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Complicated Extraction Performed While Having Oral Hematoma, PLEASE HELP!

Hi, I am in serious pain and in need of help please.  

On Tuesday of last week, I went in to get evaluated for a wisdom tooth extraction I was going to need due to a light infection (inflammation) on my right side, upper and lower.  However,  I'd not started antibiotics yet, so they said they would do the top one since it was simple and erupted, and that would solve half of my problem.  The bottom one they could do next week, since they're only available on Tuesdays.  I agreed but as soon as the resident injected the local at one point on my cheek, a bubble formed immediately.  I inquired about it, but it was brushed off as normal.  This particular area stayed rounded-out and painful to the touch during my recovery, and when I went in yesterday morning for the removal of my bottom wisdom tooth on the same side, it was still painful and I inquired about it.
The doctor came in and diagnosed a hematoma.  The doctor and students then deliberated on whether or not to continue with the extraction, and decided to do so.

It was an extremely long extraction and "complicated", as the tooth was deeply impacted horizontally.  My cheek was prodded at and held open for an entire hour and a half while the students looked for guidance from the doctor while working on me, till he finally stepped in and removed the tooth.  Apart from regular wisdom tooth extraction pain, I am now dealing with extreme pain from the hematoma site and I am very scared as to what the consequences of this might be.  Is there any way that this could be dangerous?  Will this still heal properly after all of the aggravation to it?  Are there any signs or symptoms I should look for that might indicate something dangerous?  They claim that they would not have done it if it were not safe, but my body is telling me this is just too much pain (I have a high pain threshold) and I'm extremely scared.

Thank you so much for your help and I anxiously await your response!
3 Responses
373693 tn?1324485502
MEDICAL PROFESSIONAL
No knowing where you received treatment and the fact that a "student" is managing your care concerns me.  Further, 90 minutes to remove one tooth is excessive.  I suggest you seek a consultation with a Board Certified Oral and Maxillofacial Surgeon, not a regular dentist.

Hematoma's in general are non-painful.  The pain may be related to an infection or a severe inflammatory process.  Both of these may require additional treatments.

Continue to "listen" to your body and obtain a second opinion.

Keep us posted.

Avatar universal
I'm sorry, the reason "TMJ" was tagged is because I also have TMJ problems.  This was another painful part of the surgery as they held my jaw open the entire hour and a half.  If you see this, can you also let me know what is the best way to avoid clenching at night after the extraction?  All I've resorted to is leaving the gauze on the lower wisdom tooth, since it offers at least padding, but I'm hesitant to use my night guard.  I'm not sure I could open my mouth wide enough for it anyhow.  

Anyway, this is just my second question, but the first is infinitely more my priority.  Thanks again-

Angela Dahlia
Avatar universal
I am sorry, what do you mean not knowing where this was done?  It was done at a hospital where residents are being trained to become oral surgeons, and are directed by actual surgeons during their training.  I do not have health insurance and this was my only option as wisdom tooth surgery is extremely expensive and this particular hospital offers a very affordable payment plan.

However, I am also concerned with these issues and will keep you posted, but still feel at a loss =[  I suppose I will have to contact an oral surgeon and spend more money there just for a consultation.  Thank you.

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