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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Diabetes And Blood Pressure. Done Tooth Extraction. Pain In Jaw, Chest Pain

my father got extracted his wisdom teeth by a dentist . At that time.he had complaint of diabetese and blood pressure . After two days, he got victim of severe infection in the left part of hisface. Immediately he was hospitalised and right now he is out of severe infection. But one problem persisting is that he is complaining of severe pain in his leftjaw. When he is taking medicine for killing pain of jaw. He reported complain of chest pain . Pl advice.
Thu, 17 Jan 2013
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General Surgeon 's  Response
Hello.As your father is Diabetic,there is more chance of Infection after any Surgical procedure.Though infection has been controlled,there may be Inflammatory signs around the surgery site.Any anti inflammatory drug may cause Gastritis/Stomach ulcer which presents as pain in the upper abdomen below the chest which mimicks heart attack.Please take ECG as he is hypertensive to exclude Angina/Myocardial Infarction and also Upper GI endoscopy to rule out Stomach Ulcers.
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Dentist Dr. Deepika Attresh's  Response
Hello & welcome
First of all if wisdom tooth extraction was traumatic or extensive surgical than it will take time for wound healing because your father is diabetic and chest pain may be because of hypertension.
Secondly we have to rule out whether tooth was completely out or not so go for a check x-ray, because even after extraction of tooth there was infection.
He requires good course of antibiotic & sugar check.
So i will advise to visit your dentist & consult.
thanks & take care
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Dentist Dr. Khushboo Bhatia's  Response
Some times during wisdom tooth extraction lot of bone cutting has to be done. In that case it takes lot of time to heal.Also healing is slow in diabetic patients. It looks like either some other tooth is infected which is causing pain or the extraction socket is infected. You have to get the X-ray's done to confirm the diagnosis
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Dentist Dr. Deepthi Reddy's  Response
Hi,

Thank you for the query.

Removal of wisdom tooth is a surgical procedure associated with trauma to the bone and the gum .You said your father is diabetic and hypertensive. If appears from the history that it wasnot controlled diabetis . Yes , soo the reason for the infection and pain is the same. Pain in the chest may not be exactly pain it can even be a heart burn as he is taking painkillers.. If the blood pressure is normal and your father is taking drugs to maintain it better to consult general physician and then follow up with the dentist.
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Have Diabetes And Blood Pressure. Done Tooth Extraction. Pain In Jaw, Chest Pain

Hello.As your father is Diabetic,there is more chance of Infection after any Surgical procedure.Though infection has been controlled,there may be Inflammatory signs around the surgery site.Any anti inflammatory drug may cause Gastritis/Stomach ulcer which presents as pain in the upper abdomen below the chest which mimicks heart attack.Please take ECG as he is hypertensive to exclude Angina/Myocardial Infarction and also Upper GI endoscopy to rule out Stomach Ulcers.