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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain Post Multiple Teeth Infection And Extraction

I had oral surgery a couple weeks got all teeth removed due to them being so bad and infected. I noticed black spots on the right side on my bottom jaw in the front. It's super painful. I'm very worried its something major as due to how bad my teeth were before the surgery. I'm in extreme pain in that area. Yes I'm smoker I'm only 31 years old
Mon, 16 May 2016
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Dentist 's  Response
Hello,

I can understand your concern. As you have got the extractions couple of weeks ago, there are chances that what you are observing as black spots, might bebjust healing wounds or the stains on gum due to pigmetation of nicotine from yoursmoking habit. They might always be there due to your habit and you might have noticed them now.

However, have you smoked in a week after extraction? You must be advised by your doctor to refrain from smoking for 7 days after extraction. Thus, if you have smoked in first 7 days or spitted or did gargles within 24 hours of extraction, chances are there that you have developed dry socket, infection in the extraction socket due to compromised blood supply to the extracted area.

I would advise you to take Amoxicillin 500 mg + Clavulanic acid 125 mg (Augmentin 625) twice a day for five days along with Metronidazole 400 mg (Metrogyl) thrice a day for 5 days. Make sure to take vitamin supplements and antacids with this course. Refrain from smoking until you heal from the dry socket.

If you do not feel better in 5 days, you should go to the dentist for dressing of Zinc Oxide Eugenol within socket.

I hope this answer helps you. Thank you for choosing HealthcareMagic. Let me know if you have follow up questions.

Best,
Dr. Viraj Shah
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Suggest Treatment For Severe Pain Post Multiple Teeth Infection And Extraction

Hello, I can understand your concern. As you have got the extractions couple of weeks ago, there are chances that what you are observing as black spots, might bebjust healing wounds or the stains on gum due to pigmetation of nicotine from yoursmoking habit. They might always be there due to your habit and you might have noticed them now. However, have you smoked in a week after extraction? You must be advised by your doctor to refrain from smoking for 7 days after extraction. Thus, if you have smoked in first 7 days or spitted or did gargles within 24 hours of extraction, chances are there that you have developed dry socket, infection in the extraction socket due to compromised blood supply to the extracted area. I would advise you to take Amoxicillin 500 mg + Clavulanic acid 125 mg (Augmentin 625) twice a day for five days along with Metronidazole 400 mg (Metrogyl) thrice a day for 5 days. Make sure to take vitamin supplements and antacids with this course. Refrain from smoking until you heal from the dry socket. If you do not feel better in 5 days, you should go to the dentist for dressing of Zinc Oxide Eugenol within socket. I hope this answer helps you. Thank you for choosing HealthcareMagic. Let me know if you have follow up questions. Best, Dr. Viraj Shah