Pain after wisdom tooth extraction?
Hello Doctor, I had my lower left wisdom tooth extracted four days ago.
I felt generally fine the day after the extraction, but the day before yesterday, I noticed a sore near the wound that looked like a canker sore.
However, this afternoon, I started experiencing pain in my lower left jaw, which has become noticeably worse by tonight.
Sometimes, my left cheek also hurts, and pain relievers are not effective.
The wound does not have a foul odor, but last night, there were dark blood clots covering the area.
Today, I noticed some white material on top of the wound.
Could you please advise me on how to reduce the pain? Currently, all clinics are closed for the Lunar New Year, and I am also about to travel abroad.
Thank you for taking the time to respond!
Chichi, 20~29 year old female. Ask Date: 2019/02/03
Dr. Huang Tingfang reply Dentistry
Hello: 1.
After wisdom tooth extraction, postoperative swelling and pain are normal.
You can apply ice packs for the first two days, and switch to heat packs once the pain subsides.
If the pain persists after a week, please return for a check-up with your dentist.
2.
The symptoms you described regarding the wound are all normal signs of healing.
Reply Date: 2019/02/03
More Info
Managing pain after wisdom tooth extraction can be a challenging experience, especially when complications arise. It’s not uncommon for patients to experience discomfort, swelling, and even secondary issues like dry socket or infection following the procedure. Here are some insights and tips to help manage your pain effectively.
Understanding Post-Extraction Pain
After a wisdom tooth extraction, the body goes through a healing process that can involve inflammation and discomfort. The pain you are experiencing could be due to several factors:
1. Surgical Trauma: The extraction process can cause trauma to the surrounding tissues, leading to pain and swelling.
2. Dry Socket: This occurs when the blood clot at the extraction site becomes dislodged or dissolves, exposing the bone and nerves underneath. Symptoms include severe pain that typically starts a few days after the extraction.
3. Infection: If the extraction site becomes infected, you may experience increased pain, swelling, and possibly a foul odor from the wound.
4. Adjacent Teeth Sensitivity: The teeth adjacent to the extraction site may also become sensitive or painful due to the changes in the bite or pressure from the extraction.
Pain Management Strategies
1. Medications: While you mentioned that over-the-counter pain relief hasn’t been effective, it’s essential to follow the prescribed dosage and timing. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce inflammation and pain. If you have been prescribed stronger pain medications, consider using them as directed.
2. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing temporary relief from pain.
3. Salt Water Rinse: After the first 24 hours, gently rinsing your mouth with warm salt water can help keep the extraction site clean and may promote healing. Be careful not to swish too vigorously, as this can dislodge the blood clot.
4. Hydration and Nutrition: Staying hydrated and consuming soft foods can help minimize discomfort. Avoid hot, spicy, or crunchy foods that could irritate the extraction site.
5. Rest: Ensure you are getting enough rest to allow your body to heal. Avoid strenuous activities that could increase blood flow to the area and exacerbate swelling.
When to Seek Further Help
Given that you are experiencing increased pain and have noticed changes at the extraction site, it may be wise to seek further evaluation, especially if:
- The pain worsens or does not improve with medication.
- You notice signs of infection, such as fever, increased swelling, or pus.
- The white material you see could be a sign of healing tissue or infection, and it’s essential to have it evaluated by a dental professional.
Preparing for Travel
Since you mentioned you are traveling soon, it’s crucial to address any significant pain or complications before you leave. If your regular dental office is closed due to the holiday, consider visiting an urgent care clinic or an emergency dental service. They can provide a thorough examination and may be able to offer treatments such as drainage if an infection is present or additional pain management options.
Conclusion
In summary, managing pain after wisdom tooth extraction involves a combination of medication, home care, and monitoring for complications. If your symptoms persist or worsen, do not hesitate to seek professional help, especially before your travel plans. Taking proactive steps can help ensure a smoother recovery and a more comfortable experience during your trip.
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