Managing Tooth Pain Before Wisdom Tooth Extraction: What You Need to Know - Dentistry

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Tooth pain before extraction?


Hello Doctor: I have a cavity in my lower left wisdom tooth and have already scheduled an extraction appointment.
However, there is still a week until the extraction, and my tooth is intermittently painful.
I'm quite uncomfortable now.
If the tooth still has a dull ache on the day of the extraction, will that prevent the extraction from being performed? I've heard that it's not advisable to extract a tooth when there is pain, and I'm worried that if I go in with tooth pain, the extraction might be postponed, requiring me to reschedule.
If my tooth hurts before the extraction, should I take medication to alleviate the pain, such as anti-inflammatory or pain relief medication? Or can I go ahead with the extraction without taking any medication? I look forward to your response.
Thank you.

Miss Ma, 20~29 year old female. Ask Date: 2016/07/24

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Ma,
Hello! Based on your description, the tooth pain is likely caused by a cavity, and extraction is acceptable.
To alleviate the pain, you may ask your dentist if it is possible to extract the tooth immediately or perform a root canal.
Otherwise, you will need to take strong pain relievers to manage the pain.
I hope you communicate thoroughly with your dentist!
Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/07/24

More Info


Managing tooth pain before a wisdom tooth extraction can be a challenging experience, especially when you're dealing with the discomfort of a decayed tooth. It's understandable to be concerned about whether the presence of pain will affect your ability to undergo the extraction procedure. Here’s a comprehensive overview of what you need to know.

First and foremost, it is generally acceptable to proceed with the extraction of a wisdom tooth, even if you are experiencing some pain leading up to the appointment. The pain you are feeling is likely due to the decay in the tooth, which can cause inflammation and sensitivity. Dentists often evaluate the overall health of the tooth and surrounding tissues before proceeding with the extraction. If the tooth is deemed unsalvageable due to decay, extraction is usually the best course of action.

However, if the pain is severe or if there are signs of infection, such as swelling, fever, or pus, it is crucial to inform your dentist. In some cases, if an infection is present, the dentist may recommend treating the infection with antibiotics before proceeding with the extraction. This is to ensure that the procedure can be performed safely and to minimize the risk of complications.

Regarding pain management before your extraction, over-the-counter pain relievers such as ibuprofen or acetaminophen can be effective in alleviating discomfort. These medications not only help with pain but also reduce inflammation. It is advisable to consult with your dentist about the appropriate medication and dosage, especially if you have any underlying health conditions or are taking other medications.

In addition to medication, there are several home remedies you can try to ease the pain. Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Applying a cold compress to the outside of your cheek can also provide relief from swelling and pain.

As for the concern about needing to reschedule your extraction due to pain, it is important to communicate openly with your dentist. If you arrive for your appointment and are still experiencing significant pain, your dentist will assess the situation and determine the best course of action. In many cases, they can proceed with the extraction, especially if they believe it will alleviate your pain in the long run.

It is also worth noting that while some people may have heard that you should not have a tooth extracted while in pain, this is not a hard and fast rule. The key factor is the overall health of the tooth and the presence of any infection. Your dentist is trained to make these determinations and will prioritize your safety and comfort.

In conclusion, while experiencing tooth pain before a wisdom tooth extraction can be distressing, it is often manageable. Pain does not necessarily preclude you from having the extraction performed. Make sure to discuss your symptoms with your dentist, follow their recommendations for pain management, and trust their expertise in deciding whether to proceed with the extraction. By taking these steps, you can help ensure a smoother experience and pave the way for recovery.

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