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Molar extracted, dizziness, pain. Injections, ibuprofen taken, mouthwash used. History of tmj. Suggestions?

Hi there
Two weeks ago had a back molar extracted (not wisdom tooth) It shattered and was an hour of pulling to get it out. Only had injections. Painful after but manageable with ibuprofen. Have been rinsing with natural antiseptic mouthwash after the first 5 days of salt water rinses. It is feeling pretty good. First couple of days had a whistle as I could practically breath through the hole into the area behind my cheekbone area! I still have a rather large hole and occasionally still get a suction feeling going up into the area above the gum if I catch it a certain way when I swallow. Not really painful but still a strange sensation to touch, but I can brush around it ok. But.. what I'm wanting to check on is that I have been dizzy from the first day. I expected that as a result of what was done to the tooth as well as the pressure on my jaw for an hour (I also have history of TMJ but after braces as a young adult no problem until a couple of months prior to this treatment then have had some clicking again and pain on same side as bad tooth, having to eat on opposite side seemed to aggravate it) Should I still be dizzy after 2 weeks? Should the hole still be so prominent (hard around rim like it's healing well but very mushy feeling inside hole when I touch it with my tongue) And how long before the hole should be expected to heal up? Can I have an infection in jaw or cheek without pain that would be causing dizzyness?
Asked On : Sun, 24 Mar 2013
Answers:  6 Views:  114
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Dentist 's  Response

Thanks for asking the query,

Pain, swelling, dizziness, generalised weakness, are common side effects after tooth extraction.
You dont worry about the symptoms as they will subside after somedays.
After extraction a course of antibiotics and analgesic is required to prevent infection and promote healing.
Delayed wound healing can be due to increased blood sugar levels, increase bp, food lodgement.
Follow the post operative instructions given by the DEntist properly.
Take lukewarm saline rinses and antiseptic mouthwash gargles.
For the TMJ problem i would suggest you to visit the DEntist take an OPG radiograph to detremine the diagnosis and treatment plan.

Hope this helps out.

Answered: Fri, 10 May 2013
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Dentist Dr. Shubhajit Chakraborty's  Response
which molar is extracted upper 1 or lower 1 ,in case of lower molar sometime lingual nerve might get injured .or during giving anesthesia inferior avleolar n might get dizzyness or parathesia might happen.regarding the healing of the socket it will take time.complete healing may take time upto 1-1.5 is better to continue the gargle with warm normal saline (adding lit salt to warm water) 4-5 times a day.sometime during extraction severe force on the tmj might cause torsional damage to the tmj.

Answered: Thu, 9 May 2013
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Dentist Dr. Farah Hussain's  Response
Hello there ,

Thanks for writing your query,

Extraction of tooth often ends with complications like pain and swelling, dizziness ,general weakness post extraction .

usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection .

After extraction antibiotic and analgesic coverage is must to prevent infection of the extraction site and to promote healing.

Delayed healing is caused due to:
Traumatic extraction,
oroantral communication,
high blood sugar levels ,
Thyoroid problems ,
please evaluate the above problems.

follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse.

For TMJ , OPg radiographs needs to be taken and examined by a dentist , approach a dentist for necessary treatment options.

i hope this helps ,

take care.
Answered: Fri, 10 May 2013
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Dentist Dr. Gunjan Gupta's  Response
Hello there,

Thanks for writing your query.

Pain fr a week or couple of weeks after molar tooth extraction is normal,therefore a course of antibiotic and analgesic is given to prevent infection at the site of extraction,promote healing and relieve pain.

Dizziness after molar extraction may be because of effect of analgesic,if healing is normal,nothing to get worried.

I would suggest do not touch the extraction site again and again.

If you feel any discomfort or pain visit immediately to your dentist and get the thorough clinical check up done.

Hope this will be helpful.
Take care.

Dr. Gunjan Gupta
Answered: Thu, 9 May 2013
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Dentist Dr. Chandranjita Chattopadhyaya's  Response
thank you for your question may have 2 things happened according to your explanation,,
1.oroantral communication
2.long time mouth opening may cause muscle spasm
now you should notice the following things
1.are you feeling heaviness in your head while bending
2.while taking full mouth water is water is coming thruogh nose?
if above two symptoms are not there then 1st thing has not may continue salt water rinse and take muscle relaxant.otherwise you should consult dentist to be clinically justified.
Answered: Thu, 9 May 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello whitney,

Thanks for posting your query.Extraction socket usually heals within 2 weeks post-extraction.
The existing pain as well as unhealed socket in your case even after 2 weeks post-extraction may be due to-
Traumatic extraction undergone.
Systemic diseases like diabetes,hypertension associated.
Sinus opening into maxillary antrum.
I would advice you to visit oral surgeon and check whether any tooth piece is remaining within the socket.
Trauma to bone surrounding has to be checked.
Avoid anxiety and stress.
Gargle frequently using warm saline and betadine.
Avoid impinging the area with fingers/pins etc.
Avoid mouth opening too widely.
Regarding pain in your tmj,an OPG radiograph has to be taken and examined.
If necessary,jaws has to be immobilized.
Take care.

Answered: Thu, 9 May 2013
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