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Foul smelling discharge from mouth. Hematoma on left side. History of removal of wisdom teeth. Suggest

i had all four of my wisdom teeth taken out 6 days ago. I had normal swelling but there was a very hard knot on my lower left jaw. A few days passed and i finally went back to see if i was healing properly. They said everything was fine and my stitches on the right side were already out. My right side was healing fine. They said i had a hematoma on my left side (the hard knot i referred to earlier). He put me on a stronger antibiotic (blue in color) and sent me on my way. Today i got a really nasty taste in my mouth. It was coming from my left side. When i went to the bathroom and spit there was brown, very foul smelling discharge. i rinsed with warm salt water and took a pain killer but i still taste it. what could this be? please help...

thank you.
Asked On : Sun, 21 Apr 2013
Answers:  5 Views:  131
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Dentist 's  Response
hi there

thanks for asking your query

extractin of wisdom tooth is followed by some complications like pain,swelling,discomfort and irritation

these complications resides within 7-10days if post operative instructions are followed carefully

according o the history provided the hematoma formed at extraction site indicates the formation of abnormal blood clot which is infected and pus is discharging from it

i will suggest you to take augmentin 625mg thrice a day plus metronidazole 400mg for seven days

along with maintaion very good oral hygiene

gargle with saline water thrice a day

avoid hot food and beverages

avoid smoking

brush after every meal
hope this will help
Answered: Sun, 21 Apr 2013
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,

Extraction of wisdom tooth often ends with complications like pain and swelling post extraction .
usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection .

After extraction antibiotic and analgesic coverage is must to prevent infection of the extraction site and to promote healing.

As you have mentioned your right side is healing and left side of the jaw is oozing brown discharge , i suspect there is infection in the extraction wound on left side with abscess formation.

i would suggest you to get the abscess drained and socket curretted . start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain ,

follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse.

i hope this helps,

take care.
Answered: Sun, 21 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Wisdom tooth extraction is not a simple procedure and often associated with post operative complications like pain, swelling, prolonged numbness, difficulty in mouth opening.

As you have mentioned you have developed haematoma on the left side.
With or without treatment the haematoma will be present for 7-14 days, apply ice packs over the affected region externally.

Follow the post operative instructions given by the Dentist properly, take complete course of analgesic and antibiotics. Take complete rest. use lukewarm saline gargles and antiseptic mouthwash gargles twice daily.

Hope this helps out.

Answered: Sun, 21 Apr 2013
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  User's Response
Hello dear
Removal of wisdom tooth is always associated with these troubles.So please convince yourself and be motivated. Your condition will become normal after 6 to 7 days.Follow antibiotic and painkiller regimn as told by your dentist.Start using mouthwash , it will settle the bad taste coming from rotten blood .continue wih warm saline rinses.
Happy Smiles
Dr. Amit k. Gaba
Answered: Sun, 21 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for writing in.
The extraction socket in your left jaw has developed dry socket post extraction.
The smelly discharge from the socket can be the drainage of pus from the abscess developed previously under the tooth prior to extraction of it.
I would suggest you to get frequent warm saline as well as betadine gargle.
Maintain good oral hygiene.
Avoid food lodgement at the extraction socket area.
dressing the socket using iodoform paste/zinc oxide eugenol can promote wound healing.
Apply cold and hot packs alternatively at the extraction socket area.
Take complete course of antibiotics too.
Hope this helps.
Answered: Sun, 21 Apr 2013
I find this answer helpful
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