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Suggest Treatment For Swollen And Sore Jaw Post Tooth Extraction

Posted on Fri, 13 May 2016

Question: 9-10 hours ago, I had an extraction and bone graft done on a tooth that had lost a lot of bone after a root canal and crown. I will have an implant and crown in 4 months from now. The extraction caused little trauma and clotted nearly immediately. No gauze was needed. I was scrupulously following after care instructions all evening - no straws, no coughing or sneezing unless mouth was wide open, no vigorous exercise, soft foods, rinsing mouth gently with lukewarm salt water from a sterile disposable plastic cup after eating, taking doses of amoxicillin as prescribed, etc. But before heading to bed, I decided to very gently brush my teeth far away from the wound (avoiding the back lower left quadrant). I tried to stay far away from the wound, but I think I still bumped it because I was clumsy from painkillers; I was trying to avoid that area and just do the front teeth gently. It bled lightly for about 30 seconds, then stopped. That was 2 hours ago. It hasn't bled again since then; there is no blood in my saliva. My jaw is sore and swollen, but not outrageously so, given the recent extraction. How likely is it that I disrupted or dislodged the clot?? Is there anything I can or should do with my aftercare to account for this?

Answered by Dr. Honey Arora (36 minutes later)

Brief Answer:
Does not seems like dislodged blood clot,needs a few details..

Detailed Answer:
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain there is a possibility that mild bleeding that has occurred due to bumping the toothbrush can be due stimulation of the inflamed tissue with the toothbrush and not necessarily dislodgement of blood clot..

The jaw is sore and swollen just because you have got a surgical procedure done recently and tissues are inflamed and that is common after any surgical procedure.

I would like to know a few more details so that I can guide you better..

1.Can you see a red stuff that is a blood clot inside the extraction socket or the socket is empty?
2. While brushing did you notice any clot of blood falling with the spit?

Kindly revert back with the reply..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.

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Above answer was peer-reviewed by : Dr. Deepak