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Horrible face pain, migraine, tmj since wisdom teeth removal. What can be done?

Hello...i am a 36 yr old woman with no medical problems ever.....a month ago i had my two bottom wisdom teeth removed- took two weeks for the severe bruising to go away...i went back to my dentist for the horrible pain in my face (jaw /ear) and the migraine for two weeks straight and told me that i had tmj now....which i have never had....told me to go to a myropractioner which i did and i want to drill my temple out from the severe amount of pain i am in....please help i have down everything s.....thanks maranda
Asked On : Mon, 1 Oct 2012
Answers:  3 Views:  441
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Dentist 's  Response
Hello and thank you for your question.

Based on the surgery and your response to the trauma is sounds like you had swelling and some muscle splinting. If you have limited jaw opening I recommend a few exercises to help increase mobility and ease the pain in your jaw:

Take a tube sock, fill it with white rice, microwave for two minutes, when it is cool enough that it doesn't burn place in over your jaw joints 20 minutes on 10 minutes off for 1 hour three times a day for 5 days. This is warm moist heat that penetrates deep into the muscles and helps clean out the lactic acid build up causing some of the discomfort. This will also help increase blood flow to help deliver anti inflammatories better.

Take Motrin (Ibuprofen) 600mg every 6 hours for 5 days, do not drink alcohol, and if taking other medications make sure there aren't interactions. Do not exceed 3200mg a day and do not take if pregnant.

Gently open your mouth, if it is restricted gently force it open further with your pointer finger and thumb in a scissoring manner. Do this for 20 minutes twice a day until mobility improves.

Follow all of this with plenty of water to wash out the lactic acids built up in the muscles. 8 8oz glasses a day.

Follow up with your dentist if problems persist.

Best regards

Dr. Ward
Answered: Mon, 8 Oct 2012
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Dentist Dr. Bindiya Bhaskar's  Response
these are the problems related to complications in the healing of extraction wounds.
this is known as alveolar osteitis or dry socket.
in this,blood clot has disintegrated or been lost,with the production of a foul odour and severe pain of throbbing type.but no pus discharge.
usually occurs in females,3-4 days after tooth extraction.anaerobic organisms play a significant role.
it is extremely painful condition with low-grade fever and ipsilateral bone is necrotic and sequestration of fragments is common.
healing of such infectd wound is extrmely slow.obtundant dressing of socket using iodoform gauze and zinc oxide eugenol must be done to keep the socket clean and protect the exposed bone.
the socket is irrigated with mild warm antiseptic and the dressing is changed everyday.
if you have severe pain in temporomandibular joint,chek for tenderness/clicking/popping noise.
avoid opening mouth too widely.
take care
Answered: Mon, 1 Oct 2012
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Dentist Dr. Neha Sumra's  Response
Welcome to HCM
I would like to tell you that its known as dry socket & occurs after extraction in some cases.It occurs on disintegration of blood clot & results in exposure of underlying bone & results in severe pain.
Healing will require time & some dressing of socket with iodoform & zinc-oxide dressing for about a week.Do warm saline gargles along with that.
Consult your dentist for further problem.

Take Care
Answered: Thu, 20 Dec 2012
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