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I am having severe pain after 2 teeth were pulled

By Teeth Extraction

Hi. I had 2 teeth pulled yesterday, lower left molars. I haven’t decided how I want to replace them, though. My dentist said that there would not be much pain afterward, but if I felt pain to take ibuprofen. My pain is extreme and ibuprofen is not helping. It hurts to talk, open my mouth or chew. Does it sound like something went wrong with the procedure? – Thanks. Thomas C.

Thomas – Your description of the pain you’re experience doesn’t sound very unusual. There can be trauma with tooth extraction, and the pain can be severe.

Your expectations, based on what your dentist told you, were much different than what you are actually experiencing. Some dentists let their patients know the worst that can happen, while others only tell you the mildest experience you might have after an extraction.

It’s best to call your dentist and let him or her know about the severe pain you are experiencing. You may need to see your dentist again. Or antibiotics or pain-relief medication may be prescribed.

This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

Could my toothache cause my cheek to swell?

By Dental Crowns, Toothache

A toothache can cause swelling in your cheek if there is an abscess. When you have a tooth infection, a collection of infected material, or pus, can form in the middle of the tooth. This collection of infected material is called an abscess.

The abscess can spread into your jawbone and cheek. The infection will continue to spread until it’s treated, so recommend that you promptly make an appointment with your dentist. The tooth will likely require a root canal treatment.

If your tooth is weak or cracked, a crown may be used to protect it. But there is no need for concern about the crown. Porcelain crowns are made to have the characteristics and color of your natural teeth. You will be given a prescription of antibiotics to prevent further spread of the infection.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

Over 60 and getting new cavities

By Health Issues and Teeth

If you’re over 60 and getting cavities, even though you haven’t had them for years, it could be that medication is a contributing factor.

There are more than 500 medications that have dry mouth as a side effect. Medication for anxiety, depression, high blood pressure, allergies, asthma, high cholesterol, Alzheimer’s disease, and Parkinson’s disease—all have dry mouth as a side effect.

Normally, the properties in saliva neutralize acid and fight bacteria in your mouth. When your mouth is dry, it’s more difficult to fight bacteria. Bacteria can lead to tooth decay, loose teeth, or completely losing some of your teeth.

What can you do about it? Sip on water to keep moisture in your mouth, chewing gum increases saliva production. If you chew gum with sugar in it, be sure to chew it after the sugary taste is gone.

Let your dentist know if you are taking medication that promotes dry mouth. He or she will closely monitor your teeth and gums. Fluoride rinse may be recommended or fluoride toothpaste may be prescribed.

Avoid gum disease and treatment for tooth replacement by taking the necessary precautions.

This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

Trauma to tooth

By Dental Emergency

Last night my teeth collided with my husband’s head. It is still sore this morning. It is also a little loose. How long will it feel like this?  Will it turn gray? Will it always be loose?

Katarina L from Phoenix, AZ


I think it is important you see your dentist as soon as possible to have your tooth evaluated. You’ve got blunt force trauma. Your symptoms make me wonder if the nerve of the tooth is damaged or if you have a fractured tooth root.  If the nerve is damage, your dentist should recommend a root canal and a dental crown in order to save your tooth.

To answer some of your other questions, yes, it will turn gray eventually if there is nerve damage. However, you should have any problem taken care of well before that can happen. Your tooth will tighten back up unless you have a severe fracture.

This blog is brought to you by Naperville Dentist Dr. Anthony LaVacca.

Pain after a white filling

By Fillings

About 7 months ago I had a silver filling replaced with a white filling. There was some sensitivity to the tooth afterward, but dentist said that is normal and it will get better in time. Now months later I can barely chew any food, including bread. Do you think I have an infection? Did the dentist do something wrong?

Cara C. from Minnesota.


Without examining you I couldn’t tell you if you have an infection, though I suspect you do. When the pain is sensitivity from a dental filling it gets better. It might take a while to get better, but it will progressively improve. What you describing is the pain worsening and that is often the sign of an infection.  While it is possible your dentist did something wrong, it is equally possible that you had an underlying infection under the filling and the additional work to the tooth added stress and it began showing the signs of its infection.  I would go back to your dentist and tell him what is going on. An x-ray should be able to show something after this many months with an infection.

This blog is brought to you by Naperville Dentist Dr. Anthony LaVacca.

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