This is the dental photograph of a four-and-half year old girl whose mother brings her to me with the complaint of fever, swelling of face, bodyache etc.
This is how a face with dental abscess generally looks like. Her oral examination reveals that she has multiple caries on a number of teeth as you can see in this photograph.
And the dental abscess has come up in relation to an upper milk molar (deciduous molar) on her right side. As you know, dental caries, if left untreated, keeps on progressing till it involves the nerve of the tooth (dental pulp) which ultimately ends up in a situation like this.
Regarding her management, saving of this milk molar is very important at this young age of 4. And more important is her immediate care for which I have used for the last more than 25 years, Antibiotic Amoxycillin and Ibugesic and Paracetamol combination – taking these two medicines takes care of swelling, pain, fever, bodyache etc. Taking these medicines for just three days is sufficient and by that time swelling also vanishes.
After symptoms become less severe, child co-operates and after taking a Dental X-ray we can plan the further treatment. And her remaining carious teeth also require urgent fillings lest these also meet the same fate.
I have instructed her mom to care take of her teeth and restrict her sugary snacks besides decreasing frequency of their intake.
When I was talking about Amoxycillin and Ibugesic-Paracetamol combination, I preferred to prescribe Syrups for this little angel. Otherwise for adults, Amoxycillin capsule for such a condition – 250mg every 8-hourly alongwith a tablet of Ibuprofen-paracetamol taken twice or thrice a day – for just three days does the job. And warm saline gargles are also quite soothing in such cases.
Take care of your teeth!