Post-Tooth Extraction: Unusual Sensations and Concerns Explained - Dentistry

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The teeth behind the extraction site feel strange after the tooth extraction?


I had my first lower right premolar extracted two weeks ago, and then a week later, I had an upper premolar extracted (I am using Invisalign for orthodontics, but the aligners haven't arrived yet, so I had the extractions done first).
Initially, there were no issues, but recently, the teeth at the back feel strange.
It's not exactly painful, but when I brush my teeth, I notice some of them have small black spots, and I also see white flakes at the base of the teeth.
It feels like my teeth are being worn down.
Could this be related to the extractions affecting my occlusion?

Ru Ru, 10~19 year old female. Ask Date: 2016/08/31

Dr. Lin Jiayong reply Dentistry


Hello: If you see small black spots on your teeth while brushing, it may indicate cavities.
If the bottom of your teeth appears white, it could be food debris.
However, it is best to visit a healthcare facility for a proper diagnosis as soon as possible! Wishing you safety and health.

Reply Date: 2016/08/31

More Info


After undergoing tooth extractions, it's not uncommon to experience unusual sensations or concerns, especially when it comes to the surrounding teeth and overall oral health. Based on your description, it seems that you are experiencing a few different issues that may be related to the extractions and the subsequent changes in your oral environment.

Firstly, the "strange" feeling in your back teeth could be attributed to several factors. After a tooth extraction, the alignment of your bite can change, especially if multiple teeth are removed in a short period. This change can lead to a sensation of discomfort or unusual pressure on the remaining teeth. If your bite is misaligned, it may cause certain teeth to bear more load than they are accustomed to, leading to sensitivity or discomfort. This is particularly relevant if you are in the process of orthodontic treatment, such as with Invisalign, as your teeth are already in a state of flux.

The appearance of small black dots on your teeth could indicate the presence of cavities or early signs of decay. It's essential to monitor these spots closely, as they may require intervention from your dentist. The white flakes you mentioned could be plaque or tartar buildup, which can occur if oral hygiene practices are not adequately maintained, especially after recent dental procedures. It's crucial to continue brushing and flossing regularly, and consider using an antibacterial mouthwash to help control plaque accumulation.

Another possibility for the sensations you are experiencing is related to the healing process following your extractions. The surrounding gum tissue and bone may be adjusting, and this can sometimes lead to temporary sensitivity or discomfort in adjacent teeth. If the extraction sites are healing properly, you should see a gradual improvement in these sensations over time.

It's also worth noting that if you feel like your teeth are being "worn down," this could be a result of bruxism (teeth grinding), which can be exacerbated by stress or changes in your bite. If you suspect this might be the case, discussing it with your dentist could lead to recommendations for a night guard or other protective measures.

In terms of your concerns about the impact of tooth extractions on your bite, it is advisable to follow up with your dentist or orthodontist. They can assess your bite and determine if any adjustments are necessary to ensure that your teeth are aligning correctly as you transition into the next phase of your orthodontic treatment. They may also want to take X-rays to rule out any underlying issues that could be contributing to your symptoms.

In summary, while some sensitivity and unusual sensations can be expected after tooth extractions, it is essential to keep an eye on any changes in your oral health. Regular dental check-ups are crucial during this time to address any potential issues early on. If your symptoms persist or worsen, do not hesitate to reach out to your dental care provider for further evaluation and guidance. Your oral health is paramount, and timely intervention can prevent more significant problems down the line.

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