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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wisdom Teeth Extracted. Dry Socket Pain Packed With Gauze. Painful Lump Inside Cheek. What Is It?

I got 4 wisdom teeth extracted 17 days ago, I ve been back and forth to the oral surgeon 5 or 6 times due to dry socket like pain. I never got an answer on whether or not it was dry socket but the area was packed with gauze and clove oil and seemed to relieve the pain. At 14 days post op I had the last packings removed and told the Surgeon I was developing what seemed to be a painful lump inside my jaw/cheek area. The pain is back and worse then ever and the surgeon is calling in antibiotics for me but I can t see anyone til Monday! (It s Friday!) I have no fever or redness inside my mouth so what is painful lump inside my cheek/jaw area?? Thank you for your answer I m advance!
Tue, 12 Mar 2013
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Dentist 's  Response
Hello and welcome,

THE pain and swelling is usually associated post wisdom teeth extraction.
The lump arised at the extraction socket area may be due to-
traumatic extraction.
tearing of gingival flap during extraction.
dry socket.
Alveolar bone which is fractured.
I would suggest you to do frequent warm saline gargle.
Maintain good oral hygiene.
Please do not irritate the area using fingers/toothpicks.
pLEse avoid frequent spitting.
application of cold packs can be done.
hope this helps.
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Dentist Dr. Qazi Ammara's  Response
Hi ,

Thanks for asking the query,

Dry socket is a painful condition that occurs , as the blood clot gets dislodged from the extraction socket and the bone is exposed to air .

Your dentist had given you a pack of zinc oxide eugenol to promote healing , this pack has to be changed periodically after few days. It usually takes a time upto two weeks to heel.

Lump over the cheek region can be because of traumatic extraction , tearing of flap at the time of extraction , or food lodgement in the affected area leading inflammation and swelling. You need to consult your dentist for the lump it is to be removed surgically .

At home you maintain a good oral hygiene .
Use saline water gargles 3-4 times a day .

Use 0.2% of chlorhexidine mouthwash rinses 3-4 times a day.
Take tab combiflam three times a day for three days.

Regards..
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Wisdom Teeth Extracted. Dry Socket Pain Packed With Gauze. Painful Lump Inside Cheek. What Is It?

Hello and welcome, THE pain and swelling is usually associated post wisdom teeth extraction. The lump arised at the extraction socket area may be due to- traumatic extraction. tearing of gingival flap during extraction. dry socket. Alveolar bone which is fractured. I would suggest you to do frequent warm saline gargle. Maintain good oral hygiene. Please do not irritate the area using fingers/toothpicks. pLEse avoid frequent spitting. application of cold packs can be done. hope this helps.