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Had wisdom teeth removed. Swelling in side, painful. What is this?

Hello, I recently had oral surgery to remove two impacted wisdom teeth on my lower side. After the surgery, I have followed all post operative conditions and made sure to avoid getting dry socket. After a day I had experienced a significant amount of swelling on my right side but it gradually decreased and was fine until tonight (4 days later). I was awoken in the middle of the night due to pain in the right side of my mouth and I found my inner cheek is now swollen on the right side. It seemed to me that everything was going fine, I am not sure what this sudden swelling means inside my mouth. The pain is so bad that I cannot sleep, especially not if I lay down on my right side. What do you think about this?
Asked On : Thu, 24 Jan 2013
Answers:  3 Views:  77
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Dentist 's  Response
Swelling is another common problem after the extraction of wisdom tooth. Rather the painful swelling is a good sign and is indicator of normal progress of healing process of wound. There is no fixed time frame for its duration and level of severity. These can be different from person to person. To reduce the amount of swelling one can do cold fermentation with ice. It should be done for 20 minutes and then take break of 20 minutes. Do this for one hour within 12 hours of surgery. Do not do hot fermentation. The post operative instructions of the dentist explain all this including the start and reduction of swelling. Normally it takes 7 days for swelling to subside and if this does not happen within this expected time then one should call up the dentist to checkup. In cases where swelling once goes away and then sets in again, this can be due to infection in the wound.
Answered: Fri, 25 Jan 2013
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Dentist Dr. Farah Hussain's  Response
Hello and welcome,

Post extraction swelling and pain is normal and it is a sign of wound healing. After extraction it takes 5 to 7 days for complete healing and closure of socket if there is no super infection. to prevent the infection and fasten healing your dentist must have prescribed you with a course of antibiotic and analgesics for 5 days .

If not , you can start with Augmentin 625mg and diclofenac with serratiopeptidase twice daily, it is a antiinflammatory and helps to subside swelling and pain.

Keep the extraction area clean by mouth rinsing with lukewarm saline that promotes faster healing, eat soft food and do no apply toothbrush or floss in the area.

After 7 days if symptoms do no subside then go for clinical evaluation by a dentist.

take care.
Answered: Fri, 25 Jan 2013
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to hcm forum,
i would be glad to answer your query,
first of all, it is quite clear that pain and swelling is due to infection. It is most probably from one of the tooth that is grossly decayed.
Pain which increases on lying down is from infected tooth,
I will advise you to see a dentist soon.
Avoid applying hot compresses over the swelling,
perform warm saline rinses(3-4 times/day),
use an antibacterial mouth wash (twice/day).
kindly follow the above instructions until you see your dentist.

i hope this answer was useful,
i wish you good health.
Answered: Fri, 25 Jan 2013
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