Submandibular Gland Issues After Surgery: When to Seek Dental Advice - Otolaryngology

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After undergoing a submandibular gland surgery, it is not uncommon to experience various sensations and changes in the area around the surgical site. Your description indicates that you had a small surgery to remove a lump from the duct of the submandibular gland, and while the initial healing seems to have progressed well, you are now experiencing some discomfort and a feeling of swelling in the area behind your upper right teeth.

Firstly, it is important to understand that surgical procedures, especially those involving glands and ducts, can lead to changes in the surrounding tissues. The formation of scar tissue is a natural part of the healing process. Scar tissue can sometimes be less flexible than the original tissue, which may lead to sensations such as tightness or discomfort when you touch or massage the area. This could explain why you still feel something when you apply pressure to the area around the original incision site.

Regarding your concern about the feeling of swelling when biting, it is possible that the scar tissue or changes in the anatomy of the area could affect your bite or the way your teeth come together. If the scar tissue is causing any tension or pulling in the surrounding tissues, it might create a sensation of pressure or discomfort when chewing. However, since you mentioned that there is no visible swelling or growth, this could simply be a result of the healing process and the way your body is adapting to the changes.

It is also worth noting that the sensation of swelling does not always correlate with actual physical changes. Sometimes, the brain interprets signals from the nerves in the area differently after surgery, leading to sensations that may not have a direct physical cause. This phenomenon is known as "phantom sensations" and can occur after any surgical intervention.

As for whether you should seek dental advice, it is always a good idea to consult with your dentist or oral surgeon if you have concerns about your healing process. They can perform a thorough examination to ensure that there are no complications, such as infection or issues with the healing of the duct. They may also assess your bite and the alignment of your teeth to determine if any adjustments are necessary.

In summary, while it is common to experience some lingering sensations after surgery, especially in sensitive areas like the submandibular gland, it is essential to monitor your symptoms. If the discomfort persists, worsens, or if you notice any new symptoms, such as pain, swelling, or changes in your ability to eat, do not hesitate to seek professional advice. Regular follow-ups with your dental care provider can help ensure that your recovery continues smoothly and that any potential issues are addressed promptly.