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Inflammation and pain on big vein on internal chin, discomfort while eating, had tooth extraction. Could that be a cause?

Hi mr samuel, i have a question which i tried to answer myself but i couldnt find any explanation and im worried. For about 4 days ago a big vein on my intern chin is inflammated and hurts me a lot and makes impossible the procedure of eating. I tried with salt to clean that area and drinking tea but i see no result at all... A week ago i also extracted a tooth so it might be from that the reason happen to me this?
Asked On : Sat, 15 Sep 2012
Answers:  2 Views:  101
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  User's Response

as per of your case history it suggests to me that, the big vein on inner side of the chin may also be a DILATED DUCT of the Salivary gland, or a Mucocele or it may be engorged and dilated lingual veins which are present on underside of the tongue. The first and second probability seems to have more chances, as it is not exactly clear from the site that you have mentioned in the case history.

In case of salivary duct enlargement it is because of salivary duct stone blocking the path of the saliva secretion, which usually causes pain on times of having food.

the second possibilty (more commoner), may be a mucocele, which may be caused by Pinching trauma of Forceps which are used for extractions.

lastly engorged vein underneath the tongue are very rarely the cause for such discomfort.

The first and second probability can be ascertained by a dentist only. so it is advisable to see the doctor/ dentist for his opinion.
Answered: Sat, 15 Sep 2012
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,

if the pain is on the site of tooth extraction,it may be due to postoperative osteitis called dry is basically a focal osteomyelitis in which the blood clot has disintegrated or been lost,with the production of a foul odour and severe pain of the throbbing type,but no suppuration.

the pain starts by 2nd or 3rd post-operative day and lasts for 7-10 days and is extremely painful.anaerobic micro-organisms also play a significant role in the development of this condition.
sometimes the dry socket may be associated with low-grade fever and ipsilateral lymphadenopathy.
the exposed bone is necrotic,and sequestration of fragments is common.

tte aim of treatment is to keep the extracted socket clean and protect the exposed bone.
the socket is irrigated with mild warm antiseptic and then filled with obtundant dressing using zinc-oxide eugenol and iodoform gauze.the dressing is changed everyday.

probably the most important single factor in prevention of extraction complication is gentleness in handling living tissues.

take care
Answered: Sat, 15 Sep 2012
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