Post-Wisdom Tooth Extraction: Pain and Recovery

Post-operative issues after wisdom tooth extraction?

Hello, I had my lower right wisdom tooth extracted on March 9th.
I returned for a follow-up on March 13th due to pain, and the doctor mentioned that sometimes the stitches can be too tight, which may cause discomfort, so they removed the stitches that day.
I was given pain medication for two days.
On March 16th, during my third follow-up, the doctor said everything looked fine, the wound was normal, and there was no swelling.

As of today, March 18th, I still feel pain.
During the extraction, the doctor mentioned that there was a hook on the tooth root and showed it to me, but I couldn't really see it.
The pain radiates from my ear to the right side of my forehead and temple.
Is this scientifically plausible? Every time I go for a follow-up, they say everything is normal, but I am still in pain! (sigh) Recently, I went to the pharmacy to get pain relief medication because I can't sleep.
How long is this pain expected to last before it eases?
Can I start using mouthwash now that it's the second week? (My mouth feels a bit unpleasant; the doctor said it's normal, but I don't like it...
it's not convenient for kissing my boyfriend...) A friend suggested that I switch clinics to get a second opinion.
Is that necessary? (Thank you for your response.)

Yizhen, 30~39 year old female. Ask Date: 2017/03/19

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Yizhen,
Hello! Based on what you've described, it seems quite serious! Typically, after wisdom tooth extraction, swelling and pain can last for about a week.
If there are any issues, please get an X-ray for examination! Make sure to communicate with your doctor frequently.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/03/19

More Info

After wisdom tooth extraction, it is not uncommon to experience pain and discomfort during the recovery process. The timeline for healing can vary significantly from person to person, depending on various factors such as the complexity of the extraction, the presence of any complications, and individual pain tolerance.

In your case, it seems that you had your lower right wisdom tooth extracted on March 9, and you have been experiencing persistent pain that radiates to your ear and forehead. This type of referred pain can occur after dental procedures, especially if the extraction was complicated or if there was manipulation of the surrounding tissues. The pain you are experiencing could be due to several reasons:
1. Postoperative Pain: It is normal to have some level of pain after a tooth extraction, especially within the first few days. However, if the pain persists beyond a week or worsens, it may indicate a complication.

2. Dry Socket: One common complication after tooth extraction is a condition known as dry socket (alveolar osteitis). This occurs when the blood clot that forms in the socket is dislodged or dissolves before the wound has healed, exposing the underlying bone and nerves, leading to significant pain. Symptoms of dry socket typically appear around three to five days post-extraction.

3. Infection: Although your dentist has indicated that the wound looks normal, there is still a possibility of infection, especially if you notice bad breath or an unpleasant taste in your mouth. An infection can cause pain and swelling, and it may require antibiotic treatment.

4. Nerve Irritation: The extraction process can sometimes irritate nearby nerves, leading to pain that radiates to other areas, such as the ear or forehead.

Regarding your questions about pain duration, it is difficult to predict exactly how long you will experience discomfort. Generally, pain should start to diminish significantly within a week or two after the extraction. If it persists beyond this timeframe or if it worsens, it is essential to follow up with your dentist or oral surgeon.

As for the use of mouthwash, it is typically advisable to wait at least 24 hours after the extraction before using any mouthwash, especially if it contains alcohol, as it can irritate the extraction site. If you are in the second week post-extraction and have been cleared by your dentist, you may start using a gentle, non-alcoholic mouthwash to help with oral hygiene. However, if you notice any discomfort or if the pain increases, it would be wise to stop using it and consult your dentist.

If you feel that your concerns are not being adequately addressed, seeking a second opinion from another dental professional can be beneficial. It is important to advocate for your health and ensure that you receive the care and attention you need during your recovery.

In summary, while some pain after wisdom tooth extraction is normal, persistent or worsening pain should be evaluated by a dental professional. Keep monitoring your symptoms, maintain good oral hygiene, and do not hesitate to seek further medical advice if needed. Your comfort and health are paramount, and addressing any complications early can lead to a smoother recovery.

Similar Q&A

Understanding Post-Extraction Pain: Insights on Wisdom Tooth Recovery

I recently had my lower left wisdom tooth extracted, and for the first 1-2 days, I experienced significant swelling and pain, which even radiated to my ear and caused sharp pain when I drooled. After 3-4 days, the symptoms gradually improved, but on the evening of the fourth day,...

Dr. Lin Jiayong reply Dentistry
Hello: Typically, stitches are removed about 7 days later. It is recommended to inform your physician of any discomfort during your follow-up visit. If you experience fever, difficulty breathing, or severe discomfort such as jaw clenching during this period, it is advisable to se...

Post-Wisdom Tooth Extraction: Dealing with Discomfort and Pain

I recently had my wisdom teeth extracted, but now I have a slight stabbing pain in the gum tissue, which is a bit uncomfortable.

Dr. Lin Jiayong reply Dentistry
Hello: If you experience a fever lasting more than 48 hours after tooth extraction, along with difficulty swallowing or breathing, please seek medical attention promptly. If you are experiencing general redness, swelling, heat, and pain, it is recommended to follow up at your ori...

Post-Wisdom Tooth Extraction: Understanding Pain and Recovery

I had my upper and lower left wisdom teeth, both impacted, extracted on July 6th. Today is the fifth day, and starting yesterday, I was able to talk and eat without pain. However, this morning, I started having difficulty speaking and eating again, and the extraction site began t...

Dr. Zeng Guanghui reply Dentistry
If you experience pain at the extraction site after having your wisdom teeth removed, it may indicate inflammation or infection at the site. It is recommended to maintain good oral hygiene, and if the pain persists, it is advisable to return for a follow-up examination of the wou...

Post-Wisdom Tooth Extraction: Understanding Pain and Recovery Tips

Hello, Doctor. I had my lower left horizontal wisdom tooth extracted on December 20, 2022. At that time, the doctor informed me that the tooth was larger and grew deeper, putting pressure on the nerve, and mentioned that they would need to grind and remove a bit of the surroundin...

Dr. Zeng Guanghui reply Dentistry
After the extraction of the wisdom tooth, there is significant bone loss in the alveolar ridge (due to contact with the bone), resulting in incomplete coverage of the roots of the teeth in front of the wisdom tooth (especially at the distal end). This can lead to sensitivity and ...