Why Does My Upper Jaw Hurt After Lower Wisdom Tooth Extraction? - Dentistry

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Pain and swelling after the extraction of a lower right wisdom tooth, but experiencing pain in the upper right jaw as well?


I underwent surgery to extract my lower right wisdom tooth on January 4th, and it has been three days since then.
The wound still has pain and swelling, which is normal.
However, I am wondering why the three molars in my upper jaw are experiencing severe pain the day after the extraction, even more intense than the pain from the swelling of the lower jaw.
I consulted my doctor yesterday, and they mentioned that if I need an X-ray, it might disturb the stitches of the wound.
However, the pain in my upper jaw is affecting my daily routine, making it impossible for me to sleep and attend classes.
I have been taking the prescribed pain medication for the wisdom tooth extraction, but it does not alleviate the pain in my upper jaw! Could it be that the pain is not dental-related but rather from another area? Which specialist should I see for this issue?

Xiao Y, 20~29 year old female. Ask Date: 2017/01/07

Dr. Huang Tingfang reply Dentistry


Dear Miss Xiao Y,
Hello! I apologize for the significant discomfort you are experiencing.
First, we need to determine if it is referred pain.
Please check if tapping on the upper teeth causes pain; if it does, there may be an issue with the upper teeth that requires treatment.
If there is no pain, then it is likely referred pain.
Applying ice and taking pain relievers should be effective.
Please communicate frequently with your physician.
Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/01/07

More Info


After undergoing a lower wisdom tooth extraction, it's not uncommon to experience pain in the upper jaw, especially if the extraction was complicated or if there was significant manipulation of the surrounding tissues. The pain you're feeling in your upper jaw could be attributed to several factors.

First, the extraction process itself can cause referred pain. This means that even though the procedure was performed on your lower jaw, the trauma and inflammation can affect the upper jaw due to the interconnected nature of the oral and facial structures. The nerves in the jaw are closely linked, and irritation or inflammation in one area can lead to discomfort in another.

Second, the pain in your upper jaw could be related to the temporomandibular joint (TMJ). The TMJ is responsible for the movement of your jaw, and if the jaw was held open for an extended period during the extraction, it could lead to strain or inflammation in the joint, resulting in pain that radiates to the upper jaw.

Additionally, if there was any manipulation of the upper teeth or gums during the extraction, this could also lead to pain in that area. Sometimes, the pressure applied during the extraction can cause temporary sensitivity or discomfort in adjacent teeth, especially if they are already compromised or if there is an underlying dental issue, such as gum disease or cavities.

Regarding your concern about the need for an X-ray, it is essential to communicate openly with your dentist about your symptoms. While it is true that moving your jaw or pulling on the stitches could cause discomfort, an X-ray can provide valuable information about the healing process and whether there are any complications, such as dry socket or infection. If your dentist is hesitant to perform an X-ray due to concerns about your stitches, you might consider seeking a second opinion from an oral surgeon or another dental professional who can assess your situation more thoroughly.

In the meantime, managing your pain is crucial. Ensure you are taking the prescribed pain medications as directed. Over-the-counter anti-inflammatory medications, such as ibuprofen, can also help reduce pain and swelling. Applying a cold compress to the outside of your jaw can help alleviate swelling and discomfort as well.

If the pain persists or worsens, or if you experience additional symptoms such as fever, increased swelling, or discharge from the extraction site, it is important to seek immediate medical attention. These could be signs of an infection or other complications that may require further treatment.

In summary, while it is not unusual to experience pain in the upper jaw following a lower wisdom tooth extraction, it is essential to monitor your symptoms closely. If the pain significantly impacts your daily life, consider consulting with your dentist or an oral surgeon for further evaluation and management. Your health and comfort should always be the priority, and there are options available to help you through this recovery process.

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