Post dental extraction: I had a molar removed... - PMRGCAuk

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Post dental extraction

ParsnipSoup profile image
14 Replies

I had a molar removed yesterday afternoon due to severe pain and swelling. In my ignorant bliss I thought tooth out, pain and facial swelling will be gone, how wrong was I.

Swelling worse and more widespread and pain is building back up. Has anyone suffered the same and found Prednisolone helped ?

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ParsnipSoup profile image
ParsnipSoup
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14 Replies
jinasc profile image
jinasc

No I have not suffered the same, but when I had a molar removed it was because of an abscess and I was given anti-biotics before and after removal. Check it out with your Dentist who did the removal.

ParsnipSoup profile image
ParsnipSoup in reply tojinasc

He said they don’t give antibiotics these days, seems strange to me. I had an emergency appt. , luckily I subscribe to Denplan .

jinasc profile image
jinasc in reply toParsnipSoup

Well that is a surprise, I only had it done 3 years ago..............but stuff changes all the time.

PMRpro profile image
PMRproAmbassador

If it is getting worse I would call a doctor if your dentist is being a tad cavalier! I assume you are in the UK - so use 111 for advice. I do appreciate there are dentists who don't use abx like that - but a patient on pred is at an increased risk of infection so even if prophylactic abx aren't appropriate, early use when indicated may be.

ParsnipSoup profile image
ParsnipSoup in reply toPMRpro

I have spoken to my son in Scotland , he was prescribed antibiotics eventually as he had a dry socket.

I have taken 15mg of Prednisolone to see if it makes a difference today, it does seem less painful at present, fingers crossed.

I have an appointment with my Rheumatologist tomorrow anyway for test result.

Thank goodness I can wear a mask as I am not an attractive sight .

MrsNails profile image
MrsNails

Once you’re through to 111 there is a Dental Option

piglette profile image
piglette

I do remember our next door neighbour, who was a doctor, was going around screaming in pain as he had had a molar out. If doctors can’t help themselves, there is not much chance for the rest of us!!

ParsnipSoup profile image
ParsnipSoup in reply topiglette

Well what can I say 🙂. No problem taking it out , it was afterwards. I have to admit to a few tears but being a woman no screaming .

piglette profile image
piglette in reply toParsnipSoup

Our doctor neighbour was a man!

ParsnipSoup profile image
ParsnipSoup in reply topiglette

Explains it all.

SnazzyD profile image
SnazzyD

You will get some pain and swelling but if it is worsening I’d call for advice as suggested. Putting up Pred decreases the ability to fight infection by suppressing the inflammatory response (in this case useful) too so antibiotic cover might be a very good idea, especially if infection was already established.

ParsnipSoup profile image
ParsnipSoup in reply toSnazzyD

Thank you.

Karenjaninaz profile image
Karenjaninaz

I had a loose long-term dental implant removed. I also did not get antibiotics. The doctor said it was clear no signs of infection. What I did do was up the pred a little for a couple of days because this was a stress. When I was administering anesthetics, we gave patients, on long term steroids, an IV stress dose of steroid whenever they had a surgical procedure.

ParsnipSoup profile image
ParsnipSoup in reply toKarenjaninaz

Thank you . I did up the pred yesterday and think it did help , sore and swollen again this morning , I will take a higher dose this morning too . Doctor’s seem to vary a lot with their advice, when I was diagnosed with PMR over two years ago I was due to have a Gynae op, Surgeon wouldn’t consider doing it then and said I would have to stop Pred and have Hydrocortisone for a few days, she wouldn’t operate until Spring because of the risk of winter infections and then Covid 19 appeared. Needless to say I still haven’t had the much needed op .

I do wish all Doctors sang from the same hymn book . I am lucky as I have a great Rheumatologist and GP’s.I have an appointment with my Rheumatologist this afternoon which was pre booked, be interesting to hear his opinion.With PMR he has always find my comfortable level with Preds and NO I don’t have to ‘get off them completely ‘.

Thanks again, Mary

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