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Advice please on infection after tooth extraction
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Advice please on infection after tooth extraction

I had my upper left largest molar (not my wisdom) extracted last week
I had felt on going nagging pain and soreness for over a week so visited the dentist today who said it was infected
She cleaned the tooth and packed it and has given me antibiotics but i am now paranoid about it not healing.
Obviously i will continue to clean my other teeth but is there anything i can do to help keep the infected tooth clean?
Also, the dentist says the impacted stuff just disolves - how long does this take - will it be helping the hole to close up while it is still in there?
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540545_tn?1377626518
I'm not sure what your dentist packed into the socket.  If he/she says it dissolves, then most likely it'll hold the space open while the gums grow over it.  Once the gums cover it, it'll probably begin to break it down and replace it with bone.  

Best thing to do is to avoid eating on that side, avoid touching or disturbing the area and brush carefully.  You may want to gently rinse the area out with warm water.  I wouldn't recommend Listerine or other types of mouth wash because it may irritate the area with alcohol.

The antibiotics will definitely help with the infection.
12 Comments
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Avatar_n_tn
Many Thanks for the advice - although i have only had one meal since having it packed and it is so difficult to keep food completelty away from the gap even though i chew on the other side some food still seems to make its way over there! I have been drinking plenty of water after eating so hopefully that will be helping
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540545_tn?1377626518
Ya, I know its hard to eat on one side cause food still spills over to that area.  Did your doctor give you a syringe to irrigate the area out?  If not, its not an issue but sometimes that helps.  Perhaps he/she felt it might flush out the material that was placed in there.  If you keep the area clean, the body will naturally heal itself.  Don't forget rinses every now and then.
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Avatar_n_tn
Me again!
Thanks for the advice. I have now almost completely finished the antibiotics and the extraction site seems a lot better although i am unsure as to exactly what the area should look like to know its healing properly cos even when it was infected i wasnt really getting pain directly from the socket itself. All i can see now is a big hole with i think a bit of the packing still in it - does this sound normal? Also - the gum on the tooth next to it has become very sensitive and sore over the last few days - is this common and will it heal - any advice on how to deal with this? Am i safe to rinse with salt water even though i have some packing still in the extraction socket?
Last question (sorry) - since i had the tooth extracted the main pain i have felt is from the gum above the extraction site i think near where one place i was injected - the dentist mentioned that the bone may be chipped here - i am still getting on/off pain from this site and into my cheek and sometimes it is giving me earache - its not agony but its nagging pain all the same - is this something that will get better in time or is there something the dentist can do to help with this?
Really appreciate all your help and advise
Many Thhanks
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540545_tn?1377626518
Hey again!

Nice to hear that its healing up better now.  Yes, you can definitely rinse that area out by now.  It should be closed up and your rinsing shouldn't expose any bone that would result in additional pain.  

This sharp bone you're talking about sounds like what we call a bony spicule.  It will probably resolve itself but it make take several months for it to resolve.  If its a loose piece of bone, it will be pushed out by the gums.  If its a sharp piece of bone sticking out of your jaw, it'll take some time for the body to break it down and smoothen it.  If it bothers you, you can have the dentist re-open up the area and smooth down the bone.  The surgery is very minor usually.  You may want to discuss it with him/her if you feel that it bothers enough to.

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Avatar_n_tn
Thanks again for the advice
I just have a couple more questions cos im a bit of a worry monkey and need my mind putting at rest!
There seems to be saliva collecting in the extraction site regularly -  is this normal? It looks like saliva - its like a white film but it doesnt stay the same all the time - Is there a chance it could have reinfected? I dont really have any major pain now though.
Also some of the gum surrounding the extraction site is still quite red - is this also normal? Generally there is no pain now but because of the redness of some parts of the gum eating can still be uncomfortable at times.
Many Thanks
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540545_tn?1377626518
Sometimes it can remain red.  It not necessarily a bad thing as it means there is heavy blood flow in the area, possibly to bring cells there to help regenerate the tissue.  The white film probably isn't anything serious either.  If there was an infection, generally it takes approximatley three days or so for it to swell up.  You are past that point out and as long as you maintain your hygiene, it should be fine.

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Avatar_n_tn
Many Thanks for all your help and advice - its very soothing especially at the weekends when there isnt a dentist around to get advice from!
I visited my dentist again yesterday just to double check all was ok - she said that i have a large hole and  it will take some time to heal but luckily it isnt infected again - she packed it with some clove gauze again which is so soothing - i wish i had some on hand whenever i needed it cos it does seem to get sore in fits and  starts! She said that some of the face pain is probably down to my sinses which i also get aggravation from at times and i create a lot of catarrh anyway which she said may account for the increase amount of saliva settling in the hole at times. She has advised that i can use some dentyl mouthwash (has no alcohol) now after every meal to help keep it clean.
Hopefully it will all get better soon
Once again many thanks
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540545_tn?1377626518
You're welcome.  Glad to help!
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Avatar_n_tn
only me again (sorry!)
I still seem to be getting a nasty bitter taste in my mouth
While the clove gauze was there it seemed to mask it but that has now all dissolved
Do you think this sounds normal? When i visited the dentist on Monday she said it wasnt infected but now i am worried she has missed something. I am not getting any untoward pain that i wasnt getting anyway (think i mentioned that the dentist originally mentioned a chipped bone which is giving me some pain on and off up my face)
I am cleaning my teeth and using salt water and mouthwash regularly and i am still not eating on that side so i wouldnt have thought any food was trapped in there
Your help and advice once again would be much appreciated - cant get to my dentist now until Monday and dont want to bother them unnecessarily
Many Thanks
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540545_tn?1377626518
I wouldn't worry about the bitter taste too much.  Just maintain your hygiene and keep it clean and you should be fine.  If you want, you can ask your dentist for a syringe so that you can gently flush the area out with some water directly instead of trying to rinse with mouthwash.  

As for the chipped bone, thats a normal occurence and your body will naturally push it out over time.  

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A related discussion, tooth extraction was started.
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I have a question. My mother had an infected tooth and we went to a free clinic to have it extracted. Her lip was numb b4 we got it extracted and its still numb 2 days after the extraction. Could there still be infection in her mouth? We would like to consult a dentist but we don't have the funds --hence the free clinic-- lol. Help please.
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A related discussion, Infection after tooth extraction? was started.
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Hi I had a tooth out on the 23 august and the next day ended up in kings college hospital as I had a massive infection on it they gave me to kinds antibiotic and flushed it out. And after about 3 days the swelling went down but I still get a niggle on the gun but on a different tooth and I am sure I can feel it swelling again it's by me cheek bone. I go away next week should I go and get some antibiotics incase there was still a slight infection on it ?
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I have my upper molar removed two days ago
And i notice a white jelyish thing on the top of the holl .Today after i rise with soled water this thing is kind of hahging is this normal
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A related discussion, tooth filling after tooth extraction was started.
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Irvine Modern Dentistry
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