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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 Swelling On Tongue And Around The Extraction Site?

I'm 59 yrs old. Last Wednesday I had a badly infected impacted wisdom tooth extracted. I was told it was a rough extraction. (my face feels like a baseball bat was taken to it.) I was put on Cipro for infection. Swelling peaked 3 1/2 days after surgery, traveling fully down both sides of my neck (look like a pelican with a goiter), and making swallowing and breathing deeply quite difficult. The swelling has begun to reverse., however, my tongue and extraction area area are very swollen still. I do not have dry socket, have been gently rinsing with salt water, debreding daily. I still cannot get down any food outside of liquid yogurt, water, tea, or apple sauce. I'm also very nauseous. I am supposed to fly 3 hours today for business (I've been horizontal up until Sunday). Is it safe to fly? Any suggestions for nausea and the neck swelling? I spoke to the weekend oral surgeon who said "If you can't breathe, go to the emergency room". No help!
posted on Thu, 26 Jun 2014
Twitter Mon, 30 Jun 2014 Answered on
Twitter Tue, 1 Jul 2014 Last reviewed on
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Hello thanks for the consulting at hcm..

It has caused post operative swelling, which has extended to the neck might have resulted in swelling of submandibular spaces and submaxillary spaces--Ludwigs angina..

Kindly consult er asap for immediate treatment..since you are having swallowing and breathing problem..

You will be needing higher antibiotic and analgesics.. Do not neglect it.. Do not fly for your business.. Go and take immediate consult with a oral surgeon..

Hope it helps,,take care..
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Dentist, Oral and Maxillofacial Surgery,  Dr. Mahesh Kumar T S's  Response
Thanks for your query, i have gone through your query. The swelling can be because of the bone cutting done during the extraction. Or it can be spread of infection leading to cellulitis.consult a oral physician and get it examined once. You could have taken penicillin and metronidazole combination(if you are not allergic) instead of ciplox. Do saline gargling. If you have difficulty in breathing and swallowing then consult a oral physician immediately.
i hope my answer will help you, take care
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What Causes Swelling On Tongue And Around The Extraction Site?

Hello thanks for the consulting at hcm.. It has caused post operative swelling, which has extended to the neck might have resulted in swelling of submandibular spaces and submaxillary spaces--Ludwigs angina.. Kindly consult er asap for immediate treatment..since you are having swallowing and breathing problem.. You will be needing higher antibiotic and analgesics.. Do not neglect it.. Do not fly for your business.. Go and take immediate consult with a oral surgeon.. Hope it helps,,take care..