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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wisdom Teeth Removal, Hard And Painful Lump, Cannot Open Mouth. What Is It?

Had my wisdom teeth removed in Saturday. On the bottom left side I have developed a hard painf lump. I can hardly open my mouth and the pain in too much. I asked my denstist and she said its part of the healing process, but no one I ve talked to had had this issue. What is it? What can I do? It s too painful I have a new job I m starting in a few days and I can t go in like this.
Tue, 30 Oct 2012
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Dentist 's  Response
Hello,

Thanks for posting your query.

This might be dry socket (Alveolar osteitis) , a painful phenomenon that most commonly occurs a few days following the removal of mandibular (lower) wisdom teeth.

It occurs because the blood clot within the healing tooth extraction site is disrupted.

A dry socket typically causes a sharp and sudden increase in pain commencing 2–5 days following the extraction of a mandibular molar, most commonly the third molar.

Because dry socket is not an infection, the use of antibiotics has no effect on it. You can take anti-inflammatory drug like ibuprofen after discussing with your dentist.

Regards
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I would like to tell you that wisdom teeth extraction is not a simple extraction.Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like:-
-prolonged numbness due to local anaesthesia effect
-pain
-swelling
-difficulty in opening mouth
-fever
-malaise
You don't need to worry for any of these symptoms.
But as you described about lump, it needs to get properly ruled out.If its bleeding & troubling then better to get a biopsy done.Your complete history is required about that lump like its size, consistency, nature of bleeding.It can be dry socket if have smoking habit & you did that after extraction.Consult your oral surgeon as soon as possible.
Take some rest & start with amoxiclav-625 twice a day along with zerodol-SP twice a day.Also take some multivitamin & antacid like rabeprazole 20 mg if acidity persists.Take all this for 5 days.
Along with that start warm saline rinses 3-4 times a day & betadine gargles.

Take Care
Regards
Dr.Neha
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Wisdom Teeth Removal, Hard And Painful Lump, Cannot Open Mouth. What Is It?

Hello, Thanks for posting your query. This might be dry socket (Alveolar osteitis) , a painful phenomenon that most commonly occurs a few days following the removal of mandibular (lower) wisdom teeth. It occurs because the blood clot within the healing tooth extraction site is disrupted. A dry socket typically causes a sharp and sudden increase in pain commencing 2–5 days following the extraction of a mandibular molar, most commonly the third molar. Because dry socket is not an infection, the use of antibiotics has no effect on it. You can take anti-inflammatory drug like ibuprofen after discussing with your dentist. Regards