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While it is not "usual," getting a black eye (hematoma) can occasionally occur during routine dental procedures, including tooth extraction. It most commonly happens when a small artery is nicked during injection of local anesthetic. While this kind of complication is relatively rare, there is little that can be done to avoid it, and it does not mean the dentist was careless or negligent.
If the black eye does not appear until after you have left the dentist's office, you should notify him/her as soon as it is noticed. Tell your dentist if you are taking any aspirin or aspirin substitutes or if you are on blood thinners like coumadin or Plavix. Follow your dentist's instructions. It does look quite dramatic, but it is relatively harmless and will resolve in a matter of a week or two.
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