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What could be the painful blister around extraction site?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had a tooth extraction done nine days ago top left #14 and my gums are still swollen. It looks like a white blister around the extraction site. My dentist will not listen to me and the pain I am in. Is it something I should worry about? It is causing pain too.

Answered by Dr. Vijeta Singh

Education:

BDS

Professional Bio:

Dr. Vijeta Singh is a Dental Surgeon with six years of clinical experience. She completed her BDS and internship at Rama Dental College Hospital and Research Centre, Kanpur, where she spent a year in all major dental hospital departments treating heavy patient footfall. Currently, she is practicing in a private clinic and a few NGOs.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Your swollen gum and white blister on extraction site can be a canker sore (small and shallow ulcer) which can be treated with medicine and oral hygiene. This could have happened due to improper oral hygiene and using some pointed object (toothpick, etc.) to the extraction site. Grave disease supports mouth ulcer as well.

This can also be a dry socket (open socket in gum) because of major trauma during extraction. Dry socket may lead to swollen gum and pain at the extraction site. In a few of the studies, we have seen that hypothyroidism also reduces the rate of wound healing. You are already taking Motrin 800 for pain management, please share the dosage. Alternatively, you can take Naproxen which is an extended-release tablet can help you to subside pain for a longer duration. You are also suggested to take semi-solid food, do not chew from the left side and brush carefully. Gargle with warm salt water. Requesting to share the picture of the extraction site to differentiate between canker sore and dry socket. Which will help me to suggest the proper treatment and medicines? Also, requesting to share radiograph (if possible) IOPAR of 13, 14, 15 for a better understanding of the case.

The Probable causes

Disturbing extraction site, infection at the site.

Investigations to be done

IOPAR of 13, 14, 15.

Differential diagnosis

Dry socket.

Probable diagnosis

Canker sore.

Treatment plan

Medicine and visiting dentist (can only be confirmed after further information).

Preventive measures

Take semi-solid food, do not chew from the left side and brush carefully. Gargle with warm salt water.
Medically reviewed by Dr. Divya Banu M
Published At May 5, 2019
Reviewed At May 28, 2024

Education:

BDS

Professional Bio:

Dr. Vijeta Singh is a Dental Surgeon with six years of clinical experience. She completed her BDS and internship at Rama Dental College Hospital and Research Centre, Kanpur, where she spent a year in all major dental hospital departments treating heavy patient footfall. Currently, she is practicing in a private clinic and a few NGOs.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BDS

Professional Bio:

Dr. Vijeta Singh is a Dental Surgeon with six years of clinical experience. She completed her BDS and internship at Rama Dental College Hospital and Research Centre, Kanpur, where she spent a year in all major dental hospital departments treating heavy patient footfall. Currently, she is practicing in a private clinic and a few NGOs.

This doctor is not available for online consultations on the platform anymore.

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