Phlegmon of the lower jaw after tooth extraction


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Inflammatory processes developing in the oral cavity always bring a lot of inconvenience to a person and threaten serious complications in the future.

One of the most dangerous consequences is phlegmon. The disease is characterized by a high rate of progression, rapid spread to surrounding tissues if diagnosis and treatment are not timely.

General overview

Phlegmon is a necrotic inflammation of soft tissues with the formation of purulent exudate in them. The pathology does not have clearly defined boundaries (i.e., it can be defined as a few centimeters or represent an extensive lesion) and is characterized by the melting of subcutaneous tissue.

At the site of its formation, the skin first swells, then it turns red, and unpleasant sensations develop from touching the problem area. Later, the affected area becomes dense, hot to the touch and acquires a glossy surface.

Cellulitis after tooth extraction

Based on the cause of the disease and the nature of its course, 2 forms are distinguished - subacute and acute. The first is further divided into a limited type, i.e., not tending to spread, and an unlimited type, prone to rapid increase.

Cellulitis does not apply to contagious conditions , i.e. you cannot become infected by contact with a sick person, since the inflammatory process occurs in the deep layers of tissue, and the epidermis does not allow the infection to come out.

The disease is characterized by rapid development and spread to bone tissue, tendons, muscles, and internal organs. In a few days, its focus can move from serous inflammation to a form with rotting, the release of a purulent mass, and then to tissue necrosis.

Progression is dangerous due to the formation of fistulas, a sharp increase in temperature and the involvement of healthy tissues in the process, and the penetration of toxins into internal organs.

Cellulitis forms in any part of the maxillofacial area, regardless of the site of injury, wound, or infection.

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Teeth, phlegmon. Personal example

In one of the posts, I had the imprudence to write about the fact that I was twice in the hospital, in the maxillofacial surgery department.
After reading the answers to mine, I realized that I simply had to make a post on this topic, because the idea of ​​​​this department and the reasons for getting into it is very limited and vague. So: my first time

We have one family problem - teeth. Since I was 13, I even had a family dentist and a general “family discount.” We all try to take care of our teeth, because this is our weak point; my dad, for example, has had a completely “Hollywood smile” for about 15 years, not for beauty, but out of urgent necessity.

But personally, I have another problem - workaholism. More precisely, it was, now I have almost completely gotten rid of it)

So, my tooth ached, at first just a little, from work, basically, without distracting me, and then, one evening, it ached so much that I was ready to pull it out with my own hands. Taking a Ketorol tablet every hour, I probably started waiting for the morning so I could go to the clinic faster. I didn’t sleep a minute during the night, I spent half the night in a hot bath - for some reason it was easier.

From the doorway to the clinic, I announced that I urgently needed an injection of painkiller, but that was not the case, first an examination, identification of the diseased tooth, an x-ray. In short, half an hour and here it is, a life-saving injection that completely relieved the pain.

I am a rather patient, smiling and sociable person. That same morning, I appeared before the girl administrator in the form of a sad, sorry, piece of shit, I couldn’t smile, I didn’t want to talk or listen, even tears flowed from pain.

Omitting the details of dental procedures, I will write briefly. They drilled out one of my teeth, removed the nerve and the beginnings of caries, put a filling in and sent me home.

As soon as the anesthesia wore off, the pain came in a second, even greater wave. The next day, they drilled into my neighboring tooth and, if you’ll excuse the intimate details, pus poured out of it.

They sent me for a more detailed x-ray and to a surgeon, after which I was informed that I had a huge cyst near the jawbone, under the teeth, 1.5-2 cm, a bit too much within the jaw.

It was possible to pull out at least 2 teeth, at most 4, and remove it in the near future, but to save the teeth it was necessary to relieve inflammation, which usually takes at least a week. Despite the hellish pain, I decided that my teeth were dear to me, at least as a memory.

In general, about 5 days after the procedures to relieve inflammation, the pain significantly decreased.

Briefly: my cyst became inflamed and began to secrete pus, which “pushed out” my teeth, hence the pain. Plus, the inflamed area itself hurt. And my hot bath only made the situation worse.

When I went to the dentist with the pain having subsided, the girl at the reception said that she couldn’t even think that I was so smiling and positive, I looked so hopeless and sad.

Yes, I also forgot to add that due to inflammation and accumulating pus, on the second visit to the clinic, my lower right part of my face was a perfect square, with an angle of 90 degrees. In general, the first week I was half SpongeBob (square face

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