorner22249 @gmail.com
Mon, 17 Aug 2015
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain in case if you have a tooth abscess which you got drained then definitely as the pus was released the swelling went down but as it is a tooth abscess that means that you have an infection in tooth due to deep decay in tooth which is due to infection from the tooth progressing to the pulp which is central portion of tooth containing nerves and blood vessels and from the pulp to the area below the root apices of teeth leading to pus formation and when pus and when the infection perforates the bone the pus gets accumulated below the soft tissues leading to pain and swelling..
You need to get an x ray of the tooth done and if it is in a condition to be saved ROOT CANAL TREATMENT followed by antibiotics and painkillers is the correct treatment to be followed while if it cannot be saved due to extensive decay extraction of the tooth followed by antibiotics and painkillers is the right treatment..
You should consult an ENDODONTIST and get evaluated and get treated accordingly..
As of now if you are taking antibiotics and painkillers continue with that and if not take AUGMENTIN 625 mg thrice a day, Ibuprofen 400 mg thrice a day and Pantoprazole 40 mg once a day for 5 days..
But don't delay and get treated soon..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora..
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What Causes Swelling And White Spots After Draining Tooth Abscess?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain in case if you have a tooth abscess which you got drained then definitely as the pus was released the swelling went down but as it is a tooth abscess that means that you have an infection in tooth due to deep decay in tooth which is due to infection from the tooth progressing to the pulp which is central portion of tooth containing nerves and blood vessels and from the pulp to the area below the root apices of teeth leading to pus formation and when pus and when the infection perforates the bone the pus gets accumulated below the soft tissues leading to pain and swelling.. You need to get an x ray of the tooth done and if it is in a condition to be saved ROOT CANAL TREATMENT followed by antibiotics and painkillers is the correct treatment to be followed while if it cannot be saved due to extensive decay extraction of the tooth followed by antibiotics and painkillers is the right treatment.. You should consult an ENDODONTIST and get evaluated and get treated accordingly.. As of now if you are taking antibiotics and painkillers continue with that and if not take AUGMENTIN 625 mg thrice a day, Ibuprofen 400 mg thrice a day and Pantoprazole 40 mg once a day for 5 days.. But don t delay and get treated soon.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora..