Swelling of the cheek after wisdom tooth extraction?
Hello doctor, I had my lower horizontal wisdom tooth extracted on October 14th.
It has been over two weeks, and there is still a hard lump on my cheek.
Occasionally, I also feel a tingling sensation at the extraction site.
Should I go to the hospital for an examination? Could this be a bacterial infection of my wound?
Ming, 20~29 year old female. Ask Date: 2019/11/02
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Ming:
Regarding the swelling in your cheek after wisdom tooth extraction, it is still necessary for the physician to conduct a thorough examination.
I apologize for the late response! Please take care of yourself! Wishing you peace and smooth recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2019/11/02
More Info
After wisdom tooth extraction, it is common to experience some swelling and discomfort as part of the healing process. However, persistent cheek swelling and a hard lump that lasts for more than two weeks can be concerning and may warrant further evaluation.
In your case, since you had your wisdom tooth extracted on October 14 and are still experiencing swelling and a tingling sensation in the area, it is advisable to seek medical attention. Here are several reasons why you should consider visiting your dentist or oral surgeon:
1. Infection Risk: One of the most common complications following tooth extraction is infection. Symptoms of infection may include persistent swelling, pain, fever, or discharge from the extraction site. If you suspect that your wound may be infected, it is crucial to get it checked out promptly to prevent further complications.
2. Dry Socket: Another potential complication is a condition known as dry socket (alveolar osteitis), which occurs when the blood clot at the extraction site dislodges or dissolves before the wound has healed. This can lead to severe pain and prolonged healing. If you are experiencing significant pain along with the swelling, this could be a possibility.
3. Nerve Damage: The tingling sensation you mentioned could indicate nerve involvement, especially if the wisdom tooth was impacted or if the extraction was complicated. Nerve damage can lead to altered sensations in the area, and it is important to have this evaluated by a professional.
4. Healing Process: While some swelling is normal, it should gradually decrease over time. If the swelling is not subsiding or if it is accompanied by other symptoms such as increased pain or fever, it is essential to consult with your dentist. They can assess the healing process and determine if there are any underlying issues that need to be addressed.
5. Follow-Up Care: Regular follow-up appointments after dental procedures are important for monitoring healing and addressing any complications early on. If you have not had a follow-up appointment since your extraction, it would be a good idea to schedule one to ensure everything is healing as expected.
In summary, while some swelling and discomfort are normal after wisdom tooth extraction, persistent swelling and unusual sensations like tingling should not be ignored. It is best to consult with your dentist or oral surgeon to rule out any complications such as infection or nerve damage. They will be able to provide a thorough examination and appropriate treatment if necessary. Remember, it is always better to err on the side of caution when it comes to your health.
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