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Simultaneous pain in the throat, ear, and teeth along with swollen glands usually point to a common cause - but not always.

There is a possibility that an initial infection which lowered the immunity opened the doors to another infection. This second possibility actually happens quite commonly. Enlarged lymph nodes are just indicative of an active infection, almost always in the immediately adjacent anatomical areas.

Strep infection along with tooth pain

A strep infection is extremely common. In fact it occurs multiple times over the course of a life time in most people around the world. A simple course of antibiotics and a pain killer to ease the pain in the throat should be enough to take care of it.

Causes of tooth pain

Wisdom tooth: Typically pain from the teeth can radiate to other nearby structures in the oral cavity. For example, pain in the wisdom teeth can lead to pain the throat, ear, jaw and other nearby teeth as well. This kind of pain is unilateral.

In case of an infection and lowered immunity in the body, the bacterial flora around the tooth can turn pathogenic and can cause inflammation leading to these symptoms.

The wisdom tooth itself may be half erupted in the oral cavity, as is common, and thus should be easily identified. It may also be completely submerged in the mandible. This is less common, however, it can produce all the same symptoms even from that position.

The pain in the latter situation is because of the pressure the tooth puts on the surrounding structures like nerves, vessels and teeth.

Decayed tooth: A decayed tooth is missed in an examination more than you would like to believe - especially if the examination is not done by a dentist. The most common areas where the teeth start decaying is in the proximal aspect (the sides of the tooth), which is not visible on visual examination. It needs tactile examination with the help of a specialized instrument as well as dental radiographs.

Severe pain in the jaw, neighboring teeth and even the head is a typical feature of pulpal pain. The pulp is the nerve-rich area inside the tooth that has connections to the major nerve flowing through the jaw bone.

Even though this pain is associated with ingesting hot food or liquids, it can reach a point where the patient complains of a constant dull throbbing pain in the oral cavity and surrounding areas.

In fact, severe constant pulpal pain is treated as a dental emergency.

Treatment

The treatment would obviously depend upon the final diagnosis. If the cause is indeed one of the two possible causes mentioned, an extraction in the case of a wisdom tooth and a root canal followed by a crown in case of a decayed tooth would be the best treatment options.

Antibiotics along with this line of treatment may also be necessary if the infection is deemed to be especially severe.

The recovery and relief from pain will be drastic and immediate.

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