Does Wisdom Tooth Extraction Affect Nearby Teeth Pain? - Dentistry

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Will extracting wisdom teeth affect other teeth?


It has been 5 days since I had my lower right wisdom tooth extracted, but why is the adjacent tooth starting to hurt intensely?

Jun Jun, 20~29 year old female. Ask Date: 2016/06/25

Dr. Lin Jiayong reply Dentistry


Hello, during the process of wisdom tooth extraction, it is common to perform adjustments to the gums and alveolar bone, which can also affect the surrounding teeth.
However, if this symptom has caused pain that impacts your daily life, I recommend that you promptly visit a medical facility to identify the true cause of the severe pain.
Thank you! Wishing you safety and health.
Sincerely, Dr.
Lin Chia-Yung, Director of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/25

More Info


After wisdom tooth extraction, it is not uncommon to experience pain in the adjacent teeth. This can be attributed to several factors related to the extraction process and the healing of the surrounding tissues.

Firstly, when a wisdom tooth is removed, especially if it was impacted or required surgical intervention, the surrounding gum tissue and bone may be disturbed. This disturbance can lead to inflammation, which may cause discomfort or pain in the adjacent teeth. The extraction site can also be sensitive, and any pressure from biting or chewing can exacerbate this pain.

Secondly, the extraction of a wisdom tooth can alter the bite alignment. If the extracted tooth was contributing to the overall occlusion (the way teeth come together), its removal can lead to changes in how the remaining teeth fit together. This misalignment can cause discomfort or pain in the neighboring teeth, particularly if they are now bearing more load than they were before.

Moreover, if the tooth next to the extracted wisdom tooth had existing issues, such as decay or previous trauma, the extraction could have aggravated these conditions. For instance, if the neighboring tooth was already weakened or had a compromised nerve, the stress from the extraction could lead to increased pain.

In some cases, the pain may also be related to the healing process itself. After an extraction, the body initiates a healing response, which includes inflammation and the formation of new tissue. This process can sometimes lead to referred pain, where discomfort is felt in areas adjacent to the actual site of injury.

It is also important to consider the possibility of dry socket, a condition that can occur after tooth extraction. Dry socket happens when the blood clot at the extraction site either dissolves or becomes dislodged, exposing the underlying bone and nerves. This condition can lead to severe pain that radiates to nearby teeth and can require additional treatment.

If you are experiencing significant pain in the teeth adjacent to the extraction site, it is advisable to consult your dentist or oral surgeon. They can perform a thorough examination, possibly including X-rays, to determine the cause of the pain and recommend appropriate treatment. This may include pain management strategies, further evaluation of the neighboring teeth, or treatment for any complications that may have arisen from the extraction.

In summary, while it is not unusual to experience pain in nearby teeth after wisdom tooth extraction, it is essential to monitor the situation closely. If the pain persists or worsens, seeking professional dental advice is crucial to ensure proper healing and address any underlying issues.

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