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Oral Surgery/Wisdom Teeth Extraction.

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Question
Hi, Dr.

I have a question regarding post- wisdom teeth extraction and possible complications.  I got all four wisdom teeth out 6 months.  Two were impacted, and it took quite a while for the swelling to go down, but the procedure seemed to go fine.

About a month later one side of my face randomly swelled up again.  The oral surgeon's only response was that it could have been an infection, and he prescribed me antibiotics.  I don't think they made a difference.

Then, about 3 months post-surgery, the other side of my face swelled up.  I went to a general medical doctor, and she said it was not infected.  I called my oral surgeon and they were perplexed, and simply offered to prescribe me antibiotics again, to which I refused.  I went in after the swelling had gone back down (it took a handful of days; and that was the soonest I could go in). He said nothing appears wrong with my mouth and it shouldn't happen again.  Great answer, right?

Well, this might sound vain, but I kind of think my face never returned to pre-surgery condition.  A few days ago I had fear that one side was starting to swell again, though nothing happened like it did the last two times.  I feel like one side of my face is still a tiny tiny bit puffier than the other.  Could this be a result of the surgery, such as scar tissue or something? And is there anything that can be done?

Thank you.

Kate

Answer
hello Kate,

Obviously if you continue to have swelling it would mean that you have some kind of irritant in the surgical site. Sometimes, small pieces of bone get detached or a root is left, so your best bet would be to do a cone beam CT on both sides and make sure that they are healing uneventfully.

Scar tissue would not cause this kind of swelling. In all cases, I don't think you have anything bad going on.

All the Best,

Dr.MANNAI

Oral Surgery

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Chawket MANNAI, DDS,Ph.D Diplomate ABOMS

Expertise

I am a US board certified Oral & Maxillofacial Surgeon trained at UCLA and Parkland Memorial Hospital (Dallas) with more than 25 years of experience and will provide answers to all questions pertaining to the Oral& Maxillofacial Surgery region including Orthognathic Surgery, Trauma,TMJ, Implantology, tumour surgery (excluding cancer and Oral Dermatology),reconstructive surgery...

Experience

Extensive in all fields for the past 25 years hospital and office based.

Organizations
American Association of Oral & Maxillofacial Surgeons American College of Oral & Maxillofacial Surgeons British Association of Oral & Maxillofacial Surgeons

Publications
2006: Mannai Chawket Early implant loading in severely resorbed maxilla using xenograft, autograft, and platelet-rich plasma in 97 patients. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 2006;64(9):1420-6. Bayonne, France. c.mannai@surgical.net 1998: Bell W H; Mannai C [An interview with Dr. W.H. Bell and Dr. C. Mannai. Interview by Colette Orival-Demange.] L' Orthodontie franšaise 1998;69(1):225-9. 1988: Abemayor E; Zemplenyi J; Mannai C; Webb D J; Canalis R F The fixation of malar fractures with the transnasal Kirschner wire. The Journal of otolaryngology 1988;17(4):179-82. Division of Head and Neck Surgery, Harbor-UCLA Medical Center, Torrance 90509. 1988: Wald R M; Abemayor E; Zemplenyi J; Mannai C; Lesavoy M A The transoral treatment of mandibular fractures using noncompression miniplates: a prospective study. Annals of plastic surgery 1988;20(5):409-13. Division of Plastic Surgery, Harbor/UCLA Medical Center. 1988: Di S; Bell W H; Mannai C; Seale N S; Hurt W C; Taylor J; Waite D E Long-term evaluation of human teeth after Le Fort I osteotomy: a histologic and developmental study. Oral surgery, oral medicine, and oral pathology 1988;65(4):379-86. Division of Oral and Maxillofacial Surgery, University of Texas Health Science Center, Dallas. 1988: Bell W H; Mannai C; Luhr H G Art and science of the Le Fort I down fracture. The International journal of adult orthodontics and orthognathic surgery 1988;3(1):23-52. 1986: Mannai C; Schwartz H C Juvenile nasopharyngeal angiofibroma presenting as a facial swelling. A case report. Journal of maxillofacial surgery 1986;14(6):329-31. 1986: Mannai C; Leake D; Pizzoferrato A; Ciapetti G; Sangiorgi C Histologic evaluation of purified bovine tendon collagen sponge in tooth extraction sites in dogs. Oral surgery, oral medicine, and oral pathology 1986;61(4):315-23.

Education/Credentials
DDS,Ph.D Fellow and Diplomate American Board of Oral & Maxillofacial Surgery Residency training:Harbor-UCLA MedicalCenter 1982-1985 Fellow OMFS Parkland Memorial Hospital Dallas Texas with William H.BELL

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