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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swelling Of Jaw Area Post Wisdom Teeth Removal

I got my wisdom teeth out two weeks ago, and after about a week, everything healed right (I guess) because the swelling went down, and it didn't hurt anymore. Now, about 17 days later, the bottom right jaw area is swelling again, for no apparent reason. I haven't done anything super strenuous, or eaten any foot tall sandwiches. The pain is back too, and I don't know how to fix it. Is it infected? Do I just need to ice it? What's wrong?
Fri, 26 Jun 2015
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Dentist,  's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern.

Thanks for your query . It is very common to have swelling after wisdom tooth extraction .

Swelling occur due to to reasons :-

- Firstly swelling occur due to trauma during the extraction to the soft tissue . Because it is comparatively difficult to extract wisdom tooth.

- Secondly swelling occur due to hematoma formation due to injury procedure or puncturing of blood vessels during giving anesthesia .

In case above two reasons swelling persist for 7-10 days , but in you case it persist for longer so it seems to me that the swelling is due to infection.

I would suggest you to :-

- Give warm compresses to swollen area 2-3 times a day .

- Take advil (if not allergic) or tylenol for pain and swelling.

- Do beta-dine rinses twice a day .

Consult dentist or oral surgeon again for proper diagnosis .

Doctor may order x-ray of affected side to find out exact cause .

In case of infection doctor may prescribe antibiotics course (cefixim) . If the swelling is too much doctor may drain the site .

In case doctor find root chip left behind the he/she will extract the same by minor procedure .

Hope your concern has been resolved.

Best Wishes,
Dr. Harry Maheshwari
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Suggest Treatment For Swelling Of Jaw Area Post Wisdom Teeth Removal

Hi Dear, Welcome to HCM. Understanding your concern. Thanks for your query . It is very common to have swelling after wisdom tooth extraction . Swelling occur due to to reasons :- - Firstly swelling occur due to trauma during the extraction to the soft tissue . Because it is comparatively difficult to extract wisdom tooth. - Secondly swelling occur due to hematoma formation due to injury procedure or puncturing of blood vessels during giving anesthesia . In case above two reasons swelling persist for 7-10 days , but in you case it persist for longer so it seems to me that the swelling is due to infection. I would suggest you to :- - Give warm compresses to swollen area 2-3 times a day . - Take advil (if not allergic) or tylenol for pain and swelling. - Do beta-dine rinses twice a day . Consult dentist or oral surgeon again for proper diagnosis . Doctor may order x-ray of affected side to find out exact cause . In case of infection doctor may prescribe antibiotics course (cefixim) . If the swelling is too much doctor may drain the site . In case doctor find root chip left behind the he/she will extract the same by minor procedure . Hope your concern has been resolved. Best Wishes, Dr. Harry Maheshwari