Post-Wisdom Tooth Extraction Issues and Recovery - Dentistry

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Post-operative issues after wisdom tooth extraction?


Hello, after having my wisdom teeth removed and stitches taken out for over two weeks, I feel a tightness and muscle pulling sensation when I open my mouth.
Additionally, I experience soreness in the area in front of the wound when eating.
Is this normal? One of the teeth had a root canal treatment and a crown, so I shouldn't be feeling anything there.
The doctor mentioned it was normal during my follow-up visit.
I would like to ask what this issue might be.
Thank you!

Wen, 20~29 year old female. Ask Date: 2020/01/16

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Wen,
Hello! After wisdom tooth extraction, it is normal to experience tightness in the gums and a sensation of muscle pulling.
The soreness may also occur, as there might be a socket left from the extraction where food can easily get trapped.
If not cleaned out, this could lead to infection and pain.
Please consider returning for a follow-up visit for further examination and treatment.

Take care! Wishing you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/01/16

More Info


After undergoing wisdom tooth extraction, it is not uncommon to experience a variety of sensations and discomforts during the recovery process. The tightness and pulling sensation you describe in your gums, as well as the soreness when eating, can be attributed to several factors related to the healing process and the surgical procedure itself.

Firstly, the extraction of wisdom teeth often involves cutting through the gum tissue and sometimes even the bone, especially if the teeth are impacted or positioned horizontally. This can lead to inflammation and irritation in the surrounding tissues as they heal. The tight feeling in your gums may be a result of swelling or the natural healing process, where the tissues are adjusting to the absence of the tooth. It is also possible that the muscles around your jaw are tense due to the discomfort, which can create a sensation of tightness.

Regarding the soreness you feel when eating, this is also a common experience post-extraction. The area where the tooth was removed can be sensitive, especially if food particles get lodged in the healing socket. This can cause irritation and discomfort, particularly when biting down or chewing. If you have had a root canal and a crown placed on one of the adjacent teeth, it is possible that the surrounding tissues are reacting to the changes in the oral environment, leading to sensitivity.
It is important to follow your dentist's post-operative care instructions, which typically include maintaining good oral hygiene, avoiding hard or crunchy foods, and possibly using a saltwater rinse to help keep the area clean. If you are experiencing persistent pain or if the discomfort worsens, it is advisable to return to your dentist for a follow-up examination. They may want to check for any signs of infection, dry socket, or other complications that could be contributing to your symptoms.

In terms of recovery, healing times can vary significantly from person to person. Generally, the initial healing phase can take about one to two weeks, but complete healing of the bone and gum tissue may take several months. During this time, it is crucial to monitor your symptoms and communicate any concerns with your dental care provider.

In summary, while some discomfort and sensitivity following wisdom tooth extraction can be normal, especially in the first few weeks, it is essential to keep an open line of communication with your dentist. They can provide guidance tailored to your specific situation and help ensure that your recovery progresses smoothly. If you notice any unusual symptoms, such as increased swelling, fever, or pus, seek immediate medical attention, as these could indicate an infection or other complications that require prompt treatment.

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