A 31 year old male with abcess/decayed teeth came to er 3 days ago and was treated with penicillin. now has extreme facial swelling. after 3 days of treatment, patient'spain has increased and swelling is increasing even with antinflammatory treatment. pat

Hello. : Hello. The man needs dental or oral surgery care asap. I could not find free or sliding fee scale dental care in stanfield, north carolina. But i did find that stanfield is in stanly county. Stanly country has the stanly county health department which is located at 1000 n. First street, suite 3, albemarle, nc). Clinic fees are based on the patient’s household income. Clinic fees are reduced for those with less income. They do not take private insurance. Health department clinical hours are m-f, 8:30am-4:00pm; health department office hours, m-f 8:30am-5:00pm; environmental health hours are 8:30am-5:00pm; animal control hours are m-f, 9:30am-4:00pm & sat. 10:00am-12:00noon; dental clinic hours are: m-th, 7:30am - 5:30pm. Dental clinic office hours are: m-th, 8:00am-5:30pm & f, 8:00am-11:30am. There are no dental clinic hours on fridays. You need to make an appointment by calling 704-986-3099. You need to bring the following with you: proof of household income, identification, and medicare/medicare card, check, or cash. If you have no form of assistance and can not contribute any money what so ever for the dental/ medical care that you will be receiving - i don't know what to suggest. You could ask them about other options if you aren't able to assist at all for the cost of treatment.

Do : Do not delay seeking treatment. Since there appears to be sinus involvement the infection can spread to vital structures and potentially lead to a life threatening situation. This is one of the cases where i would recommend bypassing the dentist / oral and maxillofacial surgeon and going straight to an emergency room for evaluation and treatment as it sounds like the infection may have reached a point where hospital admission may be required.

Dr. : Dr. Funari is giving you good advice. This infection has now progressed into a medical emergency and you should return to the er asap. They will find the appropriate person on staff to deal with the situation and it may (can't be sure about this) fall under your medical insurance coverage..