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Dentistry/INJECTION SITE PAIN

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Question
Hi Dr. Teig!  Thank you for taking the time to read regarding my problem. I went to the dentist
6 days ago for a crown on a tooth located on the top left side (last tooth). The next day, the injection site was very sore. It has slowly gotten worse. The pain appears (or at least  it feels that way) to be at the injection site. It's an aching feeling. There is a little swelling/puffiness there too. Sometimes the pain radiates to my ear. Should I be worried? How long will the pain last? Can muscle spasms be this painful? Monday is a holiday but I will call the dentist Tuesday. I've never had this happen before and I've been numbed many times. 800mg of Motrin takes the pain away. Hoping its not a tooth issue.....but pain doesn't seem to be there unless the pain can travel. Any ideas would be great appreciated.

Thanks so much!

Answer
Kelli -  Of course, without examining you I cannot be sure, but from injections, you can develop jaw muscle spasms or infections at the site of the injection.  My suggestion, since an inflammation or infection is most likely the cause of the pain is to immediately contact the dentist's office.  He needs to prescribe an antibiotic to cut down infection that might be present.  More so important, you need to immediately begin warm salt water rinses in the area of the injection.  Do the rinses for about 5 minutes, 4-5 times a day.  The rinses should help greatly to reduce the soreness, but getting an antibiotic from the dentist is also important.

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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