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Had molar extracted, dental implant inserted. Having muscle spasms on left side of face. Unable to open mouth. Suggestions?

i need advice form a neurologist . I had the left lower 3rd molar extracted and dental implant inserted at the same time on 13 March 2013. 7 days later i started getting messeter muscle spasms and pain in L side of face. Dentist removed implant on 26 March 2013 and said it is most likely a dry socket. i can not open my mouth at all now since 24 March and if I try I get the most excrutiating pain in the masseter muscle . I am taking anti-inflammatories, Flagyl antibiotics, muscle relaxents but still no improvement. The muscle is in constant spasm but how can i prevent the acute spasms when trying to open my mouth Kathleen
Asked On : Sun, 31 Mar 2013
Answers:  4 Views:  207
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Dentist 's  Response

Thanks for aksing the query,

Pain can be because development of dry socket , dental implant should be placed after healing of the wound .

Take complete course of antibiotic and analgesic .
Use saline water gargles 3-4 times daily , use antiseptic mouthwash gargles twice daily this will prevent infection and promote healing.

Avoid eating hot and spicy food . Maintain a good oral hygiene .

Your Dentist can even clean the socket to remove the debris and place a dressing of zinc oxide eugenol to promote healing . You probably have to come back to the dentist periodically to change the dressing . Dry socket ususlly takes a time upto two weeks to heel.

Hope this helps out.

Answered: Mon, 1 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response

Thanks for posting your query.

Post-extraction of wisdom tooth,the socket has to be completely healed before the tooth is replaced.
Frequent warm saline gargle and betadine rinse may help.
Maintain good oral hygiene.
Dressing the socket using iodoform gauze and zinc oxide eugenol will enhance wound healing.
Take complete course of antibiotics too.
Avoid stress ful works and take rest.
Hope this helps.
Answered: Sun, 31 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello there ,

Wisdom tooth extraction is a time taking and complicated surgery and often it ends with post extraction complications like swelling , pain ,inability in opening mouth and sometimes dry socket.

Maintain a healthy diet ,drink lot of water and keep yourself hydrated.

Follow all the post extraction instructions given by your dentist and maintain good oral hygiene to prevent dry socket and fasten the healing.

Dry socket needs to be treated by dressing the area with zinc oxide eugenol pack which is replaced every 2 to 3 days till the symptoms subside.

once the area is healed completely you can go for implant placement.

i hope this helps ,
Answered: Mon, 1 Apr 2013
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Dentist Dr. Sonia Nayab's  Response
Hi kcmathew
After reading your query i wonder that why your dentist placed an implant for replacing a third molar.
This is not a good option
Well your nerve supply is affected in implant placing process thats why you have muscle spasm
Use muscle relaxant and physiotherapy to relax the muscle
Use of heating pad also reduces spasm
Hope it will help out
Answered: Sun, 31 Mar 2013
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