### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have had a severe toothache for about 3 weeks.  I know i have a severe infection because the pain is so intense.  The problem is i did not have the time to change my dental insurance so im stuck with a plan that most hospitald wont take.  Dental care in New York are very expensive and i really dont want to pwe anybody for years to come.  But this pain is so severe at times that i think my hea will explodde.  I get the worst headaches and i cannot eat anything without fear that i will cause my mouth to hurt.  While at work i take at least 7 or eight ibuprofen for the pain. And at home about the same or more so that i can sleep.  My ear hurts all the time, and sometimes feels clogged.  My face burns sometimes, tingles and even feels sore and numb when the pain is at its worst.  For the last two or three days not even an ibuprofen seems to be helping.  After about 10 minutes the pain returns.  It builds up like a contraction during childbirth and then at it its worse when i feel to faint it subsides.  I cant take this anymore and now its the weekend.  I need to go to an emergency dentist to get some teeth puled, if not tonight then definetly Saturday morning.  What can i do to help the pain, will an emergency dentist in a local hospital see me even if they dont take my coverage?  Please help feels as if i will die.

### output:

Helloo.read through your query.I must say that it a be a periapical abscess(infection beneath the root).u have to take antibiotics (amoxicillin+metronidazole) for 5 days then infection will subside so will the pain.taking ibuprofen alone can't do much reduction as it can just be effective for some time...after that if u want u can meet an endodontist and see if it can be filled(root canal treatment+crown) and saved.saving a tooth is most important than plucking it away.but as your having problem with insurance yes u can meet a dentist and get it extracted....it's better to take antibiotics and reduce infection and going to dentist as with infection dentist won't be able to extract on same day as it may cause more pain to u.do nice salt water gargle as many times as possible.try not to bite with that side.and meet your dentist.be cool and happy.it reduces pain...peaceful mind can be the best medicine.hope your benefitted something from this reply.have a healthy day!!