Is Ear Pain Normal After Wisdom Tooth Extraction? - Dentistry

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Ear pain after wisdom tooth extraction?


Hello, I would like to ask, I had my upper left and lower left wisdom teeth extracted a few days ago, but I am experiencing pain in my right ear.
Is this a normal occurrence?

Ai Bi, 20~29 year old female. Ask Date: 2020/04/27

Dr. Huang Tingfang reply Dentistry


Dear Miss Abby: Hello! It may be referred pain; if there is no improvement after a week, I recommend seeking an examination from an otolaryngologist.
Take care! Wishing you peace and smoothness in everything! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/04/27

More Info


Experiencing ear pain after wisdom tooth extraction can indeed be a concerning symptom, and it is not uncommon for patients to report such discomfort. The phenomenon you are experiencing may be attributed to a few different factors, primarily related to the anatomy of the head and neck, as well as the nature of the surgical procedure itself.

Firstly, the proximity of the wisdom teeth to various anatomical structures, including the ear, can lead to referred pain. This is known as "referred pain," where pain is perceived in an area of the body that is not the source of the pain. The trigeminal nerve, which is responsible for sensation in the face and motor functions such as biting and chewing, has branches that extend to the ear region. Therefore, inflammation or irritation in the area surrounding the extracted teeth can lead to sensations of pain in the ear, even if the extraction site itself is not directly causing the discomfort.

Additionally, the extraction of wisdom teeth can lead to swelling and inflammation in the surrounding tissues, which may also contribute to ear pain. If the extraction was complicated or if there was significant manipulation of the jaw, this could further exacerbate the discomfort. The muscles and ligaments around the jaw, including the temporomandibular joint (TMJ), can become tense or inflamed, leading to pain that radiates to the ear.

It is also important to consider the possibility of an infection or dry socket, which can occur after tooth extraction. A dry socket, or alveolar osteitis, is a painful condition that occurs when the blood clot at the extraction site becomes dislodged or dissolves before the wound has healed. This can lead to increased pain and discomfort, which may also be felt in the ear.

In your case, since the pain is located on the opposite side of the extraction site, it is less likely to be directly related to the extraction itself. However, if the pain persists for more than a few days, or if you experience other symptoms such as fever, increased swelling, or discharge from the extraction site, it is advisable to seek medical attention. An evaluation by a healthcare professional, such as an oral surgeon or an ear, nose, and throat (ENT) specialist, can help determine the underlying cause of your symptoms and provide appropriate treatment.

In summary, while ear pain after wisdom tooth extraction can be a normal occurrence due to referred pain and inflammation, it is essential to monitor your symptoms closely. If the pain does not improve or worsens, seeking medical advice is crucial to rule out any complications. Remember to follow post-operative care instructions provided by your dentist or oral surgeon, including taking prescribed medications and maintaining good oral hygiene, to promote healing and minimize discomfort.

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