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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Wisdom Teeth Extracted. Swollen Cheek, Soft Lump, Painful. Is It A Dry Socket?

hi, I had my bottom left & top left wisdom tooth extracted 3 days ago & i had it stitched with dissolvable sutures and now the inside of my left cheek feels swollen. I am taking my pain meds, anti-biotics, and rinsing my mouth with salt and water. I ve never had a tooth or teeth extracted and this is my first time. The lump in my cheek is soft & its not red its pink like the rest of my mouth. Its very painful and sore. I ve been hearing about dry sockets. Do you think its a dry socket or an infection ? Please help :(
Fri, 28 Dec 2012
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Dentist, Oral and Maxillofacial Surgery 's  Response
Hello there....wisdom tooth/ teeth removal differs form that of your other tooth/teeth removal... The location, position and the morphology of the tooth would determine how the removal has to be carried out....If it is surgically removed tooth, pain is very severe for the first 6 hours...pain for the initial 3-4 days after the removal is absolutely normal...its because of the chemical mediators released in the body as a defense mechanism that triggers pain....we call this inflammatory phase.... Swelling occurs because of the inflammatory exudate that develops following surgical removal..this fluid with some amount of blood, gets collected beneath your mucosa and results in swelling... this swelling starts by the end of 1st day, increases in size and then gradually decreases by 4-5 th day....
Continue with the same medication your doctor has prescribed....we usually dont advice resorbable (dissolving) sutures for the extracted sockets owing to the chances of infection...get your sutures removed by 7-8th day...
If the same amount of swelling or pain persists even after the 6th day consult your doctor for further evaluation and management.
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to hcm forum,
i would like to inform you that swelling and pain following extraction of wisdom teeth is very common and usually subsides in a week's time, it is important for you to follow the instructions carefully given by your dentist.
Dry socket does not cause swelling in cheek, therefore the pain and swelling cannot be linked to it.
Most probably ,these are post-operative side effects which may be from local anesthesia or pressure used during extraction.
do not worry,these symptoms are temporary and will subside within a week,
if they persist beyond a week, kindly see your dentist.
i hope i answered your query,
i wish you good health,
take care.
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Had Wisdom Teeth Extracted. Swollen Cheek, Soft Lump, Painful. Is It A Dry Socket?

Hello there....wisdom tooth/ teeth removal differs form that of your other tooth/teeth removal... The location, position and the morphology of the tooth would determine how the removal has to be carried out....If it is surgically removed tooth, pain is very severe for the first 6 hours...pain for the initial 3-4 days after the removal is absolutely normal...its because of the chemical mediators released in the body as a defense mechanism that triggers pain....we call this inflammatory phase.... Swelling occurs because of the inflammatory exudate that develops following surgical removal..this fluid with some amount of blood, gets collected beneath your mucosa and results in swelling... this swelling starts by the end of 1st day, increases in size and then gradually decreases by 4-5 th day.... Continue with the same medication your doctor has prescribed....we usually dont advice resorbable (dissolving) sutures for the extracted sockets owing to the chances of infection...get your sutures removed by 7-8th day... If the same amount of swelling or pain persists even after the 6th day consult your doctor for further evaluation and management.