instruction: hi doctor the molar on the left side of my mouth was filled last year and right now it hurts really bad I took tylenol and motrin but none of them help I cannot remember if I pulled out that molar a while ago or if it still needs to be pulled it is not really loose but I can move it around if I try to pull it out I am afraid that it will be my permanent tooth the pain started last week I do not know what to do I talked to my dentist and he said that he did not see anything wrong with it but for some reason the pain is still going I cannot sleep at night and it gives me ear pain
output: hi I have read through your complaint and the relevant details firstly I would like to tell you that ear pain during night and the looseness you feel in the tooth are all the signs of a deeply infected tooth secondly it is not necessary to be for the same filled molar to give you trouble the pain might be from the same molar or could be due to a different tooth on the same side I would not be able to arrive at a correct diagnosis until at least I see a picture of your teeth in that row it seems you take pain killers for the same and there is nothing more I could prescribe considering your age the only way to immediate pain relief would be an active dental treatment for the affected tooth as soon as possible it cannot be cured just with pain killers or any other medications I advise you to see the dentist with an emergency appointment and look upon the issue if you do not address the issue then there are more chances of the tooth to undergo severe internal pressure and you might get a swelling next to the tooth thanks