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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Wisdom Tooth Removed, Painful, Soreness, Turned White, Swelling. Why Is This Happening?

Hello,

I had my right, top and bottom wisdom teeth removed six days ago. The surgery went well but the pain is still pretty bad 6 days later. The pain is mostly coming from my remaining molars biting the inside of my cheeks/gums which have become swollen around the extraction site. The gums around the bottom extraction site, where the stitches are, are extremely sore (it almost feels like a bubble when I touch it with my tongue), and have turned white. Once again, it is extremely painful because I keep on biting down on the area with my remaining molars. Is there anything I can do to lessen the swelling? I will be getting my stitches removed in 2 days. Thanks for your response!
Tue, 13 Aug 2013
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Dentist 's  Response
hello ,

Extraction of wisdom tooth often ends with complications like pain and swelling 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.

i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain.

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

Due to cheek bite , the mucosa gets inflammed and appear red or white due to trauma.

i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.

consult a dentist and get the tooth extracted surgically, apply topical oral antiseptics over the cheek mucosa .

i hope this helps,

take care.
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Dentist Dr. Sonia Nayab's  Response
hi mo
thanks for asking your query.

complications like pain,swelling and trismus are anticipated after third molar extraction
follow post op instructions completely
gargle with saline water twice a day for one week it will promotes healing
maintain good oral hygiene
take antibiotics and analgesics for subsiding infection,swelling and pain.
avoid touching the stitches with tongue,and biting your mucosa
follow these instructions completely
thanks



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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

In your case it is best to do post extraction follow up.so that the healing socket can be well examined by your dentist.

swelling and pain shows infection is still persisting in that area.you might need to consult your dentist and on evaluation take antibiotic for three more days.

Also a case of dry socket can be suspected.therefore it is better to get it examined and then start with the appropriate treatment.

do not bite on the swelling as mechanical interference would delay healing.

hope it helps.

take care .

thanks
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Wisdom tooth extraction is not a simple procedure, its somewhat complicated and often associated with postoperative complications like pain, swelling, fever, malaise, difficulty in mouth opening.

You dont worry about the symptoms it will subside after sometime by its own.
You follow postoperative instructions given by the Dentist properly.
Take complete course of antibiotics and analgesic.

At home use lukewarm saline gargles 3-4 times a day to give a soothing and numbing effect.
Use antiseptic mouthwash gargles like chlorhexidine or betadine twice daily to prevent infection and promote healing.
Maintain a good oral hygiene, eat soft diet, avoid eating of hot and spicy foods.
Apply dologel oral ointment topically over the affected area.

Hope this helps out.

Regards..
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for writing to us.
Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.
Rinse the mouth with salt water. Do not use commercial mouthwashes as they can cause stinging.
While brushing, avoid brushing teeth near the extracted area for a few days.
Try drugs that stop the pain such as codeine, hydrocodone, oxycodone. Please consult your physician before taking any medication to avoid the dangers of self medication.
To minimize any swelling, place ice packs to the sides of your face where surgery was performed.
Hope this helps you
Wishing you good health...
Regards.
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

The swelling and pain post extraction of wisdom tooth is usual.
Frequent warm saline and povidine iodine irrigation of the socket can be done.
Take complete course of antibiotics.
Avoid anxiety,stress.
Complete rest is adviced.
The socket can be dressed using medicaments.
Avoid food lodgement in the extraction socket area.
Maintain good oral hygiene.
Hope this helps.
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Dentist Dr. Satish Singh's  Response
hello, thanx for writing in..
the healing process for the wisdom tooth extraction usually takes a longer time, u dont need to get stressed,
use lukewarm saline gargles 3-4 times a day to subside the pain
Use antiseptic mouthwash gargles like chlorhexidine or betadine twice daily to prevent infection and promote healing, keep good oral hygiene.
thanx
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Wisdom Tooth Removed, Painful, Soreness, Turned White, Swelling. Why Is This Happening?

hello , Extraction of wisdom tooth often ends with complications like pain and swelling 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. i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain. follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse. Due to cheek bite , the mucosa gets inflammed and appear red or white due to trauma. i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine. consult a dentist and get the tooth extracted surgically, apply topical oral antiseptics over the cheek mucosa . i hope this helps, take care.