Cheek hurts on the inside what to do. If the cheek hurts inside: what could it be? Treatment of white sores in adults

Cheek swelling is a pronounced symptom that is clearly visible to a person even without a medical education. Often this symptom accompanies dental diseases. However, in some cases, swelling is present, and the patient does not feel toothache. What causes swelling and sore cheek? Which specialist should be contacted to find out the reasons? How to treat and prevent the appearance of such symptoms? Let's figure it out together.

The main causes of swelling of the cheek

In the vast majority of cases, swelling of the cheek, which is not accompanied by toothache, is a manifestation of the inflammatory process. Often the patient finds that only one side is swollen and swollen - the left or right. The origin of inflammation can be different - from the usual growth of wisdom teeth to the development of serious diseases that pose a threat to the patient.

Purulent periostitis (flux)

To provoke the development of purulent periostitis (this disease is also commonly known as "flux") can be a traumatic injury or an advanced form of carious lesions (we recommend reading: how to remove a tumor that occurs with flux at home?). If the patient complains of severe sharp pain, which is reflected in the organs located near the affected tooth, one of his cheeks swells and the body temperature rises, then we are most likely talking about acute form purulent periostitis.

Pain after tooth extraction, nerve or filling

Sometimes the tumor becomes the result of treatment or tooth extraction. This is a normal reaction of the body to outside interference.

Often, such a symptom indicates that the therapy was not carried out in full or of poor quality. Then it is recommended to consult a doctor. If the cheek is noticeably swollen after visiting the dental office, the following factors can cause it:

  • Incision on the gum - during the treatment of a diseased tooth, the doctor sometimes needs to cut the gum. In this case, the tumor is a normal phenomenon that will pass by itself over time.
  • Complications after tooth extraction - most often, patients who neglect the rules of oral care during the recovery period experience a tumor after extraction.
  • Poor-quality removal of the nerve - during depulpation, the doctor can only partially remove the nerve, then the cheek will swell near the treated tooth, but there will be no toothache.
  • Allergic reaction - occurs after canal filling, if the doctor used the material without taking into account the patient's individual intolerance. When the cheek is very swollen the next day after filling, you need to urgently consult a doctor to replace the filling with a hypoallergenic one.

wisdom tooth growth

If only one cheek is swollen, there is a general malaise and / or fever - this indicates the eruption of a wisdom tooth, especially if it climbs in a person over 25 years old. With the correct growth of the third molars severe pain or no discomfort. If the symptoms listed above occur, this indicates any violations in the process of its growth, the doctor may recommend removing the "eight".

Formation of an abscess and phlegmon

Inflammation in the advanced form of the gums or cheeks is dangerous with complications such as phlegmon and abscess. These pathological conditions are distinguished by the peculiarities of localization of purulent exudate. With phlegmon, pus is not limited to the membrane cavity, it involves adjacent tissues in the inflammatory process, spreading freely.


If pus fills the formed cavity, then we are talking about an abscess. The latter may look like a seal inside the mouth between the cheek and gum from the inside. In this case, the patient notes that one of the parts of the face is swollen and sore.

The reasons for the development of a tumor of the cheek due to phlegmon and abscess include:

Development of gingivitis

The cause of swelling can be gingivitis, an inflammatory process that affects the gums. The characteristic symptoms of the pathology also include bleeding and swelling of the gums, as well as the appearance bad smell from oral cavity. It is not worth neglecting the treatment of gingivitis, since in an advanced form it can turn into more dangerous disease- periodontitis.

Injury or burn of the mucosa

Damage from a fall or impact, as well as a burn of the mucous membranes when eating extremely hot food, can also provoke swelling of the cheek. A burn can cause not only a thermal, but also a chemical irritant. Usually the tumor does not increase in size and passes without a trace within a few days. If the swelling increases, it may be a serious injury that requires medical attention.

Poor oral hygiene

Neglect of the rules of oral hygiene often leads to the development of various inflammatory processes. At the same time, the patient first detects swelling of the gums, and over time, the part of the face becomes swollen (we recommend reading: how to treat swollen gums at home?). The patient notes that she seemed to be "cheated". Depending on the characteristics of inflammation, it may have concomitant symptoms.

Other reasons

Some experts consider the face to be a kind of reflection of the general state of human health. Whole line pathological conditions capable of provoking the manifestation of characteristic symptoms on the face. In addition to the causes listed above, inflammation of the cheek can be triggered by the following factors:

Stomatitis deserves special mention. This disease is associated with inflammation of the soft tissues. To inflate part of the face, the disease must develop to a serious stage. Often stomatitis occurs in a child. One of the characteristic symptoms of incipient stomatitis is pain. The cheek disturbs from the inside, in the corner of the mouth.

There is a tumor, but the teeth do not bother - why does this happen?

Now let's figure out why the cheek is swollen, but the tooth does not hurt (we recommend reading: the cheek hurts, but not the tooth: what could it be?). If swelling of the cheek is not accompanied by toothache, this indicates that the inflammatory process does not affect the nerve. The symptom may indicate that the pathological process is not associated with dental diseases, or the disease develops in the area of ​​the pulpless tooth element. In any case, a tumor (especially a progressive one) cannot be ignored, since it can be a symptom of a dangerous disease.

Which doctor should I contact for swelling of the cheek?

A similar recommendation can be given in cases where part of the face is swollen after the treatment of caries or other diseases of the oral cavity. After a tooth extraction or other surgical intervention, swelling is a normal reaction, so it should not be a cause for panic.

Puffiness treatment

On the initial stages pathological process means may be effective traditional medicine. However, in cases where it was not possible to remove the tumor within 2-3 days, you should stop home treatment and immediately seek help. medical care to a specialist. Among folk recipes the most popular are the following:

  • rinsing with a solution of soda and salt;
  • the use of a decoction of chamomile and sage, St. John's wort;
  • rinsing with infusion of calendula flowers;
  • you can remove swelling from the gums with the help of propolis applications.

First aid for discomfort

What to do to reduce swelling and get rid of pain in a short time? Drugs containing analgesic components will help. The patient can use a solution or spray Geksoral, Lidocaine-asept in the form of an aerosol. If a child has a problem, then it is permissible to use the means recommended for teething, for example, Dentinox gel.

Medications

The attending physician prescribes medication depending on what causes of swelling were identified during a comprehensive diagnosis of the patient's condition. In the case of diseases accompanied by suppuration, sometimes not only conservative therapy is required, but also surgical intervention.

Cause of puffinessMedical therapyNote
Acute purulent periostitis, phlegmon
  • Amoxiclav,
  • Lincomycin,
  • Ampiox,
  • doxycillin,
  • Metronidazole
Conservative treatment is not enough. You will need the help of a surgeon: he will open the gum, expose the cavity filled with pus, install drainage. A few days later (after the complete exit of the purulent exudate), the drainage is removed, the wound is closed. Beginning dental treatment.
Gingivitis, stomatitis, injury or burn
  • Miramistin,
  • Chlorhexidine
  • Furacilin,
  • Holisal,
  • Asepta-gel,
  • Solcoseryl,
  • Mefenamin sodium salt(solution 0.1%),
  • Novoimanin,
  • Salvin,
  • Agistam,
  • Suprastin
Each disease requires an appropriate diagnosis (to determine its cause) and a phased comprehensive treatment.

Preventive measures

Swelling of the gums or cheeks is an unpleasant symptom that may indicate the development of pathological changes in the body (we recommend reading: how can gum swelling be removed after the removal of a wisdom tooth?). It is not worth neglecting the treatment of such diseases, but it is always better to pay attention to preventive measures to prevent them.

  1. the diet should be varied and balanced so that a person receives all vitamins and microelements with food;
  2. you can not neglect medical preventive examinations, including at the dentist;
  3. if you experience symptoms of a dental disease, consult a doctor;
  4. use special mouthwashes, toothpicks, floss threads, brushes for cleaning the interdental space;
  5. carry out hygienic cleaning of the teeth and tongue using a brush and paste twice a day.

Vague pain localized inside the cheek may be evidence of a developing dental disease. However, in some cases, if the cheek inside is very sore, this may indicate the onset or progression of an otorhinolaryngological disease. In any case, it will be impossible to do without special professional diagnostics, so you need to consult a doctor and undergo the necessary examinations. Only in this way it will be possible to understand why the cheek hurts inside, what to do and how to treat the syndrome.

Several serious pathological processes and diseases most often cause pain in the cheek. Let's consider them separately.

Caries

A common disease, which is characterized by a gradual destruction of the integrity of the tissues of the tooth and the subsequent formation of pronounced carious cavities. With caries, sometimes the cheek inside the mouth hurts if destructive processes occur near the tooth or in the tooth itself. Pain occurs when the deep layers of the tooth are damaged, when the dental nerve is exposed. Be careful when detecting such a syndrome: caries has a habit of causing severe complications, despite the fact that in the early stages of development it almost does not bother you.

Periodontitis

Periodontitis is a disease in which there is an inflammatory process in support apparatus teeth. If the cheek hurts during periodontitis, this may mean that processes of destruction of the structure of the alveolar process of the jaw are taking place in the corner of the upper or lower dentition.

Periodontitis at first develops almost asymptomatically, but if pain already appears, then most likely there is significant destruction. If you experience pain in the cheek, it is better to immediately contact a specialist and find out the cause of the syndrome.

Pulpitis

The neurovascular bundle of the tooth with severe inflammatory processes in it can provoke pain. Therefore, in some cases, in patients who have a sore cheek inside, the doctor diagnoses pulpitis. This disease is very dangerous for its complications, so the pain syndrome is your body's signal for help.

Wisdom tooth

When the figure eight, the farthest tooth of the row, erupts, pain may appear, which periodically spreads not only throughout the cheek, but also the jaw. Some patients claim that when the gums burst during the growth of the tooth, severe sharp pains were observed, radiating to the head area.

If you experience such discomfort, you should check with your doctor. However, if your cheek hurts inside, but you don’t know what to do, the doctor does not always advise the removal of a wisdom tooth.

Pain relief may be prescribed to reduce the intensity of the pain syndrome and alleviate the general condition. Only in extreme cases is surgery indicated.

Other diseases

If the cheek hurts inside, this does not mean that the pain is caused by a tooth. Sometimes it seems to patients that it is a toothache, but in fact, the symptom can be caused by other diseases that have no connection with dentistry. The most common are sinusitis, neuralgia trigeminal nerve, Ernest's syndrome, temporal tendinitis.

The cheek is called the lateral part of the human face, which is able to be innervated by the buccal or buccal nerve. The cheek is located between the eye and the ear, descending to the bones of the lower jaw and chin. In addition, the cheek is the outer side wall of the oral cavity. Pain in the cheek can occur with various diseases.

Causes of pain in the cheek

Pain in the cheeks e can cause pulpitis, caries, periodontitis and other dental diseases. If your pain is less pronounced in the morning, and in the evening it becomes more noticeable, then the explanation for this should be looked for in the development of sinusitis. In this case, a person perceives pain as a general headache, which is not concentrated in one place. Pain in the area of ​​​​the upper teeth or in the cheek is sometimes caused inflammatory processes in the sinuses.

It is necessary to correctly diagnose the disease

Very similar to the symptoms of trigeminal neuralgia are manifestations:

  • Ernest syndrome;
  • temporal tendinitis;
  • neuralgia of the occipital nerve.

With Ernest syndrome the stylomandibular ligament, which connects the lower jaw to the base of the skull, is damaged. A person has a pain in the face, neck, head. With temporal tendonitis, pain is marked by teeth, cheek, pain in the cervical region and head.

How to treat cheek pain

Thus, most often pain in the cheek provokes a disease of the teeth, but it is often possible to meet a common cold of the muscles of the cheekbones.

If a tooth flux occurs, the cheek is swollen, you will have to resort to surgical methods. The flux is cut out. In case of jaw muscle disease urgently need to take antibiotics (as indicated by the doctor) and try to stretch the muscles, since pain in the cheek is usually only a symptom. If the middle ear is inflamed, the jaw and cheeks hurt. Try warming up the ear and cheek in the area of ​​pain.

In the bitter cold cheeks able to wind, the skin is frostbitten. To avoid discomfort in the cheek during frostbite, lubricate the cheeks with cream.


Fat or cream can be a lifesaver. Toothache can be removed by rinsing with salt. With a very strong unusually sharp pain in the cheek, When you find it hard to tell if your tooth, cheek, or jaw is hurting, try mixing two tablespoons of salt into a glass of water and rinse your mouth. If you carry out this procedure three or four times a day, you can easily get rid of pain.

Whatever the cause of the pain in the cheek, be sure to consult a specialist. It must be remembered that with pain of this kind, treatment should be started as soon as possible.

Often young children are not able to really explain what hurts them. But still they can show the place where unpleasant sensations arise. If a child’s cheek hurts, this may be due to various ailments. This symptom should not be ignored. An accurate diagnosis can only be made by a doctor. Also, a specialist will prescribe treatment.

The reasons

A child's cheek hurts for various reasons. Often this is due to:

  • allergies to food or body care products;
  • teething;
  • a piece of food that penetrated into the gum pocket and caused suppuration;
  • stomatitis;
  • deep caries;
  • pulpitis;
  • periodontal disease;
  • periodontitis;
  • gingivitis;
  • not completely removed nerve in the dental unit;
  • inflammation of the facial nerve or lymph node;
  • an injury that occurred after a blow or bite of the cheek from the inside;
  • sinusitis;
  • mumps;
  • temporal tendonitis;
  • disease of the temporomandibular joint;
  • a tumor;
  • insect bite.

Any of these reasons cause inconvenience and discomfort. Therefore, it is important to timely contact a doctor who will prescribe treatment. This will safely and quickly eliminate discomfort.

Why does a child's cheek hurt? It's hard to install on your own. But in the presence of such a symptom, adults need to take urgent measures to alleviate the condition.

Diseases of the teeth and gums

When examining a child's mouth, pay attention to the teeth and gums. Often their pathologies lead to painful sensations in this place. Black holes in the tooth enamel may be visible. Even if they are small. Caries develops deep inside, and on the surface it will be hardly noticeable. This process develops from dietary fiber stuck between the teeth and causing inflammation of the gingival papilla. Hard food often remains between the teeth and gums, leading to putrefactive processes.

Various dental ailments lead to both a violation of the integrity of the teeth and a change in the color of the enamel. If the cheek of a child is swollen and painful, then this may be due to this particular problem. There may also be itching, stale breath, severe redness of the soft tissues. With flux, a bubble with pus is observed.

If a child has a tooth sealed or extracted, but the pain occurs for more than 2-3 days, most likely, the procedure was performed with violations. This leads to pathologies in the gums. If the child has a sore cheek and the temperature is elevated, as well as a headache, then there is a risk of periostitis. The presence of pain during swallowing of food with edema indicates inflammation of the tonsils. To prevent diseases of the teeth and gums from causing pain, they must be treated in a timely manner. This way you can avoid complications.

Injuries

When a child’s cheek hurts, this may be due to injury to the oral mucosa or teeth. If no damage was found on the outside, it is possible that the cheek was damaged from the inside against the dentition upon impact. On the inside, bruises, abrasions, swelling are noticeable. And the mucous membrane, gums can be scratched. Then the wounds will be visible. Trauma is considered a common cause of pain, especially if the child is very active.

It also happens that because of the impact, a piece of enamel breaks off, the tooth stem breaks. In the latter situation, the tooth may be intact, but slightly loose. These damages are found during inspection. It is impossible to get rid of the problem on your own, you need the help of a dentist. If not only the child’s cheek hurts inside, but dizziness and nausea are also observed, an ambulance should be urgently called. An ambulance is also needed in the presence of severe bleeding in the mouth.

Infection

If a child does not have a toothache, then fungi, bacteria and viruses can be the cause. Because of them, stomatitis appears, in which painful sores appear in the mouth. Still get inflamed soft tissues. The infection enters the mouth with unwashed hands, toys, dirty dishes. Its activation occurs with seasonal weakening of the immune system or colds. Therefore, it is necessary to strengthen the health of the baby so that no unpleasant symptoms appear.

If there is swelling not only on the cheek, but also on the neck, and there is also dry mouth, heat(38-39 degrees), that is, the risk of mumps or mumps. Due to pathological infections, sinusitis may occur, suggesting inflammation of the paranasal sinuses. Pain from this disease can be given to the tissues of the cheeks, nasal congestion is observed, and general malaise may increase by night.

Teething

If a child has a cheek pain on the inside, then this may be a confirmation of teething. In this process, there is swelling of the gums, and maybe a fever. Through the translucent gingival tissues, whitish dental units can be seen breaking upward, bluish hematomas, which appears during eruption. Children have whims, they do not sleep well and refuse to eat.

Painful sensations appear when sharp fangs or molars with a wide chewing surface grow. Pain in the cheeks sometimes occurs in older children, especially during the period of replacement of milk teeth with molars. This phenomenon occurs in almost all children. Parents need to monitor the child's condition, and if unpleasant symptoms appear, seek medical help.

severe pain

Pain can be both moderate and severe. In any case, this causes inconvenience, so it is better to get rid of them as soon as possible. If the pain is severe, then this may be due to:

  • trigeminal neuralgia;
  • temporal tendonitis;
  • Ernst syndrome.

With inflammation of the buccal nerve, there is a loss of movement of the painful cheek. Much depends on the children themselves and their parents. It is important to devote time to hygiene and follow preventive measures.

When contacting a doctor, he first examines the oral cavity. The specialist also asks about complaints, symptoms. Depending on the problem, a referral to a specific specialist may be provided.

Help

When a child has a sore cheek, what to do? If there has not yet been an examination by a doctor, without a diagnosis and prescription of therapy, assistance should be carried out carefully. It is impossible to allow the aggravation of the pathology. And for this it is forbidden:

  • arbitrarily take antibiotics and other drugs that are sold in pharmacies only on medical prescriptions;
  • warm up with lamps and warm compresses;
  • give your child sweets and solid foods;
  • feed cold or hot foods, drink sweet, sour, fizzy drinks.

First aid can be performed with the help of pharmaceutical drugs and folk methods. With them, it will be possible to improve the condition of the child, but then you still need to visit a doctor.

Who to contact?

For pain and swelling of the cheek, you should consult a dentist. If the cause of this phenomenon is not dental, then a referral to other specialists will be provided:

  • pediatrician if bacterial and viral infection.
  • neurologist with neurological ailments;
  • ENT, when the ear and salivary glands are inflamed;
  • a nephrologist if kidney pathologies are detected;
  • traumatologist or maxillofacial surgeon in case of trauma to the lower jaw.

Medicines

If the child’s cheek hurts from the inside, painkillers with ibuprofen (Ibuprofen, Nurofen), paracetamol (Kalpol, Panadol) help, which still allow you to relieve heat during teething.

Older children (from 12 years old) are given medications with nimesulide (Nimesil, Nimegezik). The use of "adult" painkillers ("Analgin", "Ketanov") is allowed from the age of 14. But you still need to read the instructions for the drugs. And it should be borne in mind that giving a child painkillers without consulting a doctor for more than 3 days is considered dangerous.

During the treatment of wounds in the mouth, ulcers, inflammations, gels, ointments, oils are used, which have an antiseptic effect, stimulate recovery. These are Acyclovir, Cholisal, Carotolin. Sprays are used - "Ingalipt", "Miramistin", as well as balms and solutions intended for rinsing - "Rotokan", "Vinilin", "Chlorhexidine". But keep in mind that these are only temporary measures that cannot replace professional help. Even if it seems that the disease has receded, you still need to see a doctor.

ethnoscience

If a child of 5 years old has a sore cheek, traditional medicine can alleviate the condition. Cold compresses are considered effective, in which ice must be wrapped in a cloth and applied to the affected area. This allows you to remove discomfort. Instead of ice, you can apply half a raw potato cut to the skin.

Antiseptic rinses help with a solution baking soda. For this, 1 tsp. The product dissolves in a glass of warm boiled water. Herbal infusions based on chamomile, calendula, green or black tea, oak bark and other herbal preparations have anti-inflammatory and wound-healing effects. Cooking is done by brewing 2-3 tbsp. l. raw materials with a liter of boiling water.

Dentists may advise you to follow simple rules to prevent cheek pain:

  1. Do not use hot compresses.
  2. Do not self-medicate.
  3. If the cheek is swollen, it should not be disturbed. At this time, you should not eat very hot or cold food, nuts, spicy dishes, toffee.
  4. Antibiotics should not be self-prescribed.

Treatment should not be delayed, especially if a tumor has appeared. If it increases, then this is considered a sign of the development of a purulent process in the cheek. In the absence of professional help, you can only aggravate the situation.

Prevention

So that the child does not have a sore cheek, you need to take care of prevention. It is necessary to follow simple rules of hygiene. It is important to brush your teeth regularly (as soon as they appear). At first, this is done not with a brush, but with a finger with gauze wound around it. It is necessary to teach the child to rinse his mouth with boiled water after each meal. From the age of 6 you can floss.

At least 2 times a week, you need to examine the child's mouth. If you find food particles that are stuck between the teeth, they must be removed with a toothpick. The children's menu should consist of apples, carrots, crackers. Calcium-fortified dairy products, vitamin greens are also needed. This is necessary to strengthen the dental tissues. The child should drink clean water, as it is the basis for the production of saliva washing the mouth. And it is better to exclude sweets.

Do not allow hypothermia of the face and ears of the child. In very cold weather, it is better not to walk. Do not allow the facial nerve to become congested, the appearance of a cold, sinusitis, mumps. Twice a year it is necessary to visit the dentist (even if there are no complaints).

Table of contents [Show]

Hello dear Lesya. I would like to know your opinion on the situation, if possible.
For 10 months, since May last year, my cheek periodically hurt on the inside, and my tongue felt swollen. A few days a month, it appeared, then it ceased to be felt.
At that time, in May, I have
1.two wisdom teeth came out at the same time on one side (upper and lower),
2. they removed the nerves and put a filling on the front tooth, after which for 6 weeks there was just a wild sensitivity of absolutely all teeth and gums to cold, I could not take a sip of water even at room temperature or eat a spoonful of yogurt from the refrigerator, for these six weeks periodically swollen lips, tongue, cheek. Then it passed, the sensitivity decreased (in different clinics they said that it was sealed correctly, perhaps a post-filling individual reaction, since the nerves are located very close), but the pain in the cheek remained. But since January of this year, for three months, the pain has become constant throughout the day, does not stop for a second. It happens in the evening headache, the temperature never rose (it generally rose above 34.5 only a couple of times in my life), nothing bothers me during sleep, during meals too.
I wake up - it starts again, and so every day. Neither rinsing nor mouth gels help, they only cause nausea. Analgin tablet helps for an hour, no more. On the cheek in several places, in the middle, like a small “nipple”, such a bulge, lower closer to the lower gum, like peas, and between them something like folds, as if bitten. Various dentists suggested that an extra wisdom tooth can go, and a cyst, and that the cheek is bitten on both sides by the upper and lower wisdom teeth. The teeth themselves, as they said, grew correctly and evenly. They sent me to a maxillofacial surgeon, whom I visited on Friday for a consultation. He said that indeed his cheek is constantly biting, to my question why I myself never felt the moment of biting, he replied that it is felt when he bit once, and when constantly and for a long time - no. Advised to remove the lower wisdom tooth. But since I have a congenital heart disease, and anesthesia is always given to me without adrenaline, he first asked the cardiologist to get a certificate from the cardiologist for the complex removal of the figure eight, and then sign up again. While I am waiting for a cardiologist from vacation, I finally decided to register on the forum and write to you, I have long wanted to.

Please tell me if you agree with the doctor's recommendation? But the most interesting thing for me is that I went to the surgeon the day before yesterday, and yesterday exactly the same thing appeared on the second cheek, absolutely symmetrically on the right, and the same pain. There are no wisdom teeth on the other side, and there seemed to be nothing to bite the cheek there ... Now both cheeks hurt at the same time. Plus, it became a little painful to swallow, gives in the throat. It's not the gums that hurt, but the cheeks. And it feels like the pain is not in the oral cavity, it’s only unpleasant there that the cheek is not smooth, and “interferes” with the tongue, but the pain is somewhere further ... in the bone at the level of the cheeks, where the jaw connects.
In general, severe pain in the jaw from the age of 13-14, now I am 23, that is, for about ten years. When I was 15, I went to the dentist with a feeling of pain in all my teeth at the same time, she found nothing and said that there was something with the jaw. The same thing happened again with the same symptoms and with the same words of another dentist 5 years later. A constant desire to press the jaw hard, after which the pain in the teeth, headache immediately disappears and sleep improves. The pain begins at a point near the ear, sometimes radiates to the ears.
It becomes easier if you anoint with Diclofenac or Troxevasin. And for a long time I have noticed that the pain is always aggravated in winter, I don’t even remember in summer. Nothing crackles or clicks when opening the mouth. I also asked the surgeon about this, he said that since there are not all wisdom teeth, the formation of the jaw has not yet ended, and since it all started in adolescence, it should stop by the age of 28-29 ... But I doubt that this is normal process, somehow I have never heard from any of my peers about such wild pains in the jaw ... Many people cut their wisdom teeth, their gums hurt, they complain ... But the jaw? I will be very grateful for your opinion. All the best to you, success, prosperity! Evgeniya

Swollen cheek - causes

If your cheek is swollen, and your tooth does not hurt, you need to carefully “listen” to other processes occurring in the body, perhaps there is no toothache, but it “pulls” and “pulls” behind the ear, the gums bleed or a seal appeared on the cheek. Swelling and redness in the cheek area can be caused not only by dental problems, but also by infectious diseases, insect bites, or trauma.

The most common causes of swollen cheeks

1. Dental– even if you don’t have a toothache, your cheek is most often swollen due to problems with your teeth or gums:
- after dental treatment. This may be caused by an ongoing inflammatory process at the root of the filled tooth. The dentist removed the nerve, cleaned the tooth cavity, put a filling, but did not “clean” the roots. Due to the removal of the nerve, patients do not feel pain in the tooth, but inflammation inside the gums causes swelling and redness of the cheek area;
- often the cheek swells after tooth extraction, in this case, the dentist usually warns about this and asks the patient to be careful and try not to injure the diseased area. Inflammation that persists for several days after a complex dental operation is considered residual and resolves on its own;
- swollen cheek can be due to problems with the gums - gingivitis causes redness and swelling of the gums, swelling of the cheeks, bad breath, bleeding and is often painless. Inflammation of the gums can provoke improper care of the oral cavity, the accumulation of plaque and untreated caries in the oral cavity. If the patient's cheek is swollen, and the gums look inflamed and reddened, a visit to the dentist is indispensable, since gingivitis can gradually turn into periodontitis or periodontitis;
- due to the eruption of the wisdom tooth - “wisdom” teeth that decide to erupt after 25-30 years often cause pain in the jaw and swelling of the cheeks. In these cases, the patient feels a general malaise, a strong, dull pain in the gums, the cheeks swell, it becomes difficult to open the mouth and speak. What is the reason for such symptoms and what to do with a growing wisdom tooth can only be said by a dentist by taking an x-ray. Most often, problems with the eruption of a wisdom tooth go away on their own, but if such a tooth grows crooked or does not have enough space in the gums, surgical intervention is indispensable.

2. Infectious diseases- severe swelling of the cheek on one or both sides, fever, sore throat and general malaise can be symptoms of mumps or mumps. Infectious parotitis, "mumps", "mumps" is an inflammation of the salivary parotid glands caused by pathogenic microorganisms. For "mumps" is characterized by a strong increase in the cheek and neck area on one or both sides, fever and general malaise. Adult patients tolerate parotitis quite hard, the risk of complications increases greatly, so treatment should be carried out only under the supervision of a specialist - an infectious disease specialist or a therapist.
Lymphadenitis can also cause swelling of the cheeks - this disease is often confused with parotitis, but unlike it, inflammation here affects the parotid and retropharyngeal lymph nodes.

3. Insect bites- if the cheek began to suddenly turn red and increase in size, and redness or induration appeared on its surface, it is necessary to remember whether any insect bit the patient. Stings from bees, wasps, bumblebees, and some other insects can cause severe swelling and redness, and in this case, a bite mark can be seen on the cheek.

4. Injuries- swelling and redness of the cheek can be caused by a bruise of soft tissues, a swelling on the cheek may not appear immediately after the injury, but after a few hours or even the next day, if the damage was minor, the swelling quickly subsides, and the cheek remains a trace of a blow or a hematoma.

Swollen cheek - what to do

If your cheek is swollen and your tooth does not hurt, only a doctor can prescribe treatment, after a thorough examination and diagnosis. You should not take any medications or drink painkillers on your own - this way you can “lubricate” the picture of the disease and it will be much more difficult to establish a diagnosis or it will be made incorrectly. But if it is not possible to urgently consult a doctor, you can try to cope with the problem using the following means:
- cold compress- helps to remove swelling of the cheek after an injury, tooth extraction and insect bite, such treatment is contraindicated with an increase in body temperature or other signs of an infectious disease;
- rinsing the mouth with soda-salt solution - suitable for the treatment of dental diseases, you can cope with pain in the gums after the removal or treatment of teeth with 0.5 tsp of soda and salt in a glass of water;
- compresses with soda solution and a single dose of antihistamines will help to cope with swelling and pain after an insect bite;
- you can relieve pain in the gums when cutting through a wisdom tooth with the help of special “freezing” gels and ointments used to treat infants or by drinking an anesthetic pill.

If, despite the measures taken, swelling of the cheek does not disappear within 1-2 days, it is necessary to seek medical help as soon as possible also, you can not postpone a visit to the doctor when rapid growth tumors, an increase in body temperature and a sharp deterioration in the patient's condition. If the tumor appeared after an insect bite, began to rapidly increase in size, and the patient feels dizzy, short of breath or severe itching, it is necessary to give him an antihistamine as soon as possible and call ambulance, it is possible to develop a strong allergic reaction for a bite.


Why does the cheek hurt - possible causes

Pain in the cheek can be felt with a disease such as sinusitis - an inflammatory process in the maxillary sinus of the nose. But such inflammation, as a rule, is accompanied by other symptoms, such as fever up to 38 degrees and above, nasal congestion, headache, general weakness. The symptoms of sinusitis are so characteristic that it can be quite difficult to confuse them with some other disease. And since the maxillary sinus is located just in the cheek area, next to the nose, it is not surprising that when it overflows with mucus and pus, a person begins to feel bursting pain in the cheek.

If the entire cheek hurts, then this may be a sign of trigeminal neuralgia. The trigeminal nerve is a nerve made up of three branches that cover the entire cheek, lower jaw, and part of the forehead. With trigeminal neuralgia, sometimes just touching the cheek is enough to cause a sharp, almost unbearable pain, the attack of which lasts, however, no more than a few minutes.

With the symptoms of trigeminal neuralgia, the symptoms of some other diseases are similar, in which a person complains that his cheek hurts. These are neuralgia of the occipital nerve, Ernest's syndrome, temporal tendonitis. With all these diseases, pain is felt in the cheek, in the neck, and with temporal tendinitis, a headache

And of course, if your whole cheek hurts, first of all, we can talk about dentistry. Caries, pulpitis, periodontitis - all these diseases can cause a feeling that the whole cheek hurts.

If the whole cheek hurts - diseases of the jaw

Separately, I would like to talk about such problems as diseases of the jaw and temporomandibular joint. There are a lot of them and of course they all cause pain in the cheek area.

Osteomyelitis of the jaws is a strong inflammatory process of an infectious nature in the jawbone. It is customary to distinguish between hematogenous and odontogenic osteomyelitis. The latter is more common, its cause is an infection in the periodontal pocket. The most common pathogens are staphylococci, streptococci, anaerobic bacteria. If the whole cheek hurts, the pain is pulsating, at the same time there is a strong increase in temperature and a headache appears, then odontogenic osteomyelitis is a very likely diagnosis. Although only a doctor can confirm this definitively.

With violations of the function of the temporomandibular joint, not only the whole cheek hurts, but also the temple, and even the forehead. Almost every movement of the jaw is accompanied by a characteristic click, and the mouth becomes more and more difficult to open - jaw mobility is limited. This disease can occur for many reasons, in particular due to osteoarthritis of the joint, inflammation or myofascial syndrome in the masticatory muscles. Only a doctor can finally determine the cause and prescribe treatment after examining and examining the patient.

A broken jaw is another reason why the entire cheek can hurt. A fracture is a violation of the integrity of the jawbone as a result of an injury, for example, after a blow or other mechanical impact. The upper jaw, lower jaw or both jaws can be fractured at the same time. As a result of a fracture, the cheek swells, and severe pain is felt in the muscles.

What to do if your whole cheek hurts

First of all, you need to define probable cause such pain. As you have already noticed, almost all diseases that cause pain in the cheek need to be treated by a specialist. Therefore, if the pain in the cheek continues to bother you for several days, the most reasonable thing is to see a doctor. Moreover, some inflammatory processes that can lead to the appearance of such pain in their development lead to significant complications. For cheek pain, you may need the help of specialists such as a dentist, a neurologist, a surgeon, or a traumatologist.


Caries

A common disease, which is characterized by the gradual destruction of the integrity of the tissues of the tooth and the subsequent formation of pronounced carious cavities. With caries, sometimes the cheek inside the mouth hurts if destructive processes occur near the tooth or in the tooth itself. Pain occurs when the deep layers of the tooth are damaged, when the dental nerve is exposed. Be careful when detecting such a syndrome: caries has a habit of causing severe complications, despite the fact that in the early stages of development it almost does not bother you.

Periodontitis

Periodontitis is a disease in which there is an inflammatory process in the supporting apparatus of the teeth. If the cheek hurts during periodontitis, this may mean that processes of destruction of the structure of the alveolar process of the jaw are taking place in the corner of the upper or lower dentition.

Periodontitis at first develops almost asymptomatically, but if pain already appears, then most likely there is significant destruction. If you experience pain in the cheek, it is better to immediately contact a specialist and find out the cause of the syndrome.

Pulpitis

The neurovascular bundle of the tooth with severe inflammatory processes in it can provoke pain. Therefore, in some cases, in patients who have a sore cheek inside, the doctor diagnoses pulpitis. This disease is very dangerous for its complications, so the pain syndrome is your body's signal for help.

Wisdom tooth

When the figure eight, the farthest tooth of the row, erupts, pain may appear, which periodically spreads not only throughout the cheek, but also the jaw. Some patients claim that when the gums burst during the growth of the tooth, severe sharp pains were observed, radiating to the head area.

If you experience such discomfort, you should check with your doctor. However, if your cheek hurts inside, but you don’t know what to do, the doctor does not always advise the removal of a wisdom tooth.

Pain relief may be prescribed to reduce the intensity of the pain syndrome and alleviate the general condition. Only in extreme cases is surgery indicated.

Other diseases

If the cheek hurts inside, this does not mean that the pain is caused by a tooth. Sometimes it seems to patients that it is a toothache, but in fact, the symptom can be caused by other diseases that have no connection with dentistry. The most common include sinusitis, trigeminal neuralgia, Ernest's syndrome, temporal tendinitis.

stomat-clinic.ru

Why do cheeks hurt

There are several reasons why a cheek may hurt:

  • Sinusitis - the pain is less pronounced in the morning and intensifies in the evening. Unpleasant sensations are not concentrated in one place and are perceived by the patient as a general headache;
  • Trigeminal neuralgia (trigeminal neuralgia) - chronic illness, which affects the trigeminal nerve, which is manifested by intense paroxysmal pain in the zones of innervation of the branches of the trigeminal nerve. This disease often affects women over 40 years of age. In this case, usually, the cheek is very sore on only one side, rarely the disease affects both halves of the face. The pain is very strong, shooting, the duration of the attack is usually 10-15 seconds, but can be up to two minutes and is accompanied by uncontrolled lacrimation and increased salivation;
  • Ernest syndrome - this disease has symptoms similar to trigeminal neuralgia. It is observed when the stylomandibular ligament connecting the base of the skull with the lower jaw is damaged. At the same time, the cheek, neck, face, head hurt;
  • Temporal tendinitis - this disease is accompanied by unpleasant sensations that cover the teeth, cheek and neck area;
  • Dental diseases - neglected caries, pulpitis or periodontitis often lead to the fact that the cheek hurts a lot from the damaged tooth.

cheek swelling

Most often, pain in the cheek is associated with teeth, but situations are also possible when the cheek is swollen and the tooth does not hurt. The reason for this may be an ear disease or inflammation of the parotid salivary gland, so to determine the true cause of swelling of the cheek, you may need to consult with several specialists.

It should be remembered that swelling of the cheek, even if there is no pain, is a reason to see a doctor. Inflammatory processes in the body can develop very slowly, but when the disease is started, it is much more difficult to cope with its consequences.

What to do when your cheek hurts

To find out why your cheeks hurt, you first need to contact your dentist.. If the causes of discomfort are not related to the teeth, he will refer you to an otolaryngologist or neurologist for examination.

Treatment for cheek pain depends on the underlying cause. If the cheek is swollen as a result of the flux, surgery will be required. For the treatment of inflammatory diseases, doctors prescribe antibacterial drugs, painkillers, as well as agents for local therapy: cold compresses, rinses, etc.

Pre-medical measures

In the case when the cheek hurts, before visiting the dentist, you can take some measures that will alleviate the condition:

  • Apply ice, cold compress or bandage to the affected area;
  • Take an analgesic;
  • Rinse your mouth 3-4 times a day with a warm solution of antiseptic preparations, a salt solution or a decoction of herbs that have an anti-inflammatory effect.

In no case should warm compresses be applied to the painful area, as this can provoke the onset of a purulent process. Also, do not take antibiotics without a doctor's prescription.

To prevent pain in the cheek, you should carefully observe oral hygiene. In the cold season, it is important to keep your face warm, as hypothermia can provoke sinusitis and others. inflammatory diseases ear, throat and nose.


A common problem with which patients come to medical institutions, is inflammation of the cheek from the inside. At first glance, this problem may seem banal, not requiring help. In fact, this is not the case, there can be many reasons for the occurrence of swelling in the mouth, ignoring the symptoms can lead to serious complications.

Many people think that only the teeth are to blame for the inflammation of the cheeks. But, there are many reasons for the occurrence of this disease, then we will consider them all in detail.

Dental causes of inflammation

As for the occurrence of swelling from the teeth, there are several problems in the mouth that can provoke it:

  • removal of a tooth;
  • gum disease;
  • eruption of the eight;
  • periodontitis.

One of the reasons is an infectious lesion of the root of the tooth and bone. This complication occurs when the nerves are removed, but the canals are not washed and cleaned well enough. As a result, pathogenic microorganisms remain in the pulp chamber, inflammation appears. Usually, such a pathology is sluggish, but when immunity is weakened, the inflammatory process actively progresses, passes to the bone, gum, cheek. In the people it is called a flux. Failure to provide assistance in this situation can have serious consequences (development of phlegmon, sepsis).

Another factor that provokes inflammation of the oral cavity is the eruption of the impacted figure eight.

Edema also appears after tooth extraction. Most often this happens after intervention on the lower jaw.

The cheek can also become inflamed due to gum pathology, such as periodontitis, gingivitis. These two problems occur in most cases in the presence of dental plaque. Stones and plaque accumulate in themselves pathogens that provoke inflammation of the tooth. In a more advanced form, they can cause periodontal disease.

Infectious and cold diseases

The reason for the change could be infection like mumps. This pathology is characterized by inflammation of one or more salivary glands, which causes edema.

Lymphadenitis can also provoke inflammation of the cheek. In this condition, the cervical, parotid and submandibular The lymph nodes. It can be an independent ailment, provoked by an infection, but most often it occurs as a complication after previous diseases on the ENT organs (reactive lymphadenitis).

A pathology such as sinusitis can also provoke edema. The inflammation usually spreads to the cheek and under the eye.

This may also include Infectious mononucleosis, diphtheria, tuberculosis, but these diseases are very rare.

Disease of the salivary glands and nerves

Most often, inflammation of the salivary ducts and glands occurs as a result of a pathological process on the gums. But, it can be a separate disease. The cause is stones in the ducts, various neoplasms in the system (cysts, tumors).

There is swelling of the mucosa and due to inflammation of the nerves. At the same time, numbness, “lumbago”, pain with irradiation to the ear may disturb.

What is in the first, that in the second case there will be a pronounced hyperemia along the nerve or salivary duct.

Other pathologies

Not the last place in the frequency of occurrence is traumatization. Edema can provoke a bruise of soft tissues, dislocations of the joint, fractures of the jaws.

Inflammation can cause various types of allergic manifestations, in case of immunity of the body to a certain product. One of the clearest examples of stomatitis, it affects the tongue, gums, cheeks.

More rarely, but are the most dangerous, tumors of the oral mucosa. This disease certainly cannot be ignored.

Symptoms of inflammation of the cheek

Depending on the etiology, the complex of symptoms may vary somewhat. The main thing that unites all diseases is:

  • swelling on the cheek;
  • inflammation of the mucous membrane in the oral cavity;
  • violation of facial movements;
  • pain in the area of ​​pathology.

It is simply impossible not to notice such symptoms, it is impossible to ignore the disease. The reason to fly to the doctor urgently is the presence of such signs:

  • fever;
  • general weakness;
  • loss of appetite;
  • bad breath;
  • numbness and sagging cheeks;
  • a sharp increase and soreness of the neoplasm;
  • toothache, especially when chewing;
  • purulent discharge from the gums;
  • difficulty opening the mouth.

Treatment of inflammation of the cheek

The choice of patient management tactics directly depends on the cause of the pathology. If you find yourself with symptoms of inflammation of the cheek, you should definitely seek help. How to treat and how to treat the disease is decided only by the doctor, after carefully examining the patient.

At home, as a first aid, the patient can rinse his mouth with soda-saline solution, this will help relieve some swelling and remove discomfort. For a better effect, you can add a drop of iodine. Baths made from decoction of chamomile and sage are also good, these herbs have an anti-inflammatory agent. In order for the process not to spread quickly and to relieve pain a little, you need to apply cold compresses. It is better not to experiment with hot ones, they can aggravate the process. You can also soak a cotton ball in aloe juice and apply to the affected area.

Concerning medical care with inflammation of the mouth, treatment can be divided into symptomatic and specific.

The first thing to do is to alleviate the patient's condition, that is, to remove unpleasant symptoms. To eliminate pain, it is recommended to use drugs of the NSAID group (Nimesil, Nurofen), they both anesthetize and have an anti-inflammatory effect. In order to reduce swelling, rinses based on herbs or Chlorhexidine may be prescribed. Now on the pharmaceutical market there is a large selection of tablets for the oral cavity, which have antiseptic properties.

Next, the doctor proceeds to eliminate the cause of the disease. Here everything is already much more complicated and individual. When the cheek is swollen due to periodontitis, the diseased tooth is retreated, in more severe cases they say goodbye to it. If it's an eight, it's removed. With these pathologies, antibiotics may be prescribed.

With gingivitis and periodontitis, they begin to treat inflammation of the mucosa, for this the patient is recommended to remove dental deposits, it is possible to prescribe various anti-inflammatory and antiseptic ointments

When edema appears due to a neoplasm, it can be cured only after surgery to remove the tumor. With neuritis and lymphadenitis, therapy specific to these diseases is carried out.

If inflammation of the cheek from the inside is caused by an allergy, prescribe antihistamines(Suprastin, Tavegil, Citrine).

There can be a lot of reasons why the cheek hurts, but the tooth does not hurt. As a rule, a person who has encountered such a problem for the first time has no idea how to remove the swelling on his own. It is very important to remember that if there is pain in the cheek, then it is better not to practice self-treatment, and immediately consult a doctor to determine the cause of this phenomenon. And below we will tell you why.

Serious consequences

When people have sore cheeks, they are in no hurry to turn to medical professionals. This happens because a person hopes that such a state will pass by itself. Such arrogance with swelling on the cheeks and a frivolous attitude to one's health can lead to serious consequences and even death.

A swollen cheek should be taken as a symptom indicating the development of an inflammatory process in the body. There can be a huge number of factors that can lead to the development of this pathological process. In order to make it easier to navigate, we can conditionally divide them into three groups:

  1. Pathologies related to the oral cavity.
  2. Swelling of the indicated part of the face as a result of dental treatment.
  3. Pathologies of organs and systems leading to buccal deformities.

Dental pathologies

One of the most common causes of the indicated problem with the cheeks should be considered dental pathology. For example, unprofessional root canal treatment or advanced caries can contribute to the development of periodontitis and pulpitis. As a rule, a few days before swelling of the cheek develops, the patient will suffer from pain in the teeth. But pain does not always appear.

Pulpitis and periodontitis

If such a manifestation of the pathological process is ignored, then in about a week a flux may occur, threatening with an abscess or phlegmon. If you let the situation take its course, then blood poisoning and the development of sepsis can occur, which is fraught with a fatal outcome. Therefore, in a situation where there is pain in the cheek, and the tooth does not hurt, you should seek help from a surgeon.

The defeat of the periodontal tissue, in which over time the teeth become mobile, the gums become loose and bleeding. The defeat of the teeth and gums leads to the fact that they are no longer able to resist infections. As a result, an edematous condition develops, which drug therapy is not able to eliminate. Under these circumstances, the patient will be forced to remove the diseased tooth and resort to prosthetics.

To explain why the cheek hurts can be the wrong growth of the wisdom tooth. In this case, a hood is formed on the problem area, under which food residues accumulate, which can cause irritation of the mucous membrane. At the same time, a sick person complains of pain, temperature and edematous condition of the gums or cheeks.

Wrong treatment

As a fairly common explanation for the development of swelling on the cheek inside the mouth, we can name:

  1. The manifestation of an allergic reaction caused by the high sensitivity of the body to some components of the dental materials used in the treatment. As a result, a situation often arises when the tooth does not hurt, and the cheek is swollen. In this case, the dentist will be forced to unfill the cured tooth and redo the work using hypoallergenic materials.
  2. Sometimes it happens that the tooth does not bother, and the cheek is swollen even after the removal of the nerve. This circumstance can be explained by the fact that sometimes the dental canal is located in such a way that the doctor cannot go through it to the end. In this case, after the procedure, a small piece of the nerve remains in it, or it is not completely healed. If this condition is ignored, the patient risks losing a tooth.
  3. An incision on the gum, made by a dentist in order to allow the accumulated purulent infiltrate to come out, can lead to the fact that the tooth does not bother the patient at all, and the cheek is swollen. This condition will be observed during the first days after the manipulation.

If, with existing problems with the teeth, the following signs appear, you should immediately go to the dentist:

  • an increase in the size of the tumor in the mouth, indicating an increase in the inflammatory process;
  • if the affected area in the oral cavity continues to hurt and the pain tends to increase from day to day;
  • a feeling of fullness in the edematous area on the inside of the cheek, an increase in body temperature.

Other reasons

In some cases, the fact that there is no pain, but the cheek is still swollen, can be triggered by the following phenomena:

  1. Diseases associated with neurology, in which, in addition to changes in appearance symptoms such as sore throat and stuffy ears are noted. In such a situation, it is better to seek help from a neurologist.
  2. Swelling of the cheeks can be explained by the accumulation of a significant amount of water in the body, which may be a sign of serious disorders in the functioning of some organs.
  3. The development of an infectious process to eliminate which the doctor will prescribe antibiotics to the patient.
  4. The appearance of a cyst sebaceous gland which may require surgery.
  5. Postponed injuries.

sebaceous cyst

In some cases, after a complex tooth treatment, the cheek may swell from the inside. This is a variant of the norm. In this case, it is recommended to refrain from consuming hot and irritating foods and alcoholic beverages during the day, as well as touching the area where the diseased tooth is located with your hands and tongue. If the tooth does not bother, but the cheek is still swollen, then it is recommended to apply something cold to the disturbing area. Such swelling will pass after some time on its own.

In the video, a neurologist talks about the neurological causes of pain in the cheek:

Methods of treatment

As you can see, most often swelling of the cheek is due to the presence of dental problems. A visit to the dentist will evaluate clinical picture and provide timely treatment. Attention to your health will avoid serious consequences and restore your face to its original appearance. If necessary, the help of other specialists may be required.

In order to temporarily alleviate the situation, you can resort to traditional medicine, including the following recipes:

  1. A glass of boiled water with salt or soda diluted in it. They need to rinse their mouths. Repeat the procedure three times a day until the problem is resolved.
  2. Honey and chamomile decoction. These components have a strong antiseptic property. For this, 1 tbsp. l. liquid honey should be mixed in 1 liter of healing chamomile broth. Such a tool allows you to eliminate harmful bacteria, heal existing wounds, ulcers and other diseases. At the same time, you can moisten gauze in chamomile decoction, apply it to the edematous place for a quarter of an hour and do not rinse.
  3. A decoction of oak bark, St. John's wort and sage will also eliminate swelling. To prepare it, mix all the components in equal proportions (while their total weight should not exceed 150 g), pour 1 liter of boiled water and leave to infuse for an hour.

Salt and soda solutions are effective

In order for the body to be able to cope with infection and latent inflammatory processes, it is necessary to strengthen immune system. To do this, you can drink a course multivitamin preparations Include as many fresh fruits and vegetables in your diet as possible. Traditional medicine also recommends the use of rosehip syrup.

The problem of swelling of the cheeks against the background of diseases of the teeth or any other pathologies is very common. It can be easily dealt with, the main thing is not to ignore this condition and seek qualified help in time.

Cheek swelling is a pronounced symptom that is clearly visible to a person even without a medical education. Often this symptom accompanies dental diseases. However, in some cases, swelling is present, and the patient does not feel toothache. What causes swelling and sore cheek? Which specialist should be contacted to find out the reasons? How to treat and prevent the appearance of such symptoms? Let's figure it out together.

The main causes of swelling of the cheek

In the vast majority of cases, swelling of the cheek, which is not accompanied by toothache, is a manifestation of the inflammatory process. Often the patient finds that only one side is swollen and swollen - the left or right. The origin of inflammation can be different - from the usual growth of wisdom teeth to the development of serious diseases that pose a threat to the patient.

Purulent periostitis (flux)

To provoke the development of purulent periostitis (this disease is also commonly known as "flux") can be a traumatic injury or an advanced form of carious lesions (how to remove the tumor that occurs with flux at home?). If the patient complains of severe acute pain, which is reflected in the organs located near the affected tooth, one of his cheeks swells and the body temperature rises, then we are most likely talking about an acute form of purulent periostitis.

Pain after tooth extraction, nerve or filling

Sometimes the tumor becomes the result of treatment or tooth extraction. This is a normal reaction of the body to outside interference.

Often, such a symptom indicates that the therapy was not carried out in full or of poor quality. Then it is recommended to consult a doctor. If the cheek is noticeably swollen after visiting the dental office, the following factors can cause it:

  • Incision on the gum - during the treatment of a diseased tooth, the doctor sometimes needs to cut the gum. In this case, the tumor is a normal phenomenon that will pass by itself over time.
  • Complications after tooth extraction - most often, patients who neglect the rules of oral care during the recovery period experience a tumor after extraction.
  • Poor-quality removal of the nerve - during depulpation, the doctor can only partially remove the nerve, then the cheek will swell near the treated tooth, but there will be no toothache.
  • Allergic reaction - occurs after canal filling, if the doctor used the material without taking into account the patient's individual intolerance. When the cheek is very swollen the next day after filling, you need to urgently consult a doctor to replace the filling with a hypoallergenic one.

wisdom tooth growth

If only one cheek is swollen, there is a general malaise and / or fever - this indicates the eruption of a wisdom tooth, especially if it climbs in a person over 25 years old. With the correct growth of the third molars, there is no severe pain or discomfort. If the symptoms listed above occur, this indicates any violations in the process of its growth, the doctor may recommend removing the "eight".

Formation of an abscess and phlegmon

Inflammation in the advanced form of the gums or cheeks is dangerous with complications such as phlegmon and abscess. These pathological conditions are distinguished by the peculiarities of localization of purulent exudate. With phlegmon, pus is not limited to the membrane cavity, it involves adjacent tissues in the inflammatory process, spreading freely.

If pus fills the formed cavity, then we are talking about an abscess. The latter may look like a seal inside the mouth between the cheek and gum from the inside. In this case, the patient notes that one of the parts of the face is swollen and sore.

The reasons for the development of a tumor of the cheek due to phlegmon and abscess include:

  • injury;
  • burn;
  • eruption of third molars;
  • asymptomatic purulent periostitis.

Development of gingivitis

The cause of swelling can be gingivitis, an inflammatory process that affects the gums. The characteristic symptoms of the pathology also include bleeding and swelling of the gums, as well as the appearance of an unpleasant odor from the oral cavity. It is not worth neglecting the treatment of gingivitis, since in its advanced form it can turn into a more dangerous disease - periodontitis.

Injury or burn of the mucosa

Damage from a fall or impact, as well as a burn of the mucous membranes when eating extremely hot food, can also provoke swelling of the cheek. A burn can cause not only a thermal, but also a chemical irritant. Usually the tumor does not increase in size and passes without a trace within a few days. If the swelling increases, it may be a serious injury that requires medical attention.

Poor oral hygiene

Neglect of the rules of oral hygiene often leads to the development of various inflammatory processes. In this case, at first the patient discovers swelling of the gums, and over time, the part of the face becomes swollen. The patient notes that she seemed to be "cheated". Depending on the characteristics of inflammation, it may have concomitant symptoms.

Other reasons

Some experts consider the face to be a kind of reflection of the general state of human health. A number of pathological conditions can provoke the manifestation of characteristic symptoms on the face. In addition to the causes listed above, inflammation of the cheek can be triggered by the following factors:

  1. dysfunction of the capillary circulation system;
  2. electrolyte metabolism is disturbed;
  3. pathology of the lymphatic system;
  4. inflammation of the facial nerve;
  5. diphtheria;
  6. cardiac or kidney failure chronic course, which disrupt the process of removing fluid, and the cheek looks like it was puffed up;
  7. tumor formations in the face;
  8. metabolic disease;
  9. the bite of an animal or insect in some cases can cause swelling of the cheek;
  10. allergic reaction;
  11. otitis;
  12. sinusitis;
  13. sinusitis (you may notice that the part near the nose is swollen).

Stomatitis deserves special mention. This disease is associated with inflammation of the soft tissues. To inflate part of the face, the disease must develop to a serious stage. Often stomatitis occurs in a child. One of the characteristic symptoms of incipient stomatitis is pain. The cheek disturbs from the inside, in the corner of the mouth.

There is a tumor, but the teeth do not bother - why does this happen?

Now let's figure out why the cheek is swollen, but the tooth does not hurt. If swelling of the cheek is not accompanied by toothache, this indicates that the inflammatory process does not affect the nerve. The symptom may indicate that the pathological process is not associated with dental diseases, or the disease develops in the area of ​​the pulpless tooth element. In any case, a tumor (especially a progressive one) cannot be ignored, since it can be a symptom of a dangerous disease.

Which doctor should I contact for swelling of the cheek?

A similar recommendation can be given in cases where part of the face is swollen after the treatment of caries or other diseases of the oral cavity. After a tooth extraction or other surgical intervention, swelling is a normal reaction, so it should not be a cause for panic.

Puffiness treatment

At the initial stages of the pathological process, traditional medicine can be effective. However, in cases where it was not possible to remove the tumor within 2-3 days, you should stop home treatment and immediately seek medical help from a specialist. Among folk recipes, the most popular are the following:

  • rinsing with a solution of soda and salt;
  • the use of a decoction of chamomile and sage, St. John's wort;
  • rinsing with infusion of calendula flowers;
  • you can remove swelling from the gums with the help of propolis applications.

First aid for discomfort

What to do to reduce swelling and get rid of pain in a short time? Drugs containing analgesic components will help. The patient can use a solution or spray Geksoral, Lidocaine-asept in the form of an aerosol. If a child has a problem, then it is permissible to use the means recommended for teething, for example, Dentinox gel.

Medications

The attending physician prescribes medication depending on what causes of swelling were identified during a comprehensive diagnosis of the patient's condition. In the case of diseases accompanied by suppuration, sometimes not only conservative therapy is required, but also surgical intervention.

Cause of puffiness Medical therapy Note
Acute purulent periostitis, phlegmon
  • Amoxiclav,
  • Lincomycin,
  • Ampiox,
  • doxycillin,
  • Metronidazole
Conservative treatment is not enough. You will need the help of a surgeon: he will open the gum, expose the cavity filled with pus, install drainage. A few days later (after the complete exit of the purulent exudate), the drainage is removed, the wound is closed. Beginning dental treatment.
Gingivitis, stomatitis, injury or burn
  • Miramistin,
  • Chlorhexidine,
  • Furacilin,
  • Holisal,
  • Asepta-gel,
  • Solcoseryl,
  • Mefenamin sodium salt (solution 0.1%),
  • Novoimanin,
  • Salvin,
  • Agistam,
  • Suprastin
Each disease requires an appropriate diagnosis (to determine its cause) and a phased comprehensive treatment.

Preventive measures

Swelling of the gums or cheeks is an unpleasant symptom that may indicate the development of pathological changes in the body. It is not worth neglecting the treatment of such diseases, but it is always better to pay attention to preventive measures to prevent them.

  1. the diet should be varied and balanced so that a person receives all vitamins and microelements with food;
  2. you can not neglect medical preventive examinations, including at the dentist;
  3. if you experience symptoms of a dental disease, consult a doctor;
  4. use special mouthwashes, toothpicks, floss threads, brushes for cleaning the interdental space;
  5. carry out hygienic cleaning of the teeth and tongue using a brush and paste twice a day.