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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cheek And Jawline Swelling With Pain After A Crown Replacement?

I do NOT have pericoronitis or periodontitis...I was treated at the dentist for a crown to replace a filling...there was no decay or infection at the time. The evening after the treatment my cheek, on my jaw line the same side and area that was worked on, swelled and was very painful. The gum is not swollen. The emergency room couldn't figure it out, the dentist couldn't figure it out and the best so far is I am taking antibiotics for three days, but they have not made a difference. Please help.
Mon, 13 Oct 2014
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
The swelling over the cheek and jaw bone can be because infection in the tooth, since you are telling you went to replace a filling. While crown cutting or tooth preparation, they might have exposed the pulp and that have caused the swelling (cellulitis).
The other possible cause can be a allergic reaction to the cement or crown material used.
Consult a good oral physician and get it evaluated, take a radiograph to confirm the diagnosis. If i am your treating doctor, i could have suggested you to take a course of antibiotics like amoxicillin and metronidazole combination and an antihistamine like cetrizine.
I hope my answer will help you, take care.
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Dentist,  Dr. M M Shekar's  Response
Most likely, you have a VERY bad infection. Swelling mainly means infection, so whenever you are swelling, you should know their is an infection. If it really continues to hurt or swell, and you don't see it getting better, I suggest you go to the Emergency Room. They will give you a higher dose of whatever you have to make the swelling go away faster, and will do some X-rays. Happened to me when I got root canal done.
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What Causes Cheek And Jawline Swelling With Pain After A Crown Replacement?

Thanks for your query, I have gone through your query. The swelling over the cheek and jaw bone can be because infection in the tooth, since you are telling you went to replace a filling. While crown cutting or tooth preparation, they might have exposed the pulp and that have caused the swelling (cellulitis). The other possible cause can be a allergic reaction to the cement or crown material used. Consult a good oral physician and get it evaluated, take a radiograph to confirm the diagnosis. If i am your treating doctor, i could have suggested you to take a course of antibiotics like amoxicillin and metronidazole combination and an antihistamine like cetrizine. I hope my answer will help you, take care.