Discomfort After Wisdom Tooth Extraction: What to Expect and When to Seek Help - Dentistry

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Discomfort began on the third day after wisdom tooth extraction?


Hello Doctor, I had two wisdom teeth extracted from the left side last Friday (the lower left was horizontally impacted, requiring surgery and stitches).
Starting from the third day after the extraction (after finishing my medication), I began to feel discomfort.
My gums are aching, and there is pain when the upper and lower teeth on the left side make contact.
Although it’s not severe pain, it is still uncomfortable, and I can only relieve it with pain medication.
Since the extraction, I have been chewing food on the right side because using my left side causes pain in my teeth and occasional gum discomfort, so I have been hesitant to use my left teeth for chewing.
When can I expect to eat normally again? Is it normal for my gums and the nearby teeth to hurt when they make contact a week after the extraction (it feels like the gums are being compressed)? I originally scheduled to have my stitches removed next Monday; given my current situation, should I return for a follow-up sooner, or can I wait until Monday to discuss my condition with the dentist? Thank you!

You, 20~29 year old female. Ask Date: 2019/09/27

Dr. Lin Jiayong reply Dentistry


Hello: If you experience symptoms such as fever, shortness of breath, or difficulty swallowing, it is recommended that you visit the emergency department for evaluation.
If you have mild discomfort, it is advisable to return to your original dental clinic for an examination rather than waiting for a week.
Early detection and prompt treatment are best.

Reply Date: 2019/09/27

More Info


After undergoing wisdom tooth extraction, especially in cases involving surgical procedures like yours, it is common to experience discomfort and varying levels of pain during the recovery period. The discomfort you are feeling, particularly around the gums and adjacent teeth, can be attributed to several factors related to the extraction process.

Firstly, the extraction of wisdom teeth, especially impacted ones, can lead to inflammation and irritation of the surrounding tissues. This inflammation can cause a sensation of pressure or dull pain in the gums and teeth, which may feel worse when you attempt to chew or bite down on that side. It is not unusual for the area to feel sensitive for several days to weeks after the procedure, particularly if stitches were involved, as the body is healing from the surgical trauma.

Here are some key points to consider regarding your recovery:
1. Normal Recovery Timeline: Generally, after wisdom tooth extraction, the initial healing phase lasts about 3 to 5 days, during which swelling and discomfort are most pronounced. After this period, many patients start to feel better, but it can take up to a few weeks for the area to fully heal. Given that you are experiencing discomfort on the third day post-surgery, it is within the realm of normality, especially since you had a surgical extraction.

2. Pain Management: It is advisable to continue taking over-the-counter pain relief medications as needed, following the dosage instructions provided by your dentist or oral surgeon. If the discomfort persists or worsens, or if you experience severe pain, swelling, or fever, it may indicate a complication such as dry socket or infection, which would require prompt attention.

3. Dietary Adjustments: It is wise to avoid chewing on the side of the extraction until you feel comfortable doing so. Stick to soft foods and avoid anything that could irritate the extraction site, such as crunchy or spicy foods. Gradually reintroducing chewing on that side as the discomfort decreases is a good strategy.

4. Follow-Up Appointment: Since you have a follow-up appointment scheduled for next Monday to remove the stitches, it is generally acceptable to wait until that appointment to discuss your concerns unless your symptoms significantly worsen. However, if you experience any of the following symptoms before your appointment, you should contact your dentist immediately:
- Severe pain that is not relieved by medication
- Increased swelling or redness around the extraction site
- Pus or unusual discharge from the extraction site
- Fever or chills
5. Healing Expectations: It is important to remember that healing varies from person to person. Some individuals may experience discomfort for a longer duration, while others may heal more quickly. If you find that the discomfort is not improving or is affecting your ability to eat or perform daily activities, it is worth discussing this with your dentist sooner rather than later.

In summary, while some discomfort after wisdom tooth extraction is normal, especially following surgical procedures, it is essential to monitor your symptoms closely. Continue to manage your pain with appropriate medications, maintain a soft diet, and keep your follow-up appointment to ensure proper healing. If you have any concerns or if your symptoms change, do not hesitate to reach out to your dental care provider for guidance.

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