Pain returning after failed tooth extraction

I have a very large cavity on one of my upper molars that caused severe pain for several weeks and went up through my sinuses. I live below the poverty level and have no insurance, but I headed to the ER because it was radiating out farther. I was put on penicillin and referred to our local, county health department where the only adult dental care offered is extraction. They have no anesthesia but did have Novocaine. He did an x-ray and said the roots were very deep but I know I don't have the option for a filling or root canal so I said that was fine. The Novocaine deadened every area of my mouth except the one nerve right in my tooth. I told him several times I was feeling pain, not pressure. After an hour of him attempting to extract the tooth, I had to have him stop because my whole body was shaking and I was sobbing no matter how much I tried to stop. I asked what now and there were no suggestions but he did inform me the tooth was still very firmly in my mouth and would not fall out on its own. For several days afterward, I had quite a bit of pain at the site of the injections (he injected in multiple locations 3 separate times)and the pain I had gone in with, though the radiating pain had stopped after completion of the penicillin. This was a month ago. I brush regularly and only use one side of my mouth to eat with because contact between the upper and lower teeth is very painful on the right side. This week, I have had some more aching but I figured I was just grinding my teeth again (yes, I have apnea and a bi-pap) but yesterday, the pain in the gum surrounding the tooth and roof of my mouth in the area where the dentist had done the injections returned as if he had been yanking on my tooth again. He did damage the tooth quite a bit during the attempted extraction with the ...pliers (not sure of the correct term) because I don't think he thought the tooth would be remaining. I am at a loss what to do now because I am already eating soft foods and the pain is bad enough, it woke me from sleep. I am taking an OTC NSAID, rinsing with salt water, and avoiding sugary or acidic foods. What else can I do?

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Answer: Returning pain

By BracesInfo.com Expert 10

Unfortunately, the pain will continue to return until the tooth is completely removed. The antibiotics will only temporarily calm the tooth but will not completely clear up the infection.  The tooth needs to be removed as soon as possible.  Since you have taken a round of antibiotics, the anesthetic may be more effective making the procedure more tolerable for you.  Even though the tooth is not mobile, the decay will continue to get worse.  Your body is constantly trying to fight the infection in your blood stream, weakening your entire immune system.  It is very dangerous to have an untreated infection in your mouth, which is very close to your brain.  Return to the dentist as soon as possible to have the tooth removed or find an oral surgeon that is able to remove the tooth.  Waiting is only going to make the extraction more complicated as the tooth will continue to weaken and break down.

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