<s>[INST] i need advice form a neurologist . I had the left lower 3rd molar extracted and dental implant inserted at the same time on 13 March 2013. 7 days later i started getting messeter muscle spasms and pain in L side of face. Dentist removed implant on 26 March 2013 and said it is most likely a dry socket. i can not open my mouth at all now since 24 March and if I try I get the most excrutiating pain in the masseter muscle . I am taking anti-inflammatories, Flagyl antibiotics, muscle relaxents but still no improvement. The muscle is in constant spasm but how can i prevent the acute spasms when trying to open my mouth Kathleen [/INST] Hi, Thanks for asking the query, Pain can be because development of Chat Doctor.  Take complete course of antibiotic and analgesic . Use saline water gargles 3-4 times daily , use antiseptic mouthwash gargles twice daily this will prevent infection and promote healing. Avoid eating hot and spicy food. Maintain a good oral hygiene. Your Dentist can even clean the socket to remove the debris and place a  </s>