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What to do if after the tooth extraction procedure the cheek is swollen?

Author: Yashin Svyatoslav Gennadevich | Last update: 2019
≡ Article 226 has comments

Let's try to figure out what needs to be done and how to behave correctly if, after the tooth extraction procedure, your cheek suddenly swollen ...

So, suppose you have a swollen cheek after tooth extraction and you don’t know what to do - is this normal or is it a dangerous complication that urgently needs to be consulted with a doctor again? Unfortunately, not all dental surgeons sufficiently inform their patients about what they can expect after the tooth extraction procedure, already at home, and what is considered the norm, and what is a serious deviation from it.

After a tooth is pulled out, the cheek swells very often, but it is difficult for an ordinary person to understand for himself whether this is normal or, conversely, dangerous to health.

Even at the stage of anesthesia in the region of the posterior teeth (that is, even before the doctor took up the instruments), almost all patients note the effect of “swelling of the cheek”. Sometimes this even causes a slight panic, and standard requests appear to let you look at yourself in the mirror (especially for the female). Of course, at this stage, no patient will see a real tumor in the mirror if he has not already received an appointment with a swollen cheek - and this is the first point that you should take note of.

Anesthesia really creates a subjective sensation that the cheek is swollen, and this sensation may persist after the procedure, which is normal. As the anesthetic proceeds, the feeling of swelling and numbness quickly disappears.

A feeling of swelling of the cheeks and gums may occur already at the stage of administration of the anesthetic.

But everything is not always so smooth. The tumor, and this time already “real” and well-defined, can appear already after tooth extraction, when the effects of “freezing” have long passed. Most often, swelling of the cheek does not appear immediately, but only the next day or a few days after tooth extraction.

What to do if the cheek is swollen, how dangerous it is and how to help ourselves in such cases - we will talk about this later.

 

Why is the cheek often swollen after tooth extraction?

Tooth extraction is a rather traumatic operation, during which hard and soft tissues surrounding a diseased tooth are damaged to one degree or another. As a result, a fresh wound remains in place of the extracted tooth, and even if it is treated with a powerful antiseptic and stitches are placed on its edges, the body still responds to the injury and activates the mechanisms that prevent the development of infection in the wound.

As a result of injury to the soft and hard tissues, an inflammatory process and edema develop near the removed tooth.

Signs of inflammation in the form of edema, pain and redness (sometimes with fever) can accompany the healing process for more than one day. Fortunately, due to the many blood vessels and the special structure of the tissues of the oral mucosa, regeneration (restoration) takes place here at a high speed - much more than if you, for example, injured your arm or leg.

Generally speaking, there are a number of additional factors due to which the cheek can become very swollen after tooth extraction. Note some of them:

  • Complex removal. Often during a difficult removal due to the doctor’s fault, there is a significant trauma to the tissues surrounding the tooth being removed, sometimes the technique of working with tools is disrupted, excessive force and pressure are applied. However, even with complex separation (sawing out) and removal of the roots of even the most unpredictable in structure and location in the jaw of the wisdom tooth operation can be performed so jewelry (with minimal trauma) that the tumor of the gums and cheeks after its removal almost does not occur.The photo shows an example of a complex removal of a wisdom tooth when it is taken literally piecewise from a hole.
  • Already starting or formed swelling of the cheek. If the patient sits down in the dentist's surgeon’s chair with a swollen cheek, then after tooth extraction the swelling almost always the next day noticeably increases, since the inflammatory reaction cannot be stopped immediately, and in addition to it, traumatic tissue edema also appears.If the swelling of the cheek was already prior to the extraction of the tooth, then after the procedure it usually increases significantly.
  • Removing the lower retarded wisdom tooth (that is, which cannot properly cut through). As a rule, the operation to remove it is quite traumatic, during which the doctor dissects the gum, and sometimes, for better access, greatly expands the wound.Due to the large number of tissues that are well supplied with blood, removing the lower wisdom tooth profuse bleeding often occurs, and with significant trauma to the bone and gums, a swelling of the cheek occurs on the first day after the removal of the "wise" tooth.When you remove the retarded wisdom tooth, the gum under which it is located is first cut. This is how a fresh hole looks after removing a wisdom tooth ...
  • Hypertension. People with high blood pressure are more prone to edema.
  • A thick layer of subcutaneous fat on the face. Obese patients, as well as obese people, are predisposed to the development of a cheek tumor after tooth extraction, since subcutaneous fat is characterized by good blood supply.
  • Suppuration of a blood clot and inflammation of the walls of the hole (alveolitis) also contribute to the development of edema.

Sometimes the cheek swells due to suppuration of the hole.

Feedback:

“Last year, my daughter and I were in the maxillofacial surgery department, and a woman was placed in our ward. She looked about 40 years old. Such was all swollen, already terrible, some terrible. I went to the doctor with a request to transfer me and my daughter from this swollen alcoholic to another ward, which the doctor laughed for a long time. It turned out that complex wisdom teeth were pulled out, after which her cheeks and her whole face were swollen, and the doctor also said what had to be done under general anesthesia, as many bad teeth were removed right away. My daughter and I calmed down, and literally a week later a miracle happened: the tumor subsided, and she turned out to be so beautiful (she was injected with antibiotics 4 times a day for a week to reduce inflammation). It turned out that she was only 27 years old, and not at all 40, as I thought at first. ”

Valentina Nikiforovna, 47 years old, Tobolsk

 

When swelling of the cheeks does not threaten health

Above, we examined many factors due to which, after tooth extraction, the cheek can swell greatly. Before you do something to remove the tumor, you should evaluate the scale of the problem and the level of its danger to health and life.

If the cheek is swollen in the near future after tooth extraction (during the day), then with a high probability the tumor is not yet a sign of a formidable complication, but here it is worth evaluating several diagnostic signs at once.

The first thing to do is to measure your body temperature yourself. If it is in the range of 37.0-37.5 degrees, then this can be considered normal, since a slight increase in body temperature is the standard response of the body to the injury and mild inflammation.

Normally, the temperature after tooth extraction should not rise above 37.5 degrees.

The absence of an elevated temperature or its slight increase without a tendency to increase is, perhaps, the main indicator of normal healing even in the presence of a pronounced tumor of the cheek after tooth extraction. It is important not only to measure the temperature once, but also to carry out its regular monitoring at least once every few hours to determine the current state of the body.

The second step can be considered a periodic external examination of the cheeks and gums. Each person can assess the condition of a cheek tumor after tooth extraction and its dynamics no worse than a doctor. If the swelling of the gums and cheeks is not very pronounced and does not tend to grow, then correlating other diagnostic factors, this can be considered a state within normal limits.

On a note

That is why it is useful to remember what happened to the face yesterday, and how its shape has changed today. In such cases, you can take a photo of your face - a selfie popular in the modern world for comparing “before” and “after” states. Such photos can also help the doctor if the problem worsens.

To monitor your condition, it is useful to periodically take photos of the swollen cheek, and then use them to evaluate whether the tumor is decreasing, or, conversely, increasing.

The third stage, which is not the last in the diagnosis, is an assessment of the presence of various additional symptoms that may appear after tooth extraction immediately or in the following days. In this case, special attention should be paid to the following signs of complications:

  • long-term bleeding from the hole;
  • unpleasant putrefactive breath in combination with a dirty gray coating on the site of a blood clot in the hole;
  • the appearance of pus when you click on the gum near the extracted tooth;
  • severe difficulty opening the mouth;
  • severe pain when swallowing on the side of the jaw where the tooth was removed.

This is an approximate list of conditions that, even against the background of a slight swelling of the gums and cheeks, are an indicator of the development of serious complications in the hole after tooth extraction.

Experts usually recommend observing their condition during the first day, but if you identify the above obvious signs of pathology, you should not wait so long, it is better to consult a doctor as soon as possible.

If any symptoms that occur after tooth extraction are especially worrying, it is best to consult a doctor immediately.

 

What can be done at home if the cheek is still very swollen

If this is not about a swelling of the cheek every day, but about a banal swelling that occurs within a few hours after tooth extraction, then you should not panic and immediately run to the dentist with shouts for help. To begin with, you should try simple ways to reduce edema, most of which are even included in the mandatory recommendations of a dentist-surgeon after tooth extraction and can be used at home.

It is widely known that with an injury it is useful to attach something cold to the damaged area so that there is no swelling, or it is not so pronounced. In our case, a cold compress is suitable not only for the prevention of a cheek tumor after tooth extraction, but also directly for the removal of swelling that has already arisen. For a compress, you can use any vessel with cold water, a heating pad with ice, or even a towel moistened with cold water.

To prevent swelling of the cheek, its cooling helps well.

For cooling purposes, for example, an ice bag can be used.

It is interesting

This may seem to someone that now everything is clear what needs to be done if the cheek is very swollen - and now the person is already running to the kitchen, takes the frozen meat from the freezer and puts it on the cheek ... However, before doing this, you should take into account a number of nuances.

Cold is really a great way to reduce pain and swelling, and this is due to the narrowing of blood vessels in a cooled place and their blood supply to decrease. However, to prevent additional problems, it is necessary to take into account the time of exposure to low temperatures and the temperature itself. In order to avoid frostbite, you can not directly affect the tissue with an object taken from the freezer - you must necessarily wrap it with something.

Change the cold compress every 2-3 minutes with short breaks, and to get the effect it is quite enough 20 minutes.

As already noted above, high blood pressure is one of the factors that provoke the development of edema. Therefore, immediately after tooth extraction so that the cheek does not swell strongly, it is sometimes useful to take specific medications that lower blood pressure if it is elevated (after consulting a doctor first).

It often happens that edema provokes a person himself with his wrong actions. Not really knowing what to do after tooth extraction, when pain begins in the gum and cheeks, some people outside apply a warm heating pad similar to other pains (for example, in the ear), and then they wonder why this cheek is suddenly swollen even more ... There are even severe cases of the development of huge tumors of the gums and cheeks against the background of uncontrolled heating - due to an increase in blood supply to the tissues.

The main thing is not to warm the cheek from the outside, as this will only strengthen the tumor and aggravate the situation.

It is impossible to warm the cheek from the outside after tooth extraction, since this only contributes to the development of edema, and in case of infection of the wound it can further aggravate the situation.

 

When to see a doctor

Imagine that you got a tooth pulled out, after which your cheek is swollen - at what point do you need to see a doctor? The answer to this question is partially already given above, but further we will consider this situation in more detail.

The main thing that you need to pay attention to when deciding whether to stay at home or rush to the dentist for a detailed consultation is an assessment of the dynamics of edema and associated symptoms. If within a day the swelling of the cheek begins to decrease, and there are no symptoms threatening the health, then you can safely be at home.

When to consult a doctor immediately:

  • with increasing pain and increased swelling of the gums and cheeks every day;
  • in the case of an increase in body temperature to high values ​​(above 38.0 ° C) and its prolonged preservation with severe malaise, decreased appetite, headaches and other signs of general intoxication of the body;An alarming sign is a significant increase in body temperature after tooth extraction.
  • when an unpleasant putrefactive odor emanates from the hole remaining after tooth extraction;
  • with severe violation of the opening of the mouth, difficulty swallowing and chewing food;
  • in case of any suspicion of inflammation of the hole, when it is possible to examine the wound: dirty gray plaque on the gum, lack of a blood clot or its decomposition, secretion of pus upon palpation of the gums, etc.

Feedback

“I went to the clinic last week to remove the lower wisdom tooth, it crumbled and grew in the wrong direction. The surgeon fiddled with him for a long time (30-40 minutes). When the tooth was torn, it was not painful, but after they pulled it out, my cheek was already swollen the next day.

If on the first day after tooth extraction there was only weakness and a swollen cheek, then in the morning I became like Irina Muravyova from the movie “Carnival”, when she was saying tongue twisters with nuts in her mouth. Only with the difference that I only blew one cheek. And in the evening I felt really bad, the temperature rose, aches in my whole body appeared, and the gums, where there was a wisdom tooth, began to hurt terribly. So I had to go to the doctor again. There they froze again with an injection and cleaned the pus, then they prescribed home rinses. Now there is almost no tumor and the gum hardly hurts. ”

Oksana, Kazan

 

How a doctor can help with a swollen cheek

If there are signs associated with the development of complications in the hole of the extracted tooth, then most often it is alveolitis (inflammation of the walls of the hole), which usually appears in the next 2-3 days after the procedure. Alveolitis is manifested by the characteristic symptoms of suppuration of the wound: pain, bad breath, the formation of gray plaque around the dental socket, suppuration from it, inflammation of the lymph nodes, intoxication of the body with an increase in body temperature.

Externally, the development of alveolitis is often accompanied by the fact that some time after a tooth is pulled out, a person’s cheek or lip swells:

  • after removal of the lateral groups of teeth, a swelling of the cheek occurs;
  • and after removal of the front teeth, the lip swells.

If alveolitis is diagnosed, the dentist performs high-quality anesthesia and performs curettage (cleansing) of the hole from a rotting blood clot, and sometimes also from previously not removed remnants of particles of a diseased tooth, granulomas, cysts, washing the wells with antiseptic solutions. If necessary, the wound can be sutured. After this, antibacterial drugs are prescribed, most often for topical use in the form of rinses or ointments.

If necessary, the doctor will clean the hole and refresh it so that a full-fledged protective blood clot forms in it.

If, according to x-ray data, the dentist sees the root left in the hole by the previous doctor, which caused continued suppuration of the gums and the resulting swelling of the cheek after tooth extraction, then the root is extracted first, then the curettage and the wound are washed. Depending on the severity of the clinical situation, antibiotics can sometimes be prescribed.

Very rarely, a swelling of the cheek occurs as a result of an accidental fracture of the lower jaw during the rough work of the doctor during tooth extraction (approximately 0.3% of all cases of fractures of the lower jaw). This complication can not be noticed right away, but within a fairly short period of time, there is a significant violation of chewing food, opening the mouth, swallowing, and severe edema can occur on the side of the gum and cheek. In such cases, the dentist takes a picture of the jaw, sets the broken bones in the correct position, fixes with tires, and then prescribes antibiotics and anti-inflammatory therapy.

 

Useful video: what can not be done after tooth extraction, as well as a few words about swelling that occurs a few days after the procedure

 

About suppuration of a tooth hole, which can lead to pain and swelling (alveolitis)

 

To the record "What should I do if my cheek is swollen after the tooth extraction?" 226 comments
  1. Anonymous:

    It is not necessary to put unpleasant photographs to the article.

    Reply
    • Emily:

      Good time of day. A few days ago, I had a heavy extraction of 2 teeth (due to improper growth of a wisdom tooth, it destroyed a tooth nearby). The removal was painful, even under muscle anesthesia. My face was swollen now, and I was ready to run to the doctor on the run, but after looking at the photos during the article, I realized that the healing was going right! And if it weren’t for the photo, I would have wound myself up to cancer! I do not argue - they are disgusting, but you can keep your "Phi" to yourself.

      Reply
    • Anonymous:

      What are we gentle.

      Reply
  2. Vladislav:

    Hello, I'm 17 years old. After I woke up in the morning with a swollen cheek, I went to the clinic the next day, they pulled out a tooth root. The cheek is a little sore, bleeds and the cheek is also swollen. Tell me what to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Vladislav! The fact is that the main appointment is always made by the attending physician after tooth extraction. However, often in a budgetary institution there is no time for such things, and he, by virtue of 15 minutes per patient according to the approved standards, overlooks the appointment. If during tooth extraction there were no errors that could lead to complications (this is confirmed by pictures and external examination of the hole), then antibacterial therapy + antihistamines + sparing regimen and oral baths with antiseptics (or rinsing according to the situation) will lead to a positive result. Antibiotics, antiseptics, etc. should be individually prescribed by a doctor after collecting an anamnesis. I cannot but say that if at the time of tooth extraction there is a “cheek swelling” and so on, then the face does not immediately return to normal. Each patient wants symmetry to return within the first hours after tooth extraction, however, this process is individual and leads to the desired result with proper care of the hole and control by the attending physician (or other dentist) in about 2-5 days. Sometimes you have to wait longer: it all depends on the difficulty level of a particular problem. I hope you'll get better soon!

      Reply
    • Michael:

      Waiting for the new year.

      Reply
  3. Yulia:

    Please tell me what to do if after removing two molars in the upper jaw a week later, an edema, a bubble appeared in the sky above the removal. No temperature. What could it be?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Any education that appears in the area of ​​removal requires careful study. It is important to see at least some picture to confirm this or that diagnosis. Therefore, in this case, a photograph of the edema or a suspicious bubble in the oral cavity is especially required, since so far this does not quite fit into the classic situation of normal healing of the holes after removal.

      If X-ray photographs of the holes after tooth extraction are also provided, this will determine the quality of the removal and once again exclude complications against this background.

      Reply
  4. Marina:

    Hello. In August 2015, a tooth was removed. Not wisdom, grew inside the mouth.Everything healed normally, but last week, already in 2016, a bubble was inflated at the place where the tooth was removed, it burst and the gum pushed out a splinter of the tooth. He began to fester. On Monday, they removed it with a gum incision. Today, the second day after removal of the cheek is very swollen, and when you touch the gums, the feeling of stone, very hard everything and causes dull pain. Pus comes out of the gums (not at the site of tooth extraction). Today I go to the doctor, but I would like to know how to properly eliminate the tumor and pus. There is no elevated temperature.

    Reply
    • Svyatoslav Gennadievich:

      Hello Marina! In your clinical case, X-ray control of the removal performed is important. The fact is that the splinter is a splinter, but it is important to know the x-ray cleanliness of the well after tooth extraction. Any abandoned foreign "body" can give infectious nourishment. If there is a problem with the hole even after repeated cleaning, then the doctor should do it again. If the cause of the infection is alveolitis (usually the gums are suppurative for 3-4 days with this diagnosis, but we make adjustments for immunity and individual moments), then this diagnosis should be carefully considered: the doctor must undergo curettage and antiseptic treatment of the subgingival area, otherwise you will relapse will not let go.

      At home, without diagnosis, you can only do harm. Moreover, the suspicion that you still have fragments of the roots or even parts of the roots under the gum + a hint of alveolitis (another version) is, nevertheless, only suspicions. For example, there are other examples related to suppuration after problematic removal: if the tooth was formally removed during the removal, but there is a cystic mass (we will not go into details). That is, there are no roots, and the infection “circulates” in the bone, causing it to “dissolve”, which is defined in the picture as a dark (black) rounded spot near the hole or even near the roots of adjacent teeth.

      No doctor in absentia has the right to prescribe an antibiotic or rinse. I just outlined several options for problems that 100% can not, with the help of rinses (chamomile, furatsilin, miramistin, etc.) or tablets, disappear. If you want to "stupidly" remove the symptoms of suppuration for a while, then purely theoretically, an antibiotic and / or an antimicrobial drug will help (not immediately, since the therapeutic dose in the blood should accumulate), but without making a diagnosis and treatment in your mouth, you will not budge , but only get imaginary well-being, which is often not liked by the most visionary people. Do not fall into this group, otherwise drive the infection into the stage of "destruction" of the body. Be treated correctly!

      Reply
  5. Katia:

    Hello! I am 15 years old. Yesterday, I pulled out the lower molar. Spitting blood all evening. Went to sleep. In the morning I found blood and a swollen cheek on the pillow. Desna hurts. Now, it seems, blood is flowing again. Tell me, please, is this normal?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Catherine! The fact is that in your case everything lends itself to logic. One of the recommendations of the dentist after tooth extraction is not to sleep on the side of the tooth and (or) not to put a hand on the cheek during sleep. At this time, there is heating and pressure on the area of ​​the operation, which provokes local vasodilation and repeated bleeding from the hole. Of course, this cannot be called the norm, but this is certainly not a serious complication. Edema occurs almost always the next day (in varying degrees of severity), as a response to the intervention (injury).

      Bleeding can be eliminated by tightly holding a sterile gauze swab in the hole (best moistened with saline) for 10 minutes with the upper teeth. Do not forget to control blood pressure and limit physical activity at this time. You should not rinse the hole, and after eating it is quite possible to confine yourself to oral baths of antiseptics (it is better to decoction chamomile or sage).

      As long as you will form a succession (which, in principle, is no longer bleeding), then you should not be afraid for the state of the hole. In general, when a small amount of blood is extracted from the well for 1-2 days of removal, healing is as comfortable as possible (some patients even say that it is painless). As a rule, a blood clot is gradually formed anyway and is a biological defense against infection. If we are talking about severe bleeding, even after self-pressing gauze napkins, you should contact your dentist and find out the cause. Often it is associated with general health. I hope you'll get better soon!

      Reply
  6. Valentine:

    The molar of the lower jaw collapsed. The cheek was swollen and some kind of compaction formed on the jaw. After the X-ray, the doctor removed the tooth, prescribed ciprofloxacin, Trichopolum, suprastin, ketans for pain. The pain is slight. The temperature is normal. But the tumor does not subside well and the seal does not disappear, which bothers me. I rinse with soda and potassium permanganate. Are these appointments enough? And what should I pay attention to?

    Reply
    • Svyatoslav Gennadievich:

      Hello Valentine! Unfortunately, you did not indicate how much time has passed since the deletion. In general, the reduction of edema is an individual feature in each case. Therefore, do not immediately panic, but it is important to consult a dentist for advice. Soda and potassium permanganate are not comfortable rinses. Most dentists treat them negatively, since soda irritates and leaches a blood clot, and potassium permanganate, if not properly diluted, creates burns, and in general it dries the mucous decently.

      Reply
  7. Maria:

    Hello. On Thursday, a molar was removed. The first day there was bleeding, but this is normal. But on the morning of the second day a strong smell came from my mouth, very strong. By smell and color, we can say that it was like pus. Spit every 5 minutes. Swollen cheek. On Saturday I went to the doctor. He said that the clot is in place, everything is fine, the cheek will pass and put the medicine in the hole, which should then dissolve. The whole day in the mouth there was an aftertaste and the smell of this medicine. But the aftertaste of this unpleasant odor still remained ((Today is Monday, there is almost no odor, but the gums still ache, even drink painkillers. The swelling is gone. There was no temperature. Tell me, please, is this considered normal? (Especially the smell of mouth). Thank you very much for your reply in advance!

    Reply
    • Svyatoslav Gennadievich:

      Hello Maria! Alveolitis in such a short period of time given protective bleeding is unlikely to occur. Therefore, we can only assume the activation of an independent purulent process. What I mean…

      Unfortunately, you did not write against the background of which you removed the molar. Most likely, you already had swelling or a purulent process beginning. After tooth extraction, pus evacuation occurs to the benefit of the body. Of course, pus has an unpleasant odor. The response of the body in the form of the formation of serous-purulent or purulent exudate is a condition within the normal range, taking into account the fact that all measures were carried out correctly. I mean that the doctor removed all the roots, removed the fragments of the carious cavity and (or) granulomatous growths. In general, he carefully cleaned the hole and was firmly convinced that there was no additional infectious feed. The fact that your temperature is normal now is a big plus. Reducing edema is also a positive trend. Odor from the mouth can currently be caused by food debris that lingers in the hole. Since you already have the 4th day of removal, it is quite possible to carry out gentle rinses with a decoction of chamomile or sage 4-5 times a day. It is especially important to carry out such procedures after eating. You should not fight with the smell, but ensure comfortable healing of the hole. For topical use, there are a number of known preparations for treating gums.These are gels or ointments to reduce bacterial contamination after tooth extraction (ads are not published).

      Reply
  8. Lyudmila:

    Good afternoon. 03.03 in the morning I removed the bottom 5-ku. By evening, the lower part of the cheek was swollen, became hard. The gum itself does not bother. There is a white coating in the hole. There was no temperature, only today it rose to 36.9. Swelling does not subside. Tell me, do I need to run to the doctor urgently?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Lyudmila. I think that there is nothing wrong with your situation, but a consultation with a dentist is never superfluous, because a competent and professional dentist is interested in long-term results - so that everything is wonderful at all stages of healing. In theory, edema filled with fluid should, on the contrary, be mild. Most likely, against the background of tooth extraction, you had a normal reaction to tissue injury - local inflammation, which has a stage of edema to one degree or another.

      Formally, many do not notice this on the face, but upon closer examination, this factor takes place in 1-2 days of removal. What you feel is hard, only your jaw can be on the background of a small swelling due to trauma. I do not think that with the rest of the normal indicators this is something purulent that goes beyond the usual healing of the hole. I hope you'll get better soon!

      Reply
  9. Olga:

    After removing the tooth, the doctor put a tampon with the medicine in the hole and told him not to pull it out, it will resolve itself. What it is? It looks like a sponge.

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! Many dentists in their practice successfully apply antiseptic compresses for the holes - special drugs introduced into it for the prevention and treatment of alveolitis. In your case, the doctor put this drug, which is a sponge for the prevention of "suppuration" of the hole. If the tactics are correct, then almost always the hole heals in the most sparing mode, and the removal of the compress is not required, since the sponge dissolves ("is rejected") itself for a short time. However, there are opponents of methods that are connected with the insertion of any sponges or flagella into the hole: after all, they theoretically can become sources of infection themselves if the food lingers there. Regardless of this, I advise you to listen to the doctor’s tactics, but if you suspect negative effects (temperature, putrefactive smell from the hole, swelling, severe pain, etc.), consult a doctor and follow an alternative treatment tactic.

      Reply
      • Alexei:

        Hello, I got the roots of a decayed tooth removed. After removal for a long time I kept gauze in place of removal, then it was replaced. When asked about disinfection, the doctor forbade me to rinse anything and brush my teeth. The 3rd day is now a sweetish taste in the mouth, and the place of the hole hurts when pressed. How can I remove the smell and pain?

        Reply
        • Svyatoslav Gennadievich:

          Hello, Alexey! In fact, “pressing” pain is a normal reaction at the healing stage, since the 3rd day after tooth extraction is not an indicator of the final design of the wound. Usually, pains of this nature pass around 10-20 days after removal. The taste in the mouth is most likely associated with a lack of hygiene. I think that careful brushing of teeth and even rinsing with a decoction of chamomile or sage (5-6 times a day) can be done. I don’t think that you will wash the clot from the wound, especially since it is already the 4th day after the tooth is removed, although your doctor’s opinion is quite justified regarding the safety of the wound. My point: based on your description, hygiene is a little more important here.

          Reply
  10. Love:

    Hello, Svyatoslav Gennadievich. Can you advise me. On Friday 03/04/16, the upper wisdom tooth was removed, a month before that, he reacted and was sick periodically. A week ago, the dentist decided to heal him, drilled a hole that was already there (he began to crumble) and left the medicine.As a result, a week I tormented myself with pain and decided to pull it out. Bottom line: on Friday they pulled it out, didn’t feel much pain, on Saturday woke up the same way, without any changes, it just hurt my cheek, not even that it hurt, but just reacted as if chewing or talking, as if there was a small bruise there. Today is Sunday, I woke up with a swollen cheek, and I am already more painfully reacting to everything. On the other side, on which there is now no tooth, chewing is sick, and with any swallowing of saliva, I feel an unpleasant, painful sensation in the cheek area. It was not easy to pull out the tooth, the dentist was even nervous, but pulled out without any residue. But ... The cheek aches more and more. Tell me, maybe I should at least start rinsing with something, since the holidays, and I certainly can’t find a doctor, and there are still three days ahead. And something I’m afraid a little ... There is no temperature, but I woke up today with a feeling of a mild illness with a cold, and as if something was stopping me between my cheek and gum. Tell me, please, do I need to worry, or is it still a consequence of the removal of a complex tooth?

    Reply
    • Svyatoslav Gennadievich:

      Hello Love! Thank you for describing the detailed history of your disease. I must say right away that it’s definitely not worth it to regret that it was not possible to save the wisdom tooth (especially the upper one), since often it is even removed completely outwardly normal.

      Since there was a complex removal, I would suggest, nevertheless, to take a diagnostic picture of the hole after removal, and to determine exactly whether there are any fragments. If such a picture has already been taken, then do not worry.

      The main thing is to provide the most comfortable healing. I think that intensification of pain every day can be a sign of incipient alveolitis, but often the body itself stops the stage, preventing purulent manifestations. The feeling of “interference” between the gum and cheek requires examination and consultation with a dentist.

      Holidays are a hindrance to the doctor. Therefore, as for rinsing, I can say that a number of doctors treat them negatively, as well as ointments and gels. However, all this is purely individual. There are quite budget antiseptic rinses with a decoction of chamomile or sage (about 4-5 times a day, especially after meals). In any case, rinsing should be gentle, without fanaticism and sucking out the contents of the hole. Alternative rinses are local gels.

      The most popular are: Metrogil Denta gel and Solcoseryl dental adhesive paste for processing the marginal gum around the hole. It is clear that this matter should be approached from the point of view of cleanliness and accuracy. I wish to deal with the problem soon!

      Reply
  11. Olya:

    Hello, I was removed a wisdom tooth from below 5 days ago. There was a half tooth. As I understood it, he drilled or sawed the rest of the tooth to me. Pulled out in pieces. The fact is that my gum and a slightly swollen cheek still hurt. Is this the way it should be? Thanks in advance.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Olya! Sophisticated removal with a drill is not unbelievable. This is a modern way to remove 2-3 root teeth as opposed to the previously used “hammer and chisel” method.

      Unfortunately, you did not describe the dynamics, and this is the most important thing in determining further tactics. Complex removal with large loss of bone and soft tissue leads to a long and often not very comfortable healing. It’s not even about infection, but about a poorly formed wound. I think that the local inflammatory process in you continues to exist. An infection from the oral cavity often nourishes and causes pain in the healing phase during and several minutes after chewing.

      I think it’s worth going to the dentist to assess the external condition of the hole, and (if necessary) do an X-ray control (if it was not done after removal) to diagnose possible fragments of the roots or crown of the extracted tooth.

      Reply
  12. Marina:

    Hello! Today, my niece went to remove her primary (permanent) lower tooth. He and his mother went to the dentist the day before, and there the doctor, looking at the tooth, said that he would try to preserve the root, although there was pus. The pus was released a little, I do not know how, and the doctor left an open cavity. Appointed for March 9, but yesterday she walked and wet her legs. The tooth got sick and the cheek smashed. This morning, the tooth was removed. The doctor said that in the beginning a lot of pus came out. After 2 hours, the temperature rose 40 and a little higher, it was pounding directly. Somehow brought down the temperature. Then, until evening, she did not rise. Around 9 pm she began to rise again. The cheek is swollen. Says it doesn't hurt. Is it normal that the temperature jumps like that? This is not a consequence of the inflammatory process? Thanks.

    Reply
    • Svyatoslav Gennadievich:

      Hello Marina! As far as I understand, the age of the niece is quite young? About 10 to 15 years old? Removing the lower molars in children is often fraught with many difficulties. Since it is necessary to remove a tooth that has served everything, according to indications, it is not going to leave its “shelter" just like that. A purulent infection surrounding the root of the tooth often helps a bit in surgery, but still: traumatic removal + purulent inflammatory process gives such results. The temperature (especially in the evening) can rise to high values, since trauma + pus excites the child’s active immune response, so it’s all right that you are fighting the “consequence”. The cause of the problems is the tooth you removed.

      Now your task is as follows:
      1. Assess possible concomitant infections: has the child caught a cold by soaking his feet?
      2. If the temperature rises again, consult a dentist and / or pediatrician, depending on whether ARVI has joined.
      3. If you do not have the opportunity to implement the first two points, then you have to carry out (as you do) symptomatic treatment.

      Only a doctor can prescribe an antibiotic; I myself would not have been involved in antibiotic therapy. I especially want to focus on the diagnostic image of the hole of the extracted tooth: it happens that during complex removal fragments remain under the gum from the crown of the tooth. They can fuel a passing purulent inflammatory process.

      Correspondence consultations in the matter of the child’s private (dental) and general health can only help if the doctor has done everything correctly and (or) the child’s body can cope with the healing of the hole without any help, as well as if your niece did not additionally “catch the infection” .

      Reply
  13. Natalya:

    Hello! Yesterday (March 14), the lower molar was removed. The tooth was previously filled and at the time of removal there was a lump the size of a pea on the gum. Removal was difficult. The doctor prescribed treatment: lincomycin, 2 capsules 2 times a day; Nise, 1 tablet 2 times a day; suprastin, 1 tablet at night. I carry out all the assignments, the cheek swollen from below. Tonight, with an inadvertent (moderate) pressure on the cheek from the removed teeth, there was heavy bleeding for about 1 minute. Slightly washed the wound with chlorhexidine, gradually the bleeding stopped. I’m interested in why the blood went so hard, do I need a doctor’s consultation? There is no pain (I only feel when I press the cheek), there is no temperature.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After complex removal, a serious injury results, and a fresh wound, even with light exposure, may begin to bleed. If your blood stops quickly - this indicates normal coagulation, and there is no reason for concern. Moreover (personal opinion) that a small episodic bleeding during healing in the first 1-3 days can significantly reduce pain, up to a complete absence of pain. I think that a dentist’s consultation is not required, especially since the doctor recommended you the whole range of necessary preparations.A good blood clot will protect you from alveolitis - inflammation of the hole. And all the dangerous symptoms are described in this article, so you just have to carefully monitor the healing of the gums and rather recover!

      Reply
  14. Olga:

    Good evening. I have to remove the tooth on Monday, I need to remove 4 in total. Can I delete everything at once? The teeth are one at the top left, one at the bottom left and two at the bottom right. Can I drink valerian or other sedatives before removal, as I am very afraid?

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! I think that it is advisable to remove no more than 2-3 teeth, but it all depends on the accompanying removal of the technique. If you have several teeth removed in a row and gently form a wound, up to suturing to eliminate risks, or by the method of adding biomaterials and drugs to the well for preservation with suturing of the edges of the wound, this will exclude the option of a wound open to all infections and reduce the risk of infection inflammation and severe pain. That is, such neat work may well qualify for the option of removing 4 teeth at once.

      As for sedatives: indeed, the calmer you will behave at the reception, the more effective is anesthesia and the doctor works better (faster and more progressively).

      Reply
  15. Olga:

    Thanks. I wanted to know more.

    1. If only two are deleted to me, after how long can the others be deleted?

    2. When everything is removed, after how long can the remaining teeth be treated?

    3. How long can I put an implant after tooth extraction?

    4. And you can put the implant in 1-2 years after the entire treatment, what will happen to other healthy teeth? I read that they diverge, and then implantation becomes difficult?

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! I will try to satisfy your curiosity, however, the treatment tactics still belong to the attending physician. It is clear that you can always analyze the information yourself and refuse one or another treatment method. So, in order:

      1. Usually, the distance between the removals is adequate for 3-7 days, depending on its complexity and the location of the extracted teeth. Undoubtedly, the accuracy of the technique and the prevention of open wounds play an important role.

      2. Many dentists are of the opinion that it is advisable to start planned treatment after removal no sooner than after 1-2 weeks, when the risks of infection of the hole are minimal. The fact is that during the preparation of the carious cavity, the infection spreads throughout the oral cavity, and the hole can be indirectly infected.

      3. This question is one of the most difficult. The fact is that there is immediate implantation, when the implant is inserted immediately after tooth extraction into the formed hole. Also, the techniques involve implantation and in the long term, that is, delayed. It is important here that not only your desire coincides, but also the indications for one or another implantation and the clinic’s capabilities + the surgeon’s professionalism.

      4. And this question is more than correct. If you don’t want to prosthetics, but are preparing your mouth for future implantation, then it’s advisable to make temporary removable dentures for the “butterfly”, or, in other words, intermediate dentures for which you don’t need to “grind” your teeth. Now there is a technique to make such microprostheses extremely aesthetic and functional. They really will not allow neighboring teeth to shift towards the extracted teeth, and also prevent other malocclusion. However, these are temporary designs, so they will have to be changed every few months. In principle, there is nothing wrong with this, but I do not think that it will suit you at your own expense to change the design up to 2 years. It is best to implement implant prosthetics within 1 year.

      Reply
  16. Maksim:

    Hello. Today they removed my wisdom tooth (N 28) due to a granuloma. Although he was good, not even drilled yet.Just removed, the hole was not cleaned. By evening, it still hurts, but not much, there is no swelling, but the mouth does not open well. Maybe my jaw got hurt? Should I go to the doctor again - if so, then to whom, to the surgeon or just a dentist? And what can I eat - one broth, soups, or can porridge?

    Reply
    • Svyatoslav Gennadievich:

      Hello Maxim! I must say right away that upper wisdom teeth (especially) are rarely good. If in your case there was already a “granuloma”, it means that there was a hidden carious cavity in this tooth, which led to a complication.

      Usually in the evening after removal just the hole also hurts. The mouth does not open well due to the interconnection of the wound and surrounding tissues, which may be damaged during removal. It is unlikely that when removing the upper tooth, wisdom could damage the jaw, this in rare cases is associated with the removal of the lower molars. It is best to go to your own doctor, as I see no signs of mistrust in the surgeon associated with gross errors.
      In the first two days after removal, it is important to ensure that the well rests, so sparing nutrition is recommended: warm, soft and non-irritating. The broth, soups and cereals are quite suitable for this. All this is temporary, so you can tolerate a little bit for the sake of a high goal.

      Reply
      • Maksim:

        Thanks! I also want to ask.

        I overcame the pain, opened my mouth wider and looked at the hole. It’s just ofigel - it’s not at the bottom, as it should, but on the side of the gum, looking at the cheek. How did it happen? First they turned my tooth out and then removed it? Is it painful to open your mouth?

        He touched with his tongue - the hole is bitter. Why?

        And you wrote in the article that the granuloma should be cleaned, but they didn’t clean anything for me. So, when the hole is overgrown, this trouble will remain so inside?

        Reply
        • Svyatoslav Gennadievich:

          In most cases, the "granuloma" remains at the top of the removed root, and the doctor can see it well. Many doctors "do not bother" for additional cleaning of the hole, and, in general, everything is wonderful. The risks that “this trouble will become inside” are minimal.

          The hole is bitter, because, perhaps, the doctor put something into it for prevention? Not always the patient can control all the manipulations of the doctor. The wound is on the side of the gum, since there was a difficult removal, and the doctor partially reduced the volume of the gum for a full review. It’s simpler to say that a gum injury was not done, but it is not fatal. It is painful to open the mouth amid the whole + complicated healing of the hole. I think the recommendations remain the same.

          Reply
  17. Looney:

    Hello, yesterday I deleted the 6th from below. They were removed due to the swollen cheek and gums. They could not save the tooth. A blood clot is in place, but the cheek becomes even larger. I breastfeed, you can’t drink antibiotics. I make baths with furatsilin, dental collection, chlorhexidine. Should I worry? Am I doing everything right?

    Reply
    • Svyatoslav Gennadievich:

      Hello Looney! After removal, against the background of existing edema, often in the first days there may be a feeling that the tumor "has increased." In your case, in absentia it is difficult to talk about whether there are risks or not.

      The fact that you do the baths is a big plus. What came up from the point of view of an integrated approach and versatile is a moot point. For example, many dentists already do not like furatsilin with respect to the effect on the mucous membrane. However, the old guard of doctors may well be for chlorhexidine, furatsilin, soda, and even for "potassium permanganate." It seems to me that it is advisable for you to examine the hole with a dentist and adjust the recommendations. If purely my opinion is important to you, then you can completely limit yourself to baths of herbs (chamomile, sage), and baths can be done 5-8 times a day - herbs are herbs. In general, normally the hole should heal quite well without rinsing.

      Reply
  18. Irina:

    Hello! 3 days ago tooth No. 36 was removed (the entire upper part of the tooth was almost destroyed), there was no tumor before removal, it appeared in the evening on the first day. On the second and third day they cleaned the hole. An X-ray shows that no gum particles remained in the gum. Nevertheless, the pain does not stop (although it has decreased, and it gives into the ear; there is white plaque in the hole; it is difficult to chew, but I can talk and swallow almost without tension; the tumor does not pass). All this time I rinse my mouth with furatsilinom. Tell me please, could my jaw be damaged (dislocated) when removed?

    Reply
    • Svyatoslav Gennadievich:

      Hello Irina! If the jaw were dislocated, then the mouth would not close 100%. The alveolar process of the jaw could be damaged against the background of complex removal and great injuries, but this is also extremely rare.

      Most likely, an alveolitis (inflammation) has turned out, which you periodically nourish with rinses with furatsilin. The fact that a white coating in the hole does not mean anything. You just have the “dry hole” effect anyway. It is empty, and such holes heal poorly and painfully.

      I recommend that you consult with another doctor. I must say right away that many doctors are extremely negative about “ennobling” someone else's work. However, your attending physician can’t cope with the treatment of a dry hole and recommends that you also have multiple “furatsilin”. It is best not to risk it and try to hear a different opinion after examining the hole with a surgeon, explaining the situation to him. I am sure that the recommendations will be adjusted, it is possible that they will cure the wells, form a clot, prescribe antibacterial therapy + baths (if there is any need for them). Ideally, a good blood clot is the way to normal healing of the gums after tooth extraction.

      Reply
  19. Looney:

    Urgently! Today I was assigned a chain attack. We are at the GV. The baby is 10 months old. They told GV not to stop and give the child 5 drops of hilak forte.

    Reply
  20. Oksana:

    Hello! A week ago I was removed 6 at the bottom left. She knew that the tooth required intervention, but suffered. Until the moment when he began to whine at night, and the next morning it swelled up a bit ... She didn’t take the freeze right away, she did it and did it, injections 5, probably ... They removed the tooth - it was without top, by the way, it was. It turned out that there is a lot of pus and a bunch of cysts. All cleaned and sprinkled with something, apparently, a medicine. I came home and fell asleep. I woke up with a huge swelling on my cheek. Every day and night, this swelling hurt more and more. The skin seemed to burst, as if cut. It began to hurt around the ear, neck, upper jaw, temple. I could not stand it on the weekend, I went to the duty officer, who said that the alveolitis and swelling with the lymph node were affected ... He put the medicine in the hole, prescribed an anesthetic. It has been 6 days since the removal, and the pains are hellish. Ketanov helps for a short time, swelling hurts. Bump on the lower jaw, the seal does not pass. I already inject antibiotics, there is no result. Mouth not open, everything hurts. Inside the cheek lies on the gum, which almost closes the hole - so everything is swollen. What to do and how to reduce pain and swelling? And then it does not take anything ((

    Reply
    • Svyatoslav Gennadievich:

      Hello, Oksana! I think that the doctor on duty was limited to standard manipulations in your case, which did not bring a positive result. That is, obviously alveolitis progresses and according to preliminary data - it gives a complication.

      All that you are doing at the moment is a “superficial” measure. I think that it is no longer necessary to turn to the doctor on duty for comprehensive assistance: it is important to refresh the hole. This means that under local anesthesia a detailed wound curettage is carried out, the remnants of not removed parts of the tooth, rotting bone, food, fragments, etc. are removed. The wound is washed, a clot forms, an anti-inflammatory compress with an antibacterial ointment is applied.According to the situation, a small incision can be made along the transitional fold, where the edema is located, with the provision of drainage for the release of purulent exudate and acceleration of a positive result.

      Reply
  21. Nastya:

    Melkom 2 years, yesterday removed two front teeth, tonight swollen half of the face. Prescribed antibiotics and nurofen, although there is no temperature. They said that if it gets worse, they will put us in a hospital. What will they do there? Is it possible to remove the edema with cold?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Nastya! I think that the nature of this edema is somewhat different, so that you can limit yourself to cold. Roughly speaking, by “freezing” an infection, you will not get a promising result, and the infectious and inflammatory process will continue to progress. It is clear that, purely theoretically, edema can be associated with the usual reaction of the body to anesthesia, trauma, wound, stress, etc., but you were asked not to risk the life of the child (“anyhow, yes”), but to monitor it for highly qualified level - in a hospital. What will they do there? I think that everything will be standard: a “notch” along the transitional fold, where there is purulent edema, with a drainage system, antibiotic injections, restorative therapy (“systems”) and, most importantly, health monitoring every hour. I do not think that in this context it makes sense to doubt the thoughts of the attending physicians.

      Reply
  22. Helena:

    Hello. Yesterday I removed as many as 4 teeth in a row. There was a purulent cyst on one, the rest in poor condition. Today I woke up, my cheek became bigger ... Is this a normal process? It looks like swelling. What do i do?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Elena! I think that you either “warmed” your cheek overnight on the side of removal, or it’s just a response to such a “trauma”. Edema is the result of an inflammatory reaction. It happens that such a reaction proceeds violently, with the spread of pus.

      To avoid complications, it is advisable to consult your doctor and calm down if everything in his opinion will be in order. If you do not trust your doctor, you can always find out the opinion of a third-party (independent) specialist.

      Reply
  23. Natalya:

    Hello, three days ago, my distal molar was removed. When the doctor gave an injection, then, as he said, he got into a nerve, because it was unbearably painful and the eye shed tears. When removing, the doctor loosened the tooth badly and the root broke, he removed it too. Now I have a swollen cheek and the swelling does not decrease, it hurts when I press the cheek, but not at the place of removal, but closer to the nose. There is pain when opening the mouth, the hole is clean and there is no fever. What to do to reduce swelling and is it dangerous?

    Reply
    • Svyatoslav Gennadievich:

      Hello! To prevent edema in the first day after removal, a cold compress is applied according to a certain method. However, we are talking about the fourth day, so this method is not relevant. Edema is the result of a reaction to a local inflammatory process. If we are talking about complications, then significant edema can develop. It is important to understand correctly what really causes edema. It is from this that the danger of edema can be assessed.

      You can really assess your condition only after a face-to-face consultation with a dentist. If the doctor identifies the causes of edema, he will eliminate them. There are medications to reduce edema and activity of the microbial flora (antihistamines, antibiotics), but they are prescribed by the doctor after a detailed examination.

      Reply
  24. Sofia:

    Hello! The son is 6 years old. 04/16/16 in the evening tooth ached. Cried. Gave sinepar to her son, he fell asleep. The next day, we visited the doctor: well, there is caries. They removed the top 4 and 5 in a row ... For two days my son was vomiting. 04/18/16 stopped tearing and the cheek was swollen. 04/19/16 we were at this doctor, he examined and prescribed an antibiotic: cefozalin injections for 5 days twice a day, furatsilin and agisept.Now, today is the 4th day we injected cefozalin, edema does not decrease, there is no temperature, it eats normally. Already the 5th day, the swelling does not go away. Today, the doctor was again at the doctor, he did not really say what was there and why the edema did not go away! He directed us to another doctor (surgeon of the jaw), according to him, his son has pus in his throat (on tonsils) ... Is this possible? What should we do? Thanks.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Against the background of such a situation in the body (stress, wounds in the oral cavity, etc.), the child’s immune response was activated so much that the temporarily “sleeping” inflammatory process in the tonsils was activated. I think that there is a causal relationship, but both processes will have to be treated, since you do not need to feed the infection.

      I recommend contacting a pediatric otorhinolaryngologist to eliminate this lesion. If the ENT says that the main reason is dental, you must consult a doctor, you can even with another pediatric dentist. I am sure that in this way (comprehensively) we can solve the problem. Moreover, there is no temperature and the condition is stable, and edema is an individual matter: it does not pass right away. Someone needs 2-3 days, and someone 5-7 days.

      I wish your child a speedy recovery!

      Reply
  25. Anton:

    Hello. In my case, the lower left wisdom tooth was removed. After removal, the cheek swelled the next day. The tumor grew, the temperature appeared. I turned to the dentist again, it turned out that I washed the blood clot somewhere and went infection (it turned out to be a dry hole). He cleaned the wound, put medicine in it, prescribed antibiotics. The temperature returned to normal, the tooth stopped hurting. But the cheek both grew and continues to grow. What to do? Is this normal or not?

    Reply
    • Svyatoslav Gennadievich:

      Hello! In principle, this is not the norm, but often patients perceive the "sliding" of the edema down as growth. Of course, edema does not decrease rapidly, but it does not always go away beautifully. In an acute infectious process, temperature is usually present. If your body already has no reason to fight infection, then most likely there is a positive trend. In any case, I recommend that you consult a dentist for advice to exclude even the most minimal risks.

      Reply
  26. Yulia:

    Good afternoon! 05/05/16, the molar tooth was removed from the bottom right, the tooth was almost gone, it was rotten and a splint stuck out) I was ill for one day and my cheek was slightly swollen, I decided to immediately go to the dentist and remove it. The tooth was removed without problems, it hurt after anesthesia, but the next day the cheek was swollen, the gums hurt ... I went to the doctor again, she made an incision and put the gum in the wound, and said that I had blood accumulation. Prescribed antibiotics, amoxiclav and soda rinse. Only anesthetic helps. It’s already been the 4th day, and it still hurts and my cheek is swollen, the bump is such a feeling, opening my mouth is a little painful and eating is painful. What could it be? Why pain and swelling do not go away? And how long can this go on? Thanks in advance!

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that the dentist has already done everything that is supposed to be. It is especially good that you have a drainage placed next to the extracted tooth: this will exclude the option of accumulation of purulent exudate near the hole. However, it is likely that you have developed alveolitis. It is important to evaluate the condition of the blood clot. The worse the wound looks, the longer it takes to heal and more pain. I think that at each stage should be monitored by a dentist. In this case, the doctor’s task is to carefully assess the general condition and the hole itself in order to exclude alveolitis and, if possible, treat the wound with medication. Moreover, soon you will need to remove the drainage. Health and well-being!

      Reply
  27. Yulia:

    Many thanks! )

    Reply
  28. Natalya:

    Hello, about a month ago, two lower teeth were removed, 3 and 4 on the left, against the background of periodontitis. Shards stuck out, pain appeared, turned to another clinic, where they cleaned everything, cut off the sharp edges and carefully sewn it up. As it healed, it turned out that for further prosthetics, exostoses should be cut. On April 24, exostoses were cut. Now everything has dragged on, it looks neat, there is no swelling. By the way, I never have pus and edema with dental problems, but it is always the general condition that suffers from periodontitis and other dental problems. And now the temperature is maintained at 37.1-37.3 during the day, which goes away at night, nausea, lack of appetite. The gums in the area of ​​these teeth are redder than under healthy ones.

    I forgot to write that the pain persists when I click on the jaw at the place of removal.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The fact is that it is worth analyzing the situation comprehensively. First, you should take a picture of the removal area for possible inflammatory processes and residues of something foreign. If this fact is not confirmed, then more difficult. The difficulty is that without careful examination in the oral cavity, palpation of the gums, etc. no conclusions can be drawn. In general, the situation is not entirely classic: you have to pay attention to the picture, the state of the wound, data from an objective examination, etc.

      If no problems are identified from the removal side, then we will have to monitor the general state of health: a general blood test, selective biochemistry, consultation with an immunologist, therapist, etc. Until the problem manifests itself, clearly. Without knowing the true reason, treatment cannot be planned.

      Reply
  29. Anonymous:

    Thank you very much for the answer.

    Reply
  30. Galina:

    Hello! The dentist doctor treated the tooth, fang, and then said that he was rotten and removed it. 11 days passed, there was no temperature. There is a slight swelling of the cheek, when pressed it hurts along the canine, where there is a ledge. The hole from the former tooth does not heal, a grayish mixture near the hole. If peroxide is applied to this mixture, it boils. The doctor said applying a dent metrogel. My question is: will it turn out that inside it will rot, a cyst will form, but I won’t feel it. And what are the symptoms?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Galina! I think that alveolitis can be, even despite such a long period after removal. Although its symptoms are lubricated. I got the feeling that you are a little bit, but self-medicating. Be careful - concentrations of certain drugs can cause burns and additional problems. It is best to protect yourself and take a picture of the hole after removal with further consultation of the dental surgeon. I am sure that the picture can answer most of the questions you suspect.

      As for the preservation of the cyst: if a granuloma or cyst comes off and remains after removal, then most often it causes a violent reaction, but sometimes the process “falls asleep”. A snapshot may help diagnose this complication. I wish you health!

      Reply
  31. Kristina:

    Hello! They removed the 6th from the bottom left on May 13th ... I went to the doctor without pain, and they told me that the tooth could not be restored. Only a small part of the tooth remained on top, the rest of the root was caries and smelled bad ... Immediately in the morning, the cheek was swollen and there was a yellowish-gray bloom on the blood clot, there was an unpleasant rotten smell from the mouth. So another 1 day passed. I wanted to go to the doctor, but got a weekend. I went to her early in the morning, on Monday, the 16th, and she, even without really looking at it, wrote pills - this is tsifran and tsetrin, I let go of the laser. I went to the laser, then I bought pills and immediately drank. But in the evening the pain intensified, and I went to the emergency maxillofacial surgery at the hospital ... There I had an incision and a drainage. They said clean up in a day, here, tomorrow I’ll go clean.I drink these tablets on the 2nd day and went to the laser for the 2nd time today, but there is no effect ((The cheek is also swollen and firmer, but the pain is tolerable.

    What should I do next? ((The cheek has not passed the 4th day already. Today she also had her, but she was going to home, apparently, without a dressing gown ... And she reached out without a glove, only having washed her hands, is this normal at all? Is it worth writing a complaint about her?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Without gloves, you can’t even approach the patient. There are grounds for complaint, but such documents most often remain without attention. If the camera was in the office, but through the media, and so - it is useless, as a rule. But you can try.

      Swelling most often does not go as fast as patients want. That the drainage is good is good, but it’s important to establish the level of cleanliness of the wound. You should take a picture of the well after removal and contact an independent expert. If I were you, I would get advice from 2 dentists exactly in person. An image and an examination in the oral cavity is important. It seems to me that you need to perform a curettage of the hole and carefully treat the possibly left parts of the tooth or bone fragments.

      Reply
  32. Helena:

    Hello! On April 10, she removed the bursting five from above, due to granulations, the hole was cleaned on the 20th. Then she lay in the hospital for cholecystectomy and, after discharge, found that a growth was peeking out from a healed hole. It turned out again granulation. Again, the doctor performed a curettage. That was Friday. Today is Wednesday, I have swelling and frantic pain. The picture is clean, the hole is fine. Swelling of the palate and gives in the ear. The doctor said that this was due to prolonged bleeding, they even put a hemostatic sponge on me. I did not prescribe antibiotics. The pain is driving me crazy, maybe I should turn to another specialist?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Elena! The ear most often hurts due to irradiation from the lower teeth, but I think that we are talking about severe pain from the alveolitis after an unsuccessful treatment of the wound - the effect of a dry hole.

      Doctors sometimes confuse granulation with conventional wound healing. Not often, in general, it is required to clean the well of suspected suspicious tissues. There are risks that you become a victim of a confluence of circumstances: the hole is simply "tortured", and with it, you. I think that it is worth contacting another specialist and just creating a good blood clot: only biological protection creates a certain level of comfort. Often the wound is narrowed by special means to reduce the connection of the hole with the oral cavity. Additional medications only help healing a bit. See another doctor; you may be right in evaluating your treatment.

      Reply
  33. Olga:

    Good afternoon. I removed the top eight a couple of weeks ago, after three to four days I noticed a slight swelling, there is no temperature, it does not hurt, the wound does not bleed, the swelling does not increase. Sometimes it even seems that she is already gone, and sometimes it seems that she appears after eating. She seemed to the doctor, said that there was no inflammation, but the surgeon needed to appear. Removal was not difficult, the first days there were no problems. I eat constantly on the side of the extracted tooth, since on the other hand the teeth are prepared for the installation of the bridge. Thanks.

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! You have no question as such, but the symptoms are “blurry”. I think that the edges of the alveoli of the hole are in the stage of "resorption", and with pressure on the gum in the removal zone, there could be an injury to its edges. So it turned out that on the inside of the gum something happened of a local inflammatory process. The alveolar process of the jaw in the removal area will become smooth in about 4-7 months, but this is not a cause for concern: after prosthetics, the load on both jaws will become adequate and there will be no overload of the removal area. This means that anxiety will disappear.

      Reply
  34. Karina Vasilievna:

    Hello, I am 22 years old.On May 16, the lower molar tooth was removed, I don’t know which one by the numbers, I can only say that this is the second after the wisdom tooth on the right. So, they removed for a long time, painfully, piecemeal)

    On the fifth day I went to the dentist-surgeon who was removing my tooth, complaining of terrible aching pains of the gums. He (the doctor), said that everything is fine, bear and drink painkillers. Almost 10 days have already passed (if you count from the day of the operation). The gum aches terribly (I drink antibiotics and painkillers), my cheek a little bit, but there is a swelling, so to speak. The hole is unrealistically large, is this normal? Thanks in advance.

    P.S. I trust my doctor, but running to him every two days ... I think this is superfluous.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that you have alveolitis amid traumatic surgery. The doctor should be careful about the hole - if it is too large after removal, then the wound is best closed. Otherwise, it becomes a "trash" for infection of the oral cavity and food. I recommend contacting another dentist, making a curettage of the wound with the formation of a good blood clot. This will prevent the further spread of the inflammatory process.

      That you go to the doctor is normal. Healing monitoring enables success.

      Reply
  35. Dmitriy:

    Hello! They removed the upper 8 from the left, loosened the tooth when removing, the roots turned out to be hooks, did not break off, but the partition had to be removed. In the first days after removal there were no problems. On the second day, swelling of the cheek appeared, increased during the day, the temperature was 36.8. When compressing the jaw there is no pain, there is no smell from the mouth, but the feeling of fullness and aching pain is in the cheek. I went to the doctor again, they recommended drinking ciprolet, I also drink analgesics. Question: How long can swelling increase? And what are my next steps?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that this is the result of a traumatic manipulation - the edema simply gradually increased the pace. The duration of this process depends on many factors: immunity, degree of “crush” of tissues, openness of a wound, condition of a blood clot, etc. You can take a picture to diagnose its "purity". If the image does not show fragments, granulations, residual roots, etc., then follow the recommendations. Consult your dentist to clarify my correspondence data and suggestions.

      Reply
  36. Yulia:

    Good afternoon. On Tuesday, 05.24.16, the top eight was removed. They pulled and loosened the whole thing for half an hour - the tooth immediately began to crumble from above, but the root was sitting tight, the surgeon had to make a lot of effort to pull it out. They put a piece of gauze, threw it out, as expected, after about 40 minutes. On the same day after the anesthesia passed, I realized that there was an uncomfortable sensation - swelling of the gums in the region of the extracted tooth, from the outside (the one to the cheek). But I thought that maybe from injections (the needle was quite thick), and the removal was difficult. But the swelling did not go away after 2 or 4 days, as a result, today I went to the doctor again (but, unfortunately, I didn’t get to the person who deleted it, I looked different). He did not look carefully, only tried to touch, said "the bone edge, don’t worry, as the hole grows, it will pass, just don’t touch and rinse with nothing." However, this did not reassure me at all - what does the "bone edge" mean and what did the surgeon mean? Will it not turn out that this swelling will remain, or deform the jaw, or cause some other complications? In general, I worry how this “bump” would not remain there. Please clarify!

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that the surgeon you have identified the sharp edge of the alveoli against the background of complex removal. The fact that he "sticks out" and "sharpens" is not the norm, since it worsens the healing conditions.Ideally, the hole should be formed as it should: sharp protrusions are sanded or removed with forceps or bone nippers, and the gum is neatly laid and its edges are brought together. For this, they often resort to suturing. This should not be scared - this is for the benefit of the patient in order to reduce the risks of infection of the hole.

      If you protect the surgeon, then we can say that he relies on time and on the possibility of gums to grow in the direction of "emptiness". In any case, it is slow and not always comfortable. Even most often it is not comfortable and traumatic, especially during chewing.

      Reply
      • Yulia:

        Hello again! Thank you very much for your answer! Fortunately, I was lucky, it was not an alveolus, with the hole itself everything is ok. I went down again, already to the surgeon who was removing it. He carefully examined both the hole and the gum, and said that there was nothing to worry about. As it turned out, it “sharpens” me when I actively move my cheeks from side to side - the edge of the 7 tooth, used to cover it with 8 and I didn’t feel it, now it is, but I think it’s not a problem (at worst I’ll go to file / grind later or something like that). A swelling on the gum in the direction of the cheek (just around 7) is not dangerous, as the doctor said, "this is the reaction of the body - your immunity - to damage, heavy removal, it will go away in about a week, the main thing is not to touch and let the hole grow quietly." Well, given the fact that there is no pain, there is no aftertaste either, swelling on the gum started to decrease, and the most important discomfort, as it turned out, caused the edge of the 7th tooth, I think everything is ok. Although I will still monitor the condition in the coming days, and if anything, I will turn to the doctor again (but I hope everything will work out =)

        Reply
  37. Olga:

    Good afternoon. Yesterday, the top 4 was removed, I went to the doctor already with edema and acute pain, the root was rotten. Today, the entire right side has swollen, swollen eyes and a black eye. Is this a normal situation? There is no temperature, I drink ketans, as pain is present. Thanks.

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! Yes, swelling and descend in the ascending on the upper jaw, and descending - in the lower. A bruise is an ordinary matter. The lack of temperature suggests that the body has nothing to fight with. The consequences of already having edema will disappear in 3-5 days completely. Seem to the doctor for control (since it’s normal to track the healing of the hole at the dentist) and recover soon.

      Reply
  38. lily:

    Hello, on Monday, the 8th tooth was removed, on the first day there was a small swelling, on day 3 it became larger. In the area of ​​removal there is pain and a swollen cheek. There is no temperature, no bad breath, swallowing is not painful, but chewing is uncomfortable and a little sick. On day 3, the doctor put the medicine in the hole and said that the tumor had formed due to the empty hole, prescribed an antibiotic and soda baths. I have been drinking an antibiotic and have been doing baths for the second day, but there are no improvements. Should I go to the doctor again?

    Reply
    • Svyatoslav Gennadievich:

      Hello Lily! I think it’s worth going to the dentist for a consultation. The healing process after complex removal is not the easiest. Be patient and go to the doctor to sweep away all suspicions.

      Reply
      • Lily:

        Hello, the tumor has almost subsided! The pains also stopped, but there is a small lump in the gum and cheeks. What could it be? The gum at the removal site is almost closed, but the lump still does not pass!

        Reply
        • Svyatoslav Gennadievich:

          Hello! I think that the inflammatory process is gradually disappearing. Residual effects from traumatic intervention appear as a seal. It seems to me that it is worth observing for 2-3 days. Otherwise, it will not be superfluous to appear to the doctor, since palpation of the formation is an important diagnostic measure, and there is no way to remotely conduct it, at least.

          Reply
  39. Natalya:

    Hello, I already wrote on May 13th.After the extraction of the two lower teeth, there was pain when pressing the gum. I went again to the doctor with complaints of these pains and descriptions of my sensations of sharp edges when I felt the gums. She underwent another operation to remove sharp edges, two weeks passed, and in one place where the operation was performed, everything practically healed for me, and in the other there remains acute pain when pressed. I can’t say that the edge is very sharp there, but the gum from my palpations is annoyed. On the other hand, in the normal state of the bone, the gum would hardly be injured when pressed ... The doctor said that she did not feel any sharp edges and that it was necessary to wait for healing. But I do not feel positive dynamics. Acute pain when pressed persists. How to understand pathology or just long healing?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Tracking, unfortunately, is almost impossible. In the picture, the condition of the bone rowing, as a rule, is not displayed in the context that is required. Of course, tests for one individual well have been enough for the last month. I think that the doctor will not deceive you. Most likely, you already wind up yourself in advance, so it’s important to just calm down and wait a bit. At least track the dynamics for the coming week.

      Reply
  40. Natalya:

    Thank you very much for your answer.

    Reply
  41. Anastasia:

    Hello! The tooth was sealed, ached, jerked, and eventually went to the ambulance at night. They suggested making an incision on the gum, because there was pus! I refused, in the morning I came to dentistry with a swollen cheek, they pulled it out to me. Now the bag is hanging on the cheek below, small, and the hardening is apparently pus, and the circle is red on the cheek. There is no temperature, last night it was 37. It hurts when I bite, my cheek and a little gum aches! Tell me, is this normal? And is it possible to apply levomekol on the cheek? I drink antibiotics, rinse with soda.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I strongly do not recommend self-medication. Any appointments are formed only after a thorough examination, palpation and additional research methods (if necessary). I don’t think that any dentist who understands the material and thinks with his head can write you out with a light hand based only on your description: “it should be so, it’s normal”.

      For example, I am embarrassed by the phrase "hanging bag on the cheek." Without seeing you, I can assume anything, but in fact - there is always a risk of error in the diagnosis. That is why, just for the sake of caring for the health of my patients, it is in such special cases that I recommend coming and showing my problem right in the chair. Often, the patient calls ordinary things after removal with all sorts of scary words, but sometimes harmless, with the same words, “navel” is a complication after removal.

      I think that now it’s not worth explaining why it is so important already at the stage of healing the hole to consult your doctor, who will prescribe the necessary drugs if necessary.

      Reply
  42. Kirill Grigorievich:

    Hello Svyatoslav! I am 28 years old, yesterday I eliminated a wise tooth, at first it was bleeding and today it stopped. But now the problem is different: a swelling of the cheeks, temperature, and my dentist did not consult so that I could do home procedures. What to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Symptoms like yours are not uncommon after removal. The problem is that qualifying them as a complication that leads to negative consequences is possible only after careful analysis. Firstly, we don’t know how well the removal of the wisdom tooth was performed. After all, it is no secret to anyone that sometimes dental surgeons “forget” the root, part of it in the hole, or don’t scrape granulomas qualitatively (if any).

      Therefore, for an objective analysis, it would be nice to take a picture of the well.If everything is in order in the picture, then the hole itself and the state of the edema are already examined: localization, type, condition, etc. Of course, you already understood how far my approach in work is to the appointment of home procedures. Until I check that everything is so, I will never prescribe an antibiotic, sulfanilamide, antihistamines, anti-inflammatory ointment, etc. And I do not particularly regret rinsing, since they often wash out a blood clot - a biological defense for the hole. However, each doctor has his own approach. See your dentist who prefers a comprehensive and comprehensive approach.

      Reply
  43. Nadira:

    After removal of the 2 upper teeth with a cyst, there is swelling to the eye and a temperature of 37.7. This is the second day. Remove stitches in a week. I temporarily want to put a removable denture, but then I want to put an implant with a tooth. How long should I wait to bring to mind, and do I think right? There is an unpleasant moment - when the cyst was removed, they wanted to build a bone, but since everything was festering, they did not. How long to wait for bone repair, or build up already at implantation? Thank you in advance for your response.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The tactics of doctors are correct: you can’t put anything in the focus of purulent inflammation, since there are high risks, and the hole can be blocked for a normal outflow of exudate. In general, your question is not entirely correct. The doctor proceeds in terms of normalizing your condition and the condition of the hole after removal. Therefore, you will have to wait just as long until your body recovers to the required indicators: in general, and in particular (in the oral cavity). On average, it is 7-14 days. As for sinus lift (or bone building), I can say that this is a procedure that is performed before implantation. However, implants can be delivered on the day of sinus lift, or 3-6 months after it. Check with your healthcare provider about the technology you are using.

      Reply
  44. Valeria:

    Good afternoon! A little over a week ago, they removed the retiniated lower eight. For several days there was a slight swelling, no temperature. Now (according to sensations) the wound is healing well. There is no visual swelling, but it feels like the cheek on the side of the removal has become a little thicker than the other, and there is a small hard swelling on the lower jaw. The mouth opens normally, but talking, smiling and eating is a little difficult, because in place of this solid formation, a certain stiffness and tightness is felt.

    Should you worry and go to the doctor, or is this normal and will pass over time?

    Reply
    • Svyatoslav Gennadievich:

      Hello! It will not be superfluous for a dentist to appear. In principle, I can assume that after a difficult removal, the gingival edges are not exactly neatly pulled together, therefore, a hole (if I may say so) with a crushed gum, which after successful healing has become a little denser than on the other side of the jaw, has turned out. I have no other explanation without a detailed examination in the oral cavity. That is why monitoring after tooth extraction at your doctor is so important.

      Reply
  45. Kristina:

    Hello! A tooth was removed 4 days ago, the dentist said that the extraction was difficult, the tooth crumbled, the pus was pulled out (it took about 30 minutes to complete). I was prescribed antibiotics. The day after removal, a swelling of the cheek appeared (the gums did not bother me at all, did not hurt, there was only a little aching pain the next day). On the second day, the tumor subsided, and now there is only a slight swelling. Please tell me is this normal? I already want to run back to the clinic today, I’m very worried.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After removal, a wound was formed, and a local inflammatory process arose against the background of an injury. Inflammation is always accompanied by swelling, pain, local fever and impaired function.For some, this is more pronounced, and for someone, to a lesser extent. The dentist has done his best to make everything all right, but some of the nuances leave their mark. It seems to me that visiting the attending physician will not be superfluous, but according to the internal sensations - so far everything is within normal limits. Health to you!

      Reply
  46. Nata:

    Good afternoon. Removed 6 below (under the crown, the root cracked into two parts). I came home, removed the tampon, and severe bleeding began - I’m back to the clinic. 3 hours struggled to stop the blood. They put a medicated sponge, but at night there was still an anemone. The next day, the cheek swollen below and as if a round, hard and painful formation, it was very painful to open the mouth and the hole itself was sore. I went to the clinic again - they said it was normal, there was no pus, the lymph nodes were not enlarged. The next day the tumor subsided a little, but the pain remained severe - I was again at the doctor, some kind of weakness, no temperature ... The doctor said to come back in a day. I don’t understand: I came without a tumor and pain, and now I am suffering. What should I do next? Maybe an X-ray, because there is a seal below, though it has decreased. Or go to another clinic?

    Reply
  47. Nata:

    Good afternoon. I appeal to you again. Was at the doctor today, 5 days after removal, and constant aching pain. She opened the hole and picked it, the pain is very severe. Then she calmed down for a long time. She said no pus, drink Nise. Why does the pain last so long? Maybe somewhere else to turn? To make an X-ray? Please tell me how to be? I pulled out a tooth in a private clinic, perhaps they do not want to spoil their reputation or simply admit a mistake. The doctor gave a mirror and I looked: there was blood inside the hole. She said that this is normal - the wound heals. I am very worried because I am in pain.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I apologize that due to the large employment in practical dentistry, I could not answer in a short time. The fact is that in general terms (as you describe) there is no reason to think that your healing is taking place with serious violations. Moreover, the dentist showed you special care: as much as possible excluded the possibility of further inflammatory process in the hole. The formation of a new clot is one of the most promising options for the successful treatment of alveolitis. The fact that pain is an individual characteristic, and for each person it can signal differently, it is in your clinical situation in absentia that it will be extremely difficult to understand this symptom alone. The answer to your last question lies on the surface: you can check the work of your doctors by taking pictures of the hole after removal in a nearby clinic. Often, and in a state hospital (clinic, center), you can get extremely informative consultations (with and without pictures), finding the cause of the pain. It seems to me that your main task is to follow the doctor’s recommendations, and if necessary, no one cancels the right to receive face-to-face consultation with another dentist. I am sure that you just lack competent correction of treatment. Check the wound for fragments and bone remnants, roots, granulomas, etc. in the absence of positive dynamics would be useful.

      Reply
  48. Nata:

    Thank you very much for the answer. Indeed, the pain continues, the gums around are red, but we can say that the pain is a little less every day. Most likely, this is really my feature. Perhaps I will go to the state clinic tomorrow, do an X-ray there ...

    Reply
  49. Natalya:

    After tooth extraction, I always have a jumping temperature. At night 36.4 - in the afternoon until 37.4, tachycardia. I read on the Internet a description of people in similar situations, they chase everyone like a soccer ball, according to various experts, but no one recognizes the connection of this temperature with teeth. And in general, because on the Internet it is written about alveolitis that there is a temperature.You will come to the doctors, just like partisans: there can be no temperature, go get examined. Is this a conspiracy? Is the body really not supposed to respond to the removal of the inflamed root, for example? Here I read your correspondence, most have swelling and pus, without fever. And here I have a general condition immediately turns on. What is this topic for someone’s dissertation?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Not sure if this is a topic for a dissertation. He repeatedly removed permanent teeth that cannot be preserved in adolescents. The picture is approximately the same: closer to evening, on the first day of removal, the temperature rose to high values. The next day, everything stabilizes, and almost always does not rise above 37.3. The pattern you described is, in theory, the opposite. I think that such an immune response to an injury (wound) is purely individual. Honestly, I had the opinion, as a general practitioner surgeon at a mixed reception, that most people do not perform thermometry at all after removal. In principle, if a person is "sausage" after removal, then he will then definitely say, but almost always does not specify what the temperature was.

      Most people do not have a fever on the site, but often patients tell about 3-4 days after removal, and sometimes even 2-3 weeks ago. Others do not measure it at all because of banal laziness. I would like to write a dissertation on your occasion, but, unfortunately, there is not enough data on the history of your diseases, anamnesis of life, health, and so on. All this could shed light and, almost surely, would explain the nature of temperature jumps differently from most.

      Reply
  50. Anonymous:

    Thank you very much for the detailed answer.

    Reply
  51. Irina:

    Three weeks ago, the upper right canine was removed. There was some kind of inflammation, so the upper eyelid in the corner of the eye was already swollen. Three weeks have passed. Heals poorly. So the hole is pink in appearance, but when brushing my teeth still, if I accidentally hit it with a brush, it starts to bleed. They took a picture, everything is clean. Why is it still bleeding?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Because the inflammatory process in the regional gum has not yet been completed. The fact that there are no common symptoms does not mean anything. The tissue in the hole, as it were, “grows”, new fibers are formed, which by itself determines the possibility of bleeding when injured by a brush. Not seeing you, it is difficult to unequivocally answer the question, but I am inclined to the fact that so far complex healing determines this symptom. So I can only advise you to slightly adjust the technique of brushing your teeth, make movements in this area more gentle.

      And when will you begin the first stage of prosthetics and have you already made an artificial prosthesis (butterfly prosthesis)?

      Reply
  52. Irina:

    Thanks for the answer. While doing without a butterfly. I will be prosthetized after healing.

    Reply
  53. Olga:

    Hello, on September 2, the rest of the tooth was removed (almost nothing remained) and the root. Removal was quick. Today, on the 5th, the cheek is swollen. The pain is very weak. With pressure on the cheek is stronger. Should I still go to the doctor, or is this normal?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Of course, yes, since the swelling began to occur, as I understand it, 3-4 days after removal. I am sure that alveolitis should be excluded. If the dentist diagnoses alveolitis, then the curettage of the hole, its antiseptic treatment and the formation of a new blood clot will be required. Sometimes a photograph is required after removal to confirm that the doctor left the well “clean”. I wish a speedy recovery!

      Reply
  54. Nataliya:

    Hello, Doctor! Tell me, please, what could be in my case. Yesterday removed the bottom six on the right. With the introduction of anesthesia, the doctor hit the bone hard with a syringe, and when the medicine was administered, the tongue was like a strong electric discharge.The tooth was resorcinol-formalin; when trying to remove it, it crumbled, the doctor cut the roots and removed them in parts (one of the roots also broke). The doctor put 3 stitches. In general, the tooth was removed, the blood did not stop for 4 hours, until I injected myself with dicinone. The next morning, the cheek swelled quite strongly. And all would be nothing, the gum in the hole is light, but a white coating appeared. But the most frightening thing is that next to the hole on the gum there appeared an explorer with a white head! What could it be? Edema has not yet subsided. Today is Sunday, and the doctor will only work on Tuesday after 14. What to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that these are the consequences of traumatic removal. It is difficult to say without an examination, but there may also be a continuation of a purulent inflammatory process. Alveolitis is still too early to arise, but it is worth checking the quality of removal. A snapshot of a well could shed light on the “purity” of tooth extraction. It makes no sense to wait; you should consult a dentist on duty for advice.

      Reply
  55. Ivanova Anna:

    Hello, Doctor. In mid-August, my tooth became very ill (6, lower right). This tooth has long been “dead”, put a seal 4 years ago. I turned to emergency dentistry, where the next morning they gave me a referral for an x-ray. After this examination, it turned out that my channels were poorly sealed, and the cyst grew all this time, and after I got cold, it also became inflamed. In general, they cleaned my seal, cleaned the canals, made an incision, put in a drain, prescribed antibiotics and sent me home, they told me to come in 2 weeks. But since I was in another city and in the near future I was going to return home, I did not get to them anymore. Upon arrival home, I immediately went to the dental clinic at the place of residence (by the way, I removed the drainage after 3 days, as the doctor told me). I again cleaned the canals, and put a medical seal. And before that, of course, they did the x-ray again. I went with this seal for a week, and then they replaced it with a new one (since there was some pain during the cleaning of the channels). But literally two days later my gums swelled up, by the evening an abscess had formed, which, when pressed against the gum, opened, a lot of pus flowed out, but not all of the pus came out. In the morning I went back to my dentist, she squeezed the remnants of pus to me, took a second shot and sent me home. I came to her again by appointment a few days later, and the same manipulations were repeated (cleaning the canals, filling the seals; although she said that it was still better to remove the tooth). A day later, an abscess appeared, it was periodically opened, I passed like this for 4 days. On Monday (12.09.16) she turned to the doctor again, and she sent me to a surgeon, and he safely pulled out my tooth. So, the question is: should he have cut my gum and put drainage in it? After all, there is a purulent process, where to go out with pus? That swelling of the gums, which was before the extraction of the tooth with pus, remained. The doctor himself said that he had “rotted” part of the bone, even when it was cleaned it was sore, although the anesthetic was strong. It seems to me that such inflammation will be difficult to cure with antibiotics alone, an outflow of pus is needed. What will you advice me? Thank you in advance for your response.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Drainage is a recommended measure, but not mandatory. If we are talking about periostitis and similar complications, then the drainage is almost always established, since the purulent exudate is not evacuated through the hole of the removed tooth as effectively as we would like. The correct saying in surgery is: “Where there is pus, open it.” However, often without cuts, everything can be normal. Since I was not standing behind the doctor’s back, it’s hard for me to judge why the dentist chose the option without an incision. I would advise you to follow the dynamics and if there are signs of increasing edema or alveolitis, immediately contact your dentist for help.

      Reply
      • Ivanova Anna:

        Thank you for your reply.Healing proceeds normally, without signs of intoxication, the hole is delayed, the blood clot is completely replaced by fibrin (although at first I thought it was pus). Of course, swelling of the gums still remains, but not so pronounced. He bothers me, but the doctor said that with such inflammation, as I had, it is in the order of things.

        Reply
  56. Daria:

    Good nights! Today they removed 8 of me, it was a difficult removal, the doctor put me painkillers and some other sponge and put 4 stitches. She warned me that my throat could hurt, as with angina, and this is normal. After coming home, my cheek begins to swell, it becomes hard, when pressed it hurts, it is understandable, an injury. But the question is: how long will the cheek be swollen? What can be done to reduce sore throat? I am currently in position, 1 trimester.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Edema after removal decreases on average 3-5 days, less often - up to a week. An increase in edema, or negative dynamics from the general condition (temperature, pain, weakness, disability) suggests that you should immediately consult a doctor for help. As for pregnancy, this is a big minus for the antibacterial treatment option. Almost all drugs that help to quickly cope with problems after removal are not recommended or contraindicated. Therefore, we need a joint consultation of the gynecologist and the dentist treating you in order to find a compromise in the treatment of drugs taking into account the assessment of your health and the severity of the disease (after tooth extraction).

      Reply
  57. Nataliya:

    Such a question to the doctor: a week after tooth extraction (6) and 4 stitches in the hole, 2 gray spots are observed (apparently, a clot with fibrin where the roots were), white threads and white edges of the overgrown hole. The view is terrible, because it seems like pus - is this normal? There is an unpleasant odor. But the swelling of the cheeks and jaw and painful sensations, fortunately, have already passed. I hope everything is going fine, but the white pieces on top of the hole and a little pain are still very annoying. Is everything alright with my hole? I really want to put an implant there, that's why I'm worried.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that against the background of the ongoing alveolitis, implantation is contraindicated so far. Before putting anything, it is important to get the approval of the maxillofacial surgeon. In principle, without seeing the hole, I can say nothing more, neither good nor bad. From your words, I’m almost sure that the alveolitis was, but at the moment its manifestations are minimal. I recommend coordinating my consultation with your doctor.

      Reply
      • Nataliya:

        Here, apparently, I missed something. I did not notice that I had alveolitis, i.e. the pain in the hole was not strong, there was no pronounced pus, hygiene was observed without rinsing, I made baths of chamomile and chlorhexidine. I think the white pieces on top of the hole are threads that have not yet resolved. Only now, another question bothers me. Under a dense white coating (I think that this is a thread), one part of the hole is closed, one of the roots of the tooth, and the second is the visible part, where the second part of the root was almost empty. This may be - part of the hole is filled with a clot, and part is not? And what to do next? And in general, what do competent doctors do in such situations? It is very important for me. I really want to put an implant in 3 months.

        Reply
        • Svyatoslav Gennadievich:

          Hello! Before implantation, special care for the hole is needed. It is important to fill it with osteoplastic material, autologous shavings, etc., so that the alveoli bones do not lose due to shrinkage, I'm not talking about the careful attitude to the walls of the hole during the removal procedure. In general, the shape of the future bed for the implant is important here, the success of implantation largely depends on preparation.It is no coincidence that after not quite accurate deletions (as well as after deletions performed many years ago), the implantologist has to do sinus lifting (not only when the maxillary sinus is close), since a certain height of the alveolar process is needed. In general, my position regarding the holes is as follows. In general, there are many approaches to the question of what “good” holes should look like before implantation. It all depends on the competence of the dentist.

          Reply
  58. Tatyana:

    Hello. 1.5 months ago, they removed a complex 8-ku. Removal took 2 hours, 6 injections of anesthesia. After this unbearable pain began, the entire right side of the head ached. Immediately swollen cheek, chin and lower lip lost sensitivity. From the first day I was prescribed an antibiotic and ketorol. Periodically, I visited the dentist, the answer was one: bear with me, everything will pass. I went to a neurologist (for all the symptoms, I decided that the problem was with the trigeminal nerve), he prescribed me an antibiotic again, only in injections (2 times a day) and he was charged with injections (1 time per day). I have been stabbing for a week, the pain has become less, or I just don’t feel it under the influence of voltaren, but the edema does not go away. I took a panoramic picture, 3 different dentists claim that everything is fine and the hole heals well too. The blood test is normal. All is well, but I am not better. All this time I'm sitting on painkillers. Is it normal that after 1.5 months the pain, swelling and numbness persist? What can you advise?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that the removal was extremely traumatic, that all this provoked compression or even injury of the mandibular nerve, hence the numbness. However, I don’t understand why numbness coexists with pains - after all, usually such sensations are perceived as “freezing”. It’s hard for me to say anything about edema, it usually decreases within 10-12 days, sometimes it takes about 2-3 weeks, but certainly not 1.5 months. If the blood test is normal, then we are definitely talking about the consultation of a professor, the head of the department of maxillofacial surgery. Not connected and in many ways contradictory, in my opinion, symptoms that deserve individual consideration, and, it is possible, - consultation. It is possible, even in another city, since doctors can cover a colleague or simply cannot, like me, relate symptoms that are strange for 1.5 months after removing a wisdom tooth. I would also like to examine and see for myself what is happening with the tooth socket, but so far my recommendations, again, come down to getting advice from a highly professional maxillofacial surgeon.

      Reply
  59. Anna:

    Hello! My question is: two teeth were pulled out to me 3 days ago, or rather, what is left of them is one root. After being pulled out, on the morning of the next day the cheek began to swell and the gums ached a little. I eat only on the left side, what should I do? Run to the doctor? Or is this a normal healing process?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Edema after removal for 2-3 days often occurs, as a variant of the local inflammatory process. Moreover, two damaged teeth were removed. The growth of formidable symptoms (severe pain, swelling, fever, putrid breath, etc.) is a 100% reason to immediately consult a doctor, but any first signs that may create certain risks also oblige you, as a conscious the patient, see your doctor to rule out future problems.

      After examining the holes and analyzing the clinical situation, it is the doctor who can say for sure whether this healing is normal or not, and also correct (if necessary) home treatment.

      Reply
  60. Hope:

    Good afternoon. Answer me please. On the 9th day, as 5 and 6 were removed from below, on the 7th day of CT (there was pain in the region of the missing 8) - the holes are in order. An incision was made along the transition fold, squeezed out pus, without installing drainage.Now the swelling is small, pulling pain. Purulent plaque at the site of the cut excites. The doctor said general hygiene. Every day you won’t run to him, tell me what you can do, chamomile and sage do not help?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The most important thing is to determine the cause of the purulent discharge. Diagnosis and subsequent treatment are important here. As for the prescription of drugs: here it is difficult for me to advise something without seeing you. If you do not trust your doctor, you can get a consultation with a dentist in another clinic. It is important to consider your case individually, directly in the dentist's chair, otherwise it can be harmful. Health to you!

      Reply
  61. Olga:

    Please tell me, 6 days ago, they removed a complex wisdom tooth. He lay in the gums, periodically inflamed. It was deleted for a long time, almost 1.5 hours. They injected 6 ampoules of anesthesia. They pulled out a tooth and put a drain. By evening, the temperature rose 38. I drank an analgesic pill and fell asleep. The next day, the cheek was swollen and under the cheek. A day later, the mouth ceased to open, barely, a small click, I can eat only with a small spoon. They took a picture, the doctor said that everything was fine, and pulled out the drainage. A day later, the tumor did not go away, numbness of the lower jaw and lower lip was also added. At the bottom under the place of tooth extraction is a dense painful ball. The mouth never opens. I went to the doctor, he looked and said, it is necessary to develop the jaw through pain, otherwise the muscle will atrophy. I'm honestly just in a panic.

    Tell me, maybe the doctor is hiding something from me? The temperature keeps at around 37.5. And the night is a constant aching pain, as if all my teeth hurt at once, and it is very painful to swallow.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Firstly, I am confused by 6 ampoules (I think that we are talking about carpules) of anesthetic. Even for an hour and a half, this is a bit much, since at that time 2 karpul of technically correctly performed anesthesia with an anesthetic of an articaine series in the classical dilution of adrenaline would be enough. If you have been injected with lidocaine, then I have no comments (this is the last century).

      If you have been given many injections of anesthesia (more than 3-4 times), then this could affect the violation of the opening of the mouth and general condition. But usually this symptom is associated with a traumatically performed operation. There is also a suspicion that there is a beginning alveolitis.

      I would not want to offend anyone, but I have doubts about the attending physician, so it would be nice for you to contact another dentist for detailed advice and a careful examination of the hole directly in the chair. I hope that everything will become clear and your home treatment will be corrected: since you did not write anything about the recommendations, you are inclined to think that they were not there or they are not completely in full.

      Reply
  62. Anna, Olekminsk:

    Hello! I am 31 years old, 10/25/16 removed the fourth tooth from the top right, or rather, the root, since everything else has rotted. Removed very quickly and painlessly. Two hours later, when the effect of anesthesia began to be released, aching pains began, small, analgesics did not drink. The next day, there was practically no pain. But there is a small tubercle or edema above the hole (I don’t know how to express myself correctly), when pressed, it is painful. Pus is not visible, just reddish, in contrast to the pristine gums. Yesterday, 10/28/16, the seven was removed from the bottom left, and I showed the dentist, she said that everything was fine. And even today, the upper hole weakly grows. I bought and started to smear Metrodent, I do not rinse. We don’t take pictures. What do you say on this occasion? Maybe some recommendations?

    Reply
    • Svyatoslav Gennadievich:

      Hello! To make assumptions without taking a picture of the holes after removal is to guess on the coffee grounds. I know a lot of cases when dental surgeons ignore the remnants of the roots or fragments of the crown,since it’s problematic or trivial for the doctor to “climb” after them when they break off, there are no proper skills (sometimes time). Therefore, the doctor may well say that everything is fine. I don’t know whether it can be called a hoax or not, but in fact checking the holes for the doctor’s mistakes is my priority. That is why the picture is worth taking somehow: if the holes are clean, then the alveolitis should be excluded. Perhaps, while I have no more comments on this subject.

      Reply
  63. Andrew:

    Hello. 20 days ago removed 7 from the bottom. Healed quickly, but there was a lump on the cheek, at the place of removal. There is no pain, no temperature. The seal is solid. What could it be?

    Reply
    • Svyatoslav Gennadievich:

      Hello! There are several options: either a bone protrusion under the gum (exostosis), or as a result of traumatically performed removal, the edges of the wound are formed. Without inspection, to say for sure that this is not possible. Consult your dentist in a chair.

      Reply
  64. Aydar:

    Good day! 4 days ago removed the bottom 8-ku. The tooth crown was destroyed and there was slight suppuration. Removed quickly and painlessly. Did the head of ChLH, Ph.D., 20 years of experience. There were no severe pains after removal. The temperature is normal, no unpleasant odors. In general, the healing process did not cause any particular discomfort. But on the 3rd day there was an edema of the cheek, on the 4th day the edema began to slide down and, as it seemed, increased. There is almost no pain, only when you click on the cheek or jaw gives a little. Or if I open my mouth wide, for example, when I yawn. In general, the gum does not bother, health is normal, but the cheek is swollen and the edge of the lip. On the cheek, in the place where the anesthesia was injected, there is a small seal, when pressed, it hurts. Is it worth going to the doctor for an examination if nothing bothers, only swelling of the cheeks? And if this is a normal reaction, then after what time should the edema pass? Thanks in advance.

    Reply
    • Svyatoslav Gennadievich:

      Hello! It’s worth going to the dentist, of course, since you can skip the transition of the initial inflammatory process to the alveolitis. It is clear that now the risks are minimal, since after removal, edema often occurs, which just slides down exactly on the lower jaw. You correctly noted this: the result of both the appearance of a wound in the oral cavity and the injury at the injection site of the anesthetic. Edema passes most often in 5-10 days. After a difficult wisdom tooth extraction, you should go to the doctor to exclude the possible risks of infectious inflammation. Thanks for the question.

      Reply
  65. Alia:

    Hello. 11/12/16 removed a tooth for three-year-old son, the next day in the morning the cheek was swollen and the eye closed a little. We went to the doctor, said to rinse with a camomile and put a compress with vinyl balm. The tumor passes, the redness remains a little - is this normal? Tell me please.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The positive dynamics is, of course, good. However, the appointments do not inspire confidence for me, I would recommend, in case of the slightest fear, to get advice from another doctor.

      Reply
  66. Alexei:

    After removal of the lower wisdom tooth, the cheek was swollen. I read all the comments, calmed down for 2 days, but in vain. Doctor, why do you advise people to wait for the tumor to fall down for a few days, go to the dentist, check if there is a bad breath? Why do not you advise to run directly to the maxillofacial surgery? What the hell are dentists? Why not write about phlegmon? That they cut the cheek more than once, and from ear to ear, and in the absence of bad breath from the mouth when the cheek is cut in half a glass of pus, it pours out and flows all week. And a hospital for 10-20 days is provided. And if you pull a couple of weeks without going to the doctor, it is rare, but still fatal.

    I will continue. People, do not go to small dentists and towns with a strongly swollen cheek. Not their level.Only a large city and surgery, because the inspection is carried out by the head of the department, and this is usually a doctor of science or professor. Of course, I do not really understand the ranks and degrees, but still. For 3 days, the dentists missed the phlegmon in 2 different state clinics and sent them home to rest and wait for the tumor to fall. I am indispensable at work, the boss is furious. Acquaintances were found at the level of deputy chief of the regional health service. Dentists will be fired. Such mistakes are not forgiven.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Alexey! Could not pass by your personally contradictory commentary for me. I must say right away that I understand your situation, that losing health and risk on the verge of life and death is serious. Perhaps, being in a similar situation and having certain acquaintances, I would also like to dismiss representatives of medicine (especially in the state). However, let's look at this situation from a different angle.

      I do not think that two frank “fools” sat in two state clinics at the same time. Do you think two doctors are unsuitable? And what about the situation that could have happened in many hospitals: such a doctor sits and, for any malignant edema that people always call a “tumor,” he sends to the maxillofacial surgeons in the city who are simply stunned, to put it mildly, by such a quantity Patients referred "out of business". I understand the outpatient care you encountered in the clinics, as doctors there almost always encounter cases that are treated on an outpatient basis. Of course, home-based methods alone may not help in all cases, but I can say that the situation simply “shot” not in favor of doctors, not in favor of you.

      As a result, you “freed” the doctors who, tired of the routine reception of the state health care system, began to approach their business formally, while they themselves were satisfied that they had fulfilled their duty and found justice in something. But I dare to upset you, although I essentially agree with you: good dentists and diagnosticians who are versed in all profiles of dentistry in the state hospitals of one city taken can be counted on the fingers.

      The one who does not work is not mistaken. I know one dentist who, due to a conflict due to a mistake in the diagnosis of the child, when he was almost fired, now he doesn’t treat people at all, he simply writes down those he consulted in the journal (he also records that he was treating caries). He told me on the phone that “I’m afraid to receive, I’ll make a mistake again and then they’ll fire me.”

      Reply
  67. Victor:

    Hello, 3 days ago I removed 46 teeth, the operation was very painful and long, it lasted 2 hours. And after the tooth was removed the next day, the cheek was swollen, then on the second day the edema increased, on the third day the edema went down, and on the cheek the whole cone was underneath all this time, rather small and not badly expressed. What is most interesting is that it is solid. I rinse with furatsilinom and salt. Swelling of the cheek passes, but this bump is not, and does not grow, and does not decrease. Tooth extraction was difficult, using a drill to cut the root. Tell me, is this a complication or not?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Subjective sensations in this case are not very conducive to analysis. Without inspection, to say that with you, I find it difficult. Usually, patients still take the residual effects of passing edema as a solid, which often "goes down" on the lower jaw. Still, patients take a lymph node upon palpation for “hard under the jaw”, which, after tooth extraction, for many reasons can be slightly enlarged. I think that you should consult a dentist so that he personally palpates in a chair and compares it with the symmetric (healthy) side. Thanks for the question.

      Reply
  68. Pauline:

    Hello. Today 2 teeth on the lower jaw (the most lateral) have been removed. One tooth stopped bleeding quickly, the second bleeding for about 8-9 hours.It was removed in stages: it broke 2 times, and for the third time they just pulled out the root. The cheek is swollen on this side, there is no temperature. It was a malaise, but I think this is from blood loss. Should I contact a specialist? Deleted because they were sick and dilapidated.

    Reply
    • Svyatoslav Gennadievich:

      Hello! It’s worth contacting, since you had a situation with secondary (late) bleeding. That is, everything was in order in the dentist's chair, and upon arrival home, as the effect of anesthesia and its vasoconstrictor components decreased, bleeding from the hole occurred. Maybe there was an increased blood pressure, or the use of drugs, "thinning the blood", etc. (there are many reasons). The invasiveness of the removal also affects, and against this background - vascular injury. All this gives reason to run to the dentist, check the blood clot in each well, and also, perhaps, the help of the local therapist will be needed to restore the body's strength and return to work. About the blood tests, which are important to take to determine the severity of your general condition, the therapist will inform you at the appointment.

      Reply
  69. a guest:

    An excess of bloody photos, because of them, did not even read the article.

    Reply
  70. Helena:

    I read the comments and answers of Svyatoslav Gennadevich, so complete and prudent answers that I did not even have to ask anything about my situation. I just want to say: thanks, doctor!

    Reply
  71. Svetlana:

    The 4th tooth was removed from above. There was a bruise on his cheek. 7 days have passed, the whole cheek is black and swollen. What to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Generally speaking, normally the bruise should "turn yellow" every day and disappear noticeably, and edema on the 7-10th day already disappear or become much smaller. I think that for the symptoms you described there is a need to urgently see a doctor, since I personally do not understand the reasons for the picture that you described (if you are not exaggerating due to the subjective look). The dentist will certainly assess the severity of the situation and, possibly, adjust the treatment.

      Reply
  72. Sergei:

    Yesterday the lower extreme tooth was removed and the cheek was incised, now it is difficult to chew and swallow. The doctor prescribed antibiotics and dimexide. How long does it all go?

    Reply
    • Svyatoslav Gennadievich:

      Hello! With the professional approach of a doctor during tooth extraction and your fulfillment of all the necessary recommendations in the postoperative period, these symptoms should disappear within 4-7 days. And although everything is individual, it is important to ensure that it becomes better every day (that is, that there is a positive trend), and if it worsens, you should urgently consult your doctor.

      Reply
  73. Oksana:

    Hello. 10 day after I removed the lower 6 tooth. Alveolitis developed. The doctor carries out the treatment, but on about 6-7 days the upper part of the cheek began to swell and the lymph node in the armpit became inflamed. Temperature 37. Started taking Flemoxin - 2 days. So far, everything is at the same level. Please advise.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Given the seriousness of the situation you are describing, I recommend that you receive in-person consultation with another dental surgeon in the clinic. It should not be that the medical complex leads to deterioration. Perhaps there is something that the attending physician did not notice. Good luck!

      Reply
  74. Andrew:

    Hello! 9 days ago, the lower left tooth was removed (8, sort of). Removal was difficult, something was picked in the hole, pressing hard, made an incision and put drainage. The cheek tumor had subsided, but a seal remained at the bottom of the gum, almost on the bone. The pain stopped, even when pressed, the hole is clean, it overgrows, it seems to be normal, there is no pus and no smell, no temperature either. They did injections deeply, about 3 times they couldn’t get somewhere + they pricked them with local anesthesia. What kind of condensation can this be, is it worth worrying?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Judging by your description, it can be a bone protrusion or an uneven edge of the hole after traumatic removal. Dental surgeons understand their tasks differently: some believe that the main thing is to remove the roots of the tooth and no matter how traumatic it will be; others are guided by the principle of quality - the hole should be neatly formed after removing all the roots. That is, you may have come across an option when the tooth was formally removed, but the bone edges could not have been properly processed. This, in principle, is not dangerous, although there may be difficulties with prosthetics or implantation in the near future (up to 5-6 months).

      Reply
  75. Ivan:

    Hello, I removed the 6th wisdom tooth, came home, went to bed. Woke up the next day - the cheek was swollen. Already 2 days does not subside, there is no temperature, but when you click on the cheek (closer to the eye) it hurts a little. Tell me, is this normal? And when does the swelling subside? Thanks.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Usually, edema after tooth extraction can occur just on the 2nd day of removal and lasts another day. Further, the trend is improving: with the patient correctly following all the recommendations and the absence of errors on the part of the surgeon, the swelling decreases, the temperature no longer rises, there is no severe pain (it can only be chewing), the condition is satisfactory - you can even work. If symptoms increase from 3 days of removal, urgently see a doctor. It goes without saying that if something serious is suspected, it does not interfere with going to the doctor, at least for monitoring (not a single good specialist will refuse an examination, even for preventive purposes). Completely edema usually disappears in 5-7 days, and with excessively traumatic removal - in 10-14 days.

      Reply
  76. Ruslan:

    Hello! On January 12, he removed the lower penultimate tooth; removal was very difficult. The gum is ripped apart badly. Today is January 16, in the hole a white-gray coating, and the cheek is swollen. I can get to the doctor after 6 days, as I am going on a train. I drink Ketanov, rinse with soda and salt, smear with solcoseryl. Am I doing the right thing?

    Reply
    • Svyatoslav Gennadievich:

      Hello! It looks like alveolitis, judging by the symptoms. I partially agree with the pain medication; otherwise, you are doing it wrong. Without determining the reason for removing the symptoms with dubious means and, all the more, putting your hands in your mouth and smearing with something is the wrong tactic. The best option is to consult a dentist and determine if there is a purulent inflammatory process in the hole. The reason can often be identified by the picture. I hope you will see a doctor sooner than after 6 days (I understand that in your case it is not so simple). Untreated alveolitis can lead to osteomyelitis - suppuration of the bone. In such cases, it is not worth checking the immunity for the strength of its protection, since when leaving fragments in the hole, granulomas or roots, everything can be serious. Thanks for the question.

      Reply
  77. Anonymous:

    Hello, 4 days ago I deleted the bottom eight. The first day everything was bearable, on the 3rd day I went to the doctor - the wound was washed, the medicine was put again. But the pain does not go away, it hurts to swallow, and the mouth does not open. How long can it last? No temperature. I drink Nyz, diazolin and rinse my mouth with a solution.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Typically, these symptoms last about 7-14 days, with a gradual decrease in severity. This process should be accompanied by regular visits to the dentist, especially if the condition worsens. I would recommend monitoring the healing of the hole with a doctor about once every 3 days.

      Reply
  78. Helena:

    Hello, four days ago 6 teeth were removed from the top. Before that, he was treated, but could not be saved. I already went for removal with a swollen cheek. After removal, the hole heals normally. The blood clot was covered with a white barely noticeable film.There is no pain. Edema almost descended from the gums, but it doesn’t leave the cheek, on the second day it increased slightly, but now it does not grow. In the area of ​​the cheek, near the nose, as if something was interfering, as if there was a lump of air or something. When pressed, it does not hurt. Tell me, is this normal?

    Reply
    • Svyatoslav Gennadievich:

      Hello! You describe symptoms that are within normal limits and do not suggest something terrible. For 2-3 days after removal, the swelling can be strong - this is nothing special. You do not write about the temperature - it means that it is normal. There is a blood clot in the hole, which is just wonderful, a white “film” is the norm, there is almost no swelling, the symmetry will return in the near future. As for the "air lump": in the absence of other symptoms of perforation of the maxillary sinus, we will consider that these are features of your perception of a small edema in the postoperative period. If other symptoms appear that cause serious concern, consult your doctor, but for now there is no reason for concern. The hole heals within normal limits.

      Reply
  79. Jana:

    Hello. My wisdom tooth climbed, half crawled out right away, half couldn’t - my cheek was swollen, pain, my lymph node was inflamed. Surgeon excised the gum hood. Rinse with soda solution. Everything was fine, a little sore, but today (the 5th day already) I woke up with a numbed area on my chin and lower lip. The temperature is 37.5. The gum itself is pinkish, not swollen. The lymph node is also still inflamed. Am I having a complication? How can they help me? I would not want to injure my gums again ((

    Reply
    • Svyatoslav Gennadievich:

      Hello! If this method is unsuccessful (excision of the hood), it is usually recommended to immediately consult a maxillofacial surgery to remove a wisdom tooth. Unless, of course, the surgeon, after examining the lymph nodes, face, gums near the problem wisdom tooth, takes responsibility and says that it is not worth removing it yet. But the negative dynamics is a good reason for the speedy removal of eights against the background of pericoronitis. If your problem nevertheless "resolves" without tooth extraction - it can be said that you are very lucky. Personally, I will write to everyone who faces the same situation for the future: do not mess with the bottom problematic wisdom teeth. In an extreme case, if the incision of the hood did not help and it becomes 3-5 days worse and worse, run for removal to the maxillofacial without wasting time.

      Reply
  80. Valeria:

    Good afternoon, the tooth began to ache terribly at night, or rather, what was left of it (the root of the lower 7). The next morning I went to delete. The injection was painful, the doctor said that there was pus, so it hurt so much. After the injection was made, pus began to come out, the tooth was removed quickly. Then everything was fine, the gum ached a little, there were no tumors, it seemed. But the next day, a tumor appeared, but not critical, the pain started stronger. In the hole, either something white, or something gray, I do not understand. Is this normal? And is it worth it to go to the dentist?

    Reply
    • Svyatoslav Gennadievich:

      Hello! After removal, the purulent exudate can still be freely evacuated from the hole for a couple of days, and more often the dentist makes another access for him - an incision along the transitional fold in the projection of the removed roots. The next day, edema most often appears against the background of removal + of an already existing purulent process. That is, unfortunately, everything will not be quickly eliminated, as everyone would like. On average, edema lasts about 2-3 days, sometimes up to 5-7. This is not critical, but if symptoms worsen, there is a reason to consult a dentist. In principle, good dentists recommend contacting them to monitor the healing of the hole 2-3 days after removal, so it’s okay if you ask for a planned consultation.

      Reply
  81. Maryana:

    Hello! Today is the third day when the fang was removed, there was one root, and all the time it was sick, there was pus.Before removal, the cheek swelled and the tooth hurt. I rinsed with salt and soda (19th century), but the pain subsided and the swelling began to subside. I went for removal. I am 45 years old, but this is still a milk tooth, and somewhere above, a permanent tooth stuck there - apparently, I could not get through. He is still buried there.

    They removed the root, prescribed an antibiotic and rinse. On the second day, the cheek swelled, it hindered right under the eye, and for some reason it blocked its nose - when blowing it, it gives it to the left ear (the tooth is from the top left under the eye). And the throat hurts, as if - I definitely don’t understand, maybe the palate (there are no tonsils), it’s hard to understand. The first day was very bloody. Yesterday, saliva with streaks of blood, this morning too, and now I looked - a white film or what it is, I do not know - maybe pus? I called the clinic, they said that it’s okay, everything is fine! But I do not feel very well: weakness, no appetite. I rinse often, there is no temperature, my cheek is swollen - what should I do? Run to the doctor? Or is this normal? At the wound site, it constantly pulsates. And this film is white - maybe pus?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Most likely, you have an independent problem associated with SARS + possible otitis media. The roots of the fangs are almost always located away from the maxillary sinus, so its perforation during root removal is unlikely.

      But I am a little confused by the uncut tooth that you wrote about. It seems that you didn’t have the milk canine removed, but the permanent one, and under the gum there is another canine - a supernumerary tooth, but these are trifles. In my practice, there was a situation that a problem tooth was removed during the development of edema, and due to the fact that the problem was not resolved in the gums, the symptoms continued (edema, severe pain, temperature, etc.) until the operation was performed to remove a supernumerary tooth. The fact is that this tooth may well be infected and provoke everything that you are talking about. Not the fact that your situation is the same, but keep this in mind.

      I think that at first it’s worth checking the hole with the dentist, giving him all the information, and then, with a high probability, he will refer you to a therapist or ENT for further treatment.

      Reply
  82. Kitten:

    Good afternoon! 4 days ago, the lower 8-ka was removed, the swelling from the cheek does not disappear, and with pressure on the lower jaw and the cheek itself, pus comes out along with saliva. I put ice, rinse, and it doesn’t get any better. Antibiotics should not be taken, because pregnant. How to be, than to get rid of internal suppuration?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The situation is complicated because antibiotic therapy is mandatory in a number of clinical cases, as it helps to prevent serious complications. Another thing is whether the dentist-surgeon did everything as expected:

      1. Did not leave tooth roots, their parts and fragments of bone, granulomas, cysts, etc .;

      2. Formed a wound, made an incision for a better outflow of purulent exudate;

      3. Conducted removal with minimal tissue injury (rather, recommendation);

      4. Appointed competent postoperative care.

      What you should do: see your doctor (as soon as possible). If you do not have confidence in him, then to another maxillofacial surgeon to conduct an examination and additional diagnostic measures.

      If there is no problem in the hole itself, then attention will be paid to its treatment (suddenly an alveolitis has arisen) with anesthesia, as well as the appointment of home treatment (which is possible in your position). All this, and not self-medication, can reliably and without unnecessary risks help with a purulent process against the background of removing the lower wisdom tooth.

      Reply
  83. Dinara:

    Hello. On Friday, I removed the lower molar (more precisely, what was left of it - earlier I was told that the tooth should not be treated). The next day he was swollen. Especially not sick, only if a little bit. I did rinses, but the next morning the swelling did not go away. It seems to have become even a little more (quite a bit). Should I go to the doctor or not?

    By the way, this place itself is a little brown, when pressed it hurts a little ...

    Reply
    • Svyatoslav Gennadievich:

      Hello! Judging by your description, it is better to consult a doctor to be safe, just in case, and adjust postoperative recommendations. In principle, edema most often appears the next day, as a natural reaction of the body to traumatic intervention and infection, which was located near the extracted tooth. A follow-up examination after tooth extraction is normal practice. Health to you!

      Reply
  84. Eugene:

    Hello, yesterday I got a wisdom tooth in the upper left. My cheek is swollen, I can’t fully open my mouth and chew. Difficulty swallowing. I am pregnant, 10 weeks. I worry. Six months ago, another wisdom tooth was removed to me in the upper right. So I understood a little and that's it. There was nothing else. And here it is ... Do I have to run to the dentist or wait a couple of days? Thanks in advance for your reply.

    Reply
    • Svyatoslav Gennadievich:

      Hello! It is worth contacting the dentist, especially since the removal of the upper wisdom teeth rarely causes a symptom such as a violation of the opening of the mouth - this is the prerogative of the lower wisdom teeth. The condition with such a serious edema should be monitored by a dentist in order to prevent the onset of serious complications associated with the spread of infection. Since you are in a position, it is important to competently approach medication. It is not easy to choose an antibacterial drug, and it would help significantly in your clinical situation. So be sure to see a doctor!

      Reply
  85. Amina:

    Hello, Doctor. The day before yesterday I had 2 lateral teeth removed (or rather, the roots). One went well, and the second broke, and pulled out in pieces. The gums are slightly swollen, there are no particular pains, but where the injection was made, a small bump from the injection is felt. The upper lip and cheek are swollen, but not too much. Yesterday I went to the doctor who removed the roots - he asked if there is a temperature or tingling? I replied no. So, he looked a little and said not to touch, it will pass by itself. I didn’t appoint an x-ray or anything else.

    It’s just unpleasant to see and feel the swelling. I would like to know - is this all a normal process? Thank you in advance for your reply.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Since you had two teeth removed at a time and the injury turned out to be significant, edema after the procedure, which often forms on the second day, is quite natural. Edema is the result of an inflammatory process amid trauma + an infection from the oral cavity, which is abundant there, joins the wound. The active struggle of the body results in small or significant edema, sometimes accompanied by fever, pain or pain. You did the right thing to see a doctor. At this stage, the dentist did not see the pathology. I think that if more significant symptoms appear, then repeated treatment will not be amiss. The swelling normally holds on average up to 4-7 days. I wish you a speedy recovery!

      Reply
  86. Inna:

    Hello. When two adjacent teeth were removed, they stitched me, the doctor said that it was not necessary to remove the stitches, they would dissolve themselves. But there were many seams and the ends were so long. Please tell me how long they will hang out, a very uncomfortable feeling. I forgot to ask the doctor about this. Thanks.

    Update as of May 7, 2017. Another question arose (while the first one was under consideration by the moderator). There is no temperature and pain, but white spots appeared in the suture area, very similar to pustules (small fistulas), although there are no discharge from them. Is it possible that due to frequent rinsing-baths, something went wrong, and is it necessary to worry already? Thanks.

    Update as of May 8, 2017. Sorry to ask you again, but every day is something new. This morning I felt something sharp with my tongue, looked and it looks like small fragments are coming out of the gums.I don’t touch them, I think maybe they themselves will come out? There is no temperature, pain and tumor, but I'm worried about the neighboring tooth, the fragments come out very close to it and, of course, this part of the gum slightly lifted.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After the tooth was removed, the dentist-surgeon could really leave fragments in the hole that you felt with your tongue. Sometimes this is just the sharp edge of the alveoli wall, which also requires the attention of a doctor. Everything that you describe requires a doctor to examine the hole. If the doctor ignores your focus on the problem, then you should look for another surgeon for advice.

      From personal experience, I can say that in almost 100% of cases when the patient feels with his tongue that something is wrong, there really is a problem, although in many situations it can be solved in 5 minutes: sometimes even anesthesia is not required, since the patient does not hurt.

      As for light plaque: during healing, the wound after tooth extraction often has a whitish hue at the level of the healing gum - this is not a pathology. Regarding the fact that the seams should be resorbed: I would recommend checking this moment with the dentist. Maybe they should just be removed, and only in this way you will feel comfort, already without foreign objects on the gum.

      Reply
      • Inna:

        Thanks for the answer. I will make an appointment, the threads really interfere, and so far they’re not very resolving, but what’s under them - you don’t understand at all ...

        Reply
  87. Anna:

    Good afternoon. Last night I woke up from a throbbing pain in my tooth. The next morning I went to dentistry, took a picture - over the healed tooth, "problems and sore bones." A few days before, she had SARS + cytomegalovirus (herpes). They recommended drinking an antiviral, and if it doesn’t go away, then come again.

    After the second sleepless night, the cheek was swollen. Examined, calculated a sore tooth, long and dreary removed (one root with a pin did not want to give in). Upper 26th tooth. They removed it during the day, now it’s night, the hole hurts a little and the cheek hurts ((It is sealed and swollen even more. Tell me when to start to panic? And is it worth running to the doctor on duty tomorrow?

    Reply
    • Svyatoslav Gennadievich:

      Hello! After tooth extraction due to trauma + residual purulent infection (because of which your tooth was removed), there is almost always a tendency to develop or increase edema 1-2 days after surgery. If you feel on the second day that the condition is unsatisfactory and there is a tendency to a significant increase in temperature, severe (intolerant) pain, a significant development of edema (closes the eye, difficulty speaking, etc.), then you should immediately consult a doctor. As a rule, on day 2-3 there should be no such symptoms, in the worst case - there is a rise in temperature in the evening to low values, slight pain in the gums and slight swelling. However, on 3-4 days I would recommend visiting a doctor for a follow-up examination to exclude the development of alveolitis. If you had a good quality removal, then almost always after this examination you do not need to do anything other than responsible implementation of all the recommendations of the dentist.

      Reply
  88. Tatyana:

    05/26/2017, the molar was removed from the bottom right. They removed it because there was a hole and it grew into an adjacent tooth at an angle. She was very ill, and when painkillers stopped helping, she went to the hospital.

    The first day after the removal was tolerated - there was no temperature or severe pain. But the second day is very painful, swelling appeared on the right side, there is no temperature, but there is very severe headache, nausea, lack of appetite (in general, even aversion to plain water). The very place of the tooth does not hurt much, but the head, stomach, and indeed the general condition is very terrible (sitting, crying). I do not know what to do. Pills do not help. Why is this condition normal? What am I supposed to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! In this case, this is not the norm. Moreover, your condition may not fall under the competence of the dentist: I think that you need a comprehensive examination by a therapist, together with the dentist. It follows: the delivery of a general analysis of blood and urine. Also, even before the delivery, you will have to tell the doctors the previous diseases, whether you are registered for any of them. Hence, the number of analyzes can vary for your own good. Honestly, it doesn’t seem like a purely dental cause, it is possible that you have something "layered", but doctors still have to understand. So it’s urgent to see a doctor, as your condition is worrying by all criteria!

      Reply
  89. Goryanka:

    The day before yesterday they pulled out a tooth, the cheek was slightly swollen. Today is the 3rd day - the cheek is swollen even more, I attribute the unpleasant sensations of pain to healing, but I still think that the progressive swelling is not normal. Is it worth it to bother the doctor? )

    P.S. A few years ago teeth were pulled out, but then there was no swelling at all, although there was more traumatic intervention ...

    Reply
    • Svyatoslav Gennadievich:

      Hello! A tendency to increase edema on the 2nd day after tooth extraction is quite possible. But significant swelling on the third day makes you think: you can’t do without a check-up by a dentist in order not to miss any complication. Here it is important to understand what exactly causes progressive edema - is it such a reaction of the body that requires medical treatment, or is it a consequence of insufficient professional tooth extraction (fragments, a root or part of it, granulomas, cysts left)? Ideally, you need to take a picture of the hole to make sure it is “clean”. After this, it is important that the doctor gives recommendations regarding antibiotic treatment (antibiotics), since, most likely, this is a purulent process. Antihistamines and anti-inflammatory drugs may also be prescribed. After 2-3 days, a second examination may be required. If everything is in order or there will be a tendency to improve, then more consultation will not be required.

      Reply
  90. Olga:

    Hello, yesterday a tooth was removed, on the upper jaw on the right - the next after the canine. The tooth broke off and fell out with a seal. I arrived at the hospital with a swollen cheek, the tooth was removed, and today the tumor has become even larger. The taste of iodine in the mouth. Yesterday there was a temperature of 37.4, today 37. Prescribed anti-inflammatory (Ciprolet A) and cetrin. From today they said rinse with chamomile - rinse slowly. The gum and the hole began to “whine” a little, right now there is no pain, no pain, it aches. This is normal?

    Reply
    • Svyatoslav Gennadievich:

      Hello! According to your description, it can be assumed that there is nothing wrong. When you went to the doctor you already had edema - the next day most often it does not decrease, but even, on the contrary, it increases to some extent. The activity of the infectious process + the immune response of the body are in interaction, and at the exit we get such symptoms.

      Your doctor’s prescriptions are quite adequate, so there’s nothing to complain about if you do not take into account rinsing with chamomile (a number of dentists are critical to rinsing in general). In case of deterioration, I recommend to consult a dentist.

      Reply
  91. Elvira:

    Hello. 8 days ago, 24 teeth were removed, while removing 31 times they struck with a hammer. The next day there was swelling and pain, it did not attach much importance, but the pain and swelling did not pass. On the 3rd day, a picture was taken - there was nothing left, the hole was clean. Prescribed antibiotics. Today I went again to my doctor, because the gum is swollen even more. The pain is not strong, aching, gives in the ear, occasionally the temperature rises. The doctor did not say anything, he only said that it was not the hole that hurt, but the adjacent tooth (it is broken, one wall, but without caries). I ask him: “What to do? Delete the neighboring one? ” He says "As you want," and everything is silent on questions.What is this tumor from? What to do? Tomorrow I want to ask for another doctor.

    Reply
    • Svyatoslav Gennadievich:

      Hello! You decided everything right. Most likely, your attending physician does not know what to do next within his competence, therefore, does not answer questions. To date, most doctors have refused to remove using a chisel, but in rare cases a specific doctor cannot do without this tool, since the removal can take up to 3-4 hours, and you do not need it.

      To understand whether a neighboring tooth is involved in the development of edema and other symptoms, an examination in the doctor’s chair is necessary. It is there that a decision will be made about the need to remove a broken tooth.

      Reply
  92. Tanya:

    Hello, I removed the upper wisdom tooth yesterday, the doctor got an injection in the cheek and it is now swollen. Tell me, how can I remove swelling?

    Reply
    • Svyatoslav Gennadievich:

      Hello! To apply a cold compress to the removal area for 20 minutes every 2 hours is relevant for a day after the operation, but not later. This method allows you to reduce swelling. To some extent, antihistamines are good from this angle, but only as prescribed by the doctor and from the first day after tooth extraction. Moreover, you need to know for sure whether the cause of the edema is actually a trauma to the cheek, and not the development of infection to the well.

      Reply
  93. Kseniya:

    Good afternoon! I removed the upper left wisdom tooth on Tuesday (today is Sunday). Removal was quick and without difficult moments. After the doctor did a control x-ray. The next day, edema appeared (on Wednesday) and it became difficult to chew and open his mouth. On Thursday there was a second appointment with the doctor, he said that everything was in order. Today, the situation has not improved in any way (but has not worsened), swelling, pains still persist, I can’t eat and open my mouth. No temperature. I drink ibuprofen (the doctor prescribed), and make baths of chamomile. I don’t eat anything irritating and I don’t pick it in the hole (by the way, it was sewn up). Please tell me, is it normal that my edema does not subside and the pain persists?

    Reply
    • Svyatoslav Gennadievich:

      Hello! After complex removal of a wisdom tooth, there may be swelling and pain for up to 3-5 days. However, these are not acute pains, normally they stop on the first day with analgesics, and then they arise to a greater extent only during meals. The presence of such pain is not a deviation. I recommend that you follow the doctor's advice and come to him for follow-up examinations. The frequency of examinations could be as follows: 3 days after removal, 7 days, 2 weeks later.

      Reply
  94. Sasha:

    My chewing tooth was removed the day before yesterday, today my cheek is swollen below, closer to my neck, and it hurts to swallow. The temperature does not rise above 37 degrees. I wanted to ask: should I wait a couple more days, or should I see a doctor now?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I recommend contacting now and not expect serious complications. The fact is that a violation of swallowing in combination with the swelling that appeared after two days can be a dangerous sign, so you should not joke with this even at a low temperature. It is possible that the edema continues to spread through the jaw spaces, so urgently to a doctor!

      Reply
  95. Sasha:

    After removal of the 8th upper molar on day 3, profuse bleeding opened, which was accompanied by a large release of blood clots. On the 4th day, the cheek began to swell, a fold formed from the hole along the cheek, like food, which pulsates and hurts when the body is tilted forward.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Urgently consult your doctor: the symptoms you describe are far from normal, and it can be a question of both alveolitis in full swing and damage to the maxillary sinus. If you do nothing, then the infection can go further, and the purulent process will lead to serious consequences.Therefore, it is better now to check the situation with a specialist.

      Reply
  96. Olga:

    Hello, on the second day after removal of the top eight cheek swollen. The last time she swelled right away, so I'm nervous - did the inflammation suddenly go away? There is a slight pulsating pain, I do not drink painkillers.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After tooth extraction on the second day, one or another degree of severity almost always appears tissue swelling - this is a normal reaction of the body in response to trauma. You should not be afraid of this, since with the right tactics of the doctor and the implementation of all the recommendations for 3-4 days, these phenomena either begin to disappear, or even completely disappear. However, if negative dynamics are observed (pain increases, swelling increases, temperature rises), then it is necessary to consult your doctor for an examination.

      Reply
  97. Helena:

    Hello! Tell me, please, yesterday the fourth tooth was removed for a child (3.4 years old). He complained periodically for 2 days, on the 3rd day the cheek was slightly swollen. Yesterday, the doctor pulled out a tooth and made an incision, it was somewhere at 17:30.

    The cheek has become larger, swollen. The child did not complain and does not complain of pain. But at night the temperature rose to 38, brought down by Nurofen. In the morning 36.6. In the afternoon (closer to 15:00) during sleep, the temperature was 37.3. Currently 36.9. But the cheek is significantly swollen, the eye is slightly affected. The girl is actively playing, as usual, there are no complaints, but this reporting and temperature scares me. What is it? Should I go to the doctor?

    Reply
    • Svyatoslav Gennadievich:

      Hello! In matters relating to edema in babies, it is definitely worth going to the doctor. Most often, of course, this is just the normal response of the body to the operation to remove the tooth (the development of traumatic edema, as a reaction of the tissues surrounding the well). Given the positive dynamics that you are writing about, you can think about the best, but it does not bother to check everything thoroughly to eliminate even small risks. Health to your baby!

      Reply
  98. Anya:

    Hello! I already have the 3rd day as the tooth root on the upper gum was removed. The cheek is swollen, it hurts a lot. Every hour I rinse with a solution of chamomile and sage. What do you advise to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Due to the fact that after tooth extraction on the third day (usually) an inflammatory process (alveolitis) may occur, I recommend that you consult your dentist for an examination so as not to start this disease. A timely examination will make it possible to diagnose and, if necessary, curettage the socket, put an ointment or gel for antibacterial treatment and get additional recommendations on the use of drugs for home treatment.

      Reply
  99. Alexander:

    The root of the molar was removed. The first evening did not hurt so much, but on the second day I began to ache. He gave painkillers and rinsed his mouth with a solution of soda. On the second day there were severe pains, drank pain medication and fell asleep. In the morning I woke up with a small tumor, and again I expect what will happen ... There is no temperature.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After tooth extraction (especially if removal was difficult), usually on the second day the most pronounced post-traumatic symptoms appear: swelling, temperature, pain, redness. Follow the instructions of the dentist. If the pain will increase significantly or will not go away for a long time, then you should see a doctor - he will examine the hole, if necessary, carry out its curettage and adjust home treatment.

      Reply
  100. Svetlana:

    Hello, dear Svyatoslav Gennadievich! I have such a situation: three days ago I planned to treat 6 patients from above. During treatment, there was no pain until the doctor began to rinse the cleaned canals. There was a sharp, very severe pain. The tooth was healed with a permanent filling.Almost immediately after leaving dentistry, the cheek began to swell and by the evening reached impressive size! In the morning I went again to the doctor, took a picture, and on its basis we decided to remove the tooth. There is no pain, no temperature. There is soreness in the cheek, swelling does not subside. I take antibiotics as prescribed by a doctor. Do I need to make an incision and drainage?

    Reply
    • Svyatoslav Gennadievich:

      Hello! As far as I understand, the tooth was removed on the background of either erroneous treatment or incorrect tactics of the tooth (maybe it was originally necessary to remove it). If we talk about the removal of the upper tooth, then most often incisions and drains are not required, with the exception of diseases accompanied by significant edema (periostitis, abscess, phlegmon). The tactics of postoperative well management is determined by the doctor based on clinical data. So continue to follow the doctor’s recommendations, however, if there is a negative trend, you should seem to him unscheduled.

      Reply
  101. Marina:

    February 23 went to the dentist with acute pain of the 6 upper tooth under the crown. The tooth was subject to removal. The surgeon removed it within 30 minutes. Today I got up in the morning, my cheek was swollen. This is normal?

    Reply
    • Hello Marina. Edema of the buccal region after complex removal of an inflamed tooth is a completely normal phenomenon (it occurs very often). On the second or third day, edema should begin to subside. On the first day after removal, the application of cold helps to prevent further growth of edema, it is only important not to overcool the area, so if you take something from the freezer, you need to wrap it in several layers with a towel. Apply for 15-20 minutes every 1.5-2 hours from the cheek in the area of ​​the extracted tooth. If the situation does not improve in the following days, a repeated visit to the doctor for examination is recommended.

      Reply
  102. Anonymous:

    Hello! I was removed 7-ku below (at 9 am on Friday). A small edema immediately appeared from the injection, but the surgeon said that she had introduced the medicine. They took a picture - a small cyst. The doctor said do not rinse in any case, immediately buy and attach ice cream, because I went to work. The tooth is big, the whole roots came out - it showed. I eat on the other side, after eating I still rinse the soda with salt on the right side, and on the left I just hold the liquid a little and spit it out. 8 matches have been gone for a long time. It seems that the wound does not hurt and a small one, but the swelling and hardness of the cheek below at the level of the gums and the bruise seem to be at a distance from 5 to 8. So it should be? The doctor did not say that it was necessary to be checked.

    Reply
    • Hello! After tooth extraction, a hematoma and swelling of the gum tissue can indeed form. As a rule, hematoma and edema pass quite quickly, but in some cases they can last up to 5-6 days. Judging by your description, the situation now looks quite normal, and so far there is nothing to fear, however, if the swelling increases, the hematoma remains unchanged after a week or pain appears, then you need to see a doctor (dental surgeon) for an examination.

      Reply
  103. Nikolay:

    Hello! Tell me, please, today I removed the tooth from the doctor, there was swelling before that, which increased after the procedure ... I want to ask - I found Metrogil Dent gel at home, can I use it now to prevent infection after surgery?

    Reply
    • Hello Nikolai! This gel really has an anti-inflammatory effect, but it is better not to use it immediately after tooth extraction (so you can only make it worse), but only 2-3 days after the procedure. Typically, the gel is applied in small amounts to the area of ​​the hole (after eating, every day 3-4 times). And so on until the wound is completely healed.

      Reply
  104. Tatyana:

    Hello, Doctor. 8 days ago, the lower tooth was removed, 5-ku.This was preceded by a long treatment, then they were filled, but there was swelling and pain. Then the gum was cut, the swelling did not pass, and they decided to remove it. They did double anesthesia, but the removal took place within an hour with terrible pain. Removed in pieces, it was especially difficult to delete the very last piece. X-rays were done 4 times, they said that everything was clean. The wound dragged on, I did not feel pain, there was no temperature.

    My question is that there is still swelling and numbness of the lower lip and in the swelling area (swelling is the same as it was before removal). Is this normal? Thanks.

    Reply
    • Hello, Tatyana. Just below the roots of the lower 5-ok in the jaw is the so-called mental hole through which the mandibular nerve leaves the bone into the soft tissues of the lip. With complex removals of the lower 5 teeth there is a mechanical effect on the nerve, and as a result, numbness occurs. If there really has been some nerve damage, then sensitivity is usually restored within 4 to 12 months. Sometimes physiotherapy helps. In some cases, numbness can also be a consequence of nerve compression against the background of edema - then the process of restoration of sensitivity is faster. It takes time and specialist supervision to assess the dynamics of the process.

      Reply
  105. Anonymous:

    Hello! Tell me please. Yesterday a tooth was pulled out, my cheek and lip were swollen, and there was swelling under my eye. They put drainage, but nothing flows there. At first, the tumor subsided slightly, but now it has become even larger. Tell me what should I do? I drink pills and rinse my mouth.

    Reply
    • Hello. The speed of recovery after the procedure largely depends on the age, complexity of the tooth extraction and individual characteristics of the body. In most cases, after tooth extraction, swelling begins to subside on the third day. However, if the swelling intensifies, it begins to be accompanied by increasing pain (especially against the background of an increase in body temperature) - consult a doctor immediately. In very rare cases, phlegmon can develop after tooth extraction (life-threatening spilled purulent inflammation of the cellular spaces of the jaw).

      Reply
  106. Natalya:

    Good afternoon. Today removed the lower wisdom tooth, the surgeon suffered 10 minutes. Right in the chair, my face and eyes floated, is it really bad? The doctor said that there was air under the skin.

    Reply
    • Hello, Natalia. Sometimes with difficult tooth extraction, a turbine tip with a strong air flow is used, and air can enter the soft tissues - subcutaneous emphysema occurs. Usually after 5-10 days everything comes back to normal. However, if the dynamics are negative, be sure to consult a doctor, as an infection can also be introduced with air.

      Reply
  107. Irina:

    Hello! 2 months ago, the lower wisdom tooth was removed. Cheek swelling and discomfort in the oral cavity are still preserved. There are no signs of inflammation or pain. The picture is also clean. Tell me why puffiness does not pass so long and what can be done?

    Reply
    • Hello Irina. Generally, edema after tooth extraction really subsides much earlier. However, much depends on the individual characteristics of the body and on how complicated and traumatic the surgical intervention was. The main thing is that there really are no signs of inflammation, then healing will occur in normal mode, and the edema will pass over time. I recommend to monitor the dynamics - if the swelling gradually decreases, then everything is fine. If there is no dynamics, then it is worthwhile to consult with another 1-2 surgeons in addition to your attending physician.

      Reply
  108. Anonymous:

    Wow, but I didn’t know that it looked so disgusting ...

    Reply
  109. Albina:

    Hello. My tooth was removed yesterday, and the next morning my cheek was swollen and the tumor appeared reddish under my eye. There is pain when pressed. What can it be and what to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I do not exclude that you came up with inflammation already starting in the tooth area - in such cases, after tooth extraction, the inflammatory reaction most often manifests itself exactly as you described. Be that as it may, I recommend visiting a doctor within 1-2 days to clarify all the details in the chair and understand the dynamics of the post-extraction state of the hole. If necessary, the doctor may prescribe antibacterial and anti-inflammatory drugs.

      Reply
  110. Anonymous:

    Hello. I had a tooth removed on Friday, my cheek was swollen on Sunday, and a tooth hurts nearby. Pus drips from the nose and smells. I went to the doctor on Tuesday, he said that the medicine was leaving and prescribed antibiotics. I've been drinking for two days, but it doesn't get any easier. The nose is blocked by pus, a terrible smell, the cheek hurts, the tooth hurts. Will it pass or not? And that terrible smell ...

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that it is about removing the upper tooth. Based on your description, there is a suspicion that the maxillary sinus is involved in the inflammatory process. I am sure that the tactics should be as follows: 1. Consult a doctor for a referral to an x-ray of the hole in order to determine the possible presence of roots, fragments, etc. 2. CT scan of the sinus to diagnose the presence of purulent exudate in it and the interaction of the hole remaining after tooth extraction with this sinus. Only when a causal relationship is found can we evaluate how to proceed. Therefore, I can definitely say whether everything can by itself pass, I can’t. Most likely, this simply will not work, plus there can be serious complications in the maxillofacial region. So it's time to see a doctor soon.

      Reply
  111. Vlad:

    Hello. After removal of the tooth root, the cheek is swollen and aching pain is constantly present. A day passed - the swelling does not change, the pain remained. Also, with the tongue, you can feel the inflammation of the area between the removal site and the cheek. What to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! After tooth extraction, quite often on the second day there is swelling of the cheek against the background of the local inflammatory process. This is normal. It is impossible to judge only by edema whether the doctor performed the removal correctly and did everything qualitatively. In my practice, there have been cases when patients came to me who removed the tooth from another doctor, but the doctor left the roots of the tooth in the hole. However, there was no significant edema in the patients. And, on the contrary, there were situations when the doctor performed a complicated removal, and patients with a swollen cheek came to me with a request to determine what the nonresident doctor “did wrong”, although there were no violations in the diagnostic images, but was only the second day after tooth extraction, which can not be judged on the result of surgical treatment. Therefore, I advise you to look for dynamics, and if it is not positive, then consult a doctor.

      Reply
  112. Eugene:

    Hello, I got two teeth removed five days ago: the upper and lower. The upper one does not bother, and the lower one is the gum like a stake when you touch your cheek. I went to the doctor, washed with something, and told me to put cotton swabs with levomekol. How long should everything go?

    Reply
    • Hello, Eugene. After such a tooth extraction, the rehabilitation period averages about 30 days. Swelling and pain should gradually pass. If positive dynamics are not observed, or, conversely, there will be an increase in edema and pain, you should immediately consult a doctor again.

      Reply
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