A hard bag on the face after a toothache may be caused by periapical cysts, gingival tumors, and cellulitis of the floor of the mouth and submandibular cellulitis, etc. Medication, surgery, and other treatments should be taken for the cause of the disease.
1. Periapical cyst: this disease may be caused by chronic periapical inflammation, so the patient will have a toothache and then face a hard bag performance. Patients need to follow the doctor’s instructions to use amoxicillin, levofloxacin and other antibacterial drugs, the scope of the lesion is small to take the root canal treatment or suction decompression surgery; the scope of the lesion is large may need to take the apical surgery; if the scope of the lesion is too large, then need to be carried out extraction surgery.
2. Gingival tumor: the typical symptom is the appearance of round or oval shaped lumps in the gums, which can be manifested as a hard bag growing in the face after a toothache. For vascular and granulomatous gingivomas, the doctor will give local injection of paxillin. Patients need to cooperate with the doctor to take supragingival scaling or subgingival scraping, and smaller and superficial gingivomas can be treated with microwave therapy or laser therapy.
3. Fundus of the mouth and submandibular cellulitis: the disease is mostly originated from oral infection, inflammation can lead to facial skin fever, swelling, and in severe cases, there will be a toothache after the face with a hard bag. Patients need to follow the doctor’s instructions to use ichthyol ointment, 50% magnesium sulfate and other drugs, as well as clindamycin, cefuroxime and other antibiotics. Those with abscesses need to take abscess incision and drainage.
In the early stage, ultraviolet and infrared light treatment can be chosen, and microwave or ultrashort wave treatment can be taken after the pus is discharged. It is recommended that patients with a hard bag on their face after a toothache go to the hospital and cooperate with the doctor to actively treat the original disease.