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Pain in the gums after wisdom teeth removal. Taking clindamycin. Hole and swelling in the gum. Chances of exposed nerve?

I had two wisdome teeth removed 8 weeks ago, 1 upper and 1 lower. I have continued to have a lot of pain , mostly in the lower socket. Have been back to Oral Surgeon several times and was told I might have a bone infection. Have been taking clindamycin for 4 weeks (150 mg x 4 a day) and am in slightly less pain. Today I inspected the lower socket and still see a small hole, I used orajel and got some relief but pain has now returned. Could this be an exposed nerve or dry socket and not an infection. I have no fever or swelling except for a little gum swelling.
Asked On : Wed, 30 Jan 2013
Answers:  2 Views:  152
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Dentist 's  Response
hello & welcome
after wisdom tooth removal pain & slight discomfort is obvious, but if its getting worse after 3-4 days of extraction than this may be a case of dry socket, for that you have to visit your dentist.
but if there is no such complaint than this may be because of improper oral hygiene because after wisdom tooth extraction bone remain exposed for some time and any food lodgement can cause pain, so maintain proper oral hygiene start up with warm saline rinses, betadine rinses.
you can take painkiller like ibuprofen (SOS)
thanks & take care
Answered: Wed, 30 Jan 2013
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Dentist Dr. Farah Hussain's  Response
Hi and welcome to HCM,
As the extraction was done 2 months back ,normal healing and repair is expected so far. presence of small hole in the extraction area and pain definitly indicates Dry socket.
Dry socket is extremely painful condition caused due to dislodgement of blood clot from the extraction socket which exposes the alveolar bone to oral environment and lead to inflammation of the exposed socket bone. It may also lead to super infection if not treated in time .
i suggest you to use a antiseptic mouthwash like chlorhexidine for mouth rinsing and keep the area clean and moist to prevent infection.
you need to consult a dentist , who will currette and flush the area to induce fresh blood. Zince oxide eugenol pack is applied as a dressing over the wound and it is replaced every 2 to 3 days till the symptoms subside. till then maintain good oral hygiene by mouth rinsing and do not hurt the area by brushing or flossing. take care.

Answered: Wed, 30 Jan 2013
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