Conversation: The conversation between human and AI assistant.
[|Human|] THIS IS THE SECOND TIME IN A MONTH THAT I HAVE HAD WHAT I THOUGHT WAS A SINUS INFECTION. I HAVE PAIN IN MY TEETH, ESPECIALLY THE ONE WITH A CAP WHICH THE DENTIST SAYS SEEMS FINE. mY JAW BONE IS EVEN REALLY SORE FROM THE CENTER OF MY CHIN ALL THE WAY UP TO MY EAR. tHE PAIN IS ALL ON THE RIGHT SIDE ONLY. AND MY LYMPH NODESUNDER MY CHIN ARE SWOLLEN AND VERY SORE . MY WHOLE RIGHT JAW HURTS. AND SINUSES IN FACE SORE. DENTISE DOESNT THINK I NEED A ROOT CANAL FROM THE XRAY HE TOOK LAST TIME.  MY DOCTOR GAVE ME A SHOT INJECTION OF ROCEPHRAN AND THEN IN TWO DAYS GIVES ME A SECOND SHOT. iT SEEMS TO CLEAR IT UP . BUTT THIS KEEPS RETURNING.  iT IS VERY PAINFULL . NO SORES SO DONT THINK IT IS SHINGLES.  DENTIST WANTS TO SEE ME AGAIN IN A WEEK. I KEEP THINKING THAT I NEED A ROOT CANAL ON THE ONE TOOTH THAT HAS A CAP BUT DENTIST SAID THAT WOULDNT CAUSE LYMPH NODES TO BE SWOLLEN AND JAW TO HURT.  sO DO YOU HAVE ANY IDEA WHAT IT CAN BE.
[|AI|]  Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint in case if you have pain in jaw extending from chin up to the ear and pain in teeth and as pain is more specific to your capped tooth there is a possibility that there is infection in the capped tooth or the tooth is fractured. Secondly pain in upper jaw and cheek can be due to sinus infection and is not due to lower tooth that is capped. Such kind of pain can also be due to nerve related pain but as you have swollen lymph nodes chances of infection are more probable. Swollen lymph nodes under the jaw can occur very much due to tooth infection, and it is one of the commonest cause, and it is not true that it cannot be due to the tooth.Therefore, I would suggest you to consult an Endodontist and get evaluated and in case if there is infection in tooth removal of the cap followed by root canal treatment and replacing the cap can help. As of now you can take Motorola or Tramadol to relieve pain. Hope this information helps. Thanks and regards. Chat Doctor.