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Swollen cheek, unable to open mouth, color inside the mouth become dark purple. Reason?

My friend went out last night and was scratched my another girl on her face and arms. She has a swollen cheek and the inside of her mouth on that side has turned dark purple. She is having problems eating and drinking and is unable to open and close her mouth fully. She also said that her jaw now clicks where it didn t before. She is 19 years old.
Asked On : Sat, 8 Dec 2012
Answers:  3 Views:  180
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Dentist 's  Response
Welcome to HCM
Regarding that trauma in cheek region,she has got hematoma due to accumulation of blood.This has lead to bluish coloration of skin & it will resolve within 15 days.If she has pain then she can go for analgesic & antibiotic therapy.
Regarding that clicking sound, we need to examine temporomandibular joint.Get it diagnosed by oral surgeon to get proper diagnosis & treatment.

Take Care
Answered: Sun, 16 Dec 2012
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Dentist, Oral and Maxillofacial Surgery Dr. Chaithanyaa Nemaly's  Response
Hi there, following trauma to the cheek region, there is collection of blood within the cheek. This is called hematoma. The inner part of the cheek called as buccal mucosa turns purple in color due to the blood within it. Owing to the swelling she would have difficulty in chewing and closing her mouth. The hematoma would resolve in 10 days time. As a prophylactic measure, we put the patient on a course of antibiotics. Regarding the clicking sound,it requires clinical evaluation. Consult a Oral and Maxillofacial Surgeon for the expert opinion and management.
Answered: Thu, 13 Dec 2012
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Dentist Dr. Gunjan Gupta's  Response
Thanks for your query.
I read your query,as you provided the detail it seems that she is having trauma to that side which was close to temporo-mandibular joint of that side,because of that she is having that clicking sound and problem in eating and drinking.
So i will suggest you visit an oral surgeon as soon as possible and get the thorough examination done including x-ray/OPG and take a proper treatment accordingly.
Nothing to get worried.
Take Care.
Dr.Gunjan Gupta
Answered: Thu, 13 Dec 2012
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