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

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Let's try to figure out what to do and how to behave properly, if after the procedure of tooth extraction you suddenly had a bad cheek ...

So, suppose that after removing a tooth, your cheek is swollen and you don’t know what to do - is it normal, or is it a dangerous complication that requires urgent medical attention again? Unfortunately, not all dentists-surgeons sufficiently inform their patients about what can wait for them 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 has been pulled out, the cheek swells up very often, but it is difficult for an ordinary person to understand for himself whether it is normal or, on the contrary, dangerous for 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 it even causes a slight panic, and there are standard requests to let yourself look in the mirror (especially for women). Of course, at this stage no patient will see in the mirror of a real tumor if he has not already come to the reception with a swollen cheek - and this is the first point that should be noted.

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

A feeling of swelling of the cheek and gums may occur already at the stage of anesthetic injection.

But things are not always so smooth. A tumor, and this time already “real” and well expressed, may appear after the extraction of the tooth, when the effects of “freezing” have long passed. Most often, the cheek edema does not appear immediately, but only the next day or a few days after the removal of the tooth.

What to do if your cheek is swollen, how dangerous it is, and how to help yourself in such cases - we'll talk about it later.

 

Why, after a tooth is removed, the cheek is often very swollen

Tooth extraction is a rather traumatic operation, during which hard and soft tissues surrounding the aching tooth are damaged to a varying degree. As a result, a fresh wound remains at the site 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.

Owing to the injury of soft and hard tissues, an inflammatory process and edema develop near the extracted tooth.

Signs of inflammation in the form of swelling, pain and redness (sometimes with increasing temperature) may accompany the healing process for more than one day. Fortunately, due to the multitude of blood vessels and the special structure of the tissues of the oral mucosa, regeneration (recovery) occurs here with great speed — much more than if you, for example, hurt your arm or leg.

Generally speaking, there are a number of additional factors due to which the cheek can swell up considerably after a tooth is removed. Note some of them:

  • Difficult to delete. Often, during a difficult removal due to the doctor’s fault, there is a significant injury to the tissues surrounding the tooth being removed, sometimes the technique of working with tools is disturbed, excessive force and pressure are applied. However, even with difficult separation (cutting) and removal of the roots of even the most unpredictable in its structure and location in the jaw of the wisdom tooth, the operation can be performed so jewelery (with minimal trauma) that the swelling of the gums and cheeks almost never occurs after its removal.The photo shows an example of a complex wisdom tooth extraction, when it is removed from the hole in pieces.
  • Already beginning or formed cheek edema. If a patient sits in a dental chair with an already swollen cheek,after the removal of the tooth, the edema almost always increases markedly the next day, since the inflammatory reaction cannot be stopped immediately, and in addition to it, traumatic tissue swelling appears.If the cheek edema was already before the removal of the tooth, then after the procedure it, as a rule, is significantly enhanced.
  • Removal of a lower, impacted wisdom tooth (that is, which cannot properly erupt). As a rule, the operation to remove it is quite traumatic, during which the doctor cuts through the gum, and sometimes for better access it greatly expands the wound. Due to the large number of tissues that are well supplied with blood, removal of the lower wisdom tooth often there is abundant bleeding, and with a significant injury to the bone and gum a swelling of the cheek occurs already on the first day after the removal of the “wise” tooth.When removing the impacted wisdom tooth, the gum under which it is located is first cut. It looks like a fresh hole after the removal of a wisdom tooth ...
  • Hypertension. People suffering from high blood pressure are more likely to develop edema.
  • A thick layer of subcutaneous fat on the face. Obese patients, as well as obese people, are prone to developing cheek tumors after tooth extraction, since the subcutaneous fatty tissue has good blood supply.
  • Suppuration of the 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, we lay with our daughter in the maxillofacial surgery department, and a woman was placed in our ward. In appearance she was about 40 years old. Such was all swollen, as much horror, some kind of terrible. I went to the doctor asking to transfer me with my daughter from this swollen alcoholic to another room, to which the doctor laughed for a long time. It turned out that her wisdom teeth were pulled out, after which her cheeks and her entire face became swollen, and the doctor also said that she had to do it under anesthesia, since many bad teeth were removed at once. My daughter and I calmed down, but literally a week later a miracle happened: the tumor subsided, and she turned out to be so beautiful (she was given 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 initially thought. ”

Valentina Nikiforovna, 47 years old, Tobolsk

 

It is also useful to read: Possible effects of wisdom teeth removal

When cheek edema does not threaten health

Above, we have considered a number of factors, due to which, after extraction of a tooth, the cheek can become very swollen. Before you do something to remove the tumor, you should assess the scale of the problem and the level of its danger to health and life.

If the cheek is swollen soon after the tooth is pulled out (within 24 hours), then with a high probability the tumor is still not a sign of a terrible complication, however, several diagnostic signs should be assessed at once.

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

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

The absence of 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 well pronounced swelling of the cheek after the extraction of a tooth. It is important not only to measure the temperature once, but also to monitor it regularly 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, not worse than a doctor, assess the state of a cheek tumor after tooth extraction and its dynamics. If the swelling of the gums and cheeks is not very pronounced and does not have a tendency to grow, thencorrelating other diagnostic factors, it is possible to consider this condition as normal.

On a note

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

To keep track of your condition, it is useful to periodically take pictures of the swollen cheek, and then evaluate them to see if the tumor is decreasing or, on the contrary, enlarging.

The third stage, which is not the latest in the diagnosis, is the assessment of the presence of various additional symptoms that may appear after the extraction of the tooth immediately or on subsequent days. Particular attention should be paid to the following signs of complications:

  • prolonged bleeding from the hole;
  • unpleasant putrid odor from the mouth, combined with a dirty gray bloom at the site of a blood clot in the hole;
  • the appearance of pus when you press on the gums 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 a sample list of conditions that, even against a minor swelling of the gums and cheeks, are an indicator of the development of serious complications in the hole after tooth extraction.

Experts usually recommend watching your condition for the first 24 hours, but if you identify the above obvious signs of pathology, you shouldn’t wait that long, it’s best to go to a doctor as soon as possible.

If any symptoms that have arisen after the removal of the tooth, you are particularly concerned about, it is better to immediately consult a doctor for advice.

 

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

If it is not a swelling of the cheek with each passing day, but a banal swelling that occurs within a few hours after a tooth is removed, then you shouldn’t panic and immediately run to the dentist for help. To begin, you should try simple ways to reduce edema, most of which are even included in the mandatory recommendations of the dentist-surgeon after the extraction of the tooth and may well be applied at home.

It is widely known that in case of 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 swelling of the cheek after tooth extraction, but also directly for removal of the swelling that has already occurred. For a compress, you can use any vessel with cold water, a hot-water bottle with ice, or even a towel wetted with cold water.

For the prevention of swelling of the cheeks, cooling it well helps.

For the purpose of cooling, you can use, for example, an ice bag.

It is interesting

Someone in this may seem 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 ice meat from the freezer and puts it on the cheek ... However, before doing this, you should take into account a series of nuances.

Cold is really an excellent means of reducing pain and swelling, and this is due to the fact that in a cooled place the narrowing of blood vessels occurs and their blood supply decreases. However, to prevent additional problems, you should consider the time of exposure to low temperatures and the temperature itself. In order to avoid frostbite, it is impossible to directly affect the tissue with an object taken from the freezer - it is necessary to wrap it with something.

A cold compress should be changed every 2-3 minutes with short breaks, and 20 minutes is enough to get the effect.

As already noted above, high blood pressure is one of the factors provoking the development of edema. Therefore, immediately after the removal of a tooth, in order that the cheek is not strongly swollen, it is sometimes useful to take specific medications that reduce blood pressure,if it is elevated (after consulting with a doctor).

It often happens that the person himself provokes edema by his wrong actions. Not knowing what to do after a tooth is removed, when pains in the gums and cheeks begin, 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 even more swollen ... There are even severe cases of the development of huge tumors of the gums and cheeks against the background of uncontrolled warming up - due to an increase in the blood supply to the tissues.

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

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

 

When you need to see a doctor

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

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

When you should immediately consult a doctor:

  • with increasing pain and increasing swelling of the gums and cheeks every day;
  • in case of increase in body temperature to high values ​​(above 38.0 ° C) and its long-term preservation with severe malaise, loss of 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 putrid odor emanates from the hole left after the extraction of the tooth;
  • with severe impaired mouth opening, difficulty swallowing and chewing food;
  • when any suspicion of inflammation of the hole, when there is an opportunity to examine the wound: a dirty-gray coating on the gum, the absence of a blood clot or its decomposition, the release of pus on palpation of the gums, etc.

Feedback

“I went to the polyclinic last week to remove the lower wisdom tooth, it crumbled and grew in the wrong direction. The surgeon has been busy with him for a long time (30-40 minutes).When the tooth was torn, it did not hurt, but after it had been pulled out, my cheek was swollen the next day.

If on the first day after the removal of the tooth there was only weakness and a swollen cheek, then in the morning I began to look like Irina Muravyov from the movie “Carnival”, when she repeated nuts and tongues in her mouth. Only with the difference that I have spread only one cheek. And in the evening I felt very bad, the fever got high, there was an ache all over my body, and the gum, where there was a wisdom tooth, began to ache terribly. So I had to go to the doctor again. There they froze the prick again and cleaned up the pus, then they appointed 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 manifests characteristic symptoms of wound suppuration: pain, bad breath, the formation of gray plaque around the tooth hole, suppuration from it, inflammation of the lymph nodes, intoxication of the body with fever.

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

  • after removal of the side groups of teeth, a cheek tumor appears;
  • and after the removal of the front teeth, the lip swells up.

If alveolitis is diagnosed, the dentist performs high-quality anesthesia and curettes (cleansing) the hole from a rotting blood clot, and sometimes also from previously not removed residues of the patient's tooth, granulomas, cysts, and washing the hole with antiseptic solutions. If necessary, the wound can be sewn up. After that, antibacterial drugs are prescribed, most often for local use in the form of solutions for rinsing or ointments.

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

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

It is extremely rare for a cheek swelling to occur as a result of an accidental mandibular fracture during the physician’s rough work during removaltooth (approximately 0.3% of all cases of mandibular fractures). You can notice this complication not immediately, but for a fairly short period of time there is a significant violation of chewing food, opening the mouth, swallowing, and severe swelling may occur from the gums and cheeks. In such cases, the dentist takes a picture of the jaw, fixes broken bones in the correct position, fixes them with tires, then prescribes antibiotics and anti-inflammatory therapy.

 

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

 

About suppuration of the toothhole, which can lead to pain and swelling (alveolitis)

 

 

To the record "What if after the procedure of a tooth extraction the cheek is swollen?" 213 comments
  1. Anonymous:

    It is not necessary to put the most unpleasant photos to the article.

    Reply
    • Emily:

      Good time of day. A few days ago I had a heavy removal of 2 teeth (because of the improper growth of a wisdom tooth, he destroyed a nearby tooth). Removal was painful, even under muscular anesthesia. My face was swollen now, and I was ready to run to the doctor at a run, but after looking at the photos at the article, I realized that healing was going right! And if it were not for the photo, then she would have wound herself up to cancer! I do not argue - they are disgusting, but you can keep your "Fi" with you.

      Reply
    • Anonymous:

      What we are gentle.

      Reply
  2. Vladislav:

    Hello, I am 17 years old. After I woke up in the morning with a swollen cheek, I went the next day to the clinic, I was torn out by the root of a tooth. Her cheek hurts a little, bleeds and her 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 the extraction of the tooth. However, often in a budget institution there is no time for such things, and he, due to 15 minutes per 1 patient according to the approved standards, misses the appointment. If during the removal of the tooth there were no errors that can lead to complications (this is confirmed by pictures and external examination of the hole), then antibacterial therapy + antihistamines + gentle mode and oral baths with antiseptics (or rinsing - according to the situation) will lead to a positive result. Antibiotics, antiseptics, etc. should be prescribed individually by a doctor after taking anamnesis. I can not say that if at the time of tooth extraction there is a “cheek tumor” and so on, then the face does not immediately return to normal. Each patient wants the symmetry to return within the first hours after tooth extraction, however this process is individual and leads to the desired result with proper care 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 level of complexity of a particular problem. I hope you'll get better soon!

      Reply
    • Michael:

      Wait for the new year.

      Reply
  3. Yuliya:

    Please tell me what to do if, after the removal of two molars in the upper jaw, a week later, I had a swelling in the sky over the removal, a bubble. No temperature. What could it be?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Any education that has emerged in the field 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 edema or a suspicious bladder in the oral cavity is particularly required, as this does not quite fit into the classic situation of normal healing of the holes after removal.

      If x-rays are also provided for the wells after the tooth extraction, this will determine the quality of the removal performed and once again exclude complications on this background.

      Reply
  4. Marina:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello Marina! In your clinical case, the x-ray control of the removal is important. The fact is that a shard is a shard, but it is important to know radiographically that the hole is clean after a tooth has been removed. Any abandoned foreign "body" can give infectious feed. If there is a problem with the well even after the second cleaning, the doctor should do it again. If the cause of the infection is alveolitis (usually the gingiva is suppressed for 3-4 days, but we make allowances for immunity and individual moments), then you should also carefully consider this diagnosis: the doctor should curetise and antiseptic treatment of the subgingival area, otherwise relapses you will not let go.

      At home, without a diagnosis can only 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, after all, only suspicions. For example, there are still other examples associated with suppuration after problematic deletions: if a tooth was formally removed during removal, but there is a cystic formation (we will not go into details). That is, there are no roots, and the infection “circulates” in the bone, provoking its “dissolution”, which is defined in the picture as a dark (black) spot of a rounded shape near the hole or even near the roots of the adjacent teeth.

      No doctor in absentia has the right to prescribe an antibiotic or rinse. I just outlined a few options for problems that 100% can not with the help of rinses (chamomile, furatsilinom, miramistinom etc.) or tablets, disappear. If you want to "stupidly" remove the symptoms of suppuration for a while, then theoretically an antibiotic and (or) an antimicrobial drug will help (not immediately, as the therapeutic dose in the blood should accumulate), but without making a diagnosis and treatment in the mouth , but only get the imaginary well-being, which is often not like the most farsighted people.Do not fall into this group, otherwise drive the infection to the stage of "destruction" of the body. Heal properly!

      Reply
  5. Katya:

    Hello! I am 15 years old. Yesterday I got the lower molar pulled out. Spit blood all evening. Went to bed. In the morning I found blood and a swollen cheek on the pillow. Gums sore. Now it seems to be bleeding 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 your hand to your cheek during sleep. At this time, there is a heat and pressure on the area of ​​operation, which provokes a local expansion of blood vessels and re-bleeding from the hole. Of course, this cannot be called the norm, but this is definitely not a serious complication. Edema almost always occurs the next day (in varying degrees of severity) as a response to an intervention (trauma).

      Bleeding can be eliminated by strongly holding a sterile gauze pad on the hole (best wetted with saline) for 10 minutes with the upper teeth.Do not forget to check your blood pressure and limit physical activity for this time. It is not necessary to rinse the hole, and after eating it is quite possible to confine yourself with mouth baths of antiseptics (decoction of chamomile or sage is better).

      As long as you have a nodule (which in principle is no longer bleeding), then you should not be afraid for the condition of the hole. In general, if you release a small amount of blood from the well for 1-2 days of removal, healing is as comfortable as possible (some patients even claim that it is painless). As a rule, a blood clot gradually forms anyway and is a biological defense against infection. If we are talking about heavy bleeding, even after self-pressing gauze napkins, you should contact your dentist and find out the reason. It is often associated with general health. I hope you'll get better soon!

      Reply
  6. Valentine:

    The molar of the lower jaw collapsed. A cheek swelled and some kind of compaction formed in the jaw. After X-ray imaging, the doctor removed the tooth, prescribed to drink ciprofloxacin, trichopol, suprastin, ketan for pain. The pain is insignificant. The temperature is normal.But the tumor subsides poorly and the seal does not disappear, which worries me. I rinse soda and potassium permanganate. Are these appointments enough? And what should I look for?

    Reply
    • Svyatoslav Gennadievich:

      Hello Valentine! Unfortunately, you did not specify how much time passed after the deletion. In general, the reduction of edema is an individual feature in each case. Therefore, do not immediately panic, and it is important to consult your dentist for advice. Soda and potassium permanganate are not comfortable means for rinsing. Most dentists treat them negatively, since soda irritates and flushes out a blood clot, and potassium permanganate causes burns if diluted incorrectly, but generally dries the mucous membrane decently.

      Reply
  7. Maria:

    Hello. On Thursday, I had a molar tooth removed. The first day was bleeding, but this is normal. But on the morning of the second day a strong smell went out of his mouth, very strong. By smell and color, it can be said that it was like pus. Spat 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 medicine in the hole, which should have been absorbed. All day in the mouth there was a taste and smell of this medicine.But the taste of this unpleasant smell still remained ((Today, Monday, there is almost no smell, but the gum still aches, I even drink painkillers. The edema goes away. There was no temperature. Can you please tell me if this is normal?) mouth.) Thank you very much for the answer in advance!

    Reply
    • Svyatoslav Gennadievich:

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

      Unfortunately, you did not write against the background of what you removed the molar. Most likely, you already had a swelling or beginning purulent process. After removal of the tooth, pus is evacuated to the benefit of the body. Of course, that pus has an unpleasant smell. The response of the body in the form of formation of sero-purulent or purulent exudate is a state within the normal range, taking into account that all activities were carried out correctly. I mean that the doctor has removed all the roots, removed the fragments of the carious cavity and (or) granulomatous growths. In general, I cleaned the well carefully and firmlythat there is no additional infectious feed. The fact that your temperature is normal now is a big plus. Reducing swelling is also a positive trend. The smell from the mouth can at the moment cause leftover food lingering in the hole. Since you already have the 4th day of removal, it is quite possible to carry out gentle gargling with a decoction of chamomile or sage 4-5 times a day. It is especially important to carry out such procedures after meals. You have to fight not with smell, but to provide comfortable healing of the hole. For topical use, there are a number of well-known preparations for the treatment of gums. These are gels or ointments to reduce bacterial contamination after tooth extraction (advertising is not published).

      Reply
  8. Lyudmila:

    Good day. 02.03 in the morning I removed the bottom 5-ku. By evening, the lower part of the cheek was swollen, became solid. The gum itself does not bother. In the hole white bloom. There was no temperature, only today it has risen to 36.9. Edema does not subside. Tell me, is it necessary to run to the doctor urgently?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Ludmila. I think that in your situation there is nothing terrible, but consulting 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, swelling filled with fluid should be, on the contrary, soft. Most likely, on the background of tooth extraction, you had a normal reaction to tissue injury - a local inflammation, which has a stage of edema in one degree or another.

      Formally, many people do not notice this on the face, but upon detailed examination, this factor takes place in the 1-2 day of removal. What you grope - only your jaw against a background of slight swelling due to injury can be firm. I do not think that with normal other indicators, this is something purulent, going 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 said 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 use 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 as gently as possible, and removal of the compress is not required, since the sponge absorbs (“rejects”) itself within a short time. However, there are opponents of methods that are associated with investing in the hole of any sponges or flagella: after all, they can theoretically become the very sources of infection if food lingers there. Regardless, I advise you to listen to the doctor’s tactics, but if you suspect negative phenomena (fever, putrid smell from the hole, swelling, severe pain, etc.), consult a doctor and follow alternative treatment tactics.

      Reply
      • Alexey:

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

        Reply
        • Svyatoslav Gennadievich:

          Hello, Alexey! In fact, the pain "when pressed" is a normal reaction at the stage of healing, since the 3rd day after the extraction of the tooth is not an indicator of the final wound. Typically, pain of this nature are somewhere in the 10-20 day after removal. Taste in the mouth is most likely associated with a lack of hygiene. I think that neat brushing and even rinsing with a decoction of chamomile or sage (5-6 times a day) is quite possible. I do not think that you will wash the clot from the wound, especially since it is already the 4th day after the extraction of the tooth, although the opinion of your doctor is quite reasonable regarding the safety of the wound. My point of view: based on your description, hygiene is a little more important here.

          Reply
  10. Love:

    Hello, Svyatoslav Gennadyevich. Tell me please. On Friday 4.03.16, the upper wisdom tooth was removed, a month before that, he reacted and was ill from time to time. A week ago, the dentist decided to heal him, drilled a hole that was already (he began to crumble) and put a cure. In the end, a week I suffered with pain and decided to pull out. Bottom line: pulled out on Friday, didn’t feel any particular pain, woke up on Saturday the same way, without much change,she had just hurt her cheek, not even she was sick, but simply when chewing or talking, she reacted as if there was a small bruise. Today is Sunday, I woke up with a swollen cheek, and I was already reacting more painfully to everything. With that side, on which there is no tooth now, it is sick to chew, and with any swallowing of saliva, I feel an unpleasant, painful sensation in the cheek area. It was not easy to pull out a tooth, the dentist even became nervous, but he pulled out without any remnants. But ... Cheek aches more and more. Tell me, maybe at least I can start rinsing than because there are holidays, and I certainly cannot find a doctor, but there are still three days ahead. And I’m afraid of something a little ... There’s no temperature, but I woke up today with a feeling of mild cold disease, and it seemed as if something was interfering with my gums and cheeks. Tell me, please, do you 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 a detailed history of your disease. I’ll say right away that it’s definitely not worthwhile to regret that the wisdom tooth (especially the upper one) could not be saved, as it is often even completely removed that looks normal.

      Since there was a difficult 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 you should not worry.

      The main thing - to provide the most comfortable healing. I think that an increase in pain every day may be a sign of an incipient alveolitis, but often the body itself stops the stages, preventing suppurative manifestations. The feeling of "interference" between the gum and cheek requires inspection and consultation of a dentist.

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

      The most popular are: gel Metrogil Dent and Solcoseryl dental adhesive paste for processing the edge gums around the hole.It is clear that this case should be approached from the point of view of cleanliness and accuracy. I wish to quickly deal with the problem!

      Reply
  11. Olya:

    Hello, 5 days ago I had the wisdom tooth removed from below. There was a half tooth. As I understood, he bore me or sawed the remaining half of the tooth. Pulling out the pieces. The fact is that my gum still hurts and has a slightly swollen cheek. Is this how it should be? Thank you in advance.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Olya! Complicated removal with a drill is not incredible. 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. Complicated removal with large losses of bone and soft tissue leads to long and often not very comfortable healing. It is not even about an infection, but about a poorly formed wound. I think that the local inflammatory process in you continues to exist. Infection from the oral cavity often feeds and causes, during the healing of the hole, pain during and a few minutes after chewing.

      I think that it is necessary to turn to a dentist to assess the external state of the hole, and (if necessary) to make X-ray control (if it was not done after removal) to diagnose possible fragments of the roots or the crown part of the extracted tooth.

      Reply
  12. Marina:

    Hello! Today, the niece went to remove her root (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 he had pus. The pus was released a little, I do not know how, and the doctor left the open cavity. Appointed for March 9, but she walked yesterday and wet her feet. The tooth ached and the cheek was smashed. This morning, the tooth was removed. The doctor said that at first a lot of pus came out. After 2 hours, the temperature rose to 40 and a little higher, it was just banging. Something like a temperature shot down. Then until the evening she did not rise. Around 9 pm began to rise again. Cheek inflated. He says that it does not hurt. Is it normal that the temperature jumps so much? This is not a consequence of the inflammatory process? Thank.

    Reply
    • Svyatoslav Gennadievich:

      Hello Marina! As far as I understand, the age of the niece is young enough? About 10 to 15 years? Removal of lower molars in children is often fraught with many difficulties.Since the tooth, which served everything, according to the testimony, has to be removed, he is not going to leave his “shelter” just like that. The purulent infection surrounding the root of the tooth often helps a little in surgery, but all the same: 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 “effect”. The cause of the problems is the tooth you removed.

      Now your task is as follows:
      1. Evaluate possible co-infections: has the child had a cold foot wet?
      2. If the temperature rises again, contact a dentist and / or a pediatrician, depending on whether ORVI has joined.
      3. If you do not have the opportunity to implement the first two points, then you need to carry out (as you do) symptomatic treatment.

      An antibiotic can only be prescribed by a doctor; I would not do antibiotic therapy myself. I would especially like to focus on the diagnostic image of the extracted tooth: it happensthat during a complex removal there are fragments under the gum from the crown part of the tooth. They can fuel the ongoing purulent inflammatory process.

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

      Reply
  13. Natalia:

    Hello! Yesterday (March 14) the lower molar was removed. The tooth was previously sealed and at the time of removal there was a pea-sized nipple 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. Fulfill all appointments, swollen cheek bottom. Tonight, with an unintentional (moderate) pressing on the cheek from the side of the removed teeth, there was abundant bleeding for about 1 minute. Slightly washed the wound with chlorhexidine, gradually the bleeding stopped. I am wondering why blood has gone so badly, is a consultation with a doctor necessary? There is no pain (only when I press on the cheek I feel), there is no temperature.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After a complex removal, a serious injury is obtained, and a fresh wound can even bleed when exposed to a slight impact. If your blood stops fast, this indicates normal clotting, and there is no cause for concern. Moreover (personal opinion) that slight episodic bleeding during healing in the first 1-3 days can significantly reduce pain, up to a complete absence of pain. I think that the consultation of the dentist is not required, especially since the doctor recommended you the whole complex of necessary preparations. A good blood clot will allow you to protect yourself from alveolitis - inflammation of the hole. And all the dangerous symptoms are described in this article, so you only have to carefully monitor the healing of the gums and get better soon!

      Reply
  14. Olga:

    Good evening. I have to remove a tooth on Monday, I need to remove 4 pieces in general. 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. You can drink valerian or other sedatives before removal, because I am very afraid?

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! I think it is advisable to remove no more than 2-3 teeth, but it all depends on the accompanying removal technique. If you have to remove several teeth in a row and gently form a wound, even stitching, to eliminate the risks, or by applying biomaterials and medicines to the well to preserve it and stitching the wound edges, this will eliminate the option of an open wound 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 behave at the reception, the more effective the anesthesia works and the better the doctor works (faster and more progressive).

      Reply
  15. Olga:

    Thank. I wanted to know more.

    1. If I delete only two, after how much time can I delete the others?

    2. When everything is removed, after what time can the remaining teeth be treated?

    3. After how much time can I put the implant after the removal of teeth?

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

    Reply
    • Svyatoslav Gennadievich:

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

      1. Usually the distance between the deletions is adequate for 3-7 days, depending on its complexity and the location of the teeth to be removed. Undoubtedly, the important role played by the accuracy of methods and prevention of open wounds.

      2. Many dentists are of the opinion that it is advisable to start a planned treatment after removal, not earlier than in 1-2 weeks, when the risks of infection of the hole are minimal. The fact is that during the preparation of the cavity, the infection spreads throughout the oral cavity, and the hole may be indirectly infected.

      3. This question is one of the most difficult. The fact is that there is an immediate implantation, when the installation of the implant is carried out immediately after the extraction of the tooth in the formed hole. Also, the techniques imply implantation and in the long term, that is, delayed. Here it is important that not only your desire coincides, but also the indications for a particular implantation and the possibilities of the clinic + the surgeon's professionalism.

      four.And this question is more than correct. If you do not want prosthetics, but prepare your mouth for future implantation, then it is advisable to make temporary dentures “butterflies”, or, in other words, immediate-dentures, under which you do not need to “grind” your teeth. Now there is a technique to make such micro-prostheses extremely aesthetic and functional. They really will not allow neighboring teeth to shift towards the extracted teeth, and also prevent other violations of the bite. However, these are temporary structures, so they will have to be changed every few months. In principle, there is nothing bad in this, but I do not think that it will suit you at your own expense to change the design even up to 2 years. It is best to implement prosthetics on implants for 1 year.

      Reply
  16. Maksim:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello Maxim! I must say that good upper wisdom teeth (especially) are rare. 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 the removal, the hole also hurts. The mouth does not open well due to the relationship between the wound and surrounding tissues that may be damaged during removal. It is unlikely that the removal of the upper wisdom tooth could damage the jaw, in rare cases it is associated with the removal of the lower molars. It’s best to go to your own doctor, as I don’t see any signs of mistrust towards the surgeon related to gross errors.
      In the first two days after removal, it is important to ensure that the well is at rest, so a gentle diet is recommended: warm, soft and non-irritating. Broth, soups and cereals are quite suitable for this. All this is temporary, therefore it is possible to suffer a little for the sake of a high goal.

      Reply
      • Maksim:

        Thank! I also want to ask.

        I overcame the pain, opened my mouth wider and looked at the hole. Just ofigel - she is not at the bottom, as expected, but at the side of the gum, she looks at her cheek.How did that happen? I turned the tooth first, and then removed? So it hurts to open your mouth?

        Touched his tongue - the hole is bitter. Why?

        And you wrote in the article that the granuloma should be cleaned, but I was not cleaned. 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 fine. The risks that “this trouble will be inside” are minimal.

          The hole is bitter, because perhaps the doctor has put something in it for prevention? Not always the patient can control all the manipulations of the doctor. The wound on the side of the gum, as there was a difficult removal, and the doctor partially reduced the gum volume for a full review. It is easier to say, it was not without gum injury, but it is not fatal. It is painful to open the mouth against the background of this whole + complex healing hole. I think the recommendations remain the same.

          Reply
  17. Looney:

    Hello, yesterday I removed the 6-ku bottom. Removed due to the fact that swollen cheek and gums. Tooth could not be saved.Blood clot in place, but the cheek becomes even more. I breastfeed, antibiotics can not drink. I do baths furatsilinom, dental collection, chlorhexidine. Should I worry? Am I doing right?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Looney! After removal from the background of existing edema, it is often possible in the early days that the tumor has "increased". In your case, it is difficult to say in absentia whether there are risks or not.

      The fact that you are doing this bath is a big plus. What came up from the point of view of an integrated approach and versatile - a controversial point. For example, furatsilin already many dentists in relation to the effect on the mucous membrane is not very fond of. 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 inspect the hole at the dentist and adjust the recommendations. If it is important to you purely my opinion, then you can completely confine yourself with trays of herbs (chamomile, sage), and you can do the bath 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 I had tooth No. 36 removed (the entire upper part of the tooth was almost destroyed), before the removal there was no tumor, it appeared in the evening on the first day. On the second and third day we cleaned the hole. X-ray shows that no particles of tooth are left in the gum. However, the pain does not stop (although it has decreased, and it gives to the ear; there is white bloom in the hole; it is difficult to chew, but I can talk and swallow almost without tension, the swelling does not pass). All this time I rinse my mouth with furatsilinom. Tell me please, could I damage (dislocate) my jaw during removal?

    Reply
    • Svyatoslav Gennadievich:

      Hello Irina! If the jaw was dislocated, then the mouth would not close 100%. The alveolar process of the jaw could have been damaged against the background of complex removal and large injuries; however, this is also extremely rare.

      Most likely, you get alveolitis (inflammation), which you periodically feed with rinses with furatsilinom. The fact that in the hole white bloom - does not mean anything. You just have the effect of "dry wells". It is empty, and such holes heal poorly and painfully.

      I recommend that you consult another doctor.At once I will say that many doctors have a very negative attitude towards “ennobling” the work of others. However, your doctor does not cope with the treatment of dry wells and recommends multiple furatsilin to you. It is best not to risk it and try to hear a different opinion after examining the hole at the surgeon, explaining the situation to him. I am sure that the recommendations will be corrected, it is possible that the curettage of the hole will be carried out, a clot will be formed, antibacterial therapy + baths will be prescribed (if they are needed at all). Ideally, a good blood clot is the path to normal gum healing after tooth extraction.

      Reply
  19. Looney:

    Urgently! I was assigned a scrolling today. We are on GW. A child is 10 months old. They told GW not to stop and give the child 5 drops of hilak forte.

    Reply
  20. Oksana:

    Hello! A week ago, I deleted 6 below left. Knew that the tooth requires intervention, but suffered. Until the night he started whining, and the next morning he swelled a bit ... He did not take the frost right away, they did and did it, 5 shots, probably ... They removed the tooth - it was without top, by the way. It turned out that it was full of pus and a bunch of cysts.All cleaned and sprinkled with something, apparently, medicine. I came home and fell asleep. I woke up with a huge swelling on my cheek. Every day and night, this edema hurt more and more. The skin seemed to burst, as if cut. It began to hurt around the ear, neck, upper jaw, temple. At the weekend, she did not suffer, went to the duty officer, who said that the alveolitis and edema with the affected lymph node ... He put the medicine in the hole, prescribed anesthetic. It's been 6 days since the moment of removal, and the pains are hellish. Ketanov helps for a short time, swelling hurts. The bump on the lower jaw seal does not pass. I already prick antibiotics, there is no result. Mouth does 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 it already takes nothing ((

    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 is progressing 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 worthwhile 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 curettage of the wound is performed, the remnants of the parts of the tooth that are not removed, the “decaying” bone, food, splinters, etc. are removed. The wound is washed, a clot forms, an anti-inflammatory compress is applied with an antibacterial ointment. According to the situation, a small incision can be made along the transition fold, where edema is located, with a drainage setting to release purulent exudate and accelerate a positive result.

      Reply
  21. Nastya:

    Small 2 years old, yesterday two front teeth were removed, half the face was swollen tonight. Antibiotics and nurofen have been prescribed, although there is no temperature. They said, if it is worse, they will be put in 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 it can be confined to cold. Roughly speaking, “freezing” the infection, you will not get a promising result, and the infectious and inflammatory process will continue to progress. It is clear that, theoretically, swelling can also be associated with the body's usual reaction to anesthesia, trauma, injury, stress, etc.but they offered you not to risk the life of a child (“anyhow, if only”), but to monitor it at a highly qualified level - in the hospital. What will be there to do? I think that everything will be standard: “nadrezik” in the transitional fold, where there is purulent swelling, with a drainage system, injections of antibiotics, restoring therapy (“systems”) and most importantly - health monitoring every hour. I do not think that in this context it makes sense to doubt the direction of the thoughts of the attending physicians.

      Reply
  22. Helena:

    Hello. Yesterday I already removed 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 “heated” the cheek on the side of removal during the night, or it is just a response to such “injury”. Edema is the result of an inflammatory response. It happens that such a reaction proceeds rapidly, 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 an outside (independent) specialist.

      Reply
  23. Natalia:

    Hello, three days ago I was removed a distant molar. When the doctor put the injection, then, as he said, hit the nerve, because it was unbearably painful and the eye shed a tear. When he removed the doctor, he strongly loosened the tooth and the root broke; he also removed it. Now I have a swollen cheek and the swelling does not diminish, it hurts when I press my cheek, but not at the place of removal, but closer to the nose. There is pain when opening the mouth, the well is clean and there is no fever. What to do to reduce swelling and is it dangerous?

    Reply
    • Svyatoslav Gennadievich:

      Hello! For the prevention of edema in the first days 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, the swelling can develop significant. It is important to understand correctly what really causes swelling. It is from this that the danger of edema can be assessed.

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

      Reply
  24. Sofia:

    Hello! Son of 6 years. 04/16/16 in the evening a bad tooth ache. Cried. Gave son sinepar, he fell asleep. The next day we were at the doctor: well, there is caries. They removed the top 4-ku and 5-ku in a row ... For two days my son had vomiting. 04/18/16 stopped tearing and cheek severely 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 adzisept. Here, today, on the 4th day, we have cefozalin, the swelling does not decrease, there is no temperature, it eats normally. Already the 5th day of swelling does not pass. Today they were again at the doctor, he didn’t really say what was there and why the edema does not pass! He sent us to another doctor (surgeon of the jaw), according to him, his son has pus in his throat (on the tonsils) ... So is it possible? What should we do? Thank.

    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 are causal relationships here, but both processes will have to be treated, since you do not need to feed the infection.

      I recommend contacting the pediatric otorhinolaryngologist to eliminate this outbreak. If the ENT says that the main reason is dental is that you must consult with your doctor, you can even with another children's dentist. I am sure that this way (in a complex) can solve the problem. Moreover, there is no temperature and the state 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 removing the cheek the next day. The tumor grew, the temperature appeared. I went to the dentist again, it turned out that I had washed the blood clot somewhere and the infection started (it turned out to be a dry well). He cleaned the wound, put medicine in it, prescribed antibiotics. The temperature returned to normal, the tooth stopped hurting. But the cheek as it grew, and continues to grow. What to do? Is this normal or not?

    Reply
    • Svyatoslav Gennadievich:

      Hello! In principle, this is not the norm, however, patients often perceive “slipping” of edema downward as growth. Of course, edema is not reduced at a rapid pace, but it does not always come off beautifully. In acute infectious process, the temperature is usually present. If there is no reason to fight infection in your body, then most likely there is a positive trend. In any case, I recommend to consult a dentist for advice in order to exclude even the most minimal risks.

      Reply
  26. Yuliya:

    Good day! 05.05.16, the molar tooth was removed from the bottom right, there was practically no tooth, the whole rotten and a splinter protruded) I was sick one day and my cheek started to swell slightly, I decided to go to the dentist right away and remove it. The tooth was removed without problems, after anesthesia, it hurt, but the next day my cheek was swollen, my gums hurt ... I went to the doctor again, she made an incision and put an elastic band in the wound, and said that I have accumulated blood. Discharged antibiotics, amoxiclav and soda rinses. Only painkillers help. Already the 4th day is coming, but it still hurts and my cheek is swollen, the lump is like feeling that opening my mouth is a little painful and it hurts to eat.What could it be? Why pain and swelling do not pass? And how long can this last? Thank you in advance!

    Reply
    • Svyatoslav Gennadievich:

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

      Reply
  27. Yuliya:

    Thank you very much! )

    Reply
  28. Natalia:

    Hello, about a month ago, two lower teeth were removed, 3 and 4 on the left, against the background of periodontitis. Sticking splinters sticking out, pain appeared, turned to another clinic, where everyone cleaned, cut off sharp edges and sewed neatly.As healing progressed, it turned out that for further prosthetics it is necessary to cut off exostoses. On April 24, exostoses were cut off. Now everything is delayed, it looks neat, no swelling. By the way, I never have pus and edema with dental problems, but it is the general condition that always suffers from periodontitis and other dental problems. Here and now the temperature is 37.1-37.3 in the daytime, 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 you press 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 snapshot 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 mouth, palpation of the gums, etc. it will be impossible to draw conclusions. In general, the situation is not quite classic: you have to pay attention to the picture, the condition of the wound, the data of an objective examination, etc.

      If there are no problems with the removal side, then further monitoring of the general state of health will have to be carried out: complete blood count, selective biochemistry, consultation of an immunologist, therapist, etc. Until the problem manifests itself, in full view. Without knowing the true cause, treatment cannot be planned.

      Reply
  29. Anonymous:

    Thank you very much for the answer.

    Reply
  30. Galina:

    Hello! The doctor dentist treated the tooth, the canine, and then said that he was rotten and had removed it. It took 11 days, the temperature was not. There is a slight swelling of the cheeks, when pressed, it hurts along the canine, where there is a protrusion. The hole from the former tooth does not overgrow; around the hole there is a grayish mixture. If peroxide is applied to this mixture, it boils. The doctor said to apply metrogel dent. My question is: will it not turn out that the inside will rot, a cyst will form, and I will not feel. 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 his symptoms are blurred. There was a feeling that you are a little bit, but do self-healing. 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 dentist-surgeon. I am sure that in the picture you can answer most of the suspicious questions you have.

      As to the preservation of a cyst: if a granuloma broke off or a cyst remained after removal, then all this often causes a violent reaction, but sometimes the process “falls asleep”. The picture may allow to diagnose this complication. I wish you health!

      Reply
  31. Kristina:

    Hello! I was removed 6-ku 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 covered in caries and had a bad groin ... Right 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 1 more day passed. I wanted to go to the doctor, but the weekend came across. I went to her early in the morning, on Monday the 16th, and she, without even having considered it, wrote the pills - this is a digital camera and a cetrin, I let go to the laser. I went to the laser, then I bought the pills and immediately drank it. But in the evening the pain intensified, and I went to the emergency maxillofacial surgery at the hospital ... There they made an incision and made a drainage. They said, clean up after a day, here, tomorrow I'll go clean up.I drink these tablets for the 2nd day and went to the laser for the 2nd time today, but there is no effect ((The cheek also swelled and became harder, but the pain is tolerable.

    What should I do next? ((The cheek is already on the 4th day. Today she was also with her, but apparently she was going home, she was without a robe ... And she reached out with a hand without a glove, only washing her hands, is this normal at all? Should I write a complaint to her?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Without gloves, you can not even approach the patient. There are grounds for a complaint, but such documents are often ignored. If the camera was in the office, but through the media, as a rule, it is useless. But you can try.

      Edemas often do not pass as quickly as patients want. What costs drainage is good, but it is important to establish the level of cleanliness of the wound. You should take a picture of the hole after deletion and contact an independent expert. If I were you, I would get advice from 2 dentists in person. Photograph and examination in the oral cavity is important. It seems to me that you need to carry out curettage of the hole and be attentive to the possibly left parts of the tooth or bone fragments.

      Reply
  32. Helena:

    Hello! On April 10, she removed the bursting five from above, because of the 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 of the almost healed hole. It turned out again granulation. Again the doctor performed curettage. That was on Friday. Today is Wednesday, I have swelling and mad pain. The picture is clean, the hole is fine. Swollen palate and in the ear gives. The doctor said that this was due to prolonged bleeding; I even had a hemostatic sponge inserted. Antibiotics are not prescribed. My pain drives me crazy, maybe I should turn to another specialist?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Elena! The ear most often hurts because of irradiation from the lower teeth, but I think that it is a question of the strongest pains from an alveolitis after unsuccessful treatment of a wound - the effect of a dry hole.

      Sometimes doctors confuse granulation with the usual wound healing. Not often, in general, it is required to clean the well from suspected suspicious tissue. There are risks that you are a victim of coincidence: the well is simply “tortured”, and with it - you too. I think that it is necessary to turn to another specialist and simply create a good blood clot: only biological protection creates a certain level of comfort.Often the wound is narrowed with special means to reduce the connection of the hole with the oral cavity. Supplemental medicines only help in healing. Refer to another doctor, you may be right in the estimates of the treatment.

      Reply
  33. Olga:

    Good day. A couple of weeks ago I removed the top eight, after three or four days I noticed a slight swelling, no temperature, no pain, the wound does not bleed, the swelling does not increase. Sometimes it even seems that it is no longer there, and sometimes it seems that after eating it appears. She appeared 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. He is constantly on the side of the extracted tooth, since on the other hand the teeth are being prepared for the installation of a bridge. Thank.

    Reply
    • Svyatoslav Gennadievich:

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

      Reply
  34. Karina Vasilievna:

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

    On the fifth day I went to a dentist-surgeon that removed my tooth, complaining about the terrible aching pains of the gums. He (the doctor), said that everything is fine, be patient and drink painkillers. Almost 10 days have already passed (if we count from the day of operation). I have terrible gums (I drink antibiotics and painkillers), my cheek is a little bit, but there is swelling, so to speak. The hole is unrealistically large, is it normal? Thank you in advance.

    P.S. I trust my doctor, but also run to him every two days ... I think this is unnecessary.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that you have alveolitis on the background of a traumatic operation. The physician should carefully treat the hole - if it is too large after removal, then the wound is best taken.Otherwise, it becomes a “garbage” for infection of the mouth and food. I recommend to go to another dentist, make curettage wounds with the formation of a good blood clot. This will prevent the further spread of the inflammatory process.

      The fact that you go to the doctor is normal. Monitoring healing allows you to succeed.

      Reply
  35. Dmitriy:

    Hello! The upper 8 was removed from the left, a tooth was loosened during removal, the roots turned out to be hooks, they did not break off, but the partition had to be removed. On the first day after removal, there were no problems. On the second day, there was swelling of the cheeks, during the day increased, the temperature of 36.8. There is no pain when clenching the jaw, there is no breath smell, but the feeling of pain and aching is in the cheek. I went to the doctor again, recommended tsiprolet to drink, and I also took analgesics. Question: How long can swelling grow? And what are my next steps?

    Reply
    • Svyatoslav Gennadievich:

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

      Reply
  36. Yuliya:

    Good day. On Tuesday, 05/24/16, the top eight were removed. They dragged and shook the whole thing for half an hour - the tooth on top immediately began to crumble, but the root was firmly in place, the surgeon had to put a lot of effort into pulling it out. Put a piece of gauze, threw, as expected, after about 40 minutes. On the same day, after the anesthesia had passed, I realized that there is an uncomfortable feeling - swelling of the gums in the area of ​​the extracted tooth, from the outside (that to the cheek). But I thought that, perhaps, from injections (the needle was rather thick), and the removal was difficult. But the swelling did not go away after 2 or 4 days, in the end, I went to the doctor again (but, unfortunately, to the one who deleted, did not hit, looked at the other). He did not look carefully, only tried to touch, said "bone edge, do not worry, as the hole grows, it will pass, just do not touch and do not rinse."However, this did not calm me down at all - what does “bone edge” mean and what did the surgeon mean? Is it possible that this swelling will remain, or will deform the jaw, or cause some other complications? In general, I worry that 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 it "bulges" and "ostritis" is not the norm, since it worsens the healing conditions. Ideally, the hole should be formed as it should: the cusps are ground or cleaned with forceps or bone pliers, and the gums are carefully laid and its edges are drawn together. Often resorted to this seam. This should not be frightened - it is for the benefit of the patient to reduce the risks of infection of the hole.

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

      Reply
      • Yuliya:

        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 again, already to the surgeon who was removing it.He carefully examined the hole and the gum, and said that there was nothing terrible. As it turned out, I was “sharpening” with the active movement of my cheeks from side to side - the edge of the 7th tooth, I used to cover it 8 and I didn’t feel it, now it is there, but I think it’s not a problem (at worst I’ll go and file or something like that). The swelling on the gum in the direction of the cheeks (just around 7) is not dangerous, as the doctor said, "this is the body's response - your immunity - to damage, heavy removal, it will take about a week, the main thing is not to touch and give the hole to calmly overgrow." Well, taking into account the fact that there is no pain, the taste too, the 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 still follow the state in the next few days, and if anything, I will go to the doctor again (but I hope everything will work out =)

        Reply
  37. Olga:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello Olga! Yes, swelling and descend on the ascending in the upper jaw, and descending - on the lower. Bruise is a common thing. The lack of temperature suggests that the body has nothing to fight with. Consequences of an edema that already has will disappear completely in 3-5 days. See your doctor for control (as it is normal to monitor the healing of the hole at the dentist) and get well soon.

      Reply
  38. lily:

    Hello, on Monday, the 8th tooth was removed, on the first day there was a small tumor, on the 3rd day it became larger. In the area of ​​removal there is pain and a cheek is swollen There is no temperature, there is no smell from the mouth either, it does not hurt to swallow, but it is inconvenient to chew and a little bit sick. On day 3, the doctor put the medicine in the hole and said that a tumor had formed due to the empty hole, prescribed an antibiotic and soda baths. I am drinking an antibiotic and 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 is worth contacting your dentist for a consultation. The healing process after a complex removal is not the easiest.Be patient and go to the doctor to eliminate all suspicions.

      Reply
      • Lily:

        Hello, the tumor is almost asleep! The pain also stopped, but in the area of ​​the gums and cheeks there is a small lump. What could it be? The gum on the removal site is almost closed, but the lump does not go away!

        Reply
        • Svyatoslav Gennadievich:

          Hello! I think that the inflammatory process is gradually disappearing. Residual effects from traumatic intervention appear as compaction. It seems to me that it is worth watching for 2-3 days. Otherwise, it will not be superfluous for a doctor, as an important diagnostic measure is palpation of the formation, and it is not possible to remotely hold it, at least.

          Reply
  39. Natalia:

    Hello, I already wrote on May 13th. After the removal of the two lower teeth, there was pain when pressing on the gum. I went back to the doctor with complaints of these pains and descriptions of my sensations of sharp edges while gum probing. She gave me another operation to remove the sharp edges, two weeks passed, and in one place where they operated, everything practically healed with me, and in the other there was a sharp pain when pressed.I can not say that there is a very sharp edge there, but the gum from my palpings is irritated. On the other hand, in the normal state of the bone, it is unlikely that the gum would be injured when pressed ... The doctor said that she did not feel any sharp edges and should heal. But I do not feel positive dynamics. Acute pain when pressed persists. How to understand, is it a pathology or just a long healing?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Track, unfortunately, almost impossible. The picture shows the status of bone rowing, as a rule, is not displayed in the context that is required. Of course, testing for one single well in the past month has been enough. I think that the doctor will not deceive you. Most likely, you are already winding yourself up in advance, so it is important to just calm down and wait a bit. At least track the dynamics for the next week.

      Reply
  40. Natalia:

    Thank you very much for your answer.

    Reply
  41. Anastasia:

    Hello! I had a sealed tooth, whined, pulled, eventually went to an ambulance at night. They offered to make an incision on the gum, because there was pus! I refused, in the morning I came to the dentist with a swollen cheek, pulled it out to me.Now the bag is hanging on the cheek below, small, and hardening - apparently, pus, and a circle of red on the cheek. There is no temperature, it was 37 last night. I ache when I have a bite, my cheek and a little sore gum! Tell me, is this normal? And is it possible to put levomekol on the cheek? I drink antibiotics, I rinse soda.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I strongly do not recommend self-medicating. Any appointments are formed only after a careful examination, palpation and additional methods of research (if needed). I do not think that any dentist who understands the material and thinks with his head can write to you with a light hand on the basis of your description only: “this is as it should be, this is normal.”

      For example, I am confused by the phrase "hanging a bag on his cheek." Without seeing you, I can assume anything, but in fact - there is always the risk of an error in diagnosis. That is why, just for the sake of concern for the health of my patients, in such special cases, I recommend to come and show your problem right in the chair. Often, the patient calls out ordinary things after being removed with all sorts of scary words, but sometimes the innocent, with the same words, “puff” is a complication after removal.

      I think that now it is not necessary to explain why it is already important at the stage of healing of the hole to turn to the attending physician, who will prescribe the necessary drugs if necessary.

      Reply
  42. Kirill G.:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! Similar 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 do not know with you how well a wisdom tooth was removed. After all, it is not a secret to anyone that sometimes dentists “forget” the root, its part in the hole, or not scrape out qualitative granulomas (if any).

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

      Reply
  43. Nadir:

    After removing 2 upper teeth with a cyst, there is swelling up to the eye and a temperature of 37.7. This is the second day. To remove stitches in a week. Temporarily I 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 whether I think right? There is an unpleasant moment - when a cyst was removed, they wanted to build a bone, but since everything was festering, they did not. How long to wait for the restoration of the bone, or build up already during implantation? Thank you in advance for your response.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The tactics of the doctors are correct: it is impossible to 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 the normalization of your state and state of the well after removal. Therefore, you will have to wait only as long as 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 lifting (or bone buildup), I can say that this is a procedure that is performed before implantation. However, implants can deliver a sinus lift per day, or 3-6 months after it. Check the technology used directly with your doctor.

      Reply
  44. Valeria:

    Good day! A little more than a week ago, I removed the retired lower eight. A few days kept a little swelling, the temperature was not. Now (according to the sensations) the wound heals well. Visually, there is no edema, but the feeling that the cheek on the side of the removal has become slightly thicker than the other, and there is a small hard swelling in the lower jaw. The mouth opens normally, but it is a bit difficult to talk, smile and eat, because in place of this solid formation, there is a certain stiffness and tightness.

    Should I worry and go to the doctor, or is this a normal phenomenon and will pass with time?

    Reply
    • Svyatoslav Gennadievich:

      Hello! See a dentist will not be superfluous. In principle, I can assume that after a complex removal, the edges of the gums didn’t pull out so neatly, so the hole turned out (if I may say so) with a smashed gum, which, after a healthy healing, became somewhat denser than on the other side of the jaw. I have no other explanation in my mouth without a detailed examination. That is why monitoring after the extraction of a tooth from your doctor is so important.

      Reply
  45. Kristina:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! After removal, a wound was formed, and a local inflammatory process appeared on the background of the injury. Inflammation is always accompanied by swelling, pain, local fever and dysfunction. For some it is more pronounced, and for someone it is less so. The dentist has done the maximum so that everything is fine with you, but some nuances leave their mark. It seems to me that a visit to the attending physician will not be superfluous, but according to internal sensations - while everything is within the normal range. Health to you!

      Reply
  46. Nata:

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

    Reply
  47. Nata:

    Good day. I appeal to you again. Was today at the doctor, 5 days after removal, and constant aching pain. She opened the hole and picked it up, the pain is very strong. Then she calmed down for a long time. She said no pus, drink nise. Why does pain last so long? Maybe even go somewhere? To make an X-ray? Please tell me how to be? Dug out a tooth in a private clinic, may not want to spoil the reputation or just admit a mistake. The doctor gave me a mirror and I looked: there was blood inside the hole. She said it was normal - the wound was healing. I am very worried because pain hurts me.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I apologize that due to the large employment in the practice of 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 takes place with serious violations. Moreover, the dentist took special care of you: he excluded as much as possible the possibility of a further inflammatory process in the well.The formation of a new clot is one of the most promising options for the safe 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 that only one symptom in absentia will be extremely difficult to understand. 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, in a public 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 recommendations of the doctor, and if necessary, nobody cancels the right to get in-person consultation from another dentist. I am sure that you lack only the correct correction of treatment. Check the wound for fragments and bone residues, 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 it can be said that the pain is a little less every day.Most likely, this is really my feature. Maybe tomorrow I will go to the state clinic after all, I will do an x-ray there ...

    Reply
  49. Natalia:

    After removing the teeth, I always have a galloping temperature. At night 36.4 - in the afternoon to 37.4, tachycardia. I read on the Internet a description of such situations by people, they all chase like a soccer ball, according to different specialists, but no one recognizes the connection of this temperature with the teeth. And in general, because on the Internet about alveolitis it is written that there is a temperature. You will come to the doctors, all as partisans: there can be no temperature, go take a look. Is this a conspiracy? Does the body really not have to react to the removal of the inflamed root, for example? Here I read your correspondence, most of the swelling and pus, without fever. And here I have the general condition immediately turns on. What is it, a topic for someone's dissertation?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Not sure this is a topic for a dissertation. Not once removed permanent teeth that can not be saved in adolescents. The picture is about the same: in the late afternoon, on the first day of removal, the temperature rose to high values.The next day everything will stabilize, and almost always it does not rise above 37.3. The pattern you described, in theory, is the opposite. I think that such an immune response to injury (injury) is purely individual. Honestly, I had the impression, as a mixed-use surgeon therapist, that most people do not perform thermometry after removal. In principle, if a person is “sausage” after removal, then he will surely say later, but almost always will not specify that there was a temperature.

      On the site, most people do not have a temperature, but often patients tell about 3-4 days after removal, and sometimes even 2-3 days old. Others do not measure it at all because of banal laziness. I would like to write a dissertation on your case, but, unfortunately, there is a lack of data on the history of your diseases, history of life, health, and so on. All this could shed light and, almost sure, would explain the nature of temperature fluctuations in a manner different 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 that the upper eyelid was already swollen in the corner of the eye. Three weeks have passed. Heals badly.So the hole seems to be pink, but when you brush your teeth still, if you accidentally brush it, it starts to bleed. Take a picture, everything is clean. Why is it still bleeding?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Because the inflammatory process in the marginal gum has not yet ended. The fact that there are no common symptoms means nothing. The tissue in the well “grows” as it were, new fibers are formed, which by itself determines the possibility of bleeding when injured with a brush. Without seeing you, it is difficult to unambiguously answer the question, but I am inclined to believe that this symptom determines for the time being a complex healing. So I can only advise a little to adjust the technique of brushing your teeth, to make movements in this area more benign.

      And when will you start the first stage of prosthetics and have you made an immediate-prosthetic (prosthetic-butterfly)?

      Reply
  52. Irina:

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

    Reply
  53. Olga:

    Hello, on September 2, the rest of the tooth was removed (almost nothing was left) and the root. Removal was quick. Today, the 5th, swollen cheek.The pain is felt very faintly. When pressing on the cheek is stronger. Should I see a doctor, or is this normal?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Of course, yes, since swelling began to occur, as I understood, 3-4 days after removal. I am sure that alveolitis should be excluded. If a dentist diagnoses alveolitis, then curettage of the well, its antiseptic treatment and the formation of a new blood clot will be required. Sometimes a snapshot is required after removal to confirm the fact that the doctor left the hole “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 injected in the tongue it was like a strong electrical discharge. The tooth was resorcinol-formalin, when he tried to remove it, he 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 had given myself a injection of ditsinona. In the morning the cheek swelled quite strongly.And everything would be fine, the gum in the hole is light, but a white patina appeared. But the most frightening - next to the hole on the gum appeared a burglar with a white head! What could it be? Edema is still coming. Today is Sunday, and the doctor will work only on Tuesday after 4 pm What to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think these are the consequences of a traumatic removal. Without examination it is difficult to say, but there may be a continuation of a purulent inflammatory process. Alveolitis still too early to arise, but it is worth checking the quality of removal. A shot of the hole could shed light on the "purity" of the tooth extraction. Waiting for no reason, it is worth contacting the duty dentist for advice.

      Reply
  55. Anna Ivanova:

    Hello, Doctor. In mid-August, my tooth became very sick (6-ka, lower right). This tooth has long been "dead", put the seal 4 years ago. I turned to emergency dentistry, where in the morning I was given a referral for x-rays. After this examination, it turned out that my canals were poorly sealed, and all this time a cyst was growing, and after I caught a cold, it also became inflamed.In general, they removed my filling, cleaned the canals, made a cut, put drainage, prescribed antibiotics and sent me home, they said to come in 2 weeks. But since I was in another city and was soon going to return home, I no longer got to them. Upon arrival home, I immediately went to the dental clinic at the place of residence (by the way, I cleaned the drainage after 3 days, as the doctor told me). I was again cleaned channels, and put a medical filling. And before that, of course, they did an x-ray again. I went through with this seal a week, and then I 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 opened up under pressure on the gum, a lot of pus flowed out, but not all pus came out. In the morning I went to my dentist again, she squeezed out the remnants of pus, took a second shot and sent me home. I came to her again by appointment several days later, and the same manipulations were repeated (cleaning the canals, applying a seal; although she said that it would be better to remove the tooth). A day later, an abscess arose, it was periodically opened, I passed like this for 4 days.On Monday (09/12/16) I turned to the doctor again, for which she sent me to a surgeon, and he safely pulled my tooth out. So, the question is: should he cut my gum and put a drain? After all, there is a purulent process, where to get pus? That swelling of the gums, which was before the removal of the tooth with pus, remained. The doctor himself said that a part of the bone “rotted”; there was even pain when cleaning it, although the anesthetic was strong. It seems to me that with antibiotics alone, such inflammation will be difficult to cure, and pus outflow 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, the drainage is almost always installed, since the purulent exudate is not evacuated as effectively through the hole of the extracted tooth as we would like. The correct saying in surgery: "Where pus is there, open up." However, quite often and 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 a cut. 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
      • Anna Ivanova:

        Thank you for your reply. The healing process is normal, with no signs of intoxication of the body, 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 remained, but not so pronounced. He worries me, but the doctor said that with such inflammation, as I had, it is in the order of things.

        Reply
  56. Daria:

    Good night! Today I deleted 8-ku, it was difficult to remove, the doctor put me on painkillers and some other sponge and put 4 stitches. She warned me that she could have a sore throat, like with a sore throat, and this is normal. After coming home, my cheek begins to swell, it becomes hard, when pressed it hurts, it is understandable, the 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 a negative dynamic on the part of the general condition (temperature, pain, weakness, incapacity for work) suggests that you should immediately seek medical help. As for pregnancy, this is a big minus for the antibacterial treatment option.Almost all drugs that help to quickly deal with problems after removal, are not recommended or contraindicated. Therefore, a joint consultation with a gynecologist and the dentist who is treating you is needed to find a compromise on treatment with drugs, taking into account the assessment of your health condition and the severity of the disease (after tooth extraction).

      Reply
  57. Nataliya:

    Such a question to the doctor: a week after the tooth is removed (6-ka) and 4 stitches in the hole, there are 2 gray spots (apparently a clot with fibrin where the roots were), white threads and white edges of the overgrowing hole. View - terrible, because It seems that this pus is normal? There is an unpleasant smell. But the swelling of the cheeks and jaws and badly 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 OK with my hole? I really want to put an implant in there, and that's why I'm worried.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that against the background of alveolitis currently underway, implantation is still contraindicated. Before you put something, it is important to get the approval of the maxillofacial surgeon.In principle, not seeing the hole, I can say nothing more either good or bad. From your words, it is almost certain that the alveolitis was, but at the moment its manifestations are minimal. I recommend to coordinate my consultation with your doctor.

      Reply
      • Nataliya:

        Here I, apparently, missed something. I did not notice that I had alveolitis, i.e. the pain in the hole was not strong, there was no obvious pus, hygiene was observed without rinsing, I made baths of chamomile and chlorhexidine. I think the white pieces on top of the hole are strings that have not yet resolved. Only now I am concerned about another question. Under the white dense bloom (I think it is the 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 practically empty. This can 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 is needed for the well. Here it is important to fill it with osteoplastic materialauto-bone shavings, etc., so that the bone of the alveoli is not lost 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 the implantation largely depends on the preparation. It is not by chance that after not completely careful deletions (as well as after deletions made many years ago), the implantologist has to do a sinus lift (not only when the maxillary sinus is close), since a certain height of the alveolar process is needed. In general, my position on the holes is as follows. In general, there are many approaches to the question of how “good” wells should look before implantation. It all depends on the competence of the dentist.

          Reply
  58. Tatyana:

    Hello. 1.5 months ago I deleted a complicated 8-ku. Removal took 2 hours, 6 injections of anesthesia. After that, unbearable pains began, the entire right side of the head ached. Immediately, the cheek, chin and lower lip were swollen and tender. I was prescribed antibiotic and ketorol from day one. Periodically, I visited the dentist, the answer was one: endure, everything will pass.I went to a neurologist (for all the symptoms, I decided that the problem with the trigeminal nerve), he prescribed me an antibiotic again, only at injections (2 times a day) and voltaren in injections (1 time per day). Kohl is already a week, the pain has become less, or I just do not feel under the influence of voltaren, but the swelling does not go away. A panoramic picture was taken, 3 different dentists say that everything is good and that the well is healing too well. Blood count is normal. Everything is good, but I'm not better. All this time I sit 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 trauma to the mandibular nerve, hence the numbness. However, I don’t understand why the numbness gets along with the pains - after all, such sensations are usually perceived as “freezing”. As for edema, it is difficult for me to say something, it usually decreases over a period of 10-12 days maximum, sometimes it takes about 2-3 weeks, but definitely not 1.5 months. If the blood test is normal, then exactly it is a question of consulting a professor, head of the department of maxillofacial surgery.Not connected and in many respects contradictory, in my opinion, symptoms that deserve individual consideration, and, it is possible, - council. Perhaps even in another city, because doctors can cover a colleague or simply cannot, like me, link symptoms that are odd for 1.5 months after a wisdom tooth is removed. I would also like to see and see for myself what is happening with the hole of the tooth, but so far my recommendations, again, boil down to getting advice from a highly qualified maxillofacial surgeon.

      Reply
  59. Anna:

    Hello! I have a question: 3 days ago I pulled out two teeth, or rather, what was left of them - just the roots. After being pulled out, on the morning of the next day my cheek began to swell up and my gums acted a little. Eating only on the left side, what to do? Run to the doctor? Or is it 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, they removed two destroyed teeth. The increase of severe symptoms (severe pain, swelling, fever,putrid breath, etc.) - this is a 100% reason to see a doctor immediately, but any first signs that may create certain risks also oblige you, as a conscious patient, to appear to your doctor to rule out future problems.

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

      Reply
  60. Hope:

    Good day. Answer me please. The 9th day, as they removed 5 and 6 from the bottom, on the 7th day of CT (there was pain in the area of ​​the missing 8-ki) - the wells are in order. An incision was made along the transition fold, squeezed out pus, without installing drainage. Now the swelling is small, pulling pain. Excites purulent plaque at the site of the incision. The doctor said general hygiene. Every day you will not 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 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 consult 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:

    Tell me, please, 6 days ago I removed a complex wisdom tooth. He lay in the gum, occasionally inflamed. Removed a long time, almost 1.5 hours. Injected anesthesia 6 ampoules. Tooth pulled out, put drainage. By evening, the temperature rose to 38. She drank anesthetic pill and fell asleep. The next day, the cheek was swollen and under the cheek. A day later, my mouth stopped opening, barely, a little crack, I can only eat with a small spoon. They took a picture, the doctor said that everything is fine, and pulled out the drainage. A day later, the tumor did not pass, and numbness of the lower jaw and lower lip was also added. Below under the place of extraction of a tooth there is a dense painful ball. The mouth never opens. I went to the doctor, he looked and said, it is necessary to work out the jaw through pain, otherwise the muscle will atrophy. I, frankly, just in a panic.

    Tell me, can a doctor hide something from me? The temperature is kept 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 it’s about carpules) of anesthetic. Even for an hour and a half, this is a bit too much, because at this time 2 carpool of a technically correctly performed anesthesia with an anesthetic of an articain row in classical dilution of adrenaline would be enough. If you have been pricked with Lidocaine, then I have no comments (this is the last century).

      If you have received many injections of anesthesia (more than 3-4 times), this could affect the disruption of the mouth opening and the general condition. But usually this symptom is associated with a traumatic 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 good for you to go to another dentist for detailed advice and a careful examination of the hole directly in the chair. I hope that everything will clear up and you will be adjusted home treatment: since you did not write about the recommendations, you are inclined to think that they did not exist or they were not entirely 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 anesthesia began to release the effect, the aching pain began, small, analgesics did not drink. The next day, there was practically no pain at all. But above the hole there is a small bump or edema (I don’t know how to put it correctly), painful when pressed. Pus is not visible, just reddish, unlike intact gums. Yesterday, 10/28/16, they removed the seven from the bottom left, and I showed the dentist, she said that everything is fine. And even today, the top hole weakly weakens. I bought and started to smear Metrodent, I do not rinse. We do not take pictures. What do you think on this occasion? Maybe some recommendations?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Making assumptions without a shot of the holes after removal is a fortune telling. I know a lot of cases when dentists-surgeons ignore the remnants of roots or fragments of the coronal part, since it is difficult for the doctor to “crawl” behind them when they break off, or if there are no proper skills (sometimes even time).Therefore, the doctor may well say that everything is normal. I don’t know if you can call it a hoax or not, but in fact it’s my priority to check the holes for a doctor’s mistakes. That is why the picture should be done somehow: if the wells are clean, then alveolite should be excluded. Perhaps, while I have no more comments on this issue.

      Reply
  63. Andrew:

    Hello. 20 days ago deleted 7 from the bottom. Healed quickly, but there was a lump on his cheek, at the place of removal. No pain, no temperature. The seal is hard. 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 a traumatic removal, the wound edges were formed. Without inspection, to say for sure that this is not possible. Consult your dentist for advice in the chair.

      Reply
  64. Aydar:

    Good day! 4 days ago removed the bottom 8-ku. The crown of the tooth was destroyed and there was a slight suppuration. Removed quickly and painlessly. He did the head of the CLH, PhD, experience of 20 years. Severe pain after removal was not.Temperature is normal, there are no unpleasant odors. In general, the healing process did not cause any discomfort. But on the 3rd day the swelling of the cheeks appeared, on the 4th day the swelling began to creep downwards and, as it seemed, it increased. Almost no pain, only when you press 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, the state of 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 aches. Should I go to the doctor for a checkup, if nothing bothers, just cheek swelling? And if this is a normal reaction, after what time should the edema pass? Thank you in advance.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Of course, it’s worth going to the dentist, as 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 crawls down on the lower jaw. That you rightly noticed: the result of both the appearance of a wound in the oral cavity, and - injuries in the places of introduction of the anesthetic. Edema passes most often in 5-10 days.After a complex wisdom tooth extraction, you should go to the doctor to eliminate the possible risks of infectious inflammation. Thanks for asking.

      Reply
  65. Aliya:

    Hello. 12.11.16, the three-year-old son was removed a tooth, the next day the cheek was very swollen and the eye closed slightly. We went to the doctor, told to rinse with chamomile and put a compress with a vinyl balsam. The tumor passes, the redness remains a little - is this normal? Tell me please.

    Reply
    • Svyatoslav Gennadievich:

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

      Reply
  66. Alexey:

    After removing the lower wisdom tooth, the cheek is swollen. I read all the comments, calmed down for 2 days, but in vain. Doctor, why are you advising people to wait for a tumor to fall a few days, to go to the dentist, to check if there is a smell from the mouth? Why do not advise you to run to maxillofacial surgery straight? What the hell are dentists? About phlegmon why not write? What is cut cheek more than once, and from ear to ear, and in the absence of breath from the mouth when the cheek is cut half a glass of pus pours out, and the whole week still flows. And the 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 towns and villages with a badly swollen cheek to the dentist. Not their level. Only a major city and surgery, since the examination is performed there by the head of the department, and this is usually a doctor of science or a professor. I, of course, 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 me to rest and wait for the tumor to subside. I am indispensable at work, the boss is furious. There were acquaintances at the level of the deputy head of health of the region. Dentists will be fired. Such mistakes are not forgiven.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Alexey! I could not pass by your personally controversial comment for me. I must say at once that I understand your situation, that the loss of health and the risk on the verge of life and death is serious. Maybe, 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 take a look at this situation from a different angle.

      I do not think that at the same time there were two frank "fools" in two state clinics. Do you think two doctors have incompetent? And how do you feel about such a situation that could be in many hospitals: such a doctor sits, and with any little swelling that people always call a "tumor", sends to maxillofacial surgeons in the city, who are simply stunned, to put it mildly, from so many patients referred "out of business". I understand the outpatient procedure that you encountered in the clinics, since there doctors almost always encounter cases that are treated on an outpatient basis. Of course, home methods alone can help far from 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 work formally, while they themselves received satisfaction from fulfilling their duty and finding justice in something. But I dare to disappoint you, although I essentially agree with you: good diagnostic dentists who understand all the profiles of dentistry in the city clinics of one city taken are counted on fingers.

      The one who does not work is not mistaken. I know a dentist who, because of a conflict due to an error with a child’s diagnosis, when he was almost fired, now doesn’t cure people at all, simply writes down those he consulted in the journal (while logging that he had cured caries). He tells me on the phone that “I’m afraid to hold a reception, suddenly I’m wrong again and then they will be fired.”

      Reply
  67. Victor:

    Hello, 3 days ago, I removed the 46 tooth, the operation was very painful and long, it lasted 2 hours. And now, after the extraction of the tooth, the cheek swelled the next day, then the swelling increased on the second day, the swelling went down on the third day, and the bump on the cheek all the time below was not quite small and not bad. What is most interesting - it is hard. Rinse with furatsilinom and salt. The swelling of the cheeks passes, but this bump is not, and does not grow, and does not decrease. Tooth extraction was difficult with the use of a root sawing machine. Tell me, is it 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.Typically, patients for solid still take the residual effects of the ongoing edema, which in the lower jaw often "comes down." More patients for "hard under the jaw" are taken to palpation of the lymph node, which, after extraction of the tooth for many reasons, can be slightly increased. I think that you should turn to the dentist so that he personally palpated and compared to the symmetrical (healthy) side in the chair. Thanks for asking.

      Reply
  68. Pauline:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! It is worth applying, as you had a situation with secondary (late) bleeding. That is, everything was in order in the dentist's chair, and when he came home, as the effect of anesthesia and the vasoconstrictor components in it diminished, bleeding from the hole occurred.Maybe there was an increased blood pressure, or taking drugs that thin the blood, etc. (a lot of reasons). The invasiveness of the removal also affects, and against the background of this - a vascular injury. All this gives reason to run to the dentist, check the blood clot in each well, and you may also need the help of a local therapist to restore the body and return to work capacity. About the blood tests, which are important to pass to determine the severity of your general condition, the therapist will inform you at the reception.

      Reply
  69. a guest:

    The excess of bloody photos, because of them, did not even begin to read the article.

    Reply
  70. Helena:

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

    Reply
  71. Svetlana:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! Generally speaking, normally, every day the bruise should "turn yellow" and disappear, and the swelling on the 7-10 day is fading away or becoming much less.I think that according to the symptoms you described there is an urgent need to consult a doctor, as I personally are not clear on the reasons for the picture you described (unless you exaggerate due to your subjective opinion). The dentist will evaluate 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 the extraction of a tooth and the implementation of all 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 every day it becomes better (that is, that there is a positive dynamic), and if it worsens, you should immediately contact your doctor.

      Reply
  73. Oksana:

    Hello. 10 day I was removed the lower 6 tooth. Developed alveolitis. The doctor is treating, but for 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. While all at the same level. Please advise.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Given the seriousness of the situation you are describing, I recommend getting in-person consultation from another dental surgeon in the clinic. It should not be so that the treatment 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 was asleep, but there was a seal at the bottom of the gum, almost on the bone. It has ceased to hurt, even when pressed, the well is clean, it is overgrown, like, normally, there is no pus and smell, and there is no temperature either. Injections were made deeply, 3 times they could not get somewhere + they were choked with local anesthesia. What kind of compaction can it be, is it worth worrying?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Judging by your description, it may be a bone protrusion or an uneven edge of the hole after a traumatic removal. Dentists-surgeons understand their tasks differently: some consider that the main thing is to remove the tooth roots and it doesn’t matterhow traumatic it will be; others are guided by the principle of quality - the well should be carefully formed after removing all the roots. That is, you may be faced with an option when the tooth was formally removed, but the bony edges could not be 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, removed 6 wisdom tooth, came home, went to bed. I woke up the next day - my cheek was swollen. Already 2 days does not fall, there is no temperature, but when you press the cheek (closer to the eye) it hurts a little. Tell me, is this normal? And when the swelling subsides? Thank.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Usually, swelling after tooth extraction may occur just on day 2 of removal and lasts another day. Further, the trend is improving: with proper patient compliance with all recommendations and the absence of errors from the surgeon, the swelling decreases, the temperature does not increase, there is no severe pain (maybe only when chewing), the state is satisfactory - you can even work.If symptoms begin to grow from the 3rd day of removal, see a doctor immediately. It goes without saying that if you suspect something serious does not interfere with coming to the doctor, at least for monitoring (no good specialist will refuse to be examined, even for preventive purposes). Completely edemas usually disappear within 5-7 days, and with excessively traumatic removal - within 10-14 days.

      Reply
  76. Ruslan:

    Hello! On January 12, he removed the bottom penultimate tooth, the removal was very difficult. Gums torn strongly. Today is January 16th, in the hole there is a white-gray scurf, and a cheek swells up. I can get an appointment with a doctor in 6 days, as I am on the train. I drink Ketans, 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 kind of agree with painkillers, otherwise I’m doing wrong. Without determining the reason to relieve the symptoms with dubious means and, especially, to put your hands on your mouth and smear with something - this is the wrong tactic. The best option is to go to the dentist and determine if there is a purulent inflammatory process in the hole. The cause can often be identified by a snapshot.I hope you will get an appointment with a doctor earlier than in 6 days (I understand that it is not so easy in your case). Untreated in time, alveolitis can lead to osteomyelitis - suppuration of the bone. In such cases, it is not necessary to check the immunity for the strength of its protection, since if you leave fragments in the hole, granulomas or roots, everything can be serious. Thanks for asking.

      Reply
  77. Anonymous:

    Hello, 4 days ago deleted the bottom eight. The first day everything was tolerable, 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 Nise, 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. Accompany this process should be regular visits to the dentist, especially when the deterioration. I would recommend about 3 times a day to monitor the healing of the hole at the doctor.

      Reply
  78. Helena:

    Hello, four days ago they removed the 6th tooth from above. Before that, he was treated, but could not be saved. On the removal went already with a swollen cheek. After removal, the well heals normally.The blood clot was covered with a white barely noticeable film. No pain. Edema almost disappeared from the gums, but does not go away from the cheeks, on the second day it increased slightly, but now it does not grow. In the cheek area, near the nose, as if something is interfering, as if there is a lump of air or something. When pressed does not hurt. Tell me, is it ok?

    Reply
    • Svyatoslav Gennadievich:

      Hello! You describe symptoms that are within the normal range and do not allow us to suggest something terrible. For 2-3 days after removal, swelling can be strong - there is nothing special about it. About the temperature you do not write - 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 soon. As for the "lump of air": in the absence of other symptoms of perforation of the maxillary sinus, we will assume that these are features of your perception of small edema in the postoperative period. If there are other symptoms that cause serious concern, contact your doctor, but for now there is no cause for concern. Hole heals within normal limits.

      Reply
  79. Yana:

    Hello.I had a wisdom tooth, half got out right away, half couldn't - my cheek was swollen, pain, lymph node inflamed. The surgeon issek hood gums. I rinse with soda solution. Everything was normal, a little bit sore, but today (5th day already) I woke up with a numb patch on my chin and lower lip. Temperature 37.5. The gum itself is pinkish, not swollen. The lymph node is also still inflamed. I have a complication? How can I help? I would not want to hurt the gum again ((

    Reply
    • Svyatoslav Gennadievich:

      Hello! If this method fails (excision of the hood), it is usually recommended to urgently turn to maxillofacial surgery to remove a wisdom tooth. Unless, of course, the surgeon after examining the lymph nodes, face, gums near the problem wisdom tooth will not take responsibility and say that it is not worth deleting. But the negative dynamics is a weighty reason for the speedy removal of eights against the background of pericoronitis. If you still have a problem "resolve" without removing the tooth - you can say that you are very lucky. Personally, for the future I will write to everyone who faces the same situation: do not joke with the lower problematic wisdom teeth.In extreme cases, if the hood incision did not help and it becomes worse and worse for 3-5 days - running to the removal in the maxillofacial, without losing time.

      Reply
  80. Valeria:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! After removal of the purulent exudate, it can be freely evacuated from the well for a couple more days, and more often the dentist makes one more access for him - a cut through the transition crease in the projection of the removed roots. The next day, most often there is swelling in the background of the removal + already existing purulent process. That is, unfortunately, everything is not quickly eliminated, as everyone would like.On average, the edema lasts about 2-3 days, sometimes - up to 5-7. This is not critical, but if symptoms worsen, there is a reason to turn to a dentist. In principle, good dentists recommend contacting for the purpose of monitoring the healing of the hole for 2-3 days after removal, so it's okay if you ask for a scheduled consultation, it will not.

      Reply
  81. Mariana:

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

    I removed the spine, prescribed an antibiotic and rinse. On the second day, her cheek was swollen, right under her eye, and for some reason she had a stuffy nose - when blowing her nose, she gave it to her left ear (a tooth on the left above the eye). And my throat hurts, as if - I definitely don’t understand, maybe the palate (no tonsils), it’s hard to understand. The first day was very bloody. Yesterday, saliva streaked with blood, this morning, too, but now I looked - a white film or what it is, I don’t know - maybe pus? I called the clinic, they said it was okay, everything is fine! But I do not feel very much: weakness, no appetite.I often rinse, there is no temperature, my cheek is swollen - what to do? Run to the doctor? Or is this normal? At the site of the wound is constantly pulsating. And this film is white - maybe pus?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Most likely, you have an independent problem related to ARVI + possible otitis media. The canine roots are almost always at a distance from the maxillary sinus, so that its perforation during root removal is unlikely.

      But I am a little confused by the impacted tooth, about which you wrote. You do not seem to have removed the milk canine, but a permanent one, but under the gum there is another canine, a super-complementary tooth, but these are trifles. In my practice, there was a situation that during the development of edema a problem tooth was removed, and due to the fact that the gum problem was not solved, symptoms continued (edema, severe pain, fever, etc.) until surgery 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 moment in mind.

      I think that at first it is worth checking the hole at the dentist, giving him all the information, and then, most likely, he will refer you to a general practitioner or ENT for further treatment.

      Reply
  82. Kitty:

    Good day! 4 days ago, the lower 8 was removed, the swelling from the cheek does not come off, and with pressure on the lower jaw and the cheek itself along with the saliva comes out pus. I apply ice, I rinse, and it becomes better not. Antibiotics can not be taken, because pregnant. What to do, how to get rid of internal suppuration?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The situation is complicated by the fact that antibiotic therapy in a number of clinical cases is obligatory, as it allows to prevent serious complications. Another thing is whether the dentist-surgeon did everything as it should be:

      1. I did not leave the root of the tooth, its parts and fragments of bone, granuloma, cysts, etc .;

      2. Formed a wound, made a cut for the best outflow of purulent exudate;

      3. Carried out the removal with minimal tissue injury (rather, the recommendation);

      4. Assigned competent postoperative care.

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

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

      Reply
  83. Dinara:

    Hello. On Friday, the lower molar was removed to me (or rather, what was left of it - I was told earlier that the tooth could not be treated). The next day he swelled. Especially not sick, only if a little bit. Did the rinsing, but the next morning the swelling did not come down. It seems that even a little more became (quite a bit). Should I go to the doctor or not?

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! Judging by your description, it is better to consult a doctor in order to play it safe just in case and correct the postoperative recommendations. In principle, edema most often and appear the next day, as the body's natural reaction to traumatic intervention and infection, which was located near the extracted tooth. Inspection after tooth extraction is a normal practice. Health to you!

      Reply
  84. Evgenia:

    Hello, yesterday I pulled out a wisdom tooth in the upper left.Swollen cheek, I can not fully open my mouth and chew. There are difficulties in swallowing. I am pregnant, 10 weeks. I worry. Six months ago, I was removed another wisdom tooth in the upper right. So ponyl a bit 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 the answer.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Turn to the dentist is worth it, especially since the removal of the upper wisdom teeth rarely causes such a symptom as a violation of the opening of the mouth - it is the prerogative of the lower wisdom teeth. A condition with such a serious edema should be checked with a dentist to prevent the onset of severe complications associated with the spread of infection. Since you are in position, it is important to competently approach the medical treatment. 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 side teeth removed (or rather, the roots). One well retired, and the second broke, and pulled out piece by piece. The gum is slightly swollen, there is no particular pain, but where the injection was given, there is a small lump from the injection. 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 was a fever or tingling? I answered no. So, I looked a little and said not to touch, it will pass by itself. Neither x-rays, nor anything else appointed.

    It is just unpleasant to see and feel swelling. I would like to know - is this 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, then the edema after the procedure is quite natural, which is often formed on the second day. Edema is the result of an inflammatory process on the background of injury + an infection from the oral cavity joins the wound, which is abundant there. The body's active struggle results in small or significant edema, sometimes accompanied by fever, pain, or painful sensations. You did the right thing to go to the doctor. At this stage, the dentist did not see the pathology. I think that if symptoms appear more significant, then re-treatment will not be superfluous. Swelling normally lasts on average up to 4-7 days. I wish you a speedy recovery!

      Reply
  86. Inna:

    Hello. When I removed two adjacent teeth, I was stitched, the doctor said that it was not necessary to remove the stitches, they would resolve 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. Thank.

    Update as of 07.05.17. There was another question (while the first was under consideration by the moderator). Temperatures and pain are absent, but in the area of ​​the sutures white spots appeared, very similar to pustules (small fistulas), although there is no discharge from them. Is it possible that because of the frequent rinsing-baths something went wrong, and is it necessary to worry already? Thank.

    Update as of May 8, 17 Sorry to ask again, but every day something new. This morning I felt something sharp in my tongue, I looked and it looks like small shards are coming out of the gums. I do not touch them, I think, maybe they will come out themselves? There is no temperature, pain and swelling, but I worry about the adjacent tooth, the fragments come out very close to it, and, naturally, this part of the gum slightly raised.

    Reply
    • Svyatoslav Gennadievich:

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

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

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

      Reply
      • Inna:

        Thanks for the answer. I'll make an appointment, the threads really interfere very much and do not really dissolve, but I don’t understand what's under them ...

        Reply
  87. Anna:

    Good day. Last night I woke up from a pulsating pain in the tooth.The next morning turned to dentistry, took a picture - over the healed tooth "problems and inflamed bone." A few days before, ARVI + cytomegalovirus (herpes) got sick. They recommended to drink antiviral, and if it does not work, then come again.

    After the second sleepless night cheek swelled. They examined, calculated the aching tooth, removed it for a long time and a chore (one root with a pin did not want to give in). Tooth top 26th. They removed it in the afternoon, now it is night, the hole aches a little and hurts my cheek ((It is compacted and swelled even more. Tell me when to start panicking? And is it worth running tomorrow to the doctor on duty?

    Reply
    • Svyatoslav Gennadievich:

      Hello! After a tooth is removed on the background of an injury + residual purulent infection (which is why you have a tooth 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 (intolerable) pain, significant development of edema (closes the eye, it is difficult to speak, etc.), then it is urgent to consult a doctor. As a rule, for 2-3 days of such symptoms should no longer be,in the worst case, there is an increase in the evening temperature to low values, a slight pain in the gums and slight swelling. However, I would recommend visiting the doctor for 3-4 days for a follow-up examination to rule out the development of alveolitis. If you have performed the removal with high quality, then almost always after this examination, you do not need to do anything, except for the responsible implementation of all the recommendations of the dentist.

      Reply
  88. Tatyana:

    05.26.2017 molar tooth removed from the bottom right. Removed because there was a hole and he grew up in a nearby tooth tilted. She was very sick, and when the painkillers stopped helping, she went to the hospital.

    The first day after the removal was tolerable - there was neither temperature nor severe pain. But the second day is very painful, there is swelling on the right side, there is no temperature, but there is a very severe headache, nausea, lack of appetite (in general, even aversion from plain water). The place of the tooth itself does not hurt much, but the head, the stomach, and indeed the general condition is very terrible (I sit, I cry). I do not know what to do. Tablets do not help. Why is such a state - is it 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 we need a comprehensive examination by a therapist, together with a dentist. From here follows: delivery of the general blood and urine test. Also, before you turn in, you will have to tell doctors of previous diseases whether you are registered for any of them. From here the number of analyzes can change for your own good. Honestly, it does not seem like a purely dental reason, it is possible that you have something “layered”, but doctors still understand. So it is urgent to see a doctor, because your condition inspires fear in all criteria!

      Reply
  89. Goryanka:

    The day before yesterday, he pulled out a tooth, his cheek was a little swollen. Today is day 3 - the cheek is even more swollen, I am writing off the discomfort of pain for healing, but I still think that 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 were more traumatic interventions ...

    Reply
    • Svyatoslav Gennadievich:

      Hello! The tendency to increase edema at day 2 after tooth extraction is quite possible.But a significant swelling on the third day makes you wonder: you cannot do without a check-up by a dentist, so as not to miss any complication. Here it is important to understand what exactly causes progressive edema - is it a reaction of the body that requires medical treatment, or is it a consequence of insufficient professional tooth extraction (fragments, a root or a part of it, granulomas, cysts left)? Ideally, you want to take a picture of the hole to make sure it is “clean.” After that, it is important that the doctor gives advice about antibacterial treatment (antibiotics), since, most likely, we are talking about a purulent process. Antihistamines and anti-inflammatories may also be prescribed. After 2-3 days, you may need to re-inspect. If everything is in order or there will be a tendency to improvement, then more consultation will not be required.

      Reply
  90. Olga:

    Hello, yesterday a tooth was removed, in the upper jaw on the right - the next one after the canine. The tooth broke off and fell out along with the filling. She came to the hospital with a swollen cheek, the tooth was removed, and today the tumor has become even larger. In the mouth taste of iodine.Yesterday there was a temperature of 37.4, today 37. Prescribed anti-inflammatory (Tsiprolet A) and cetrin. From today they told me to rinse with chamomile - I rinse slowly. The gums and the hole began to “whine” a little, right now, there is no pain, no, noe. This is normal?

    Reply
    • Svyatoslav Gennadievich:

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

      Your doctor's appointments are quite adequate, so there is nothing to complain about if you do not take chamomile rinsing into account (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, the 24 tooth was removed, and when removed, it was smashed 31 times with a hammer. The next day there was swelling and pain, did not attach much importance, but the pain and swelling did not pass. On the 3rd day a picture was taken - nothing was left, the hole was clean.Prescribed antibiotics. Today I went to my doctor again, because gum swollen even more. The pain is not strong, aching, gives in the ear, occasionally the temperature rises. The doctor does not say anything, he said only that it was not the hole that hurt, but the neighboring tooth (it is broken, one wall, but without caries). I ask him: “What to do? Delete the next? He says “As you wish,” 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 are all right. Most likely, your physician does not know what to do next within his competence, therefore he does not answer questions. To date, most doctors have refused to remove with the use of a chisel, but in rare cases a specific doctor cannot do without this tool, since the removal may take up to 3-4 hours, and this is not necessary for you.

      To understand whether the adjacent tooth is involved in the development of edema and other symptoms, a physical examination in the doctor's chair is necessary. That is where the 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 hit the cheek and it is now swollen. Tell me, how can I remove the swelling?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Applying a cold compress to the area of ​​removal for 20 minutes every 2 hours is important for the 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 on prescription from the first day after tooth extraction. Moreover, it is necessary to know for sure whether the cause of the edema is cheek injury, and not the development of infection to the hole.

      Reply
  93. Kseniya:

    Good day! 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, swelling appeared (Wednesday) and it became difficult to chew and open your mouth. On Thursday there was a second visit to the doctor, he said that everything was in order. Today the situation has not improved in any way (but it hasn’t worsened either), swelling and pain still linger, I cannot eat and open my mouth. No temperature. I drink ibuprofen (the doctor prescribed it), and make chamomile baths. I do not eat anything irritable and do not pick it in the hole (by the way, it was sewn up). Tell me, please, is it normal that my swelling does not subside and that the pain persists?

    Reply
    • Svyatoslav Gennadievich:

      Hello! After a complex extraction of the wisdom tooth, there may be swelling and pain for up to 3-5 days. However, these are not sharp pains, normally they are stopped on the first day with analgesics, and then they appear to a greater extent only during the meal. The presence of such pain is not a deviation. I recommend to follow the advice of the doctor and come to him for check-ups. The multiplicity of inspections could be as follows: 3 days after removal, 7 days, 2 weeks.

      Reply
  94. Sasha:

    The chewing tooth was removed to me the day before, my cheek was swelling down today, closer to my neck, and it was painful to swallow. The temperature above 37 degrees does not rise. I wanted to ask: do I have to wait a couple more days, or now go to a doctor?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I recommend to contact now and not wait for serious complications. The fact is that the violation of swallowing in combination with the edema that appeared two days later can be a dangerous sign, so you should not joke with it even at low temperatures. It is possible that the edema continues to spread in the jaw spaces, so that an urgent visit to the doctor!

      Reply
  95. Sasha:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! Immediately contact your doctor: the symptoms you describe are far from the norm, and we can talk about alveolitis in full swing, as well as damage to the maxillary sinus. If nothing is done, the infection can go further, and the purulent process will lead to serious consequences. Therefore, it is better to check the situation with a specialist right now.

      Reply
  96. Olga:

    Hello, on the second day after removing the top eight, the cheek is swollen. Last time, she swelled up immediately, so I'm nervous - did the inflammation suddenly go? There is a slight throbbing pain, I do not drink painkillers.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After the removal of the tooth on the second day, there is almost always a varying degree of swelling of the tissues - this is the normal reaction of the body in response to injury.You should not be afraid of this, because with the right tactics of a doctor and the implementation of all recommendations, for 3-4 days, these phenomena either begin to disappear, or even completely disappear. However, if there is a negative trend (pain increases, swelling increases, the temperature rises), then you need to contact your doctor for a checkup.

      Reply
  97. Helena:

    Hello! Tell me, please, yesterday a child (3.4 years) removed the 4th tooth. Periodically he complained for 2 days, on day 3 his cheek was slightly swollen. Yesterday, the doctor pulled out a tooth and made an incision, it was around 5:30 pm.

    The cheek became bigger, swollen. The child did not complain and does not complain of pain. But at night the temperature rose to 38, shot down by nurofen. In the morning 36.6. During the daytime (closer to 3:00 pm) the temperature during sleep was 37.3. At this time, 36.9. But the cheek is significantly swollen, the eye is slightly hurt. 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 related to edema in babies, it is definitely worth going to the doctor. Most often, of course, this is just a normal response of the body to an operation to remove a tooth (the development of traumatic edema, as a reaction of the tissues surrounding a well).Considering the positive dynamics that you are writing about, you can think of the best, but it doesn’t stop you from checking everything thoroughly, in order to eliminate even small risks. Health to your baby!

      Reply
  98. Anya:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! Due to the fact that after the removal of the tooth on the third day (usually), an inflammatory process (alveolitis) may occur, I recommend that you consult your dentist for a check up so as not to start the disease. Timely inspection will allow diagnosis and, if necessary, curettage of the hole, put an ointment or gel for antibacterial treatment and get additional recommendations on the use of drugs for home treatment.

      Reply
  99. Alexander:

    Removed the molar root. The first evening did not hurt so much, but on the second day I began to ache. He made painkillers injections and rinsed his mouth with a solution of soda. On the second day there was severe pain, drank anesthetic and fell asleep.In the morning I woke up with a small tumor, and I wait again, that will be ... There is no temperature.

    Reply
    • Svyatoslav Gennadievich:

      Hello! After tooth extraction (especially if the removal was difficult), it is usually on the second day that the most pronounced post-traumatic symptoms appear: edema, fever, pain, redness. It is necessary to follow the recommendations of the dentist. If the painful sensations increase significantly or do not pass for a long time, you should see a doctor - he will examine the hole, if necessary, curettage it and correct home treatment.

      Reply
  100. Svetlana:

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

    Reply
    • Svyatoslav Gennadievich:

      Hello! As I understand it, the tooth was removed against the background of either an 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 management of the well is determined by the doctor on the basis of clinical data. So continue to follow the recommendations of the doctor, however, if there is a negative trend, you should see it as unplanned.

      Reply
  101. Marina:

    On February 23, I went to the dentist with acute pain of the 6th upper tooth under the crown. Tooth to be removed. 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 a complex removal of an inflamed tooth is quite normal (it occurs very often). On the second or third day, the edema should begin to subside.On the first day after removal, the application of cold helps to prevent further increase in 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 side of the cheek in the area of ​​the extracted tooth. If the situation in the following days does not improve, it is recommended to return to the doctor for a checkup.

      Reply
  102. Anonymous:

    Hello! I deleted 7-ku down (at 9 am on Friday). A small swelling immediately appeared from the injection, but the surgeon said that this medicine was injected. They took a picture - the cyst is small. The doctor said not to rinse in any case, immediately buy and add ice cream, because I was driving to work. The tooth is big, the whole roots come out - showed. I eat it on the other side, after eating it is still soda and salt, I slightly rinse the right side, and on the left I just hold the liquid a little and spit it out. 8-ki is no longer a long time. It seems that the wound does not hurt a little, but the swelling and hardness of the cheek below at the level of the gum and the bruise are troubling, as it were, from a distance of 5 to 8. So it should be? The doctor did not say that it is necessary to be checked.

    Reply
    • Hello! After a tooth is removed, a hematoma and swelling of the gum tissue may actually occur. As a rule, hematoma and edema pass rather 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 will remain unchanged after a week or there will be pain, you should consult a doctor (dental surgeon) for a checkup.

      Reply
  103. Nikolai:

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

    Reply
    • Hello, Nikolay! This gel does have an anti-inflammatory effect, but it is better not to use it immediately after tooth extraction (you can only make it worse), but only 2-3 days after the procedure. Usually, the gel is applied in a small amount to the area of ​​the hole (after eating, every day 3-4 times).And so on until the complete healing of the wound.

      Reply
  104. Tatyana:

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

    My question is that there is still puffiness and numbness of the lower lip in the area of ​​puffiness (swelling is just like it was before removal). Is this normal? Thank.

    Reply
    • Hello Tatiana. Just below the roots of the lower 5-ok in the jaw is the so-called mental opening through which the mandibular nerve leaves the bone in the soft tissues of the lip. With complex deletions of the lower 5 teeth, there is a mechanical effect on the nerve, and as a result, numbness occurs. If there is indeed some damage to the nerve, then the sensitivity is usually restored in the period from 4 to 12 months. Sometimes physiotherapy helps.In some cases, numbness may also be due to compression of the nerve on the background of edema - then the process of restoring sensitivity goes faster. It takes time and observation with a specialist 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 swelling appeared under the eye. They put a drainage, but nothing flows there. At first the tumor subsided a bit, but now it has become even more. Tell me what to do? I drink tablets and mouth rinse.

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

      Reply
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