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.... www.identalhub.com/article_good-oral-hygiene-231.aspx

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.

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