Throbbing toothache: I have a throbbing... - British Heart Fou...

British Heart Foundation
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Throbbing toothache


I have a throbbing tooth which has been since yesterday and I have a bicuspid valve. Should I wait until Tuesday to go to the dentist or should I call 111. I am managing it with paracetamol but it only lasts for a few hours the the pain should back.


10 Replies

Toothaches an awful pain to manage. I think you should call 111 for advice on an emergency Dentist and stress you have bicuspid valve. You may need some antibiotics so definitely get some early advice don't put up with pain until Tues. Does your regular Dentist have a recorded phone message with emergency contact details? In the meantime take regular paracetamol

You could ask 111 if co-codamol (paracetamol and codeine) is acceptable with your heart condition. You can buy this over the counter at pharmacists and it's significantly stronger than just paracetamol alone. However, it's potentially addictive, so you don't want to take it for longer than three days. If you can't get to an emergency dentist for a couple of days then you'll be very glad of co-codamol. Here's what the NHS has to say,

MilkfairyHeart Star

You have my sympathy.

I cracked a tooth and developed an abscess and it was so painful!

I live with a lot of other pain in my life as I have Vasospastic angina and the toothache pain was awful.

I took paracetamol and codeine as well as antibiotics prescribed by my dentist.

I held a whole clove on the tooth and sucked on an ice cube all of which helped.

If you are in severe pain it is unlikely for you to become addicted to painkillers containing codeine.

The use of opiates long term for chronic pain can be a problem.

I suggest as the others have said to contact NHS 111 to find an out of hours dentist.

I unfortunately lost my tooth.....the pain stopped though!

I hope you feel better soon

Get some oralgel extra strength its uses benzocaine a local anaesthetic ,should you through to the dentist appointment .

Asda should have it at the pharmacy

Thanks everyone for your advice.


MichaelJHHeart Star

Do ring 111 as people with valve problems are more susceptible to a secondary infection from gum/tooth infection/disease; although all hearties can be at risk.

Pain can be a warning sign of infection. You could treat the pain, and it could even go away then you think you are OK. Meanwhile, the infection is still there and it starts to spread. Months later you develop other symptoms, and it takes time (weeks/months) to get them studied, until finally somebody thinks about endocarditis (infection of the heart). Endocarditis is often difficult to diagnose, but, I was told left untreated, it is always fatal.

1/ The source of the pain needs identifying

2/ If it is infection it needs treatment.

3/ If in doubt an infection needs treatment

4/ The route of the infection needs blocking. And it needs blocking fast.

I was in a similar situation over 20 years ago I phoned the hospital help lines, and even though I had had a metallic mitral valve operation, and even though I had had endocarditis, the hospital refused to see me, saying I should see my normal dentist. A few days later I paid privately for treatment. I should have found a private dentist within 24 hours, travelling up to London if need be. Dealing with the crack a few days after the symptoms began was too late. Six months later a gum boil developed that did not respond to usual gum treatment. It needed a full blown 3D scanner to find the problem: an apical abscess full of infection hidden at the bottom of a root. I was fortunate to avoid endocarditis.

Tooth pain and tooth infections need FAST diagnosis and treatment.

in reply to ILowe

I lost a filling and as it caused no pain left it for two days. In that time an infection got inside leaving me with endocarditis , I had an undiagnosed bicuspid valve so was a sitting target unknown to me !

Thanks for the advice, Im trying to sort an appoint put now.



Cold comfort, but now I know I am not alone. Thanks. Some doctors think I exaggerate when I push this point.

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