Post-Wisdom Tooth Extraction: Discomfort and Ear Itching - Dentistry

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Post-operative issues after wisdom tooth extraction?


On the 13th, I had my lower right horizontal wisdom tooth and upper right wisdom tooth extracted.
I didn't experience much pain afterward, but I still feel discomfort.
My face isn't very swollen, and there's no excessive bleeding, just slight oozing.
I can't open my mouth wide, and while I feel uncomfortable, it seems that starting the next day, my ears became very itchy.
I've tried to scratch them, but there's nothing there, and the itchiness has persisted.
They feel warm and swollen, but it's not painful—just unbearably itchy in both ears, especially the one on the side where the wisdom tooth was removed.
I also feel a bit uncomfortable when I spit, and my throat feels warm and dry, almost like I have a lot of heat in my body.
Could this be related to the extraction of my horizontal wisdom tooth? The surgical site doesn't appear swollen or painful, but I can feel slight soreness around the teeth near the wound.
I have four days until my follow-up appointment on the 20th to remove the stitches.
Should I see an ENT specialist first, or go back to the oral surgery clinic?

Xiao Xiaojie, 20~29 year old female. Ask Date: 2019/05/16

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Hsiao,
Hello! It is common to experience swelling and pain after wisdom tooth extraction.
If you have any ear issues, please consult an otolaryngologist.
Take care! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/05/16

More Info


After undergoing wisdom tooth extraction, it is common to experience a variety of discomforts, including pain, swelling, and even sensations that may seem unrelated, such as itching in the ears. The symptoms you are describing—itchy ears, a feeling of heat or discomfort in the throat, and mild discomfort around the extraction site—can indeed be connected to the procedure.

Firstly, let's address the ear itching. This phenomenon can occur due to several reasons. One possibility is that the nerves in the jaw and the ear are closely linked. When a wisdom tooth is extracted, especially if it is impacted or requires significant manipulation of the surrounding tissues, it can irritate the nerves that also serve the ear. This irritation may manifest as itching or discomfort in the ear. Additionally, the inflammation and healing process in the jaw can lead to referred sensations in the ear, which might explain why both ears are itchy, but particularly the side where the extraction occurred.

The sensation of heat or discomfort in the throat, along with a dry mouth, can also be attributed to the body's response to surgery. Post-operative swelling and inflammation can sometimes extend to nearby areas, including the throat, leading to discomfort. Furthermore, if you are breathing through your mouth more often due to discomfort or difficulty opening your mouth, this can lead to dryness and irritation in the throat.

Regarding your concern about the extraction site, it is good to hear that you are not experiencing significant pain or swelling, and that the bleeding has subsided. However, the mild discomfort around the area is not unusual as the tissues heal. The healing process can take time, and it is essential to follow post-operative care instructions to promote proper healing and minimize complications.

If you are experiencing persistent or worsening symptoms, such as increased pain, swelling, or fever, it is crucial to consult your dentist or oral surgeon. They can assess whether there is an infection or other complications that need to be addressed. Given that you have a follow-up appointment soon for suture removal, it may be advisable to wait until then unless your symptoms significantly worsen.

In the meantime, here are some tips to help manage your discomfort:
1. Pain Management: Continue taking any prescribed pain medications as directed. Over-the-counter pain relievers like ibuprofen can also help reduce inflammation and discomfort.

2. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Rinse your mouth with warm salt water to help keep the area clean and promote healing.

3. Hydration: Stay hydrated, but avoid using straws, as the suction can dislodge the blood clot and lead to dry socket, a painful condition.

4. Diet: Stick to soft foods that are easy to chew and swallow. Avoid hot, spicy, or acidic foods that may irritate the extraction site.

5. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing some relief.

6. Avoid Irritants: Stay away from smoking or exposure to secondhand smoke, as these can hinder the healing process.

If the itching in your ears persists or becomes bothersome, it may be worth consulting an ENT specialist to rule out any unrelated issues. However, given the timing of your wisdom tooth extraction, it is likely that your symptoms are interconnected. Always prioritize communication with your healthcare providers to ensure you receive the best care possible during your recovery.

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