Toothache not just medication

To choose a toothache medicine, we must first understand the cause of disease and the status of toothache. Clinically, most likely to cause

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To choose a toothache medicine, we must first understand the cause of disease and the status of toothache. Clinically, most likely to cause toothache disease with pulpitis and periapical periodontitis and pericoronitis. Some patients with obvious pain in pulpitis with cold water instead of warm water when brushing your teeth, they feel less pain; there are some patients in the meal to drink hot soup also feel pain, to cool the soup to drink; if it continues to develop, some patients have pain especially It is without rhyme or reason. up to lying down to sleep at night after the pain even worse, the impact of sleep. This is a doctor often say "pain to cold stimulation, spontaneous pain at night".

To choose a toothache medicine, we must first understand the cause of disease and the status of toothache. Clinically, most likely to cause toothache disease with pulpitis and periapical periodontitis and pericoronitis.

Pulpitis

Some patients with obvious pain in pulpitis with cold water instead of warm water when brushing your teeth, they feel less pain; there are some patients in the meal to drink hot soup also feel pain, to cool the soup to drink; if it continues to develop, some patients have pain especially It is without rhyme or reason. up to lying down to sleep at night after the pain even worse, the impact of sleep. This is a doctor often say "pain to cold stimulation, spontaneous pain at night".

The site of inflammation of pulpitis pulp cavity in the tooth central, to get through the apical foramen to small drug, can be said that any drug can not treat pulpitis completely, so pulpitis "no cure" is a grain of truth. Many patients with pulpitis toothache styled, those not professional doctors casually point to patients with antibiotics, it has absolutely no effect. For pulpitis caused by pain, pain has certain effect, and when ache is acuteness, analgesic effect is not obvious. Like "local painkiller toothache pill" class in mild pain may be effective, but is not a good way. When the occurrence of pulpitis, it is best to find a dentist for treatment and treatment of dental disease, before going to the dentist has pain can be oral painkillers, other drugs are not recommended.

Periapical periodontitis

In general, the further development of pulpitis, periapical bacterial invasion into surrounding tissue resulting in periapical periodontitis. Early inflammation of the patient will feel the teeth have a sense of floating, easy to bite the sick teeth, teeth bite pain. Early due to the relatively small range of inflammation, the use of antibiotics and anti-inflammatory analgesics to control inflammation, although some help, but not significant. Professional dentist stressed local drainage and local medication, the doctor will usually clear from the teeth apical to the surrounding tissue, and placed in the local anti-inflammatory analgesic drugs, such as camphor phenol. Periapical if the patients did not receive timely treatment, inflammation may appear to expand the scope of cheek swelling and heat pain, even fester, fever, body pain and other symptoms. At this time, it is necessary to use of systemic antibiotics and analgesics (broad-spectrum antibiotics and metronidazole or metronidazole is commonly used drugs); pain can be added by Compound Aminopyrine Phenacetin Tablets and other painkillers, severe pain may also in tooth injection around local anesthetics such as procaine etc.

Pericoronitis

Pericoronitis happens at all or not adorable mandibular impacted teeth, the surrounding soft tissue inflammation. The initial inflammation, the patient felt pain swallowing or chewing gum swelling, pain was the opening event, with the progression of pain; serious when still can appear different degree of not mouth, even trismus. In the treatment of local treatment, commonly used saline and 2% hydrogen peroxide local, then placed Iodine Glycerol, the best daily 1 ~ 3 times, and chlorhexidine gargle. If there is abscess formation, should be timely incision and drainage. If there is swelling and pain in the cheeks, and even fever, pain, etc., you can use antibiotics and anti-inflammatory painkillers, commonly used drugs are broad-spectrum antibiotics and metronidazole (metronidazole), etc..

Whether or periapical periodontitis pericoronitis, if the condition is not easy to control, the formation of oral maxillofacial space infection, this can also consider intravenous antibiotics, doctors should choose medicine according to the patient's condition, such as penicillin etc..

In summary, the toothache should first consider the specialist treatment, before local treatment, only the use of antibiotics and painkillers when necessary. There are some drugs available, claims to treat toothache, periodontal disease, and the fact that professional department of Stomatology doctors do not open the medicine without local therapy and medication alone can not solve the problem, and will delay the illness.

This article reprinted from http://blog.sina.com.cn/jiankangjiayouzhan

 

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