<s>[INST] Hello I have been having trouble with my tooth on and off for I think 2 years a reoccurring tooth ache every time its occurs my shoulder and arm hurt to the point it hurts to move it .I never went to the dentist about because I didnt think it was that serious. [/INST] Hello, Thanks for consulting ChatDoctorRead your query as you have recurrent toothache this can be due to carious tooth, trauma, periodontal problem. For this you should consult oral surgeon for examination of tooth and go for investigation Iowa X-ray of tooth to rule out the cause of pain. Inmeantime do warm saline rinses 2 -3 times a day, and you can take medicine like Amoxicillin and Diploma SP by consulting with your local doctor Hope this will help you. </s>