Saturday, July 25, 2009

Still pain after wisdom teeth extraction?

i just got all 4 of my wisdom teeth cut out this past friday, and 3 are healing perfect i have not had any pain out of the what so ever, but the one on the bottom left was an inpacted tooth and it is killing me, the whole left side of my face is swollen and bruised, it hurts so bad. i dont think it is dry socket but i aint totally sure about that.. does anyone know when the pain is gonna ease up? it seems to be getting worse, the pain pills help b/c they knock me out, but i cant stay on pain pills b/c my mom leaves tom and and got my kids to take care of, and my pain pills make me dizzy and groggy...plus im really hungry lol....my mouth is so swollen i cant put my teeth together to chew anything..and what i would give for a hamburger right now lol. will the pain go away soon? or do i need to call me dr?

Still pain after wisdom teeth extraction?
Call your Dr.and explain your problem. Impacted teeth hurt the most and your symptoms are normal. They had to work on that tooth a lot longer! Working in the dental field I see this all the time! Time is all that it usually takes. Try a milder form of a pain killer such as an over the counter med( Advil, Aspirin, etc) Just call your pharmacist to make sure the prescription meds won't interfere with the Over the counter one BEFORE you start that! Ice your jaw too! And try pudding! Remember to not use a straw or smoke, you don't want dry socket on top of this!!
Reply:The pain will go away, it tooke me about a week before I could really eat anything again but I took a lot of the pain pills so I didn't feel too much. But 2 of mine were really impacted and they had to cut out the bone so they were really hurting. Just wait it out and you'll be fine.
Reply:take your but to the man who performed the procedure ( or woman) it is still covered in the cost. do it before you get lock jaw. until then rinse not swish with warm salt water,get a towel and soak it in Epsom salt and place it on the side of your face if need go the emergency room with your dentist info. You might have to get it drained : (
Reply:1. DO NOT SMOKE and avoid passive smoking


2. YOU MUST REST for at least a day, and avoid excessive exercise for 3-4 days. NSAID’s (like


diclofenac or piroxicam) can cause kidney problems when taken with vigorous exercise


3. TAKE ALL YOUR MEDICATIONS, follow the pharmacist’s instructions carefully, and commence


your anti-pain medications before your local anaesthetic wears off


4. ABSTAIN FROM ALCOHOL for at least a day


5. SOAK (but DO NOT RINSE) YOUR MOUTH AFTER 24 HOURS with your prescribed mouth


washes and salts. “Coffee hot” water (~38-40 degrees Celsius) mixed with a spoonful of


anaesthetic-laced-salt and allowed to “soak” over the surgical area can be very soothing. Only


use this method at least 24 hours after the procedure. Vigorous rinsing can lead to loss of


blood clot, and this in turn can lead to dry socket or wound breakdown. If you have been advised


to use nasal douche, commence this after 48 hours from your time of surgery


6. DO NOT EAT MILK PRODUCTS until your sutures are removed. Milk, custard, soy and yoghurt


can leave a film in your mouth that is difficult to clean without rinsing. Vigorous rinsing may lead to


wound opening and loss of clot. Long standing food residue can lead to wound infection


7. EAT SEMI SOLID OR LIQUID FOOD Beef broth, minestrone, noodle soups and blended fruit, or


you may purchase Enlive (Abbott) or Resource (Novatis) from the pharmacy. These have high


nutrition, are low in residue and are easy to swallow without chewing


IN THE EVENT OF BLEEDING


1. REMEMBER A LITTLE BIT OF BLOOD IN A LOT OF SALIVA CAN SEEM LIKE YOU MAY BE


EXCESSIVELY, AND FALSELY BLEEDING


2. MOST BLEEDING WILL STOP WITH FIRM BITING on a soaking material such as rolled gauze,


muslin square, or clean handkerchief over the site of the extraction socket, or surgical wound. Be


careful in placing your soaking material so as not to open a fresh wound


3. BE PATIENT, QUIET, AND CALM. Do not let the advice or experiences of others lead you to an


irrational action or panic. Lie down in a quiet room and wait for 30 minutes to reassess whether


bleeding has ceased. If bleeding continues, attempt sucking on an ice cube placed directly over


the area of bleeding, and then repeat firm biting on a soaking material


4. IT IS IMPORTANT NOT TO SPIT OR EXPECTORATE as this often stimulates more bleeding.


Try to swallow your saliva after you are sure that you are biting correctly on the rolled soaking


material you have placed over the socket


IN THE CASE OF PAIN OR DISCOMFORT


1. Take two Panadol or aspirin or follow the dosage instructions of the prescribed medication given


to you


2. With the use of paracetamol (Panamax, Panadol, Herron etc) take two tablets (1gm for adults, or


15mg/kg of body weight in children) every 4 to 6 hours



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