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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain And Tender Swelling On Left Cheek After 3rd Lower Molar Left Side Extraction. Opinions ?

I got my 3rd lower molar left side extracted 2 wks back.. Pain n swelling had subsided almost completely in 5 days but then i had cold n i sneezed a lot.. Since then theres a hard huge tender swelling on left cheek which is very painful.. I visited de dentist 2 days back n was told there was no infection and asked me to continue anyibiotics n pain killers for next 5 days.. But I dont see any improvement even today... M worried.. Any second opinion??
Tue, 9 Jul 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

After a reexamination by the dentist, and if you are on antibiotics and pain killers, I think you might just need to be patient. In case the pain is too intense, the dose or class of the analgesic could be slightly raised. you could consult your primary care physician to help raise or adjust the doses of the respective drugs.

I might be necessary now to keep warm and not expose to tooth to very cold fluids or foods. Ruling out an infection and prescribing prophylactic antibiotics as in your case to me is appropriate.

You just need to be patient and see you physician for review in case the pain persists. Thanks and wishing you good health.

Best regards,

Bain LE, MD.
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing to us.

Dry socket has developed at the site of tooth extraction.

Irrigate the socket well with warm saline as well as betadine.

Avoid spitting/impinging the socket using fingers.

Take adequate rest and avoid anxiety.

Rinse your mouth after every meals.

Take care.
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Dentist Dr. Juhi Soni's  Response
Hi
Thanks for the query
As your extraction socket is symptomatic so it seems infection is there.
Infection can be due to two reasons-
-Dry socket
-remnant of tooth left inside socket
You should follow your antibiotic prescription and ZOE dressing.
Do warm saline rinses and use antiseptic mouthwash.
If pains goes off then fine , if not then have a x-ray of that site.
Take care
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

pain and hard swelling post extraction is usually seen in infection.please change your antibiotics that you are taking.

In this case clinical evaluation is must therefore i would say please visit oral surgeon,it could be a case of dry socket also.

In case of dry socket, antibiotics alone does-not help much but clinical evaluation and placement of suitable medicament in the healing socket helps a lot.

Meanwhile you can do gentle rinsing with warm saline.

Hope it helps.

Thanks.

Take care.
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Pain And Tender Swelling On Left Cheek After 3rd Lower Molar Left Side Extraction. Opinions ?

Hi and thanks for the query, After a reexamination by the dentist, and if you are on antibiotics and pain killers, I think you might just need to be patient. In case the pain is too intense, the dose or class of the analgesic could be slightly raised. you could consult your primary care physician to help raise or adjust the doses of the respective drugs. I might be necessary now to keep warm and not expose to tooth to very cold fluids or foods. Ruling out an infection and prescribing prophylactic antibiotics as in your case to me is appropriate. You just need to be patient and see you physician for review in case the pain persists. Thanks and wishing you good health. Best regards, Bain LE, MD.