After wisdom tooth extraction, other teeth may feel sore and tender?
Hello, doctor.
I would like to ask about my situation.
I had my lower left wisdom tooth extracted on October 12, and since then, the pain has been persistent even with pain medication.
I returned for a follow-up, and the doctor diagnosed me with dry socket.
They packed the wound with medication and prescribed a stronger pain reliever.
As of today, the pain at the extraction site has decreased, but I am still experiencing soreness and discomfort in the gums from the lower left tooth to the lower front teeth, which is quite uncomfortable and unrelieved by pain medication.
Is this related to the wisdom tooth extraction, or could there be another cause? This issue only started after the extraction.
Thank you for your help.
bee, 20~29 year old female. Ask Date: 2016/10/18
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Bee,
Hello! Dry socket, or alveolar osteitis, occurs when a blood clot fails to form over the alveolar bone, leading to inflammation of the bone.
After recovery, healing will take place.
Please communicate frequently with your physician! Thank you! Wishing you peace and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2016/10/18
More Info
After a wisdom tooth extraction, experiencing soreness in adjacent teeth can be concerning, and it’s understandable to seek clarity on the underlying causes. Based on your description, it seems you are dealing with a few potential issues that could explain the discomfort you're feeling in the teeth adjacent to the extraction site.
Firstly, the pain you are experiencing in the teeth and gums surrounding the extraction site could be attributed to a condition known as dry socket (alveolar osteitis). This occurs when the blood clot that forms in the socket after tooth extraction either dissolves or dislodges before the wound has fully healed. This can expose the underlying bone and nerves, leading to significant pain that may radiate to nearby teeth and gums. The pain associated with dry socket can be severe and often does not respond well to over-the-counter pain medications, which might explain why you are still feeling discomfort despite taking stronger painkillers.
Additionally, the extraction process itself can cause trauma to the surrounding tissues, including the gums and the roots of adjacent teeth. This trauma can lead to inflammation and soreness in the neighboring teeth, which may feel sensitive or painful, especially when pressure is applied (such as when chewing or brushing). The soreness you describe from your lower left teeth to your lower front teeth could be a result of this inflammation.
Another possibility is that the extraction may have inadvertently affected the alignment or occlusion of your teeth. If the extraction site is causing your bite to feel different, it may lead to discomfort in the surrounding teeth as they adjust to the new alignment. This is particularly relevant if the extraction was complicated or if there was significant bone removal involved.
Moreover, it’s important to consider the role of infection. If there is an infection at the extraction site, it could lead to swelling and pain that radiates to adjacent teeth. Symptoms of infection may include increased pain, swelling, redness, or even a fever. If you notice any of these symptoms, it is crucial to contact your dentist or oral surgeon promptly.
In terms of management, it’s essential to follow your dentist's post-operative care instructions closely. If you are still experiencing significant discomfort, it may be beneficial to return to your dentist for a follow-up examination. They may want to assess the extraction site for signs of dry socket or infection and can provide additional treatments, such as medicated dressings or antibiotics if necessary.
In conclusion, the soreness in your adjacent teeth following wisdom tooth extraction can stem from several factors, including dry socket, trauma to surrounding tissues, changes in occlusion, or potential infection. It is advisable to maintain open communication with your dental care provider to ensure that any complications are addressed promptly and effectively. Your comfort and recovery are paramount, and your dentist is best equipped to guide you through this healing process.
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