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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Swollen Jaw, Soreness In Mouth After Removing Wisdom Tooth?

I got my wishom tooth pulled on the left side bottom number 17 i think on june 6 friday i was put to sleep while doing it. now its friday and its not 100 percent better mouth still feels sore and jaw is swollen i cant hardly open my mouth or brush my teeth or either my tongue right im feeling miserable and its getting on my nerves. I DO THE SALT AND WARM water thing and i take the antibiotic but its like im missing the time to take it but im taking it. Please help me when will this pain be over im getting aggravated please help me.
Tue, 17 Jun 2014
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Dentist 's  Response
Hello,
You can try some anti-inflammatory medications in addition to your antibiotic. Cold works well initially to reduce inflammation such as swelling, but then you want good blood flow to promote healing. Try some moist heat to relax the muscles and improve blood flow to assist healing. Try to maintain a soft diet. Realize this is bone surgery and will take a long time to heal. Soreness is to be expected, but will gradually lessen. Continue to do your best to continue good dental care and rinsing. Your first week will be the most difficult. Your second week should show improvement, but some if you had significant surgery and swelling, this inflammation needs time to resolve. Your TMJ could have been stressed. Your age and overall health can be a factor in how well you respond and the speed of healing.
Your antibiotic needs to be at a certain level for a certain period of time to be effective. Follow your prescription as directed. If you miss a dose, do not double up, but try to get back on schedule as soon as possible.
If you feel your antibiotic is not working and your discomfort is getting worse, contact your dentist. You may require a different antibiotic. Your dentist can prescribe additional stronger medications to assist healing, reduce inflammation and pain if necessary. You should have a followup visit. Do you have sutures that need to be removed? You may feel tightening as healing progresses.
Should you continue to have difficulties with your jaw function, there could be a complication with your TMJ, fracture or delayed healing which would require further evaluation.
I hope you can be patient and you mouth feels better with time. Thank you for your inquiry. I would be glad to answer any additional questions concerning your progress.
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Dentist Dr. Uzma Rahaman's  Response
Thanks for using Health Care Magic.

Read your query.

I would advice you to visit your dentist and get a follow up check up done. If in case the tooth socket has not healed or has got infected (dry socket) it will cause the pain.

The numbness in the tongue can be due to the anesthesia ,which will reduce gradually with its own time.

Continue with the warm saline gargling ,but avoid vigorous gargling.

Stop smoking if you smoke.

Continue with antibiotic and pain killers as prescribed.

Thanks and regards.
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How To Treat Swollen Jaw, Soreness In Mouth After Removing Wisdom Tooth?

Hello, You can try some anti-inflammatory medications in addition to your antibiotic. Cold works well initially to reduce inflammation such as swelling, but then you want good blood flow to promote healing. Try some moist heat to relax the muscles and improve blood flow to assist healing. Try to maintain a soft diet. Realize this is bone surgery and will take a long time to heal. Soreness is to be expected, but will gradually lessen. Continue to do your best to continue good dental care and rinsing. Your first week will be the most difficult. Your second week should show improvement, but some if you had significant surgery and swelling, this inflammation needs time to resolve. Your TMJ could have been stressed. Your age and overall health can be a factor in how well you respond and the speed of healing. Your antibiotic needs to be at a certain level for a certain period of time to be effective. Follow your prescription as directed. If you miss a dose, do not double up, but try to get back on schedule as soon as possible. If you feel your antibiotic is not working and your discomfort is getting worse, contact your dentist. You may require a different antibiotic. Your dentist can prescribe additional stronger medications to assist healing, reduce inflammation and pain if necessary. You should have a followup visit. Do you have sutures that need to be removed? You may feel tightening as healing progresses. Should you continue to have difficulties with your jaw function, there could be a complication with your TMJ, fracture or delayed healing which would require further evaluation. I hope you can be patient and you mouth feels better with time. Thank you for your inquiry. I would be glad to answer any additional questions concerning your progress.