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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wisdom Teeth Removed, Bleeding Stopped, Jaw Pain, Swelling Around Neck. Due To TMJ?

I got my wisdom teeth out two days ago. The bleeding stopped and i thought i was in the clear. Now on the left side.of my jaw it feels tight and i barely can open it. Im scared because i think it is tmj but it is swollrn around my neck still so maybe it is just sore because my jaw is so small and there was a bunch of oressure.
Mon, 15 Apr 2013
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Dentist,  's  Response
Pain around joint can be because of temporomandibular joint dysfunction after tooth extraction or can occur if you are in habit of clenching or grinding of your teeth. Some other infected tooth in oral cavity can also lead to referred pain in the jaw. TMJ dysfunction seldom can occur after wisdom tooth extraction and complication is usually temporary. TMJ dysfunction can cause pain around ears, tenderness of jaws and can lead to difficulty in mouth opening and pain on chewing. For treatment of TMJ dysfunction, inflammatory meds, heat therapy, rest and in some cases, bite splint therapy is given. If you are in habit of clenching or grinding of teeth, then it can also lead to jaw soreness. Clenching of teeth can occur because of stress or bad bite and causes jaw pain, ear ache, headache, oversensitivity of teeth. If clenching of teeth is because of bad bite, then bite is adjusted and if it is because of stress, then stress level should be reduced and mouth guard is given to relax the jaw muscles. Some infected tooth can also lead to referred pain in the jaw. Dentist can take an x-ray to see whether there is some infected tooth present or not and necessary treatment can be done. Without clinical examination, it is difficult to give definite diagnosis. You can take second opinion of a dentist.
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Dentist,  Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

I would like to tell you that wisdom tooth extraction is not a simple extraction and often associated with post extraction complications like pain, swelling, fever, malaise, difficulty in mouth opening.

In your case jaw pain and difficulty in mouth opening is because of pain and swelling after extraction of wisdom tooth.

I would suggest you to relax and take complete rest.
Follow the post operative instructions given by the Dentist properly.

Take tab Augmentin 625mg and tab aceclofenac serratiopeptidase twice for 5 days.
Use saline water gargles 3-4 times to give a soothing effect.
Take antiseptic mouthwash gargles like chlorhexidine or betadine twice daily to prevent infection and promote healing.

If the symptoms persists or worsen even after 5-6 days, visit to the concern Dentist and get the checkup done.

Hope this helps out.

Regards..
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Pathologist and Microbiologist,  Dr. Anju Choudhary's  Response
hi there,wisdom tooth removal is quite a traumatic procedure and the swelling could be explained by the inflammation that leads to collection of fluid and edema. The tightness you feel is due to the same. You will need to take pain killers, antiinflammatory pills and prescribed antibiotics for aweek or so for it to get alright. If you develope any systemic symptoms like fever then you should visit your dentist again for a relook as they have a high chance of being infected. Give it a few days and it should get better as the edema subsides otherwise you can take a second opiniion. Take care.
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Wisdom Teeth Removed, Bleeding Stopped, Jaw Pain, Swelling Around Neck. Due To TMJ?

Pain around joint can be because of temporomandibular joint dysfunction after tooth extraction or can occur if you are in habit of clenching or grinding of your teeth. Some other infected tooth in oral cavity can also lead to referred pain in the jaw. TMJ dysfunction seldom can occur after wisdom tooth extraction and complication is usually temporary. TMJ dysfunction can cause pain around ears, tenderness of jaws and can lead to difficulty in mouth opening and pain on chewing. For treatment of TMJ dysfunction, inflammatory meds, heat therapy, rest and in some cases, bite splint therapy is given. If you are in habit of clenching or grinding of teeth, then it can also lead to jaw soreness. Clenching of teeth can occur because of stress or bad bite and causes jaw pain, ear ache, headache, oversensitivity of teeth. If clenching of teeth is because of bad bite, then bite is adjusted and if it is because of stress, then stress level should be reduced and mouth guard is given to relax the jaw muscles. Some infected tooth can also lead to referred pain in the jaw. Dentist can take an x-ray to see whether there is some infected tooth present or not and necessary treatment can be done. Without clinical examination, it is difficult to give definite diagnosis. You can take second opinion of a dentist.