Managing Pain After Wisdom Tooth Extraction: When to See Your Dentist - Dentistry

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Gum and wound pain?


Hello, I had surgery five days ago (on May 25) at a large hospital to remove my upper and lower wisdom teeth.
I have been applying ice packs as needed, and my wound is healing well.
I have been using dental floss and mouthwash (prescribed by my doctor) after each meal for cleaning.
However, yesterday morning, I started experiencing pain and discomfort in the right side of my gums and at the site of the stitches.
Should I return to the dentist for a follow-up appointment? (I am scheduled to have my stitches removed on Thursday, June 22.)

(TTДTT), 20~29 year old female. Ask Date: 2016/05/30

Dr. Huang Tingfang reply Dentistry


Dear (TTДTT): Hello! There is an issue with your wound; please return to the hospital for an examination as soon as possible! Thank you! Wishing you safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2016/05/30

More Info


After wisdom tooth extraction, it's common to experience some discomfort as part of the healing process. However, if you're noticing increased pain or discomfort, especially five days post-surgery, it's essential to assess the situation carefully.

Firstly, it's great to hear that you've been following post-operative care instructions, such as using ice packs and maintaining oral hygiene with dental floss and mouthwash as prescribed by your dentist. These practices are crucial for promoting healing and preventing infection. However, pain at the extraction site, particularly around the gums and stitches, can indicate several potential issues.

1. Normal Healing Process: After wisdom tooth extraction, some level of discomfort is expected as the body heals. The pain may fluctuate, and you might experience soreness around the extraction site as the tissues begin to regenerate. This is typically manageable with over-the-counter pain relievers.

2. Dry Socket: One of the more common complications following tooth extraction is a condition known as dry socket (alveolar osteitis). This occurs when the blood clot at the extraction site either dissolves or dislodges before the wound has healed, exposing the bone and nerves underneath. Symptoms include severe pain that usually starts a few days after the extraction, a foul taste in the mouth, and visible bone in the socket. If you suspect you might have dry socket, it’s crucial to see your dentist for treatment, which may involve cleaning the socket and placing a medicated dressing.

3. Infection: Another possibility is an infection at the extraction site. Signs of infection can include increased swelling, redness, pus discharge, and persistent pain that worsens over time. If you notice these symptoms, it’s important to contact your dentist as soon as possible for evaluation and potential antibiotic treatment.

4. Stitches: Sometimes, the stitches themselves can cause discomfort, especially if they are irritating the surrounding gums or if they are beginning to dissolve. If the pain is localized around the stitches, it might be worth mentioning this to your dentist during your follow-up appointment.

Given that you have a follow-up appointment scheduled for June 22 to have your stitches removed, it would be prudent to monitor your symptoms closely until then. However, if the pain becomes severe, if you notice any signs of infection, or if you have any concerns about your recovery, do not hesitate to reach out to your dentist sooner. It’s always better to err on the side of caution when it comes to post-operative care.

In summary, while some discomfort is normal after wisdom tooth extraction, increased pain, especially if it worsens or is accompanied by other symptoms, warrants a visit to your dentist. They can provide a thorough examination and determine the best course of action to ensure your recovery is on track. Remember, your oral health is paramount, and addressing any concerns promptly can help prevent complications down the line.

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