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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard Lumps On The Lower Jaw After Wisdom Tooth Removal?

Hi, I just had my wisdom teeth out in the beginning of the week. It still aches but is okay. But theres hard lumps forming on the outside of my lower jaw on either side. My sister is the same way. what is this? Scar tissue? It prevents me from opening my mouth very wide.
Wed, 13 May 2015
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Dentist 's  Response
Hi..
Can understand your concern..

As per your complain swelling and lump formation after removal of wisdom tooth may occur due to inflammation which can cause as extraction especially of wisdom tooth is a traumatic procedure.

Other reason can be that there may be underlying infection (if infection was the reason for removal of wisdom tooth) which is not cleared off while extraction thereby creating a continuous source of infection in the region and causing swelling.
Infection can also be caused if any foreign body or piece of tooth is left in the socket which leads to recurrence of infection.

For this I would suggest you to consult your dentist and get an IOPAR (x ray) done to get ruled out the reason of infection and it can be treated with antibiotics and painkillers and if some root piece of foreign material is left in the extraction socket removal of same followed by irrigation with hydrogen peroxide, betadine and normal saline along with antibiotics can give relief..

If inflammation is the reason it slowly gets reduced itself and many a time if pain killers like Ibuprofen ,acetaminophen is given it helps in reducing the swelling.
In severe inflammation steroids are given to patient.

Other part of question is that the swelling or lump on the other side of jaw can not be due to extraction of the opposite side tooth..
It may either be due to deeply infected wisdom tooth or due to infected and inflammed gum flap due to food debris deposition between gum flap and partially erupted or impacted wisdom tooth , the condition is called PERICORONITIS.
For this also clinical evaluation and xray can give correct diagnosis..

Do warm saline gargles as it will help in easing both the sides of jaw.

Medication to be taken after clinical checkup by dentist..

Wishing you a sooner recovery..

Thanks and regards..
Dr.Honey Nandwani Arora.

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Dentist Dr. Harry Maheshwari's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern.
As you mention in query that you have wisdom tooth extraction after which you got hard lump on lower jaw.Well that is very normal kind of thing after wisdom tooth exaction.This hard lump is blood clot which remains after traumatic injury in wisdom tooth extraction.

It will take few weeks to month to go away completely .
I would suggest you to -:

- put warm compresses on lump for 5-10 mins thrice a day .

-do warm saline rinses 2-3 times a day

If it persists for more then a month then visit your dentist again for proper evaluation .your doctor may prescribe you antibiotic course if there is any infection .

Hope your concern has been resolved.

Get well Soon.
Best Wishes,
Dr. Harry Maheshwari
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What Causes Hard Lumps On The Lower Jaw After Wisdom Tooth Removal?

Hi.. Can understand your concern.. As per your complain swelling and lump formation after removal of wisdom tooth may occur due to inflammation which can cause as extraction especially of wisdom tooth is a traumatic procedure. Other reason can be that there may be underlying infection (if infection was the reason for removal of wisdom tooth) which is not cleared off while extraction thereby creating a continuous source of infection in the region and causing swelling. Infection can also be caused if any foreign body or piece of tooth is left in the socket which leads to recurrence of infection. For this I would suggest you to consult your dentist and get an IOPAR (x ray) done to get ruled out the reason of infection and it can be treated with antibiotics and painkillers and if some root piece of foreign material is left in the extraction socket removal of same followed by irrigation with hydrogen peroxide, betadine and normal saline along with antibiotics can give relief.. If inflammation is the reason it slowly gets reduced itself and many a time if pain killers like Ibuprofen ,acetaminophen is given it helps in reducing the swelling. In severe inflammation steroids are given to patient. Other part of question is that the swelling or lump on the other side of jaw can not be due to extraction of the opposite side tooth.. It may either be due to deeply infected wisdom tooth or due to infected and inflammed gum flap due to food debris deposition between gum flap and partially erupted or impacted wisdom tooth , the condition is called PERICORONITIS. For this also clinical evaluation and xray can give correct diagnosis.. Do warm saline gargles as it will help in easing both the sides of jaw. Medication to be taken after clinical checkup by dentist.. Wishing you a sooner recovery.. Thanks and regards.. Dr.Honey Nandwani Arora.