Painful Tooth Ache!

heeeed · 12 Dec 2015 at 10:08

Clov!s said:
You're better off getting antibiotics from the dr and not the dentist, higher dose from the dr.

you are definitely NOT better off going to a doctor. A doctor is not a dentist and indeed they should NOT give antibiotics for dental conditions. If they are, they are working out of their area of expertise and in fact they would not be indemnified by their defence organisation for such practice if a patient became more unwell.

I get fed up all the time with people coming to see me with dental problems expecting me to have an answer when they need to see a dentist. Do you ask a plumber to check over your electrics "whilst your here"? or perhaps you ask your mechanic to check over your damp proof course at home? of course you don't.

see the correct professional

/rant

craig_t · 12 Dec 2015 at 10:20

I hate the littlest of tooth aches, so I can only sympathise for you here as I can imagine it is hell! Does pain killers not help towards it?

Destination · 12 Dec 2015 at 10:21

heeeed said:
you are definitely NOT better off going to a doctor. A doctor is not a dentist and indeed they should NOT give antibiotics for dental conditions. If they are, they are working out of their area of expertise and in fact they would not be indemnified by their defence organisation for such practice if a patient became more unwell.

I get fed up all the time with people coming to see me with dental problems expecting me to have an answer when they need to see a dentist. Do you ask a plumber to check over your electrics "whilst your here"? or perhaps you ask your mechanic to check over your damp proof course at home? of course you don't.

see the correct professional

/rant

You need to have a word with your indemnifier, as you are covered for dental emergencies. You were and you always will be, its in the GDC text and other places.
I agree, the dentists will have more of an idea if its an aerobic or anerobic infection, and most of the time it'll be amoxicillin or metronidazole being prescribed depending on the infection. Either way a doctor will be covered in an emergency dental situation, but isn't the best choice at the time.

Neil79 · 12 Dec 2015 at 10:48

heeeed said:
you are definitely NOT better off going to a doctor. A doctor is not a dentist and indeed they should NOT give antibiotics for dental conditions. If they are, they are working out of their area of expertise and in fact they would not be indemnified by their defence organisation for such practice if a patient became more unwell.

That's kinda funny, considering when I called the dentist they said if the Antibiotics and pain relief isn't working ( Antibiotic allergies ), to see your GP as soon as possible. I can only do what I am told by a professional.

Ps Never have cold milk that's gone slightly icy on a tooth like this! Holy **** the pain

craig_t said:
I hate the littlest of tooth aches, so I can only sympathise for you here as I can imagine it is hell! Does pain killers not help towards it?

Nope not normal meds as the root is out in the open so to speak

Destination · 12 Dec 2015 at 10:56

What do you mean, out in the open?

Neil79 · 12 Dec 2015 at 11:00

Hikari Kisugi said:
What do you mean, out in the open?

I have a crack in the tooth, so whatever I eat or drink affects the nerve. It's why it got infected in the first place

. Even tried eating just on the left!

When I look in the mirror, you can actually see the damage on one side

FrenchTart · 12 Dec 2015 at 11:02

Neil79 said:
I have a crack in the tooth, so whatever I eat or drink affects the nerve. It's why it got infected in the first place . Even tried eating just on the left!

When I look in the mirror, you can actually see the damage on one side

Drop the pain killers and just get some oragel. Apply it to the area regularly and it will massively help with the pain - infinitely more than any pills you take and without the side-effects of taking something like codeine.

Cosimo · 12 Dec 2015 at 11:06

I have some pliers waiting and before you ask "is it safe?" the answer is yes...

chaparral · 12 Dec 2015 at 11:11

Iamzod said:
I'm 33 and have never had toothache

Or a headache for that matter!

And in about 10 years time your going be suffering from aches & pains everywhere...

My health & fitness seems to gone down like a rocket once I got over 40..

mattyg · 12 Dec 2015 at 11:15

back in years gone by you'll be rubbing a bag of sat night powder on ya gums

chaparral · 12 Dec 2015 at 11:26

Neil79 said:
Any of you lot had this before and waited it out?

Yes loads of times....

Also remember when I told the dentist to takeout the wrong tooth on the other side of my month and I then had to go back a few days later to get right tooth taken out...

heeeed · 12 Dec 2015 at 12:10

Hikari Kisugi said:
You need to have a word with your indemnifier, as you are covered for dental emergencies. You were and you always will be, its in the GDC text and other places.
I agree, the dentists will have more of an idea if its an aerobic or anerobic infection, and most of the time it'll be amoxicillin or metronidazole being prescribed depending on the infection. Either way a doctor will be covered in an emergency dental situation, but isn't the best choice at the time.

there was article in BMJ a while back with comments section from MPS stating that doctors should not be prescribing for dental problems and may not be covered indemnity wise unless they have a sufficient background in oral medicine to be assessing, and also guidance by BMA which is that shouldn't be treating dental problems. Obviously the risk by treating is minimal, but the definitive treatment may well be surgical by yourselves and that a GP prescribing may lead to brief improvement but having delayed them receiving the actual appropriate treatment and if issues they are on a sticky wicket. There is no reason a GP should be getting involved as they can always access an emergency dental service or attend dental hospital

we live in litigious times and I am not willing to leave myself open to legal redress, and I know my colleagues feel the same as we have a practice policy. Others may do so, and I know many still do, but its more fool them tbh

robin66 · 12 Dec 2015 at 13:15

Neil79 said:
lol Same

Co-Codomol is with me now, need a stronger dose though, 8mg is weak

You'll want anti inflammatory tablets to take the edge off the pain.

Thekwango · 12 Dec 2015 at 14:02

Asda sell little tubes of Benzocaine, squidge some of that onto a cotton wool roll and press it to the tooth. Great stuff.

Orionaut · 12 Dec 2015 at 14:22

"Is it safe?"

Sandycheeks · 12 Dec 2015 at 14:27

Go and get some Toffo's.
You're welcome.

Redz · 12 Dec 2015 at 14:33

Have you tried mustard?

mattyfez · 12 Dec 2015 at 15:09

Codiene and alcohol.

fail at the internets · 12 Dec 2015 at 15:10

pull it

nashathedog · 12 Dec 2015 at 15:31

Neil79 said:
This isn't a hospital thread or GO TO THE DENTIST, because I've already been.

Had over a week of intense pain due to a large tooth at the back that I think I may have damaged it eating something, but going to the dentist instead of taking it out, they've given me antibiotics to cure a root infection, which may have come in through the gumline or a small crack.

The problem is, they won't take it out until next bloody Thursday when the infection goes away. The pain at times is unbearable, how the hell did people deal with this many years ago, I have no idea

Any of you lot had this before and waited it out?

They used to deal with it via alcohol (drink till you pass out and then have someone rip it out for you?.
Although it's worth noting that people died at a much younger age so getting old and associated issues such as teeth were a lot less common back in the middle ages etc.

Think about it,
1, 30 was old, 40 was ancient.
2, There was a lot less sugary treats to rot your teeth.

Also I've had a forced delay to a tooth removal due to an abscess I found that simply taking a couple of extra strength ibuprofen (anti-inflammatory) and a couple of co-proxamol/dydramol every 3 or 4 hours allowed it to calm down by the end of that day and remain bearable for the days I had to wait. I didn't stop taking the pills though, Every few hours I'd do a couple of each while also doing the anti-biotic treatment for the abscess.