M30: The emergency visit for a toothache or a swelling: triage, relief at the chair, definitive treatment first, antibiotics only when the body is involved, and the pain plan

One emergency visit for an adult with a toothache or a swelling: read whether it is pain only or pain with swelling, whether the nerve is still alive, and whether there is fever, malaise or a swelling spreading toward the airway that needs urgent care; numb the tooth with a short-acting local anesthetic for immediate relief; give definitive treatment (pulpectomy, root canal treatment, drainage of an abscess or extraction) or refer for it within 1 to 2 days, because pills do not replace it; keep antibiotics for a patient with fever or malaise or a high risk of spread, amoxicillin first when they are needed; send the patient home on a non-opioid pain plan with the call-back rules and a reevaluation within 3 days, read against the ADA antibiotic guideline and the ADA toothache guideline.