ABSTRACT
A 46-year-old female patient presented with severe pain, discomfort, and swelling on left Jaw(cheek), clinically diagnosed as left lower molar dental abscess and crucial dental pain since 3-4 days. The patient declined conventional surgical or pharmacological interventions and opted for homeopathic treatment. She was prescribed Staphysagria 30C based on symptom similarity. Follow-up after 3 days revealed marked improvement, with complete resolution of swelling and pain, discomfort. This case highlights the potential role of individualized homeopathic therapy in managing acute Dental Abscess with crucial dental pains.
KEYWORDS – homoeopathy, Dental abscess , Dental Carries , Staphysagria
INTRODUCTION
Dental infections, while relatively straightforward regarding diagnosis and access, can be challenging to manage acutely. Dental abscesses or periapical infections typically arise secondary to dental caries (tooth rot related to poor dental hygiene), trauma, or failed dental root canal treatment. Left untreated these infections can be not only extremely painful but also pose a significant risk of descending into the deep neck space or ascending to intracranial sinuses.
This case report describes the successful management of Left lower molar dental abscess in a 46-year-old female patient using Staphysagria 30C, highlighting the potential effectiveness of homeopathy in treating acute Dental neuralgic pains and Dental abscess.
CASE HISTORY
A 46 year-old female has complained of severe pain and swelling on left cheek for 3-4 days and she is having unbearable pain in left lower molar teeth.
CHIEF COMPLAINT OF PATIENT
- Pain and discomfort when chewing, jaw movements
- Swelling on left cheek
- Pain in left lower molars
- Throbbing pain
History of Present Complaint
Onset – acute
Treatment adopted – no other treatment taken
FAMILY HISTORY
Maternal: nothing specific
Paternal: nothing specific
Past History:
k/c/o DM type 2 since 15 years and HTN since 6 years on Allopathic medicine
Personal History
Mind & disposition: sensitive and mild extroverted , Anger not expressing easily
anxiety about health
Married or single: Married
No. of children: 1
Health of children: Good
Marital relations: Married, Quarrels with husband
Physical Generals
Diet: Vegetarian diet
Desire: Sour food
Disagrees: Nothing specific.
Thirst: Increased, 3-4 lit. per day.
Tongue: Clean
Taste: No altered taste as mentioned by the patient.
Salivation: Moderate as per patient.
Perspiration: More on back and neck, no specific odour and no staining on clothes as mentioned by the patient.
Stool: Dry hard stool sometimes 2 times/ week
Urine: Passes urine every 3-4 hours with no burning and no specific odour.
Bathing: Regularly.
Covering: Not specific
Sexual relations: Good.
Dwelling place: Well ventilated house with proper sunlight
Appetite: Proper, eat well at proper time.
Aversion: Nothing specific.
Habits / Addictions: No addictions as mentioned by patient.
- Tobacco: No
- Alcohol: No
- Coffee / Tea: tea drinker
- Drugs etc: No
- Thermal reaction: chilly
- Sleep: disturbed
- Dream: Daily routine.
Gynaecological History
Menarche: 14 years
Menstrual Cycle: Regular
Leucorrhoea: Normal
Menopause: Since 3 years
General Examination
Anaemia: NAD
Jaundice: Not detected
Neck glands: Not swollen
Blood pressure: 130/90 mmhg
Tongue: Clean
Pulse: 76bpm
Temperature: Afebrile
Respiration:17/min
Systemic Examination
Brief examination of other systems
RESPIRATORY SYSTEM: Normal vesicular breathing heard all over the lung field.
GASTROINTESTINAL SYSTEM: Liver, spleen not palpable. No free fluid in the abdomen. Normal peristaltic sounds.
PHYSICAL EXAMINATION: Redness and swelling on left jaw
CARDIOVASCULAR SYSTEM: Apex normally placed, S1, S2 heard normal, no added sounds.
NERVOUS SYSTEM: Higher functions cranial nerves and speech were intact.
Motor system: Power and tone normal. No involuntary movement or atrophy detected.
Laboratory Investigations Advised
Orthopanyogram
Provisional Diagnosis
Left Dental Abscess
Differential Diagnosis
Acute Parodititis , Acute Gingivitis
Symptom miasm
Swollen left lower molar teeth abscess causing pain and Psora & sycosis
discomfort
Prescribing Totality
- Mind , Anger, Suppressed, From
- Mind , Anger , Ailments after Anger, vexation
- Teeth , Carries , Decayed, Hollow
- Teeth ,Pain , lower teeth.
- Teeth pain , Eating after agg
- Teeth Pain extending to ear
Mental – Sensitive and mild extrovert, having Quarrelsome husband , Anger usually not expressed
Sleep – disturbed
Repertorial Analysis/ Repertorisation
Final Selection of Medicine with Comments Regarding Selection of Remedy
- Mind , Anger, Suppressed, From
- Mind , Anger , Ailments after Anger, vexation
- Teeth , Carries , Decayed, Hollow
- Teeth ,Pain , lower teeth.
- Teeth pain , Eating after agg
- Teeth Pain extending to ear
Prescription
RX
Staphysagria 30 X BD X 3days 4 globules
To be taken twice a day for 3 days
DR YASH MULCHANDANI
04/03/2025
FOLLOW UP:
| Date | Observation & interpretation | Remedies |
| 12/01/2025 | Pt. is better Pain and discomfort is reduced, swelling much reduced | SAC LAC 300 X BD FOR 3 DAYS |
| 15/01/2025 | Relief in swelling but Toothache sometimes | Staphysagria 30 x BD FOR 2 DAYS |
| 16/04/2025 | Complete relief in pain & swelling.patient is very satisfied. | Rubrum 200 x BD for 7 days |
About the Author:
Dr YASH MULCHANDANI
MD scholar department of practice of medicine in government homoeopathic medical college and hospital Bhopal, Madhya Pradesh.
GUIDED BY:
DR PRAVEEN JAISWAL MD(HOD), Phd(HOM)
HOD & PROFESSOR OF DEPARTMENT OF PRACTICE OF MEDICINE, Government homoeopathic medical college and hospital Bhopal, Madhya Pradesh
