Post-Wisdom Tooth Extraction Symptoms and Complications - Dentistry

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Complications after wisdom tooth extraction?


Hello, I would like to ask about the symptoms after having my wisdom tooth extracted.
I had my lower right wisdom tooth removed on May 2nd.
Immediately after the extraction, I experienced a sore throat, which still persists to some extent.
I feel pain when swallowing, and it is uncomfortable.
The doctor prescribed anti-inflammatory medication.
As of May 6th, I have noticed one or two raised areas at the extraction site, and it feels like something is poking me, which is very uncomfortable and accompanied by a sharp pain.
I previously had my lower left wisdom tooth removed, but I did not experience as many aftereffects.
The doctor is the same; could it be that the doctor did not handle it properly? I am scheduled to have my stitches removed on May 13th, and I will ask him then, but I would like to understand the cause of my discomfort as soon as possible.
I am really feeling very troubled.
Thank you for your help, doctor.

Niming, 10~19 year old female. Ask Date: 2016/05/06

Dr. Huang Zhicheng reply Dentistry


Hello! After the extraction of the lower wisdom tooth, it is indeed common to experience throat pain; however, this usually improves gradually within three to five days post-surgery.
Regarding the protruding foreign object near the extraction site, since the actual condition is unknown, it is advisable to return for a follow-up appointment so that the doctor can examine it.
Wishing you safety and health.
Sincerely, Dr.
Kuan-Yu Chu, Attending Physician, Department of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/06

More Info


After wisdom tooth extraction, it's common to experience a variety of symptoms and complications, some of which can be concerning. Based on your description, it sounds like you are experiencing some typical post-operative issues, but there are also signs that warrant further investigation.

Firstly, it's important to understand that after the extraction of a wisdom tooth, especially if it was impacted, the body goes through a healing process that can involve inflammation and discomfort. Pain in the throat and discomfort while swallowing can occur due to several reasons. The extraction site may be inflamed, and the surrounding tissues can also be affected. Additionally, if the extraction was difficult, it might have caused some trauma to the surrounding muscles and tissues, leading to soreness.

The "bump" or "lump" you feel at the extraction site could be a few things. It might be normal swelling as the body heals, or it could be a blood clot that has formed in the socket. Blood clots are essential for healing, but if they become dislodged, it can lead to a condition known as dry socket (alveolar osteitis), which is quite painful. Dry socket occurs when the blood clot is lost before the wound has healed, exposing the bone and nerves underneath. This condition typically presents with severe pain that can radiate to the ear or jaw and is often accompanied by a foul taste or odor in the mouth.

The discomfort you're experiencing could also be due to an infection, especially if you notice increased swelling, redness, or pus at the extraction site. Infections can develop if bacteria enter the wound, which can happen if proper aftercare instructions are not followed. It's crucial to maintain good oral hygiene and follow any post-operative care instructions provided by your dentist or oral surgeon.

Regarding your concern about whether the dentist handled the extraction properly, it’s essential to remember that individual healing responses can vary significantly. Just because you had a different experience with your previous extraction does not necessarily indicate that something was done incorrectly this time. Factors such as the position of the tooth, the complexity of the extraction, and your body's unique healing response can all influence your recovery.

Since you have a follow-up appointment scheduled for May 13 to remove the stitches, it would be a good idea to discuss your symptoms with your dentist at that time. They can assess the extraction site and determine if what you are experiencing is within the normal range of post-operative symptoms or if further treatment is necessary. If your symptoms worsen before your appointment, or if you develop a fever, increased swelling, or severe pain, it would be prudent to contact your dentist sooner for an evaluation.

In summary, while some discomfort and symptoms are expected after wisdom tooth extraction, persistent pain, unusual bumps, or any signs of infection should be addressed promptly. Your dentist will be able to provide the best guidance based on a thorough examination of your specific situation. In the meantime, ensure you are following any prescribed aftercare, including taking any antibiotics or anti-inflammatory medications as directed, and maintaining good oral hygiene to support your recovery.

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