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Had lower wisdom teeth extracted. Tightness around mouth and lips, tingling face. Should I be worried?

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I had lower wisdom teeth extracted 6 mon.'s ago. My mouth area and actually whole face still feels tight especially around mouth and lips. I can open my mouth but it seems like not all the way like it did before. In the middle of my lips they kind of buckle when I smile and doesn't seem to stretch out. They buckle up. Face and mouth doesn't seem to have the flexability when I talk or smile it's tight. My lower lip on the right side looks like it went in. Can pulling / stretching mouth cause this? or bitting on the lip?
I feel a tingling at times through face. On my left side alot of bone was taken or gone. there are three cuts on that side one next to tooth that was in front of it and two going up the jaw bone cheek side. The wisdom tooth itself was leaned toward the tooth in front of it. second Dr. at facility said, I will only get some of it back. Will my face and mouth area return to normal? And should there be a placement for the bone gone? I have read a little about If bone gets damaged may cause things to move around? I may be letting alot of nerves set in, but the Dr. who performed the surgery was telling me about alot of medical problems he had undergone, before I had the surgery,and started to ask me. It was really scaring me more. Thank you for any help.
Posted Tue, 21 Aug 2012 in Dental Health
Answered by Dr. Gunjan Gupta 10 hours later

Thanks for writing in.

If you will provide me some relevant information, I will be in better position to guide you.
1. Since how long are you having these problems?
2. Are you taking any medicine/treatment for the same?
3. Do you have smoke?
4. Which side wisdom tooth has gone for extraction?
5. Are these cuts in your mouth still present and have the doctor's described why they were done?
6. Since when have you noticed this bone loss? Is it immediately following the procedure or some days later?

Awaiting for your reply

Dr.Gunjan Gupta
Above answer was peer-reviewed by
Follow-up: Had lower wisdom teeth extracted. Tightness around mouth and lips, tingling face. Should I be worried? 42 hours later
1.) I had these problems right after sugery.
Jaw and jaw joint pain, Bone gone, Cuts. Tightness and tingling in whole face and mouth. The corners of my mouth are very tight and appear to have went in smaller and the center of my lips don't stretch out. When the secound Dr. would take both the sides of my mouth with his fingers and stretch them out at the same time while he looked in it hurt alot. Mouth not stretching especially the middle of my lips very painful. It Almost reminds me of a rubberband that part of it got damaged and doesn't have all it's spring or in this case doesn't have enough spring. I have a small mouth and teeth already.
Surgery was on Dec.29th 1011
This July 29th will be 6 months.

2) About 3 months after surgery secound Dr. Precribed muscle relaxer. Took it 2 weeks still hurt. Dentist suggested a night guard. That seemed to ease the pain.
I still have stiffness and little joint pain. I have been wearing night guard for three months?

3) I don't smoke. I used to smoke for about 16 yrs. I have not smoked for 20 yrs.

4) Both sides of lower wisdom teeth were extracted.

5) Yes, the cuts are still thier on my left side and that is where the bone is gone. The bone still did not grow back up around tooth in front of where the extraction was.
I asked the Dr. who performed the surgery about cuts and he stood back, said "What". He did not come over and look. Started seeing the Second DR. He thought the tooth was in my jaw. Then he took x XXXXXXX and we seen alot of the bone gone.
Dr. who performed it called me after finding out about xray and found bone gone, He goes around the question and said, 'I'm not trying to hide anything". Starts to talk about all his medical problems he had gone through, like he did with me before the surgery. There still has been no explaination.

6) Bone gone right after surgery. I have xrays before and after surgery and I also have pictures of cuts inside.
I know this is alot. I went through alot of recovery. I feel light headed alot also like to lay down but I'm not tired if that makes any since.

Thank you for response and time. XXXXXXX
Answered by Dr. Gunjan Gupta 14 hours later

Thanks for your reply.

I would like to see your x-rays and photographs of these cuts. So if possible please upload x-rays and photographs on this webpage.

I would like to inform you that wisdom tooth extraction on both sides can limit mouth opening to some extent. This is normal and usually recovers with mouth exercises. These exercise you have to do regularly till recovery. It doesn't look to be a serious concern to me, but do post the X-rays and pictures to comment further about it.

Awaiting for your reply

Dr. Gunjan Gupta
Above answer was peer-reviewed by
Follow-up: Had lower wisdom teeth extracted. Tightness around mouth and lips, tingling face. Should I be worried? 2 days later
May I ask please, What kind of exercise can help mouth and jaw? I've been blowing up my cheeks like blowing up a balloon and opening up my mouth freqently and stretching my lips out with it sometimes. I didn't know if this was good or not?

Uploading might take awhile to figure out. I have pictures of cuts on my computer documents. Those might be easier to figure out. My xrays I have are 8 x 10 films. I could try scaning but don't know how well they'll turn out.
Just wanted to let you know so your not wondering what's taking long. If you know how that would be helpful, But in the meantime I will ask online for information.
Answered by Dr. Gunjan Gupta 13 hours later

Thanks for providing me this information.

XXXXXXX you said, you have undergone extraction 6 months ago. Since that, you are suffering from this problem (limited mouth opening). XXXXXXX I would like to let you know that there are so many options for its treatment-

1.mouth exercise-opening and closing mouth by putting index fingers on upper and lower anteriors.



All these three depends on the duration of limited mouth opening like-

1.just after the surgery.

2.after some time the surgery.

3.after a long period of surgery still having limited painful mouth opening

In addition, one more thing I want to tell you, this limited mouth opening may be due to temporomandibular joint dislocation because of injury/trauma to this joint.

Therefore, I will suggest you please go to an oral surgeon in your area with an OPG, and give him the complete detail about your problem including x-rays and OPG, and follow all the given instructions properly.

I am suggesting you to go to an oral surgeon because an oral surgeon is concerned with the extraction, temporomandibular joint injury, jawbone loss after surgery etc.

So please go to an oral surgeon as soon as possible.

Wish you a good health.

Dr.Gunjan Gupta
Above answer was peer-reviewed by
Follow-up: Had lower wisdom teeth extracted. Tightness around mouth and lips, tingling face. Should I be worried? 16 hours later
I have managed to attatched file of xrays to a email. If you don't mind that I have a email address to give these to you.

About my mouth. It's not opening my mouth that is the big issue, It's the skin tissue around the mouth area and up around my nose chin an such like that. doesn't move. I'll send you copy and paste of pics on here after email if you don't mind. Right side of my mouth does not go out when I smile. The Dr. stretching my mouth harder and harder until I finally said stop, I raised my arm to stop him. You see I was not on gas just the shots. I was aware. Now that side of my mouth doesn't go out much.
Answered by Dr. Gunjan Gupta 8 hours later

Thanks for writing me again.

You can send the attached file to this email address. It is YYYY@YYYY with subject as “attention to Dr. Gunjan”.

I will see the pictures and reports that you send me and let you know what all the possibilities are, for the same.

Waiting for your reply.

Dr.Gunjan Gupta
Above answer was peer-reviewed by
Follow-up: Had lower wisdom teeth extracted. Tightness around mouth and lips, tingling face. Should I be worried? 21 hours later
Thank you for excepting my files.

Oral 7-10 pic's taken about a few weeks after surgery. Left side. Bone gone and cuts. See that notch by my finger of skin bump. The cuts are 1 above it and 1 below it. The third cut is down next to back tooth. It's had to see. After healing starts in later pic's you'll see better.

Oral 1-2 pic's was a fourth cut across my cheek inside.
Oral 3-4 Where 1st shot made to my right side. I don't know if anything wrong with that just felt odd to go way up there. When shots were done on that side, I felt a trickling down my neck. Don't know if it means anything. These results/after effects are scaring me though.

Oral 5-6 You can see how I bled on my left.

Scares and scars 1-6 Here after 3 to 6 months you can see better the cuts. Dr. only pulled three times for stitches.

See line ~ When I smile big upper lip/mouth buldges. See the crease it wont go any farther.

Top lip ~ You can see crease rihgt near top lip and top lip won't go up.

Tight on right ~ You can see from one side compare to other. Some parts move, some parts don't. See right side lip cheek doesn't flex out. Looks goofy.
I have to not smile hardly so that buldge doesn't show, but it's hard and when I make an expression look strange. It feels like it's swollen I try to talk or smile something.

Hope you can help.
So appreciate you checking this. Something inside thoughts came yo me, hitting the crown of something do this? I am sceptical because I had an bad experience with some that if they are hurting about stuff may cause pain. When he went on about his troubles that usually a sign. I should know better. I hope anyways it can be fixed healed.
Thanks again. XXXXXXX
Answered by Dr. Gunjan Gupta 3 hours later

Thanks for posting the pictures. I was able to review all the attachments. My comments are:

1. I did not find any such bone loss as you described. Perhaps a direct examination by an oral surgeon may be considered to feel the bone loss.

2. Your wisdom teeth were impacted, so the stitches seem normal to me.

Though I was able to review the pictures sent, without an opportunity to examine the oral cavity I am unable to give you a better opinion. I encourage you to visit an oral surgeon nearby whenever feasible. In the meantime you can follow the exercise suggested earlier with the medications. You should be better soon.

I will be available to assist if you have further concerns after the consult.

Take care
Dr.Gunjan Gupta
Above answer was peer-reviewed by
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