<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I used xylocaine pump spray 10 yesterday at around 9:00 am since I had pain in my tooth, I used the pump for more then 7 pumps unfortuantely my cheeks got bulged and the tooth got infected and pain increased.the cheeks are becoming more bulged, its asif I have the half of my face being introduced to some botox injections.. What am I supposed to do to let the bulged cheeks get to its normailty..  <response>: Dear friend. Thanks for sharing your concern. Excessive usage of Xylocaine is not recommended, please remember your tooth is already infected, so the swelling is due to that, and excessive usage of anesthetic spray has added on to this phenomenon. It can effect locally, but your toothache is due to deep pupal infection, which requires treatment. You can confirm it through x-ray. You are advised to visit your dentist soon and start with antibiotics and analgesics for reducing pain and infection.Meanwhile, please stop using Xylocaine, If required, you can take analgesics till you visit your dentist. Swelling will reduce only after appropriate treatment, probably root canal. Warm saline rinses will help relieve oral infection. Hope it helps. Thanks. Take care. 