Urgent help - toothache in teen

[MissisBoote]

Ds needs an extraction. Toothache on and off for the last few weeks.

He has sensory issues so need it done under sedation.
He's in absolute agony tonight.
He's had co-codamol, nurofen and numbing gel. Nothing is touching it.

Literally screaming out in pain every 5 mins.

Anything else I can do to help him?

I sometimes find gently brushing my teeth helps, have you tried some clove oil?

Toothache is the pits

Toothache is hell.

Does he have an infection? My toothache was an infection, needed anti biotic before extraction.

Poor thing. It’s agony

Salt water rinse?

I would contact the dental hospital also and see if they can arrange an earlier appointment, we managed to bring forward dd's appointment under GA when she was in pain

Hope ds feels better soon

RINg 111, they may be able to get him an ooh appt or an appt at a dental access centre

I second the toothbrushing, use plenty of toothpaste, sensodyne is perfect but anything will do.
Also Counter pressure! Good news for a sensory type, he needs to bite down on something, anything he can tolerate (safe of course) rubber is fantastic. Dont judge me too much here 😉 but my eldest with asd actually has a dog chewy toy he likes to bite on when he has a toothache, its kinda like a teething ring but without the gel!
Also if you have any cloves lurking in the cupboard you can make a quick clove oil using cooking oit and crushing/blizing cloves into it.
Umm only other thing i can think of is to alternate hot and cold compresses, like a hot water bottle and something frozen, you can even just pop a few damp washcloths in the freezer.
Also call 111 there may be an emergency dental clinic that can book him in soon.
xx

Thanks everyone. He seems to be drifting in and out of sleep and crying in pain. Seems to be going longer between bouts. It's going to be a long night. Thankful that MN exists

Dental hospital have been useless so far. Referral went in over 2 mths ago and no acknowledgement or appt so far despite it being marked as urgent. our local pals team don't cover them so I've already been on to NHS England to complain. Every time I call it's engaged.

I've already started him on a course of antibiotics that he was prescribed previously, but never actually took for some reason that I can't remember.

The actual decayed tooth is a rear molar that's not fully through the gumline so ripe for infection. x-ray showed it as decayed so it needs to come out. A double whammy.

No out of hours dentist midweek but I'll phone the regular one first thing, possibly 111 before hand so I can get on the waiting list for emergencies.

Not sure what I can get for him to bite on. Just been getting him to squeeze my hand when he needs to. Will get cracking on some Clove oil though.

agree with the salt water wash.

Also try an ice pack

Hi again OP.
I think you should try 111 asap, even just for advice.
Its terrible that someone, especially a child would be left in pain for so long, definatleg follow up those complaints!

Do you drive? I would see if there's another practice available, It would be worth changing dentists to be seen faster, even as a one off.
Another option may be to go private if you can afford/beg/borrow.

I once got referred to a clinic a few towns over I was in by 7am, unfortunatley had to suck up my phobias and have tooth pulled then and there.

I know its not ideal but with infection the risks are high. Something needs to be done asap. I suppose it was a good call for you to use the anti-b's just be sure to tell doc/dentist what DS has taken when he is seen.
A couple of weeks ago I watched my 9 yo get a tooth pulled no sedation. It was pretty grim but she had been having so much trouble with a back tooth she begged them to pull it and they did! Do you think DS might be desperate enough to give it a try?

Oh and some things you can use for biting down.
•End of toothbrush,
•Rolled up bits of cloth, soaked in hot or
cold water (ds's preference)
•Any soft grip kitchen utensils?
•Soft handled hairbrush or comb
handle.
(i've tried this all out
of desperation! I personally cant cope with the damp cloths...it just feels awful to me but i think its the most 'normal' thing on my list!)
•

Anything safe he can get in his mouth should be fine, preferably flexible materials so he cant break off a peice or hurt himself by biting down too hard. Be creative you will have something!
Think back to teething days, what would you have done then?
I know it seems extreme but the counter pressure can really take the edge off.
Hope you find a solution.
x

www.nhs.uk/Service-Search/Dentists/LocationSearch/3

No help for now but if you can get some Anbesol liquid it’s amazing for toothache.

An old fashioned cure used to be whisky. Pour out a very little in a glass and use finger to wipe whisky over the tooth and it neighbours either side

You need to call 111 or get him to a&e FGS. An abscess can be extremely dangerous.

All calmer today. Managed to get an emergency appt first thing this morning with his regular dentist. Anti-b's are doing their job.

I've previously called 111 out of hours and all they can do is suggest calling emergency dentist in the morning. There are no night services. A&E won't see you with tooth pain unless your face is swollen or you can't breath. Neither of which apply to him.

I've managed to find an email address for the sedation clinic so I'm starting a paper trail. Definitely getting a complaint started with BHS England.

Thank you for your support.