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Old 04 February 2006, 03:08 PM
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Edcase
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Default Emergency dental appointment

Through a combination of luck and good oral hygeine I have avoided the dentist for over 10 years.

However, out eating a meal last night I felt a slight pain in my lower left jaw when chewing a nice tender piece of chateaubriand....not a good sign!

Anyway the wine took over, but then this morning 5.30am I woke up with a swollen gum around my lower-rear wisdom tooth, and a major ache.

Its basically the bit that joins the outside of the tooth to the gum, its seemingly somehow come away from the tooth slightly and the immediate area is very sore to the touch and chewing on that side is a no-no.

However, it doesn't *look* particularly sore, red or angry, so I am hoping maybe its one of those random couple-of-days-at-a-time movement of said wisdom tooth as opposed to an abscess or similar.

Any reccommendations for the pain? I don't as a rule take pain killers, how about gargling with soluble paracetamol or similar?

Then finally, if it is still bad on Monday, what's it like getting an NHS doctor nowadays? Is it still impossible? What choice does that then leave, presumably going to Harley Street and having my wallet raped?? Would it be worth just seeing my local doctor for an opinion?

Can I fit more questions in one email???
Old 04 February 2006, 05:53 PM
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jfrf
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i had an emergency a few years back due to a abcess in gum
just went to the hospital, qued and was treated same day.

there is a list of nhs dentist on the nhs direct website
http://www.nhs.uk/England/Dentists/NearestSearch.aspx

as for pain this week in the newspapers i read to gargle vodka
whether this is b*ll**** who knows
Old 04 February 2006, 07:21 PM
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Originally Posted by jfrf
i had an emergency a few years back due to a abcess in gum
just went to the hospital, qued and was treated same day.

there is a list of nhs dentist on the nhs direct website
http://www.nhs.uk/England/Dentists/NearestSearch.aspx

as for pain this week in the newspapers i read to gargle vodka
whether this is b*ll**** who knows
Out of interest what were the symptoms of the abcess? Worried that may be my prob. How did they treat it...dare I ask...
Old 04 February 2006, 07:30 PM
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David Lock
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Possibly you have a wisdom tooth erupting and bit down on the tender gum. If it's infected it will be painful. If you are in pain then I think any NHS dentist is obliged to see you. Your own GP might just give you some anti-biotics if he thinks it is an infected area and tell you to get a dental appt. Someone will want to X-ray the area to see where the tooth is heading.
Old 04 February 2006, 07:37 PM
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pslewis
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Find out where your emergency dentist is ... google for your area.

They are generally open until 12 noon at weekends ... get yourself there tomorrow FIRST THING as there is always a queue - it's NHS so a look-see will cost you £5:84, which isn't too bad!!

Leaving it til Monday means that you are at the mercy of whichever dentist you can get into ....

DO IT TOMORROW!!

Pete
Old 04 February 2006, 07:43 PM
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mart360
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Sorry i whish you luck...

teeth what are they ??

the joys of finaly having them all out


mart
Old 04 February 2006, 07:53 PM
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I still have 50% of mine

http://www.blessed2bless.us/images/b.../pig-teeth.jpg

Pete
Old 04 February 2006, 09:39 PM
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Edcase
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David - my wisdom teeth are pretty much fully developed, its actually the gum around the outer edge of the tooth thats inflamed and come away from the tooth, but its now spreading completely around the tooth.

Pete, are they defo open on Sundays? I should have done it today really seeing as I was up with it at 5.30am, but it wasn't this bad then and I just hoped it would go away.

Bloody giving me agony now...
Old 04 February 2006, 09:53 PM
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just had a google around, definitely none open near me tomorrow...****, I totally regret not doing it this morning now.

Might try ringing NHS direct...
Old 04 February 2006, 10:00 PM
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with my abcess the, gum under the tooth went black
i was very worried as it looked awful

in order to fix it they basically drilled out the whole tooth and drained the puss out :S

then simply a root filling and a crown which wasnt too bad

personally i still say go to hospital. just make sure it has a dental section
Old 04 February 2006, 10:30 PM
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mart360
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Ring your local gp they wont cure it, but may prescribe inti bio,s or some half decent painkillers

then have the buggers out


MArt
Old 04 February 2006, 10:33 PM
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god this place is wierd...
Old 04 February 2006, 11:01 PM
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Ed - try A&E in the morning then. Get there before Junior Rugby kids start arriving with sprained this and that
Old 04 February 2006, 11:17 PM
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right, there are basically NO emergency dentists after 11pm, the only one in London was Kings College and apparently they were turning people away as they are so busy.

NHS Direct don't want to know, say that no hospitals have emergency dentists

Just been to the local emergency GP, but of course they aren't dentists so not easy for him to really diagnose. However, he wasn't too concerned, prescribed me some antibiotics but reccommended I don't take them unless I start developing a fever and more symptoms of 'infection'.

So I am now back home, in a lot of bl00dy pain and feeling very sorry for myself.

If its like this tomorrow morning I'm going to swallow the extortionate charges and go to Baker st or Harley St where I know there are some 24 / 7 private dentists. I had forgotten just how bad toothache was, and its spread right into my jaw now too...
Old 04 February 2006, 11:29 PM
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Lee247
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Originally Posted by pslewis
Pete, are you ok now?
What was the outcome with your abcess? The extra tooth scenario
Old 04 February 2006, 11:29 PM
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Mate, I was there at Xmas .... Doctor prescribed Anti-biotics and strong painkillers (very strong) - all sorted in 2 days.

I have a weekend NHS Emergencey Dentist within 8 miles so I guess I am very lucky.

What about here:-

Whitechapel Walk-in Centre
Next to The Royal London Hospital A&E Department, Whitechapel Road

The Walk-in Centre offers treatment for minor illnesses and injuries. Assessment is by an experienced NHS nurse. They can give advice on how to stay healthy and information on out-of-hours GP and dental services, local pharmacy services and other local health services. No appointment is necessary. Patients are seen on a first come first served basis.

It is open Monday to Friday, 7am-10pm, Saturday and Sunday 9am-10pm.

Telephone Reception 020 7943 1333

Emergency dental facilities
The Dental Hospital provides walk-in services for adults and children with a problem requiring urgent attention. No appointment is needed. Patients are seen in order of urgency.

Daytime emergency dental service
Opening times
For adults Monday to Friday, 8am-3.30pm (except public holidays)
For children Monday to Friday, 8.30am-11am and 1.30pm-4pm (except public holidays)
Location
The daytime emergency dental service for adults is based on the first floor and for children on the third floor of the Dental Hospital at The Royal London.

Evenings, weekends and public holidays emergency dental service
Opening times
Monday to Friday, 7pm-11.45pm
Saturday, Sunday and public holidays 8am-5.15pm (closed 1pm-2pm)
Christmas Day (25 December), 8am-12noon
Location
During evenings, weekends and public holidays, the emergency dental service is in the Accident and Emergency Department, Alexandra Wing at The Royal London.


Telephone

Reception number 020 7377 7000 ext 2329 RLH or ext 2888 RLH or 2131 RLH (during opening hours)

I feel for you .............. toothache has to be the worst pain - I have suffered many a night almost in tears the pain was so great

Good luck!

Pete
Old 04 February 2006, 11:32 PM
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Originally Posted by 84of300
Pete, are you ok now?
What was the outcome with your abcess? The extra tooth scenario
Well extra tooth growing in my sinus needs to be investigated.

Abcess has gone and tooth no longer hurts - I am booked in to have the tooth pulled on Friday, but I don't want it pulled now ..... it's not hurting and I wonder if my sinus pain was a lot of the trouble?

Anyway, they want to put a crown in ..... say it's £95 on the NHS but I'm not so sure it's that cheap??

Pete
Old 04 February 2006, 11:34 PM
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Lee247
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Originally Posted by Edcase
right, there are basically NO emergency dentists after 11pm, the only one in London was Kings College and apparently they were turning people away as they are so busy.

NHS Direct don't want to know, say that no hospitals have emergency dentists

Just been to the local emergency GP, but of course they aren't dentists so not easy for him to really diagnose. However, he wasn't too concerned, prescribed me some antibiotics but reccommended I don't take them unless I start developing a fever and more symptoms of 'infection'.

So I am now back home, in a lot of bl00dy pain and feeling very sorry for myself.

If its like this tomorrow morning I'm going to swallow the extortionate charges and go to Baker st or Harley St where I know there are some 24 / 7 private dentists. I had forgotten just how bad toothache was, and its spread right into my jaw now too...
Most Dentists do emergency treatment, at least they do where I live. What antibiotics did he give you? I ask cos I had an abcess, not that long ago and I was given Amoxicilon (sp) and Metridizanol (sp), worked a treat
Old 04 February 2006, 11:34 PM
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I once had toothache on a sunday, it was so bad i couldnt see straight!!!

i rang a local dentist, and asked if they could do an emergency extraction, to which they replied come at 7pm and by 7.15 it was in a tray at my side....

you could try some of the local dentists... for a fee i,m sure they would attend...


like wise with the old boy, toothach is not funny hence the descision to have em all out,

mart
Old 04 February 2006, 11:38 PM
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Lee247
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Originally Posted by pslewis
Well extra tooth growing in my sinus needs to be investigated.

Abcess has gone and tooth no longer hurts - I am booked in to have the tooth pulled on Friday, but I don't want it pulled now ..... it's not hurting and I wonder if my sinus pain was a lot of the trouble?

Anyway, they want to put a crown in ..... say it's £95 on the NHS but I'm not so sure it's that cheap??

Pete
They didn't want to pull my tooth And its been fine. Go with what you feel happiest with. Whats the old saying, if it ain't broke, don't fix it
£95.00
Old 04 February 2006, 11:41 PM
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Yeah he prescribed amoxycillin...just checking to see if any of the 24 hours supermarkets with chemists have the chemist bit stay open overnight.
Old 04 February 2006, 11:42 PM
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Originally Posted by 84of300
£95.00
Is that a expensive

or a cheap??

Pete
Old 04 February 2006, 11:43 PM
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If it is your wisdom tooth it could be a condition called Pericoronitis. Its quite a common problem. I prescribe Abs, painkillers and hot salt water mouthrinses Corsodyl mouthrinse watered down a little and rinse it around strongly in that area 3 times a day. Use warm salt water after every meal rinse around strongly each mouthful then spit out. Finish the whole glass.
See if that helps.
Old 04 February 2006, 11:44 PM
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Take them, they work Hope you feel better soon. Ask mart or pslewis about good painkillers too. I managed just with the anitbiotics, but you sound like you are going through hell
Old 04 February 2006, 11:44 PM
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Originally Posted by Edcase
Yeah he prescribed amoxycillin...just checking to see if any of the 24 hours supermarkets with chemists have the chemist bit stay open overnight.
Mate, my doctor said 1 three times a day ....

BUT, and this is important .....

He said hit it with 3 STRAIGHT away!! Really, it is the way to do it - in 24 hours the pain will be gone!

Pete
Old 04 February 2006, 11:44 PM
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Metronidazole...thats the most effective Abs if you have a gum infection around your wisdom tooth.
Old 04 February 2006, 11:46 PM
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I think that seems expensive Pete, but not an expert
Old 04 February 2006, 11:46 PM
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As above .... warm salt water helped me as well!!

Rinse around a whole tumbler full .....

Pete
Old 04 February 2006, 11:47 PM
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Originally Posted by Aaquil
Metronidazole...thats the most effective Abs if you have a gum infection around your wisdom tooth.
I just knew I had spelt it wrong
Old 04 February 2006, 11:50 PM
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Originally Posted by 84of300
I think that seems expensive Pete, but not an expert
Oh, ok, I thought it was very cheap ........ but, then, my Dentist of 20+ years, went private and started quoting prices like £400 for a crown .......

£150 to unscrew a crown pin that had snapped and then £250 for the crown .... I went elsewhere

He didn't seem too worried as his jumped into his Porsche Cayenne and drove off!!

Pete


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