1.The black discoloration and pain in your lower back tooth suggest that the caries has progressed into the deeper layers of the tooth.
2.Caries once formed cannot be reversed with medicines. The decayed part of the tooth has to be cleaned and restored by a dentist.
3.Since you are having pain for 5 days and the tooth is tender on percussion TOP positive it means the infection has likely reached the pulp nerve of the tooth.
4.In this stage the correct treatment is usually root canal therapy to remove the infected pulp clean the canals and save the tooth followed by a crown.
5.Till you meet a dentist you can take warm salt water rinses twice daily maintain good oral hygiene and use clove oil or over the counter pain relief medicines if required.
6.Do not delay treatment because infection can spread to surrounding gums and bone. Visit a dentist soon to start root canal treatment and prevent further complications.
Hello dear See caries is a chronic disease which start from simple dimineralization in form of white or black ( starting) colour It has to be restored properly otherwise on pulpal exposure,it has to undergo RCT I think you are having incipient caries so get it restored timely from nearby dentist in person for further progression Also get an x ray first before getting restoration to see the extent Merely taking medicines will not eleminate the problem However for the temporary relief you can take below medications Tablet voveren xr 50 mg twice or accordingly Tab Augmentin twice a day for 5 days Please get sandwich type of restoration ( GIC+ light cure) combination for better results Hopefully you recover soon Regards
To address the caries causing your pain, it’s crucial to have an in-person evaluation by a dentist as soon as possible. Based on your description, the black discoloration on the tooth, combined with tenderness to T.O.P (Tender on Percussion), typically indicates significant tooth decay. If the decay has reached the pulp, root canal treatment might indeed be necessary to remove the infected tissue and prevent further damage. Immediate relief can sometimes be managed by taking over-the-counter analgesics like ibuprofen or acetaminophen as directed, assuming no allergies or contraindications apply to you, but keep the dosing interval strictly according to package instructions. Reducing caries involves both treatment and prevention pathways. In the interim to potentially manage discomfort, avoid extreme temperatures in food and drink and refrain from foods high in sugar that can exacerbate decay. This, however, is not a replacement for definitive treatment. Long-term prevention involves consistent oral hygiene practices: regular brushing with fluoride toothpaste at least twice daily, flossing to remove food particles and plaque, and using an antimicrobial mouth rinse can help limit bacterial growth. Avoiding snacks and sugary drinks between meals can also help prevent further caries. Dental visits every six months give professionals opportunities to clean teeth thoroughly and catch early signs of decay before they worsen. If the cavity has not yet reached the stage of requiring a root canal, options such as fillings may be available. These recommendations are all actionable but keep in mind that decay identified by pain and visible damage should not be ignored or delayed. The presence of pain indicates that the case might be more progressed, and untreated cavities can lead to infections that might require more extensive treatment. If any signs of infection, such as swelling, fever, or persistent pain, are present, make sure to obtain timely care, as these are indicators of a more serious progression.
