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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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How To Treat Tooth Infection Causing Excessive Gum Swelling?

Last Thursday I had an Upper crown prep on a tooth number 14 molar, just as soon as injection was given I felt like a golf ball size swelling at the injection site, I did swell and now have major bruising and uncomfortable not from crown prep but injection, swollen up to eye area. Could the needle have nicked the maxillary artery
Fri, 2 Jun 2017
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Dentist,  's  Response
Hi..
Thanks for the query..

It looks like due to deep placement of injection needle there has been piercing of Pterygoid plexus of veins and it has led to Hematoma formation.
Due to deep penetration in the mesh of veins there is blood leakage from the blood vessels and it gets accumulated in the soft tissues and there is hematoma formation..

Due to Hematoma formation there is swelling and bruising..
It is a self resolving condition and gets better on its own..
You can do cool compresses over the swelling to let it reduce faster..
If there is pain take anti inflammatory painkillers like Ibuprofen..

Hope this helps..

Regards..
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How To Treat Tooth Infection Causing Excessive Gum Swelling?

Hi.. Thanks for the query.. It looks like due to deep placement of injection needle there has been piercing of Pterygoid plexus of veins and it has led to Hematoma formation. Due to deep penetration in the mesh of veins there is blood leakage from the blood vessels and it gets accumulated in the soft tissues and there is hematoma formation.. Due to Hematoma formation there is swelling and bruising.. It is a self resolving condition and gets better on its own.. You can do cool compresses over the swelling to let it reduce faster.. If there is pain take anti inflammatory painkillers like Ibuprofen.. Hope this helps.. Regards..