Is It Normal to Feel Pain After Wisdom Tooth Stitches Are Removed? - Dentistry

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Is it normal to still feel pain after having stitches removed from wisdom tooth extraction?


After the stitches were removed on Thursday, the doctor said there was no inflammation or pain, so no medication was prescribed.
However, the area where the stitches were removed has been very painful and uncomfortable.
Is this normal?

Miss Lin, 20~29 year old female. Ask Date: 2019/12/20

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Lin: Hello! Please maintain oral hygiene! If the pain persists, seek medical attention as soon as possible! Take care! Wishing you peace and smoothness in everything! Sincerely, Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/12/20

More Info


Experiencing pain after the removal of stitches from wisdom tooth extraction is not uncommon, but it can vary in intensity and duration from person to person. After a surgical procedure like wisdom tooth extraction, the healing process can lead to discomfort, and this discomfort may persist even after the stitches are removed. Here’s a detailed explanation of what you might be experiencing and some insights into the healing process.


Understanding Post-Operative Pain
1. Healing Process: After a wisdom tooth extraction, the body goes through a natural healing process. The surgical site may be inflamed, and the tissues are repairing themselves. This can lead to pain or discomfort, especially when the stitches are removed. The removal of stitches can sometimes expose sensitive tissues that were previously protected, leading to increased sensitivity and discomfort.

2. Inflammation: Even if your dentist has indicated that there is no infection or significant inflammation, some degree of inflammation is normal after surgery. This inflammation can cause pain as the body works to heal the area.
3. Nerve Sensitivity: The area around the wisdom teeth is rich in nerves. After extraction, these nerves may be more sensitive than usual, leading to pain or discomfort that can feel more pronounced after the stitches are removed.

4. Dry Socket: One potential complication after tooth extraction is a condition known as dry socket (alveolar osteitis). This occurs when the blood clot at the extraction site becomes dislodged or dissolves before the wound has fully healed. Symptoms of dry socket include severe pain that typically starts a few days after the extraction and may radiate to the ear or jaw. If your pain worsens or is accompanied by a bad taste in your mouth or foul odor, it’s essential to contact your dentist.

5. Normal Recovery Timeline: Pain and discomfort can last for several days to a week after the stitches are removed. It’s essential to monitor your symptoms. If the pain persists beyond a week or intensifies, it’s advisable to return to your dentist for a follow-up examination.


When to Seek Further Help
- Persistent Pain: If the pain continues for more than a week or becomes increasingly severe, it’s crucial to consult your dentist. They may need to examine the site to rule out complications such as infection or dry socket.


- Signs of Infection: If you notice swelling, redness, or discharge from the extraction site, or if you develop a fever, these could be signs of infection, and you should seek medical attention promptly.

- Difficulty Eating or Drinking: If the pain is so severe that it prevents you from eating or drinking, it’s also a good reason to return to your dentist.


Pain Management Strategies
While you are healing, here are some strategies to help manage your discomfort:
- Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation. Always follow the dosage instructions on the label or those provided by your dentist.

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

- Soft Foods: Stick to a diet of soft foods that require minimal chewing to avoid aggravating the extraction site.

- Good Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Rinsing with warm salt water can help keep the area clean and promote healing.

In conclusion, while some pain after the removal of stitches from wisdom tooth extraction can be normal, it’s essential to monitor your symptoms closely. If the discomfort persists or worsens, don’t hesitate to reach out to your dentist for further evaluation and guidance. Your comfort and health are paramount, and your dentist can provide the best advice tailored to your specific situation.

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