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The symptoms you mentioned are highly suggestive of irreversible pulpitis
( inflammation of the pulp
), which is caused due to spread of caries
or the decay
to the pulp tissue of the tooth ( pulp tissue contains the nerve of the tooth ).Popping of painkillers or antibiotics would only provide short temporary relief.This is an early stage of irreversible pulpitis where the pain may be caused by certain stimulus such as certain temperature change particularly cold food, sweet or acid food stuff or pressure from packing of the food into the cavity
.In you case, it is due to suction exerted by the tongue or cheek. This results in congestion of blood vessels in the pulp.The pain often continues and it may come and go spontaneously without apparent cause.The pain may be sharp, piercing or shooting and is generally severe.During later stages, the pain may be boring, gnawing or throbbing.
Clinical inspection is must before coming to any diagnosis. It usually discloses a deep cavity extending to the pulp. Radiographic evidence is also of utmost importance as many times it may disclose the decay inter proximally between 2 teeth.
RCT ( root canal
treatment ) is the only option to save the tooth. Root canal involves the removal of infected pulp tissue, cleaning
of the root canals. I would advise you to fix an appointment with a dentist at the earliest.
For the time being, you could continue using warm saline rinses. You could use anti microbial mouth rinses such as chlorhexidine
( 0.12% ) twice daily for few days. Keep optimum oral hygiene.
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