I’ve lost a

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I’ve lost a rather large filling in my upper molar leaving me with not much tooth left. I had no pain, but went to my NHS dentist who has given me 3 choices – restoration work on private, or a crown, or a filling (which he doesnt know how long will last). Since I am able to crown my teeth abroad, – have opted for a filling from this dentist. On my next visit he put in what he called an intermediate filling, but without cleaning the tooth or even blowing some air or rinsing it with water. A few weeks later I’ve developed a pain biting on it, then couldn’t even touch it with my tounge. The throbbing pain followed.
Since it was a weekend & I thought I have to survive till Monday somehow. Took painkiller, anti inflams. And since I had abscesses before, I knew I’d need antibiotics. I have some out of date Amoxicillin at home, so started on those (I know it’s not a good idea to use out of date ones, but they agree with me ok). By Monday morning they seem to have kicked in and the pain eased (I could even bite on it again), but there was a bit of pain on my cheekbone now.
I went to the dentist again and asked to prescribe me Amoxicillin, so I can carry on with the course and with in-date tablets, – obviously they started to make a difference. The dentist didn’t even look in my mouth, he refused me antibiotics. Suggested he can take the nerve out there and then instead. I have opted out of his suggestion, as have no faith in his work since the way he’s done the filling (which is probably what vaused the infection, as it wasn’t there before and the tooth was ok, although not much of it was left).
He said I can try and ask my GP for antibiotics, which I did through email request, but was told to ask my dentist!
I’ve carried on with my out of date ones
My question is – can the dentist really refuse antibiotics? Any advice on what am I to do next? Thank you.

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Asked on 22/03/2014 12:00 am
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Private answer

If there is enough tooth remaining and access is good there could be sense in a good root canal with minimal tooth removal and maybe just a good filling or inlay.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 10/04/2014 12:00 am
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Antibiotics are not ideal solution to your problem and your dentist is correct that root canal treatment is the best chance to save the tooth with a crown to restore it
All of this should be available on the NHS if you are a registered patient

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 08/04/2014 12:00 am
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I agree with my colleague.
Antibiotics are only a short term solution.
Provided the tooth remnant is satisfactory (- from
your description and not seeing X-rays or the state of the tooth) I suggest root canal treatment
and crown.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 08/04/2014 12:00 am