Wisdom Tooth Issues and Their Impact on Dental Treatments - Dentistry

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Wisdom tooth-related issues?


Hello, Doctor.
I plan to have my upper right wisdom tooth extracted after the New Year.
Everything seems to be fine; my face isn't swollen, and there's no foul smell.
It seems like I'm just waiting for the socket to heal.
I had this wisdom tooth removed because it was affecting the adjacent molar, so I've recently started root canal treatment on that molar.
However, something strange has happened...
The doctor usually administers anesthesia to the gums in front of and behind the molar.
The front gum is fine, but the area where the anesthesia was injected in the back has started to swell and hurt.
It seems like applying oral ointment shouldn't be done because it seems to have made it worse.
I took antibiotics, and after finishing them, it got better.
However, since root canal treatment usually requires multiple visits, after my next appointment, the area where the anesthesia was injected in the back started feeling odd again.
It doesn't seem as severe or swollen as the first time, though.
I did some research and Googled it, and I can't shake the feeling that it might be related to the wisdom tooth.
However, I don't seem to have any symptoms of dry socket or anything like that (no fever, etc.).
That's why I wanted to consult with you, Doctor.
Thank you!

Lin Xiansheng, 30~39 year old female. Ask Date: 2016/03/29

Dr. Zeng Guanghui reply Dentistry


In the above situation, a standard root canal treatment typically involves administering anesthesia during the first visit, but subsequent visits for cleaning the root canal and changing the medication may not necessarily require anesthesia.
Additionally, the area experiencing swelling and pain may not be caused by the anesthesia; it could be due to inflammation resulting from insufficient disinfection of the molar root canal.
It is advisable to consult a dentist for an examination.

Reply Date: 2016/03/29

More Info


Hello! Thank you for sharing your concerns regarding your recent dental experiences, particularly related to your wisdom tooth extraction and subsequent root canal treatment. It sounds like you’ve been through quite a bit, and I’m here to help clarify some of the issues you’re facing.

Firstly, it’s important to understand that wisdom teeth, or third molars, can often lead to complications, especially when they are impacted or positioned in a way that affects adjacent teeth. In your case, it seems that the extraction of your upper right wisdom tooth was necessary due to its impact on the neighboring molar, which is a common reason for their removal. After extraction, it’s normal for the gum tissue to take some time to heal, and you mentioned that you’re just waiting for the area to fill in, which is a typical part of the healing process.

Regarding your root canal treatment, it’s not uncommon for patients to experience discomfort or swelling at the injection site where anesthesia is administered. This can happen for several reasons, including the technique used during the injection, the sensitivity of the surrounding tissues, or even the presence of inflammation from the previous dental work. If the swelling and pain were significant enough to warrant antibiotics, it suggests that there may have been some localized infection or irritation at the injection site.

You mentioned that applying an oral ointment seemed to exacerbate the situation. It’s generally advisable to avoid applying topical treatments to areas that are already inflamed or irritated, as they can sometimes cause further irritation or allergic reactions. Instead, focusing on maintaining good oral hygiene and following your dentist's instructions regarding medications is usually the best approach.

As for the connection between your wisdom tooth and the discomfort during your root canal treatment, it’s possible that the extraction site is still healing and could be contributing to your overall oral sensitivity. However, if you are not experiencing symptoms of dry socket (such as severe pain radiating from the extraction site, a foul taste in your mouth, or visible bone), it’s likely that your healing is progressing normally.

In terms of managing your discomfort during future root canal appointments, here are a few suggestions:
1. Communication with Your Dentist: Make sure to inform your dentist about your previous experiences with anesthesia and any discomfort you felt. They may adjust their technique or the type of anesthesia used to minimize discomfort.

2. Pain Management: If you anticipate discomfort after your next appointment, consider discussing pain management options with your dentist. They may recommend over-the-counter pain relievers or prescribe something stronger if necessary.

3. Post-Procedure Care: After your root canal, follow your dentist’s post-operative care instructions carefully. This may include avoiding certain foods, maintaining oral hygiene, and using prescribed medications.

4. Monitoring Symptoms: Keep an eye on any symptoms that develop after your appointments. If you notice increased swelling, persistent pain, or any signs of infection, contact your dentist immediately.

5. Follow-Up Appointments: Ensure that you attend all follow-up appointments as scheduled. This allows your dentist to monitor your healing and address any issues promptly.

In conclusion, while it’s understandable to be concerned about the relationship between your wisdom tooth extraction and your root canal treatment, it seems that your symptoms are manageable and not indicative of a severe complication. Continue to communicate openly with your dental care provider, and don’t hesitate to reach out if you have further questions or concerns. Your oral health is important, and staying informed is a key part of maintaining it. Best wishes for a smooth recovery and successful dental treatments ahead!

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