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Decayed Tooth Removed. Put Stitched. Having Pain On One Side Of The Face. What To Do?
Hello Dr. Chakraborty,
I just had an upper molar, I think it was # 32?, removed. It was decayed. The roots were a real job for the dentist but after about 1 hr & 20 minutes later everything was out and in were a couple of stitches. I know there will be pain. But, this pain has the whole right side of my face and head real painful. My right eye hurts to open. It feels like I have a bad sinus infectionand a right ear infection along with the pain in my mouth( upper right side).
I'm on Clindamycin-1 every 6 hrs for 7 days. I have done everything on the post op list. Years ago due to an accident / injury / timing I had to have my impacted wisdom teeth and also 5 molars out- 9 total. that was tons of fun. This 1 single tooth extraction is more painful. Is it normal to feel this much discomfort / pain. Could any nerve been damaged that sends signals to the right side of my face head?
I just had an upper molar, I think it was # 32?, removed. It was decayed. The roots were a real job for the dentist but after about 1 hr & 20 minutes later everything was out and in were a couple of stitches. I know there will be pain. But, this pain has the whole right side of my face and head real painful. My right eye hurts to open. It feels like I have a bad sinus infectionand a right ear infection along with the pain in my mouth( upper right side).
I'm on Clindamycin-1 every 6 hrs for 7 days. I have done everything on the post op list. Years ago due to an accident / injury / timing I had to have my impacted wisdom teeth and also 5 molars out- 9 total. that was tons of fun. This 1 single tooth extraction is more painful. Is it normal to feel this much discomfort / pain. Could any nerve been damaged that sends signals to the right side of my face head?
Fri, 13 Sep 2013
Hello, Welcome to HCM forum. The extraction of a molar tooth sometimes become very difficult due to lot of reasons, for example tooth root fused to the surrounding bone, or the tooth root is curved or broken crown of a badly decayed tooth etc. In such conditions some amount of bone needs to be removed or the root portion may need to be separated by drilling. Yah, this kind of procedure may take long time; even more than an hour, while uncomplicated molars can be extracted within a minute. When the bone is injured or drilled, there is always a chance of severe pain and swelling while most of the simple molar extraction may not need even a single analgesic. You are a bit unlucky that your extraction needed some amount of bone cutting and that causes all the problem that you are suffering. If the bone cutting is done under cool water spray the trauma may be little less but I really do not know how exactly your bone is removed. Antibiotic like Clindamycin is fine, But I think you may need some particular anti inflammatory drugs like Serratiopeptidase 10 mg, 8 hourly or Chymotrypsin 100000 unit , 6 hourly for 3 to 4 days to reduce your complications faster. These are sometimes used after a traumatic extraction of tooth. Consult your oral surgeon as soon as possible. Wishing you back to good health faster.
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(#32 is a lower right wisdom tooth. The upper right molars are teeth #1 - 3, with #1 being the wisdom tooth.)
The roots of maxillary (upper jaw) can lie in close proximity to your maxillary sinus. It is possible that your maxillary sinus was perforated during the extraction. Although not incredibly common, it can, and does happen. Usually, I will prescribe an antibiotic and an over-the-counter decongestant. It sounds like you are already on one antibiotic but that it might not be effective. I would recommend returning to your dentist and seeing if he will prescribe you a different antibiotic. Antibiotics kill certain types of bacteria and every one has a different profile. By trying a different type, it might be more effective that the Clinamycin.
The pain in your ear may be infection related. It can also be from the trauma of having the extraction. You had injections in that area and your muscles were open for a long time. All of those factors can contribute to your symptoms.
There is also the chance that you may have a dry socket. The best treatment would be to return to your dentist for an evaluation. If you do have a dry socket, he can place medicine in it that can relieve the pain.
The roots of maxillary (upper jaw) can lie in close proximity to your maxillary sinus. It is possible that your maxillary sinus was perforated during the extraction. Although not incredibly common, it can, and does happen. Usually, I will prescribe an antibiotic and an over-the-counter decongestant. It sounds like you are already on one antibiotic but that it might not be effective. I would recommend returning to your dentist and seeing if he will prescribe you a different antibiotic. Antibiotics kill certain types of bacteria and every one has a different profile. By trying a different type, it might be more effective that the Clinamycin.
The pain in your ear may be infection related. It can also be from the trauma of having the extraction. You had injections in that area and your muscles were open for a long time. All of those factors can contribute to your symptoms.
There is also the chance that you may have a dry socket. The best treatment would be to return to your dentist for an evaluation. If you do have a dry socket, he can place medicine in it that can relieve the pain.
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HELLO
THANK YOU FOR POSTING QUERY
PAIN AFTER A DIFFICULT EXTRACTION IS A COMMON PROBLEM BUT TO WHAT EXTENT DEPENDS ON EACH INDIVIDUAL...MEDICINE PRESCRIBED TO YOU IS FINE BUT ARE YOU NOT SUBSCRIBED ANY PAIN KILLER ALONG WITH THAT .. IF NOT THEN PLEASE TAKE ETODOLAC 400MG IN COMBINATION WITH PARACETAMOL 325 MG EVERY 8 HOURS.. THIS WILL SURELY REDUCE YOUR DISCOMFORT...ALSO START SOME MULTIVITAMINS ONCE DAILY...
NOW ABOUT NERVE DAMAGE.. SEE FRIEND NERVE DAMAGE CAUSES ANESTHESIA TO THE AREA IT SUPPLIES MEANS YOU FIND LOSING OF SOME SENSATIONS... I THINK YOUR SYMPTOMS WILL SUBSIDE SOON IN 3-4 DAYS .. NOTHING TO WORRY FRIEND JUST RELAX AND FOLLOW YOUR DENTAL SURGEON...
HOPE IT HELPS
THANK YOU FOR POSTING QUERY
PAIN AFTER A DIFFICULT EXTRACTION IS A COMMON PROBLEM BUT TO WHAT EXTENT DEPENDS ON EACH INDIVIDUAL...MEDICINE PRESCRIBED TO YOU IS FINE BUT ARE YOU NOT SUBSCRIBED ANY PAIN KILLER ALONG WITH THAT .. IF NOT THEN PLEASE TAKE ETODOLAC 400MG IN COMBINATION WITH PARACETAMOL 325 MG EVERY 8 HOURS.. THIS WILL SURELY REDUCE YOUR DISCOMFORT...ALSO START SOME MULTIVITAMINS ONCE DAILY...
NOW ABOUT NERVE DAMAGE.. SEE FRIEND NERVE DAMAGE CAUSES ANESTHESIA TO THE AREA IT SUPPLIES MEANS YOU FIND LOSING OF SOME SENSATIONS... I THINK YOUR SYMPTOMS WILL SUBSIDE SOON IN 3-4 DAYS .. NOTHING TO WORRY FRIEND JUST RELAX AND FOLLOW YOUR DENTAL SURGEON...
HOPE IT HELPS
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