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Have swollen area in jaw. Diagnosed as pocket of air. Had tooth extracted. Normal?

My dentist recently did a wisdom tooth extraction of lower impacted molars. Sutures are good, no possibility of dry socket. He saw me today at the golf course (he is one of my members) and my left lower jaw is still swollen. Feels like a tight area of tissue in my lower jaw/cheek, about golf ball sized. He says that it is a pocket of air, that I can push out and it will make a fart noise through the suture area. So I ve made it home, and I ve attempted to push from outside, pinch from both sides, and flat palm push it, and nothing is coming out. No movement. It feels like a solid ball of something, not air. 1. Is this common to get? Air getting into the area beneath the gum in a pocket after wisdom teeth extraction? 2. Is it really something I can push out? Why, if so, is it not escaping from my suture area? What can I do to help it get out? 3. Should I be concerned? *note* Dentist said he would see me on Monday to put a needle in and extract the air himself if I was unable to get it out.
Asked On : Wed, 27 Feb 2013
Answers:  2 Views:  641
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Dentist 's  Response
hi and welcome ,

Entrapment of air in the extraction socket is a rare condition , because after extracton of wisdom tooth the socket is curretted to remove all the irritants and compressed which helps in clot formation and faster healing.

Though we can expect air embolus to be formed in the jaw bone which leads to pain or as you have mentioned the swelling feels hard it may be a bony spicule or remnant of alveolar bone left unfiled.

i would suggest you to get a X RAY done for the affected area which will show the cause of swelling accordingly your dentist can plan the treatment for you .

i hope this information helps ,

take care.
Answered: Wed, 27 Feb 2013
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Dentist Dr. Bindiya Bhaskar's  Response
H ello,

Thanks for writing in.

The air within extraction socket is area is due to the huge vaccum space occured as a result of tooth extraction.
The air has entrapped due to the suturing placed,as it cannot escape thro' the socket area.

Your dentist will be able to empty the socket area.

Take complete course of antibiotics-analgesics prescribed by your dentist.

Warm saline gargle can be used frequently.

Answered: Wed, 27 Feb 2013
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