Oral Mucosa Swelling and Cheek Hardness After Dental Work - Dentistry

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Redness and swelling of the oral mucosa, with hard swelling of the cheek?


Hello, I have an issue on the lower right side of my mouth.
I previously had three connected crowns, but the middle tooth had a cavity.
After removing the crown, I underwent root canal treatment and received a temporary crown.
The first temporary crown was fine, but after it broke, I had another temporary crown made.
However, after returning home, I noticed redness and swelling in my oral mucosa and hardness in my cheek.
When I consulted the doctor, I was informed that it could be an allergic reaction to the material or a bacterial infection from the cavity treatment.
I am currently taking anti-inflammatory and pain relief medication prescribed by the clinic, but the redness and swelling persist and are uncomfortable.
Could you please explain this condition? Thank you! (The temporary crowns were made by the nursing staff.)

johnnie, 40~49 year old female. Ask Date: 2009/05/30

Dr. Zeng Guanghui reply Dentistry


Hello Sir: Thank you for your inquiry.
I would like to address your question and provide the following recommendations: The old dentures from three units were removed due to root canal treatment, and temporary crowns were made.
However, the temporary crowns, made of plastic material, lack sufficient strength and are prone to fracture.
During the second attempt to create temporary crowns, oral mucosal redness and swelling occurred, which may be due to bacterial infection at the crown margins causing an inflammatory response, or poor marginal fit of the crowns.
I recommend returning for an examination and adjustments.
Finally, I wish you safety and happiness!

Reply Date: 2009/05/30

More Info


Hello! It sounds like you are experiencing some discomfort and swelling in your oral mucosa and cheek area after undergoing dental work, specifically related to your temporary dental crown and root canal treatment. Let’s break down the possible reasons for your symptoms and what you can do about them.


Understanding Your Symptoms
1. Oral Mucosa Swelling: Swelling of the oral mucosa can occur for several reasons. After dental procedures, especially those involving the removal of existing dental work or treatment of decay, the tissues in the mouth can become inflamed. This inflammation may be due to:
- Trauma: The process of removing a crown or performing a root canal can irritate the surrounding tissues.

- Infection: If bacteria were introduced during the procedure, it could lead to localized infection, resulting in swelling and redness.

- Allergic Reaction: Some patients may have allergic reactions to materials used in dental work, such as the temporary crown material or the anesthetic agents.

2. Cheek Hardness: The hardness you feel in your cheek could be related to the swelling of the tissues underneath. When inflammation occurs, the body responds by sending more blood to the area, which can cause the tissues to feel firmer or harder than usual. This can also be a sign of a more serious issue, such as an abscess or significant infection.


Possible Causes of Your Condition
- Material Reaction: If the temporary crown was made from a material that you are sensitive to, this could cause localized swelling and discomfort.

- Infection: If bacteria were introduced during the procedure, it could lead to an infection that manifests as swelling and redness.

- Post-Operative Inflammation: After dental procedures, it is common for the area to be inflamed as part of the healing process. However, if the swelling persists or worsens, it may indicate a complication.


Recommended Actions
1. Follow-Up with Your Dentist: It’s crucial to communicate your symptoms to your dentist. They may want to examine the area to rule out any complications such as infection or an allergic reaction. They might also consider taking X-rays to check for any underlying issues.

2. Medication: Continue taking any anti-inflammatory or pain relief medications prescribed by your dentist. Over-the-counter options like ibuprofen can also help reduce swelling and discomfort, but always consult your dentist before taking any new medication.

3. Oral Hygiene: Maintain good oral hygiene to prevent further irritation or infection. Gently brush your teeth and rinse your mouth with warm salt water to help soothe the tissues.

4. Dietary Adjustments: Stick to soft foods and avoid anything that could irritate your mouth, such as spicy or acidic foods, until the swelling subsides.

5. Monitor Symptoms: Keep track of your symptoms. If you notice increased swelling, pain, or any fever, seek immediate dental care, as these could be signs of a more serious infection.


Conclusion
In summary, the swelling of your oral mucosa and the hardness in your cheek could be due to a variety of factors, including trauma from the dental procedure, possible infection, or an allergic reaction to materials used. It is essential to follow up with your dentist to ensure proper diagnosis and treatment. They can provide you with the best course of action to alleviate your symptoms and ensure your oral health is maintained. Remember, timely intervention can prevent complications and promote healing. Thank you for your question, and I hope you feel better soon!

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