Post-Wisdom Tooth Extraction Pain: What to Expect

Pain after wisdom tooth extraction?

On the evening of April 15, I went to the dentist to have my wisdom tooth extracted.
Since it was enveloped in tissue, the doctor administered anesthesia, cut open the tissue, and removed the entire wisdom tooth from the lower right side.
The procedure took about 10-15 minutes, and then they stitched the site with one suture.
After the procedure, the doctor advised me to return the next day for a follow-up to check the wound.
She mentioned that because the wisdom tooth was larger, the extraction site would be deeper, which might cause facial swelling.
However, that day, I was only prescribed pain medication and no anti-inflammatory medication.

After returning home, since the site was stitched, there wasn't much bleeding, but that night I was in so much pain that I couldn't sleep.
The next day, April 16, the pain was so severe that I couldn't eat, and I could only open my mouth about two fingers wide.
Unfortunately, due to a fire near the dental clinic, the roads were blocked, and I couldn't go for the follow-up.
That night, I woke up in pain and noticed that the extraction site was bleeding.
Today, April 17, it still hurts a lot, and I can only sleep by taking pain medication; I still can't open my mouth.

Since I have never had stitches after a wisdom tooth extraction before, is this situation normal? How many more days should I expect to be in pain? It feels like the pain has been quite prolonged...

Ms. Li, 20~29 year old female. Ask Date: 2016/04/17

Dr. Zeng Guanghui reply Dentistry

It may be due to the extraction of an impacted wisdom tooth, where the wound is deeper.
Typically, the pain from the wound should gradually improve within 3-4 days.
If the pain persists, it is advisable to return for a follow-up examination as soon as possible.

Reply Date: 2016/04/17

More Info

After having a wisdom tooth extraction, especially when it involves surgical procedures like cutting through gum tissue and stitching, it is common to experience pain and discomfort. The pain you are experiencing is not unusual, particularly given the complexity of your extraction. Here’s a comprehensive overview of what to expect post-extraction, along with some insights on managing the pain and understanding the healing process.

Understanding Post-Extraction Pain
1. Nature of Pain: After a wisdom tooth extraction, especially if the tooth was impacted or if the extraction was surgical, you may experience varying degrees of pain. This pain can stem from several factors:
- Surgical Trauma: The process of cutting through the gum and bone can lead to inflammation and swelling, which can cause pain.

- Nerve Sensitivity: The area around the extraction site may have sensitive nerves that can react to the trauma of the extraction.

- Infection: If the extraction site becomes infected, this can lead to increased pain and swelling.

2. Duration of Pain: Typically, pain after a wisdom tooth extraction peaks within the first 48 to 72 hours. After this period, it should gradually start to subside. However, the healing process can vary from person to person. Factors such as the complexity of the extraction, your overall health, and adherence to post-operative care instructions can influence recovery time.

3. Signs of Complications: While some pain is expected, certain symptoms may indicate complications:
- Persistent or Worsening Pain: If the pain does not improve or worsens after a few days, it may be a sign of infection or dry socket (a condition where the blood clot at the extraction site dislodges).

- Swelling and Fever: Significant swelling or fever can indicate an infection.

- Excessive Bleeding: While some bleeding is normal, if you notice continuous bleeding after the first few hours, you should contact your dentist.

Managing Pain and Discomfort
1. Medications: Since your dentist provided you with pain medication, it is essential to take it as directed. If you feel that the pain is not adequately managed, you should reach out to your dentist for advice. They may prescribe anti-inflammatory medications or antibiotics if they suspect an infection.

2. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing some pain relief.

3. Dietary Adjustments: Stick to soft foods and liquids for the first few days. Avoid hot, spicy, or hard foods that can irritate the extraction site.

4. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Rinsing with warm salt water can help keep the area clean and promote healing.

5. Follow-Up Care: Since you mentioned that you were unable to return to the dentist due to unforeseen circumstances, it is crucial to schedule a follow-up appointment as soon as possible. This will allow your dentist to assess the healing process and address any concerns you may have.

Conclusion
In summary, while some pain and discomfort are expected after a wisdom tooth extraction, especially a surgical one, it is essential to monitor your symptoms closely. If the pain persists beyond a few days or if you experience any concerning symptoms, do not hesitate to seek further medical advice. Your dentist is your best resource for managing post-operative pain and ensuring a smooth recovery. Remember, healing takes time, and following your dentist's post-operative care instructions will significantly aid in your recovery.

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