Swelling around your eyes is considered more dangerous and potentially more difficult to treat with oral antibiotics.  If this is you, our best advice is to see us for an emergency exam as soon as possible or present yourself to the ER. Otherwise,  swelling elsewhere should be treated by antibiotics and often is associated with an infected tooth.  To treat the tooth completely, it will also need root canal therapy.  Pain is best addressed for these situations using ibuprofen, and not Tylenol.