After tooth extraction, the front teeth are loose and painful?
I would like to ask the doctor, after I had my upper first premolar extracted last Friday, my canine tooth has started to feel a bit loose since the day before yesterday, and I experience significant pain when drinking cold beverages or breathing in cold air.
After seeing the doctor, he mentioned some inflammation and prescribed medication for pain relief and inflammation.
Is it possible that this could be a cavity? Should I go back to the doctor for another check-up, or should I wait until I finish the three-day course of medication before making a decision? Thank you, doctor.
Xuan Ying, 10~19 year old female. Ask Date: 2020/03/15
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Hsuan-Ying,
Hello! We need to assess clinically to determine the appropriate treatment.
For cavities, we can perform fillings or root canal therapy.
For periodontal disease, we may need to perform debridement or stabilization.
Take care! Wishing you peace and success in everything!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2020/03/15
More Info
After a tooth extraction, it's not uncommon to experience discomfort, especially if the procedure was surgical or if there were complications. In your case, the fact that your canine tooth is feeling loose and painful after the extraction of your upper first premolar raises some concerns that should be addressed.
First, let's discuss the potential causes of your symptoms. The loosening of the canine tooth could be due to several factors. One possibility is that the extraction of the adjacent tooth has altered the support structure of the canine, leading to its instability. This can happen if the extraction site is still healing and the surrounding bone and gum tissue are adjusting. Additionally, if there was any infection or inflammation in the area, it could contribute to the discomfort and perceived looseness of the canine.
The pain you experience when consuming cold beverages or exposure to cold air could indicate sensitivity in the area surrounding the canine tooth. This sensitivity can arise from inflammation of the gums or the underlying bone, especially if the extraction site is still healing. It's also possible that the canine tooth itself has developed a cavity or decay, which would require further evaluation.
Given that your dentist has already prescribed anti-inflammatory and pain relief medications, it's essential to follow their advice and complete the course of medication. These medications can help manage pain and reduce inflammation, allowing the extraction site to heal properly. However, if you notice that the symptoms persist or worsen, it is crucial to seek further evaluation.
In your situation, I would recommend monitoring your symptoms closely over the next few days. If the pain does not improve or if the canine tooth continues to feel loose, it would be wise to return to your dentist for a follow-up examination. They may want to take X-rays to assess the condition of the canine tooth and the surrounding bone structure. This will help determine if there is any underlying issue, such as decay or an infection, that needs to be addressed.
Additionally, if you notice any signs of infection, such as increased swelling, pus, or fever, you should seek immediate dental care. Infections can complicate healing and may require additional treatment, such as antibiotics or further dental procedures.
In summary, while some discomfort and sensitivity after a tooth extraction are normal, the loosening of your canine tooth and the pain you're experiencing warrant further investigation. Complete your medication as prescribed, monitor your symptoms, and do not hesitate to return to your dentist if you have concerns. Your oral health is important, and timely intervention can prevent further complications.
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