Why Does My Upper Tooth Feel Sore After Wisdom Tooth Extraction?

Q: Why Does My Upper Tooth Feel Sore After Wisdom Tooth Extraction?

Hello： Jaw pain can sometimes cause upper jaw pain, which is classified as referred pain from the trigeminal nerve. <br>Another possibility is the exposure of the distal root of the tooth in front of the upper wisdom tooth, which can cause sensitivity to cold. <br>This should imp

Even though the lower wisdom teeth were extracted, the upper wisdom teeth feel sore?

Hello, doctor.
I had my upper right wisdom tooth extracted last Tuesday, and the procedure was quick.
I didn't feel any pain or discomfort afterward.
Then, last Friday, I had my lower right wisdom tooth removed.
The doctor informed me that there would definitely be swelling afterward, which I understand.
However, I am confused because after the extraction of the lower right tooth, I felt a soreness in the area where my upper right tooth was removed.
Is this due to the close timing of the extractions, and is my body unable to handle it? (I still have two teeth on the left side that have not been extracted.)

Jiang Tongxue, 20~29 year old female. Ask Date: 2017/08/19

Dr. Zhu Guanyu reply Dentistry

Hello: Jaw pain can sometimes cause upper jaw pain, which is classified as referred pain from the trigeminal nerve.
Another possibility is the exposure of the distal root of the tooth in front of the upper wisdom tooth, which can cause sensitivity to cold.
This should improve after the wound heals.
Further examination is needed for a definitive diagnosis.
Thank you for your message.
Wishing you safety and health.
Sincerely, Dr.
Kuan-Yu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/19

More Info

After wisdom tooth extraction, it is not uncommon to experience soreness or sensitivity in adjacent teeth, particularly if the extractions were performed in close succession. This can be attributed to several factors related to the healing process and the anatomical changes that occur after the removal of teeth.

Firstly, when a wisdom tooth is extracted, the surrounding bone and gum tissue undergo a healing process. This can lead to temporary sensitivity in adjacent teeth, especially if the extraction site is still inflamed or if there is any residual swelling. The extraction of the lower right wisdom tooth may have caused some trauma to the upper right area, leading to a sensation of soreness. The proximity of the teeth means that the healing tissues can affect the neighboring teeth, causing them to feel sensitive or sore.

Secondly, the extraction process itself can lead to changes in the bite or occlusion. After the removal of a tooth, the way your teeth come together can be altered, which may place additional stress on adjacent teeth. If your upper right tooth is feeling sore, it could be due to the altered bite dynamics following the extraction of the lower wisdom tooth. This is particularly relevant if you are still in the process of healing from multiple extractions.

Another consideration is the possibility of referred pain. The nerves in the jaw are interconnected, and pain or discomfort from one area can sometimes be felt in another. This means that the soreness in your upper tooth could be a result of the extraction site in the lower jaw, even if the upper tooth itself is not directly affected.

Additionally, if you have not yet had the remaining wisdom teeth extracted, the ongoing changes in your mouth can contribute to discomfort. The presence of impacted or partially erupted wisdom teeth can also lead to inflammation or infection in the surrounding tissues, which can manifest as soreness in nearby teeth.

In terms of management, it is essential to maintain good oral hygiene to prevent any potential infections. Rinsing with warm salt water can help soothe the extraction sites and promote healing. Over-the-counter pain relievers can also be effective in managing discomfort. However, if the soreness persists or worsens, it is crucial to follow up with your dentist. They may recommend an evaluation to rule out any complications, such as dry socket or infection, which can occur after tooth extractions.

In summary, the soreness you are experiencing in your upper tooth after the extraction of your wisdom teeth is likely due to a combination of healing processes, changes in bite dynamics, and possible referred pain. It is important to monitor your symptoms and consult with your dentist if you have any concerns, especially as you prepare for the extraction of your remaining wisdom teeth. Proper care and communication with your dental provider will help ensure a smoother recovery process.

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