Conversation: The conversation between human and AI assistant.
[|Human|] I am a 41 year old female with RA. I have been taking Methatrexate for several years now (8). It has destroyed my teeth. Right now I am experiencing terrible pain on the right lower side of my head, behind my ear. Could my teeth be causing this? I can feel the pressure start building up and release in my head. Blood pressure ran a pretty consistent 136/80 last night when the headaches started. Thanks for your help.S Musick
[|AI|]  Hello, Your symptoms could be related to an infected tooth and the spread of an abscess. Check for an broken tooth, bubbles along the gum and sensitivity to pressure and hot temperatures. A dentist can take an X-ray to evaluate tooth roots and confirm a diagnosis. Take some anti-inflammatory medication such as Tylenol or Advil. You may need a prescription antibiotic if an abscess is present. You may grind your teeth and cause similar symptoms. A night guard purchased over the counter may help you determine if this is a factor. I recommend a dental exam and fabrication of a professionally made, custom fit night guard if needed. Thank you for your inquiry.