Is It Normal to Experience Pain After Wisdom Tooth Extraction? - Dentistry

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It is common to experience soreness and pain after wisdom tooth extraction?


Hello, Doctor! A few days ago, I had my wisdom tooth extracted, and I noticed that the teeth next to the extraction site experience sharp pain when I drink cold water.
Additionally, there is a slight discomfort when my teeth come into contact during chewing.
I also feel mild pain when I gently touch the adjacent tooth with an object.
Is this normal?

Xiao Xiansheng, 20~29 year old female. Ask Date: 2017/08/25

Dr. Huang Tingfang reply Dentistry


Dear Mr.
Hsiao,
Hello! If the adjacent teeth have periodontal disease or deep cavities, there may be mild pain sensations.
Please communicate more with your dentist! Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/08/25

More Info


Experiencing pain after wisdom tooth extraction is quite common and can be attributed to several factors related to the procedure and the healing process. When a wisdom tooth is removed, especially if it is impacted or situated in a challenging position, the surrounding tissues can be significantly affected. This can lead to inflammation, swelling, and discomfort in the area, which may extend to adjacent teeth.

Firstly, it's important to understand that the extraction site is essentially a wound, and like any surgical procedure, it requires time to heal. During the healing process, it is not unusual for patients to experience varying degrees of pain, tenderness, or sensitivity, particularly when consuming hot or cold foods and beverages. The pain you describe when drinking cold water or when your teeth come into contact during chewing is likely due to the inflammation of the gum tissue surrounding the extraction site or the adjacent teeth.

In some cases, the second molar (the tooth in front of the extracted wisdom tooth) may also experience discomfort due to the trauma of the extraction. The extraction process can cause some degree of trauma to the surrounding bone and gum tissue, which can lead to referred pain in nearby teeth. This is particularly true if the second molar has existing issues, such as decay or gum disease, which may be exacerbated by the extraction.

Moreover, if the extraction was complicated or if the tooth was deeply embedded, the healing process might take longer, and the pain may persist for a longer duration. It is also possible that the extraction could have affected the nerves in the area, leading to sensations of pain or discomfort that can feel like nerve pain. This is typically temporary, but it can be distressing.

Another important aspect to consider is the possibility of dry socket, a condition that can occur when the blood clot at the extraction site becomes dislodged or fails to form properly. This can lead to intense pain and is often accompanied by a foul taste or odor. If you experience severe pain that does not improve with over-the-counter pain medications or if you notice any unusual symptoms, it is crucial to contact your dentist or oral surgeon for an evaluation.

In summary, while some level of discomfort after wisdom tooth extraction is normal, it is essential to monitor the pain and any accompanying symptoms. If the pain persists beyond a week, worsens, or is accompanied by other concerning signs, it is advisable to seek professional advice. Your dentist can assess the healing process, check for any complications, and provide appropriate treatment to alleviate your discomfort. Remember to follow post-operative care instructions, including taking prescribed medications and maintaining oral hygiene, to promote healing and minimize pain.

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