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Wisdom teeth pulled out, painful mouth and jaw, taken ibuprofen, no improvement. Suggestions?

Hi, I had my wisdom teeth out on wednesday afternoon and this evening the inside of my mouth as well as my jaw have become so painful that I can t sleep. I have taken the maximum amount of ibuprofen I can and still cannot sleep. I am in a lot of pain and really need some help on how to get comfortable so that I can sleep
Asked On : Tue, 31 Jul 2012
Answers:  4 Views:  93
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Dentist 's  Response
hello and welcome,
you are suffering from the most common complication in healing of extraction wound called dry socket.
in this,the clot has disintegrated or been lost with the production of foul odour and severe pain of throbbing type,but no suppuration.
the complication usually arise first few days after extraction.
the extracted socket must be kept clean and protect the exposed bone.
the socket is irrigated with mild warm antiseptic and then filled with obtundant dressing.
the commonly used socket dressings are-zinc oxide eugenol and iodoform gauze.the dressing is changed everyday..
most of the patients become free from symptoms after 1 or 2 dressings.
Answered: Mon, 15 Oct 2012
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Dentist Dr. Neha Sumra's  Response
Welcome to HCM
I would like to tell you that wisdom teeth extraction is not a simple extraction.Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like:-
-prolonged numbness due to local anaesthesia effect
-difficulty in opening mouth
You don't need to worry for any of these symptoms.
Take some rest & start with amoxiclav-625 twice a day along with zerodol-SP twice a day.Also take some multivitamin & antacid like rabeprazole 20 mg if acidity persists.Take all this for 5 days because ibuprofen is very mild analgesic.
Along with that start warm saline rinses 24 hrs after extraction.This will help in healing.
Consult your dentist if problem persist.

Take Care
Answered: Sun, 14 Oct 2012
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Dentist Dr. Udaykumar Bondre's  Response
hello & welcome,
If there is pain persisting in the extraction socket even after about a week, then most likely it can be the case of dry socket.

In dry socket, generally you get continuous, dull & throbbing pain with intermittent shoot out may be for a few seconds.

If this is the case with you, then instead of taking pain killers or any other drugs on your own, just make a visit to your dentist who extracted the tooth & ask to place a soothing agent ( like zinc oxide eugenol cement) in the extraction socket which will provide you immediate relief from pain even faster than any other painkillers.

Avoid forceful gargling or spitting as it can create more negative pressure in the oral cavity there by hurting the wound.

Use of drugs like metronidazole ( even placed in the socket in the form of ointments) which acts against anaerobic organisms is usually anticipated in such cases.

Antibiotics can only be given by your dentist if he finds the wound infected secondarily.

Take care.
Answered: Wed, 17 Oct 2012
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to hcm forum,
you have not mentioned the reason for getting for wisdom tooth extracted, anyways, if the pain is still there after extraction , most probably you are suffering from a condition called dry socket, do not worry, visit your dentist, get the area cleaned, and your dentist will prescribe you a week long course of antibiotics and anti-inflammtory's, as painkillers alone won't help.
also, use an antibacterial mouth rinse(betadine), 3-4 times/day.
warm saline rinses will also help.
do not worry you will be fine within a week.
i wish you good health.
Answered: Tue, 31 Jul 2012
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