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Had upper left tooth removed, face swollen , pain. Taking cap. What should i take to ease the pain?

had a upper tooth on the left removed on monday morning.and had to return yesterday for advice to the dentist ,my face is very swollen from my temple to my jaw and cheek its very terrible pain to dentist prescribed me metronidazone 400mg 3 times a day for 7 days ive been takening now for nearly 24 hours wityh no results and the infection is getting worse i think and the swelling bigger is this normal? or must i wait for meds to kick in.the pain is unbearablecarnt hardly open my mouth to im using nurofen express to esase the pain by the bucket load thanks.
Asked On : Sun, 3 Mar 2013
Answers:  4 Views:  33
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Dentist 's  Response
hello and welcome,

The pain and swelling is due to dry socket developed post extraction.

Betadine rinses and warm saline gargle has to be done.

Obtundant dressing using ZOE/iodoform paste has to be done on the extraction socket area.

Please do maintain good oral hygiene and prevent plaque accumulation on the affected site.

Take rest for a period of 7 days.

hope this helps.
Answered: Mon, 4 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello and welcome ,

After extraction of the tooth it usually takes 7 to 10 days for complete healing and closure of the socket provided there is no super infection Dry socket.

Slight swelling and pain is normal for 2 days after extraction but severe swelling of the jaw and pain indicates the developement of the condition called DRY SOCKET.

It is caused due to dislodgment of the blood clot from the extraction socket leading to inflammation of the alveolar bone and delayed healing.

This may lead to pain , fever , discomfort and swelling of the jaw.

Dry socket is treated by curretting teh scoket to remove the irritants and induce frsh bleeding in the socket and the area is flushes with antiseptic irrigants and then packed with zinc oxide eugenol dressing which is replaced every 2 to 3 days till the symptoms subside.

Consult a dentist and get the treatment done , meantime you can do gargling with lukewarm saline water at home .

i hope this helps,

take care.
Answered: Mon, 4 Mar 2013
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1 Doctor agrees with this answer

Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing yur concern.

your history suggests that you have developed an infection and that is causing you immense pain and swelling.

you must revisit your dentist and get clinical examination done .if required you can restart another course of antibiotic and analgesic,after evaluation.

meanwhile follow very good oral hygiene measure for speedy recovery.

also do frequent warm saline rinses.

Hope it helps.

Take care.
Answered: Thu, 11 Apr 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for posting your query,
you might have developed dry socket
Dry socket/alveolar osteitis is a very debilitating, severely painful but relatively common complication following dental extractions
rinsing of the socket with chlorhexidine (74%) or saline (26%); placement of a non-resorbable obtundant dressing (56%); and, instruction in home rinsing of the socket with chlorhexidine (44%).
If over-the-counter pain relievers aren't effective, you may need a stronger prescription pain medication.
I hope this information has been both informative and helpful
Answered: Tue, 5 Mar 2013
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