Dental Forum

Lower gum/jaw pain after getting the deep cleaning done

By Kenneth 5/3/2011 6:51:36 PM
Greetings, My name is Ken. I am 42 years old. I had a dental appointment on 04/06/11 for a deep cleaning. When I arrived the dentist who was supposed to work on me was so busy that another dentist did my cleaning. I have to mention that he didn't introduce himself so that made me nervous. I asked him what procedure he was going to perform just to make sure he wasn't some guy off the street. He said "Deep Cleaning" and I felt a little at ease. Anyway the dentist said he was going to try to perform the deep cleaning with out the numbing medication but it was to painful so he pulled out his needle and began injecting my lower gums. At first he did the left side which went pretty smooth and then he did the right side. When he injected the right side I almost jumped out of the chair because it was so painful. I assumed that he hit a nerve. So he proceeded to clean my teeth and when he was done I was impressed. They looked nice. He told me the pain medication would wear off in a few hours and I would be able to eat. When the medication wore off my right lower jaw/mouth was still very soar. I thought the pain would go away but it never did. Until this day I cannot open my mouth completely wide . It's like my jaw gets stuck and it is painful. Things I use to enjoy like burritos and hamburgers I can't because I cant open my mouth and when I attempt to it is so painful I can't explain it. I called the dentist and they did a follow up and said " Do some mouth stretching exercise and that should help". If the pain continues come back and we will send you out to a specialist. I am very nervous about my condition. It's very scary not being able to eat like I have been eating all my life. Can you give me some insight on this matter? Thank you.
Posted By : Dr. Ritz on 5/3/2011 6:51:36 PM

Some times with anaesthesia it happens. When anesthesia is injected, the needle tears the muscle tissues and they become sore. It takes sometime for them to heal. The only treatment for this is to keep doing the stretching excercises like opening and closing of mouth and you can do hot fermentation also to relax the muscles of that area. It does not have anything to do with deep cleaning but it is due to the local anesthesia shot. This problem is quite normal and will resolve with time withing another week or two. Maximum it can take 2-3 months to heal. Till then maintain good oral hygiene. For more info on oral hygiene you can read this article....

Posted By : Jeff on 5/24/2011 9:04:58 AM
Ken: I just had a similar experience. When I recieved one of the lower left side injections, the needle seemed to hit a nerve or something very sensitive. My jaw even seemed to involuntarily twitch. It was painful, and the first time it has ever happened. Afterwards, the jaw muscle area was very sore and I also could barely open my mouth to eat. I forced it open once and got a awful jaw muscle spasm. I wont do that again. Anyway, it has slowly recovered, but has been a real bummer. Give it time.
Posted By : Kat on 9/20/2011 2:39:21 AM
I had a tooth extracted 5 days ago and the area where my injections (3 total) were placed is still sore. What can I do?
Posted By : Dr Ritz on 9/20/2011 4:02:00 AM
Kat, soreness at the site of injection can be because of torn tissues which can be due to too rapid local anesthetic injection or if more amount of anesthesia is injected. It will heal on its own in few days. You can continue with the warm saline rinses. Maintain good oral hygiene. If there is numbness or muscle pain or difficulty in opening the mouth present along with it, then it suggests that the nerve or muscle is affected.
Posted By : Becky on 9/25/2011 12:41:32 PM
I just went to the dentist two weeks ago. I have never had this type of problem before, jaw pain on the left side where I received 2 injections for the procedure and my jaw acts like it is hooked and won't open very wide, I have to make it open and I heard a "crack" sound yesterday when I tried to open wide. I am in pain when I move my jaw. I just keep opening and closing trying to work it out. Now that I have read everyone's comments, I am not so freaked out about it. Looks like something that just happens sometimes and should work itself out in a while.
Posted By : Danny on 11/15/2011 5:35:37 PM
I went to the dentist today and I had the exact same thing happen to me...It is hard for me to open my jaw completly. This has happend before and it ALWAYS goes away..It just suckes for a few days or even a week. Don't feel bad, I know what you went through.
Posted By : DD on 11/17/2011 5:21:54 PM
Today I went to the dentist to get 2 fillings. One on top and one on bottom. He injected the anesthetic on the top; everything went smoothly. When he did the bottom it felt like something sprayed up my face along with a shooting pain. When he was finished I wiped my face but nothing was there. Then I sat up and my eye on that side of my face was blurry and I was seeing double. Then where I felt the imaginary spray was very numb and the dental assistant said it was blotchy. Luckily, this didn't last very long; 15 minutes tops. And now my bottom jaw is very sore and it is hard to open my mouth. I've never had a reaction like this to injections or medications of any kind. What do you think happened??
Posted By : Dr Ritz on 11/17/2011 11:52:20 PM
Soreness in jaw can be because of local anesthetic injection. During dental procedures, mouth is kept open for a long time which can lead to soreness and pain in jaw which usually subsides after some time. During upper filling, nerve block (Infraorbital nerve block) might be given. Infraorbital nerve block may cause some irritation to eye. Double vision which you felt after dental procedure can be because of that. It is transient in nature and resides in its own. You can keep mouth exercises by putting 3 fingers in mouth and try to open your mouth. Soreness and jaw pain will be fine in some time.
Posted By : Nikki on 1/26/2012 11:24:16 AM
I am having the same problem with not being able to open my mouth wide after dental work. My dentist said not to try to open it wide but other posts here suggest I should try to open it wide periodically?
Posted By : Arash on 2/3/2012 2:25:30 AM
hi. yesterday I had meeting with a dentist to fix my teeth problem. I had 3 injection of anesthesia in the right side of my mouth. injection was painful and this morning (after one day) when I woke up the right side of my mouth felt pain and now that it is afternoon, the pain increased very much and my head also aching plus extreme pain in the right side of my mouth. please tell me what should I do? this pain is killing me. how to ease the pain?
Posted By : Dr Carl on 2/3/2012 3:26:03 AM
Arash, Tissues being affected and torn because of anesthetic infection can lead to pain. Local anesthetic injected too rapidly or more of anesthesia can lead to pain. If pain is at local anesthetic injection site, then it will reside on its own in some time. You have not mentioned that which procedure was done. If you got dental filling done, then some pain is normal 2-3 days after dental filling. It takes some time for dental filling to settle. If you got root canal treatment done, then some pain can occur after procedure. If tooth is badly infected before procedure, then patient is likely to have some pain after root canal therapy too. You can take otc pain med for some pain relief. If pain is very severe or it persists for long time, then you can visit your dentist for evaluation.
Posted By : Arash on 2/3/2012 8:21:29 AM
I had root canal treatment and the dentist put some medicine into my teeth and said to come back after some days to fill the teeth. I ate Panadol (Paracetamol) because of pain and the pain relief after a while but I still feel a very few pain. I don't know how long should I continue these pain killers. thanks for help Dr Carl.
Posted By : Shannon on 2/7/2012 12:47:22 PM
Hi. Just after christmas, I had my bottom tooth removed because it was a baby tooth and was causing problems. I've not had any problems with that since it was removed, but I've had problems with my upper right tooth. I think it was a molar? Im not too sure but it was a permanent tooth. Anyway, after days of my gum throbbing, my dentist finally took it out. The pain has gone down loads but it still comes back from time to time and it feels like its where I had the injections. Im taking amoxocillin and using some antiseptic mouthwash that he gave me but Im really worried. I get headaches and ear ache from time to time aswell. Can anyone help?
Posted By : Dr Ritz on 2/8/2012 9:52:59 AM
Shannon, After normal tooth extraction it takes around 7-10 days for extraction socket to heal and during this healing time, pain can be there sometimes but after that there should not be any pain and if it is still paining after that period then may be socket has got infected or it can be dry socket. For this you have to visit your dentist who will clean the socket and give dressing. So schedule an appointment with your dentist.
Posted By : Jennifer Joyce on 3/17/2012 1:17:14 PM
On March 7th, I had a temporary bridge placed with prep work done on the abutment teeth. It was 29 and 31 that were prepped. The posthedontist is a good doc. I am notoriously hard to get numb. He injected my mandible and when I didn't get all the way numb he injected what felt like a different nerve in my jaw. I felt pin pricks in my ear and at the front of my mouth but it did the trick. I instantly got numb and we were able to finish the procedure. Since the placement of the temporary, I have had pain that is not subsiding. I have tried every type of pain medication that I had up to and including narcotic medication that was given me for nerve pain in my arm. What happened and why can't I get this pain to subside?
Posted By : Stephanie on 3/20/2012 4:58:50 PM
HI, I just got back from the dentist at 12pm or so. I was still numb on my right bottom side of my face after getting an injection and could still feel the pain of the injection after I left, as if he was still going into my nerve over and over again. "quite frightening." The left top injection, I could hardly feel and no pain from that filling, however, dr said he had to do a "chemical filling for the left side on the top" but on the right he did a regular and I am in so much pain. It is now 5pm and I am still sore, don't want to eat anything hot, Im scared it will worsen the pain...:/ Can I eat something hot though like potatoes and be okay? I need something in my stomache very badly....
Posted By : Mark on 3/24/2012 11:33:34 AM
I had some kind of new cap or crown put on. The dentist worked off and on on me for nearly 3 hrs and I still can't open my jaw more than 2 fingers wide and it's been 7 weeks. At first I thouht that my jaw was maybe dislocated but after reading the above comment it sounds like I just need to give it more time.
Posted By : stephanie on 4/12/2012 7:20:30 AM
Hi i got two teeth extracted a week ago the teeth are healing well but now i have sores on the roof of my mouth where they injected the anestetia what can this be???
Posted By : Jay on 5/16/2012 3:20:14 PM
I had root canal work and 3 fillings done today. My right jaw is killing me. Beyond stretching the muscles, does heat or cold help?
Posted By : Dr.Ritz on 5/18/2012 12:09:07 AM
JAY, pain after RCT is common.You can take over the counter medications like Motrin or Advil. Do warm saline gargles after 12 hours of RCT (It will reduce swelling and will also prevent bacterial overgrowth) and apply an ice pack from outside. Hold the ice pack in place for five minutes and keep on repeating this after every 15 minutes post RCT. This will help reduce swelling. When you sleep take care to have pillow underneath your head. This will reduce throbbing pain. Dont try to eat too hot or too cold. If you experience pain 48 hours post RCT, than kindly visit your dentist.
Posted By : Reg Bennett on 5/30/2012 8:18:23 AM
Hi there, I had a gold crown removed because of many years of where and tear in the lower right mid jaw area 7 days ago and replaced with a new white tooth, had two injections the 1st one did not numb the gum so had another all went well except for a sore feeling which lasted untill this weekend 26/5/2012 then woke up on this Monday and could not open my mouth much at all severe pain on jaw just below ear difficult to eat normal food and cheek slightly swollen . Have seen dentist again and he thinks it is a lower jaw problem caused by having my mouth open wide to long and tol d me to take anti inflammation tabs and come back and see him in a few days.. Does this sound like a jaw problem ie tmj or is it more likely to be the injections that have caused this nightmare. Manythanks
Posted By : Eme on 6/1/2012 1:02:50 PM
I had a filling put in my top and lower back end teeth. Which I thought went very well, since I am a hard numb and terrified to dentist. I received my bottom partial after the work was completed, and came home. After the injection wore off, my 2 teeth, top and bottom started to throb, like I had a tooth ache, which hurt all the way to my eye. So I used some Advil and oral-jel to help with the pain, after which the pain subsided some what for a little while. Then it started to throb again, so I used more oral-jel to help with the pain. It feels like the nerve is exposed, but than I realized it was the dums, where the injection was given to me,I have had those teeth pulled years ago so it is nothing but the gums there. Why is this pain in my gums, and what can I do to help the pain subside?
Posted By : Dr Ritz on 6/1/2012 7:27:19 PM
Reg Bennett, It looks like that your problem is either because of some infection which can be in the gums or tooth. It does not look like that it is due to mouth opening or due to injections which were given to numb area as the symptoms due to these are immediately or within a day after procedure. It can be due to muscle trismus also as you have difficulty in opening the mouth. Keep taking your meds and do warm saline rinses. Keep trying to open the mouth so that the problem does not increase. If it does not go within a week then you have to get xray done to find out cause of infection or swelling.
Posted By : Dr.Ritz on 6/4/2012 2:32:13 AM
EME, it is normal to have a pain initially for few days after you undergo a dental filling. Reason being acute trauma to underlying dental nerve and surrounding tissues or the pain can be due to the material packed into the cavity that takes some time to adapt to the oral environment. If the pain continues for more that couple of days than i would recommend you to visit the dentist and get an xray done.
Posted By : Ramona Turner on 6/18/2012 9:27:46 AM
Hi,two weeks ago I had to have all of my teeth removed, according to the dentist,he gave me two injections on the left and two on the right. As of today, the top right inside part of my gum is still numb and feels as though something is running through it. Also I have a severe earache, something I have never suffered from, and the pain goes up to my right eye. I have used salt water rinse, rinsed with Listerine and everything else I could find as a remedy to help. I am tired of taking 800 milligrams of pain pills and 500 mg amoxocillin. Please tell me what else to do.
Posted By : Dr.Ritz on 6/19/2012 2:26:51 AM
Ramona, Since you had full mouth extraction so it will take some time for healing process to go on. Wait for a week and even if the tingling sensation is there then consult the dentist. Rest you can apply warm cloth over the area and take medications and precautions as told to you by your dentist.
Posted By : Sufferer on 6/22/2012 3:26:50 PM
I just want to say, luckily for me, I have a bottle of oral lidocaine from when we had an oral procedure done surgically. Pain after my crown today was excruciating. While the oral lidocaine doesn't completely take away all of the pain, it makes it manageable. I think if the patient is going to have this kind of pain, the dentists should be able to hand out packets of oral lidocaine to take home. Why don't they do that? I also have lortab on hand. Yes im using both!
Posted By : tvwad on 6/25/2012 12:09:31 AM
10 days ago I had two teeth receive temp crowns (bottom left). I have had pain in my in my lower jaw, upper jaw and side of face running into my left ear. I have been taking two Advil and two Tylenol every 4-5 hours in order to deal with the pain. It is affecting my sleep as well. After reading many of the posts and Dr. responses this pain sounds normal. I have been back to the dentist and they stated that the pain should end soon. Is there anything else that I can do?
Posted By : Marianne on 6/25/2012 1:29:13 AM
I had an upper left tooth pulled on last Thursday. site is healing well. but horible pain at injection site in the upper roof of my mouth. swelling and pain unbeliveable after 4days had sinus headaches and pain all the way up in my left nostrol. nainly pain in roof of mouth have to take ibpropian 600 every 4 hrs. what can I do?
Posted By : Dr.Ritz on 6/26/2012 2:39:08 AM
Dear MARIANNE, Dentist might have accidently hit the nerve during the procedure. Dont worry the pain will subside in a day or two. All you need are OTC pain killers.
Posted By : Dr.Ritz on 6/26/2012 2:50:16 AM
Dear TVWAD, The pain is normal as your tooth might have suffered trauma due to drilling procedures. Follow the course of medications along with certain precautions like not eating from that tooth for a few days, avoid eating too hot or too cold stuff and start doing warm saline gargles.
Posted By : brenda on 6/29/2012 12:16:19 PM
I had a filling done on my lower left side of the mouth. I got one injection at the very back left of my mouth, when it went in my left side felt like electricity was shocking my jaw. The dentist did the filling two times, (first time the filling was too close to the other tooth it would not let floss thru.) When I got home, I noticed my gums were cut up, I did salt rinses so I would not get infection. I'm not sure if I got an infection or something but now it's been two days, my left area of my jaw is very sore and every time I open my mouth wide I can feel the nerves pulling on my teeth, it is very uncomfortable. My left neck and shoulder have become very stiff. Please help I don't know what to do.
Posted By : Dr.Ritz on 7/2/2012 12:11:02 AM
Brenda since ur filling was done twice sometimes due to excessive mouth opening the muscles become stiff n there is pain when u open n close ur mouth.Continue warm saline rinses and visit ur dentist once for checkup.
Posted By : Tunji on 7/2/2012 11:53:35 AM
I had the third molar of my left jaw removed on the 15th of June, 2012. It took about 4 hours for it to be removed and was given anaesthesia about 3 to 4 times. The gum side of the jaw and my lip are still numb. However, I do feel some tingling sensation around my lip and the gum in some cases. What can I do?
Posted By : Dr.Ritz on 7/3/2012 12:09:35 AM
Tunji,Numbness and tingling sensation occurs when the nerve is damaged or is injured during the tooth extraction specially common with third molar extraction. Nerves are responsible for sensation in the tongue and lips and may get affected while giving the anesthesia. The nerves may get squashed, bruised or stretched which could result in numbness. This kind of nerve bruising is usually not permanent but its a temporary phase that might go on for a long time and may last from several days to several months. No one can actually say how long the nerve will take to get rid of the nerve bruising and come back to its normal mode of functioning.
Posted By : Jules on 7/10/2012 1:32:28 PM
Hi, sounds like we may all have a lot in common. I, too had my URR molar worked on. I had a broken tooth,which I had just abscesses or anything like that... and they prepared it for a crown. There was no aparent damage near the roots so they did not do a root canal. This was one week ago. I had no pain at all when they started. They injected the pallet in two places and then up and behind where my tooth was, near the jaw. I immediately had half of my pallet go numb and in fact had numbness half way down the back RH side of my throat, which I had never experienced before. That freaked me out a little really. I know they did not use novacain as it does almost nothing to numb me at all. I have a temp crown now. I too have intermittant, severe pain that does not seem to be related to any one action, including if I chew. It starts throbbing and becomes just sickening and "moves rouund" from my upper jaw at the joint to the side of my face at the ear and extending up to the outer edge of my eyesocket. It radiates across all three upper molars and even feels like it is also in my lower teeth, none of which were worked on and none of which had pain at all before. The pain gets worse and worse until I can't stand it. I try to pinpoint presure points on my jaw, up by my earwhich help some but the pain is just too life sucking at times. It does not go away unless I take Ibuprohens which works within about 15mns to a half an hour but my doc doesn't want me to take it. Vicodin, which I take for a ruprured disc does absolutley nothing for the mouth pain. Neither hot, nor cold seem to affect the tooth itself. At times the re is a bruised sensation on the pallet but there is no pain, brushing of flossing. There doesn't seem to be any swelling anywhere but there is a bit of pressure I feel at the back of my pallet which seems to be associated with the throbbing sensation. I have these events about 3-5 times a day. It does not happen when I'm sleeping, at least not so that it wakes me up. My biggest concern is that I have the permanent crown put on and still have the pain. (What if I do need a root canal....just doesn't feel like that)I'm thinking this is not tooth root pain as I've definitely experienced that before. I've had 4-5 root canals and crowns. I have not however, had this kind of pain after work in the past though. This is not livable without the IB but I'm not suppod=sed to take it. Should I wait a couple more weeks and see if the pain lessens? I did also have exxtensive jaw pain on both sides for a day or two but it went away.....still feels as though opening and closing my jaw is sensitive and it wasn''t before. I was hoping this would go away as well but so far it has not. My dentist is very far from where I live and I'd like an educated guess as to what a professional thinks. Thanks, Jules
Posted By : Dr.Ritz on 7/10/2012 10:21:07 PM
Jules dont worry sometimes these conditions can occur after tooth preparation .It is just the senstivity that ur experiencing after the crown preparation and that senstivity seems to u like pain.So i would suggest u to brush that area very gently and u can use desensitising paste just for a few days till u get some relief .But if no relief is there after 15 days then u should go back to ur dentist and get thorough clinical checkup done to assess the exact cause of the condition and appropriate treatment. Sometimes the pain is due to decay of adjacent tooth but we are not able to see that so go for checkup.
Posted By : Melanie on 7/19/2012 8:53:26 PM
Hello, About 3 weeks ago I had a partial porcelan crown put on my upper right molar (2nd from the back). The dentist said he had to drill pretty close to the nerve to get the decay out. The dentist also used novacaine or equivalent. After it had been done, the bite was too "high" and the crown fit too tightly because I could not get any floss in between, so I had to go back to get it adjusted. I think the bite is still too "high" and needs more adjusting, however, about 1 week after the procedure I started to feel a twitching or tingling sensation on the left side of my tongue. It still is happening periodically. Could a nerve have been damaged? Right after the procedure I had some jaw soreness and tightness which went away after a few days, however about 2 weeks after the procedure I woke up with my jaw sore and it clicked or popped when I opened it too wide. This went on for about 3 days and now it seems a little better, but it still feels tight and does click from time to time when I try to open it too wide. I have had a night guard that I wear 75% of the time due to teeth grinding, but I rarely have experienced my jaw feeling tight and clicking from teeth grinding or stress. It seems suspicious that my jaw and tongue both started to have issues after I had the crown put on. Do you think the jaw issue could be caused by the crown changing my bite? I will make another appointment at the dentist to see if he can adjust the crown further and to ask him these questions. Thanks for any advice you may have.
Posted By : Dr.melissa on 7/20/2012 12:46:01 AM
Melanie ,if u feel that the bite is high then u should definitely get the bite corrected as it will have a deterioating effect on ur mouth.The jaw soreness and tightness may sometimes occur after the injection and goes off eventually with time in few days.The clicking on mouth opening might be due to ur night grinding habit that stresses the TMJ.You can go to ur dentist to show this problem and get thorough check up done for correct diagnosis and appropriate treatment.
Posted By : Chris on 7/22/2012 11:49:37 AM
I wentto a new dentist due to a terrible toothache. It had been a few years since my last dental visit. I floss and rinse daily so I didnt think it would be very bad. After some Xrays I was told I had 4 cavities and needed 3 root canals. My dentist performed the first half and put in a temp filling but no temp crown. Before my next appointment a hole started to form in the middle of the temp filling. It was painful so I went back to the dental office. My dentist was out on vacation so I saw a different person. While they were putting in the permanent filling and temp crown I was asked why I was having three root canals? He said he had looked at my xrays and thought there was no need for that. He said it looks like I am grinding my teeth at night so I have sensitive teeth in the rear bottom area. Now I'm confused and scared to go back. I've already paid $400 for this one tooth and I am broke. What should I do now? I was reading the posts above.. when the dentist injected the numbing agent he must have hit or come too close to my ear canal. I layed down when I came home only to wake to the most intense shooting pains in my ear. I cant open my jaw without pain and its been a week. I read this can be normal so I'm not too worried about the jaw issue. What should I do about this root canal situation? Thanks, Chris
Posted By : Dr.melissa on 7/22/2012 11:55:54 PM
Chris both these problems have different symptoms , thus u can look for them and decide accordingly.The tooth decay that require RCT usually presents with a lot of pain , there might be swelling and pus also present and there is pain that stays for a little longer after having anything hot or cold.While in case of habit of night grinding first of all the mouth feels stretched and difficult to open and close during morning after waking up.Also the upper surface ,ie.,the occluding or biting surface of most teeth appear to wear out.You should go to another dentist and get ur clinical checkup and xray done for correct diagnosis and treatment accordingly.
Posted By : Tonya on 7/29/2012 6:49:14 PM
I had the prep for a crown done four days ago and now my jaw is very painful where the injection was, but when I drink something/anything the pain goes away and when I am active it goes away but when I am asleep I wake up with pain. Seems very strange to me. Any insight would be great. Thank you!
Posted By : Dr.Ritz on 7/30/2012 2:20:59 AM

You dont need to worry as the pain in temporary. During the tooth preparation your jaw might have suffered temporary trauma due to which your injection site mite be aching. Apply a warm towel over the area and do warm saline gargles. Avoid anything too hot or too cold and also don't eat anything chewy. Also make sure to keep a pillow underneath your head while sleeping. you can take OTC painkiller like ibuprofen.

Posted By : patricia on 7/30/2012 7:39:07 PM
i had two filling done on the left side of my mouth. my wisdom and upper tooth. the injection site still slight tender and now i am having ocassionly pain in the area right behind my right ear and pain that shot upper temporal area. what could be the problem??
Posted By : Dr.Ritz on 7/30/2012 9:49:09 PM

Dear PATRICIA, Can you tell me exactly when you underwent your filling and on which teeth exactly it is? There can be many reasons behind the pain. It can be due to: 1. High dental filling 2. Prolonged opening of the mouth during treatment 3. If the cavity is too deep that required extensive removal to tooth part. Here are few tips to get relived of the pain: Apply warm towel from outside and gently massage the area. Avoid eating anything solid from that region. Do brushing carefully using soft bristles tooth brush.

Posted By : coco on 8/2/2012 1:21:11 PM
I came upon this website looking for answers as to why I cant open my mouth fully to eat. I am more at ease finding it isn't just me. Would be more useful to know anyone's outcome weeks/months later. The dentist injected my right jaw and I instantly suffered rapid heartbeat, tremors and butterflies. He walked out the room so I don't think he noticed. That has never happened before. When the anestectic wore off, I was in horrific pain and unable to open my mouth more than 3fingers. I took motrin 800mg with no relief. I couldn't talk without crying. Dentist gave me tylenol3. It doesn't hurt too much but I am still not able to open my mouth to eat and its been a week. When should I seek a new professional's help?
Posted By : Dr.Ritz on 8/2/2012 10:58:26 PM

Dear COCO, You didn't tell for what procedure you were given injection. Was it for extraction or RCT? If you underwent extraction, then it is normal to suffer from trismus (not able to open mouth) for few days. And since you can insert three fingers, then its well normal.

Here are some tips: 

  1. Dont try to over stretch your mouth, it will lead to unnecessary damage to the area.
  2. Apply a warm and moist cloth over the area. This will reduce the inflammation, will relax the muscles thereby increasing the blood circulation to that area.
  3. Continue with the course of medications as prescribed by your dentist.
  4. Regarding your diet, eat only soft foods like yogurt, mashed potatoes, soft pasta, ice cream, pudding, fruit shakes etc.
  5. You can take advil (ibuprofen) that will reduce the inflammation and its related pain.

Even after following the above instructions your condition doesn't improve then visit a dentist for clinical evaluation.

Posted By : Moi on 8/3/2012 5:42:51 AM
I had a tooth removed over 10 years ago (bottom right second from the back) and now in the process of having a bridgework done. I had the beginning stages of the bridge work done a week ago. Two days after I have started to get a dull ache (started happening at night now all day) on one tooth that was prepped by the missing one. My dentist is out of town at the moment and I go to see him in a week to get the permanent bridge on. Ibuprofen does help, but I am taking 600 MG every 4-6 hrs. They have checked in the past and have seen no issues on that tooth. Any possible cause of why this is happening?
Posted By : kathryn779 on 8/5/2012 6:19:37 AM
i had a filling over a week ago extreamly sore at the 2 injection sites also swelling or inflamation the size of a large pea on one of them. they are white like an ulcer my dentist said it should heal withing a week or so but hasn't whats your surgestion?
Posted By : coco on 8/5/2012 11:40:29 PM
Oops! It was a filling. My concern is that it doesn't hurt but I STILL cannot fully open my mouth. It is extremely difficult to eat.
Posted By : Dr.Ritz on 8/6/2012 3:53:19 AM

Dear MOI, Dont worry the pain is due to the acute trauma caused by cutting of teeth. Just stick to the medicines as prescribed and dont eat from that tooth till you get a bridge. Also avoid anything too hot or too cold. Dont put any undue masticatory force over that region.

Posted By : Dr.Ritz on 8/6/2012 4:09:33 AM

Dear KATHRYN, Though your case requires clinical examination but i think that these are ulcers and will heal gradually. You need to take the following precautions: 1. Change the tooth brush immediately to soft bristles tooth brush. 2. Do warm saline gargles thrice daily. 3. Avoid eating spicy food including too hot stuff 4. Maintain the oral hygiene For more information you can visit the link...

Posted By : Dr.Ritz on 8/6/2012 4:13:56 AM

Dear COCO, sometimes after dental procedures it becomes difficult for the patient to open mouth due to prolonged opening during treatment. So, it is advised to apply a hot towel over the area, do warm saline rises and massage the temple region. If the condition doesn't subside is a couple of days after starting the treatment visit a dentist. Take medications like advil.

Posted By : Angelica on 8/9/2012 10:33:33 PM
I just went to do the Dr 2 days ago and 2 things happened. 1. When the Dr injected me to fill a cavity the side of my face that was getting the worked done turned white for like 2 hrs. 2nd the same side that the cavity was filled and they put a temp crown until my gets done has red bumps like if I am allergic to something. I am not sure what is going on..... Help
Posted By : Dr.Ritz on 8/11/2012 12:00:34 AM

Dear ANGELICA, Did your dentist injected you with anesthesia. If yes! then this might be an allergic reaction. Red marks can be due to acute trauma that your tooth underwent while undergoing the treatment. Take care to maintain a good oral hygiene until you are given permanent crown. In case your problem persists then consult a dentist and also do the full course of medications if given by your dentist.

Posted By : Dawn on 8/12/2012 6:55:12 AM
I had a small filling done on my 11 3 days ago, an hour and a half after the treatment my sinus started extra thick mucus from my nose and like a nasal drip, but extra heavy. I have been taking antihistamine but there has also been discomfort above the 11 in my nose and breathing through my nose on the right nostril is uncomfortable almost like the air is too cold. Has a sinus been affected? I put pressure on my nose above the tooth where the injection was done which gives relief. What could of happened?
Posted By : Dr.Ritz on 8/15/2012 9:17:19 PM

Dear DAWN, It seems that your sinus got infected while undergoing the filling procedure. The treatment for sinus infection is to open and hydrate the sinus. Drink plenty of fluids and take adequate rest. Water helps in lubricating the mucous membrane.Ginger tea, fruit juice, and hot tea with honey and lemon may all be helpful. Inhale steam two to four times daily. A nasal wash can be helpful for removing mucous from the nose. If the problem still persists then it is advised to visit a dentist and get an Xray done.

Posted By : Nikola on 8/18/2012 8:13:34 AM
I had 2 fillings replaced 3 days ago on my lower right side teeth. Also I had local anesthesia injected and by this day I still cant feel the right side of my tongue. It should ware of couple of hours after but it didint.
Posted By : Dr.Ritz on 8/20/2012 12:04:20 AM

Dear NIKOLA, You might be injected with more than normal dose of anesthesia or the Needle might have accidently hit the nerve. Don't worry the condition will go as the nerve has the capacity to heal on its own. Till that time take care to chew slowly as there are chances of biting your own tongue and also do warm saline gargles.

Posted By : Nyssa on 8/21/2012 4:40:06 PM
Hi, 3 Days ago I had a dental procedure to get my four front teeth bonded. The dentist used local anesthesia injections (3) to my upper gums. I still have a big lump to one side of my mouth where he injected (but no others)& it's painful to touch. One of my teeth that was bonded is also stemming off this area it is also painful, but the other three are not. Does this sound normal? Thanks in advance for your responce.
Posted By : Dr.Ritz on 8/21/2012 10:25:10 PM

Dear NYSSA, I would recommend you to schedule a dental appointment as your case required clinical examination. Before this the correct diagnosis can't be made. The lump can be due to hematoma formation. To treat it apply a warm towel over the swelled area and also do warm saline gargles 4-5 times daily for 5 minutes.

Posted By : Kiana on 8/26/2012 12:08:14 PM
I got two cavities filled yesterday on the lower right side of my mouth and today my jaw hurts and my front teeth feel weird. It's almost like they are pushed too close together. There is a weird feeling in my lip when I move it that makes my ear twitch. Is there nerve damage?
Posted By : Dr.Ritz on 8/26/2012 11:46:05 PM

Though the symptoms that you mentioned are common after dental filling. Reason being, fillings takes some time to adapt to the oral environment. So, you will feel awkward for few days after that the filling will get seated and align itself to the contour of the tooth. But then also you should visit a dentist and check out for any high filling that might be causing pain in your ear. In such cases of high cases, the treatment is to cut short the filling using a drill. For more information you can visit the link....

Posted By : Barbara on 9/2/2012 4:26:38 PM
I had my lower left wisdom tooth pulled four days ago. There were four injections of Novocain given. The procedure was quick and easily performed. While I have no pain in the tooth socket I do have tongue tingling and jaw discomfort that radiates down my throat and up into my eye- all on the side where the dental work was done. I had these same sensations prior to the dental work and thought they were a symptom of the tooth which was diagnosed as cracked and having a loose filling. Taking over the counter anti inflammatory meds. helps a little bit but not much. I took half doses of pain med. for the first two days but it wiped me out, took away my appetite and caused me to be nauseas. It did, however, relieve the tingling and discomfort. I have been limiting my diet to soft foods, rinsing my mouth with saline several times a day. In addition to the symptoms I described I also feel very weak and odd. I can hardly drag myself around the house much less get out and about to do anything .
Posted By : Dr.Ritz on 9/3/2012 1:27:45 AM

Dear BARBARA, Its really nice that you are strictly following the precautions as told to you by your dentist. Since you can't eat anything solid so i would suggest you to have lots of juices (make sure NOT to use straw while having them) and liquid diet. This will give you lots of energy. Regarding pain and discomfort, it is normal to have it after wisdom tooth extraction. There can be chances that the dentist might have accidently pucntured the nerve but you don't need to freak out as it will regain its functioning within week. So, if in case the symptoms still continue after a week then schedule a visit to dental office.

Posted By : Emily on 9/6/2012 12:56:20 PM
I recently got a cavity filled on the right side of my mouth at the dentist I've been going to for a couple years, but they only allow me to come in once a year. I have an immense fear of needles and so I was sedated with Halcion. While getting the procedure he put a little bit of numbing gel in my mouth and stuck the needle in. I had a lot of pain and about 2 minutes later when he was drilling on my teeth I started crying because it felt like there was no numbing gel. They asked me if I wanted more anesthetic and I said "no, no more needles" but they stuck the needle in a second time. Again I had a lot of pain and 2 minutes more and I had the same pain. I wouldn't let them put another needle in my mouth. 1 week later I can eat or drink anything on the right side of my mouth and I still can't fully open my mouth. 1. What do you suggest I do for the mouth opening and eating 2. Can I sue the dentist for forcibly going against my wishes with the needles? 3. Do I need to see someone about my jaw?
Posted By : Dr.Ritz on 9/6/2012 10:12:34 PM

Dear EMILY,Some times with anaesthesia it happens. When anesthesia is injected, the needle tears the muscle tissues and they become sore.It takes sometime for them to heal.The only treatment for this is to keep doing the stretching excercises like opening and closing of mouth and you can do hot fermentation also to relax the muscles of that area.It is due to the local anesthesia shot. This problem is quite normal and will resolve with time within another week or two. Maximum it can take 2-3 months to heal. Till then maintain good oral hygiene.You can use analgesics,if necessary.If the problem persists,consult oro facial pain specialist.

For more information on pain after local anaesthesia,you can visit the link ....

Posted By : mary on 9/11/2012 5:35:46 PM
I had a lower tooth pulled 3 days ago, and everywhere he injected me is still very painful. there is a little swelling. the site where the tooth was doesn't hurt at all, is this normal? how long can this pain from the shots last?
Posted By : Dr.Ritz on 9/12/2012 1:20:47 AM

Dear MARY,Soreness at the site of injection can be because of torn tissues which can be due to too rapid local anesthetic injection or if more amount of anesthesia is injected. It will heal on its own in few days. You can do the warm saline rinses. Maintain good oral hygiene. If there is numbness or muscle pain or difficulty in opening the mouth present along with it, then it suggests that the nerve or muscle is affected.You don't need to worry much.You will recover soon from this problem.

Posted By : Melissa on 10/14/2012 7:59:13 AM
I had to get to fillings in my lower mouth an 2weeks later the numbness came back why?
Posted By : Dr.Ritz on 10/14/2012 11:57:57 PM

Hi MELLISA,It's important to keep in mind that the injection of local anesthetic is actually an invasive procedure.For the mandibular block injection the lingual nerve may be traumatized as the needle is advanced towards the injection site.Paresthesia (persistent anesthesia) is a risk in the administration of local anesthetics. Fortunately, it is a rare complication.Numbness of the tongue will usually resolve in several weeks to several months time.You should inform your dentist of this complication.Good luck.

Posted By : Debbie on 10/26/2012 12:54:05 PM
I had a 25-year-old crown in my left molar that needed replacing because it had loosened. I went in on Tues, Oct. 23, needed a new post put into the canal (already had a root canal done on that tooth) and needed a new build-up of the tooth to secure the new crown in place. I had 2 injections directly into the gums near where the roots of the molar were, almost near the bone of my lower jaw. The injection on the front side didn't hurt at all, but the second injection in the back really hurt. However I had all the work done and everything was fine. The area around my crown was very sore for the first 24 hours, and I also had some injection-site pain where the second injection was given near the bone. It has only been 4 days, but even though the area around my crown is completely pain free, the area around that back injection site is VERY tender. Even the bone in my lower jaw under that area is very sore. There isn't any swelling, just pain. I've never had this happen before, so I'm worried. Do you think it could have somehow gotten infected while they were working on my tooth? There wasn't any infection or anything wrong with my tooth before the procedure. Any help would be appreciated.
Posted By : Dr.Ritz on 10/27/2012 3:48:15 AM

Hi DEBBIE,Sometimes the injection can hit a nerve or a branch of the nerve,which of course cannot be predicted.If this is the case,the pain can persist for a few weeks while the nerve heals.This healing takes long as nerves take long to repair. But it will heal on its own. Go back to your dentist.

Posted By : Mtichell Phillips on 11/18/2012 1:24:53 PM
I saw a new DDS yesterday because my regular says he cannot make a diagnosis. I have a 15-20 year old bridge and the gums have receded. Because of the metal cap underneath they cannot see any decay. The new Dr was poking around and said there may be a cavity or plaque there. She says I need a deep cleaning with local anesthesia first. I get these kind of electrical sensations now and then and because I'm having some anxiety issues it's making it much worse. I am terrified of having a toothache. The tooth has lost a lot of bone so a root canal won't help? Does anyone know? Or am I slated for a removable bridge in lieu of an implant which I don't want. My anxiety is torturing me.
Posted By : Dr.Ritz on 11/19/2012 4:32:18 AM

Hi MITCHELL,Cavity can occur below dental bridge.By accumulation of plaque and calculus deposits on areas beyond edges of dental bridge, dental cavity can start.To remove cavities from tooth,dental bridge will be removed and dental caries can be restored by the dentist.If caries are deep,then root canal treatment will be required.Infection must have occurred because of gum recession followed by deposits on area beyond edges. After infection in tooth with dental bridge, new dental bridge is made. If dental bridge becomes loose and fall off, then old dental bridge can be given to the patient but in case of infection below dental bridge, new dental bridge is made. After filling the cavities which are present below the dental bridge, fit of dental bridge is affected so new dental bridge is required.

Posted By : Dr.Ritz on 12/4/2012 4:03:23 AM

Hi CK,Dental work can make TMJ symptoms/pain, worse.Here is a list of things that can be done in addition to the nightguard.Do some TMJ exercises for the neck and jaw.The reason you may feel pain is that clenching causes tight muscles,which in turn can refer pain into other areas such as the teeth.Make sure you aren't getting unnecesary root canals and/or extraactions because many dentists don't realize pain can come from the referred pain of tight muscles from clenching,gums, head,neck.Avoid gum and hard and/or chewy foods.

Posted By : *Doug on 11/1/2013 1:02:27 PM
I had two crowns replaced on my two front teeth about six months ago. I had persistant pain in the roof of my mouth which my dentist could not figure out. I then saw an periodontist who concluded it might be from the novacaine injection, and would probably heal in time. Now I have facial flushing in my cheeks,which is driving me crazy. My GP cannot figure this out. Can this be related to the novacaine injection. Ive had blood work and am now being scheduled for an MRI of my head. I dont know if this is all necessary.
Posted By : Crystal on 3/10/2015 9:55:36 AM
I had a crown and filling 2 weeks ago. I also have receding gum lines and thin gums. The site of both injections if still painful. What should I do?
Posted By : brandy on 4/22/2015 10:33:01 PM
I went to a new Dentist over a week ago and had a back tooth removed,He placed a shot into the back pocket of my jaw and I have had trouble with being able to open my mouth to a certain degree to eat , It's scary and I have been opening and closing my mouth but is this something that is permanent,I have never had anything in my life to ever happen like this and it is a very frightening experience . I told the dentist about it and he said it is a muscle spasm,I know for certain it is not a muscle spasm I have experienced spasm before and there is no spasm ..the only thing I am experiencing is some pain minor in my mouth and throat and the worst part is when I try to open my mouth to eat certain foods it hurts , Please tell me this is not something permanent like I said I am pretty scared what this has done to me ..
Posted By : Mrs Gallagher on 4/23/2015 5:03:22 PM
I had bottom left wisdom tooth extracted on 3/26. The next day a lump came up in the front of my cheek, just above the jaw, near to my chin and mouth - not at the extraction site. In all I've had 2 rounds of Clindamycin and a Medrol pack, then when I was still having a lot of swelling, my family doctor prescribed 6 days of Prednisone, 3x daily. That finally got ALL the swelling down, by 4/21, when I took the last Prednisone...2 days ago. With the swelling down, I could feel that just above my jawline, all across, from my chin to my extraction area, the muscle didn't feel right, compared to the other side. By evening, the day I finished the Prednisone, my cheek and gums began swelling. I'm also swollen all along my jaw, on that side, just above the jawline. Now, 2 days later, it's more swollen, all through that side. I'm also having pains in my lymph nodes in the back of my head, and the ones in the front of my neck are very swollen. The lymph nodes are why I began all this - I knew the wisdom tooth had problems, and went to my dentist. They've been swollen since Christmas. But the pains have increased a lot, tonight. What is going on? BTW - my mouth wasn't able to open, after the extraction, not even to stick my pinky finger into my mouth. Now I can ALMOST get my pinky and ring finger into my mouth, when stacked together. That's how I've been measuring my progress. I thought it was lockjaw at first...but the oral surgeon said it's only caused by the swelling. I've been doing the exercises to hopefully help this. But the NEW swelling is over the top ! The swelling was totally gone when on Prednisone...and when I got done with that - and all my antibiotic gone - now I'm swollen again. Please help.
Posted By : Mrs Gallagher on 4/23/2015 5:16:45 PM
Also I'm beginning to have mouth pain this evening. It seems to center in the jaw, 4-5 teeth back from my chin. I had been back to the oral surgeon AND my dentist, to have them check that area, and neither could find the problem. I wonder if the oral surgeon damaged something. I mean everybody makes mistakes. I'm not wanting to sue anybody. I was willing to live with pain the rest of my life, if I needed to, but the swelling coming back is a mystery. I do also have a slight tinge of black under the skin of my jaw, in that same area. When I first had the extraction, I had a lot of bruising in that same area (though a bit higher, before gravity pulled it down). I keep wondering if I have continued internal bleeding, from a mistake made by the oral surgeon. Is that possible? Thanks.
Posted By : Mrs Gallagher on 4/23/2015 5:20:17 PM
What should my course of action be? Thanks again.
Posted By : Cassandra on 4/24/2015 8:56:30 AM
On 03/31/2015 I was going in to get a right side back tooth pulled. The dentist tried to get me numb with two rounds of the anesthetic, but my bottom right lip never got numb so procedure was rescheduled for another day. The next 4 days after that were horrible and painful on the inside of my cheek. I took ibuprofen for pain, but at times it would just throb contstantly and the pain medicine wasn't working well. Finally my cheek got better, but now I cannot open my mouth wide at all anymore. It almost feels like a rubber band is at the back right side of my mouth that's preventing me from opening it wide. At first it was painful to even try and open it, but it has gradually improved and I can try to force it open better without a lot of pain. I called the dentist about 10 days after the procedure, and he said to do mouth exercises by pulling down my bottom jaw and holding for 30 secs throughout the day. It has been 18 days now and I still can't open wide and I still feel the tension on that back right side. I've had several teeth pulled in the past and have never had any problems getting numb. Could my problem be anesthetic in the muscle causing my jaw muscle to contract or something? And will it get better?
Posted By : Nancy on 6/10/2015 10:49:11 AM
Just had two fillings, one on either side upper. One was the "eye" tooth and the other side was the tooth just behind the eye tooth. All seemed to go normal, but it is almost 4 hours later and is it normal to have one side of your smile way up and the other side way down? I've never had this happen before and just a tad nervous. Everyone one here is saying that all should be back to normal after 2-3 hours and mine is now almost 4 hours. Thank you.

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