Throat Pain After Wisdom Tooth Extraction: Causes and Remedies

On the first day after wisdom tooth extraction, there was a sore throat, and by the third day, the throat became swollen?

After the extraction of the lower right impacted wisdom tooth, I returned for a follow-up appointment less than three hours later due to pain in the right side of my throat.
The doctor removed the stitches but did not find any issues, and then re-stitched the area.
However, the throat pain symptoms disappeared.
I applied ice packs on the first and second days post-surgery, and on the third day, I switched to heat therapy upon waking up, only to find swelling on the external right side of my throat.
It is tender to the touch, but the internal throat pain is much less severe compared to the first day when I couldn't swallow saliva.
Although there is still some discomfort while swallowing, it is within tolerable limits.
I have been taking antibiotics and two types of pain relievers daily (I missed a dose of pain medication on the third day because the wisdom tooth extraction site was not very painful).
Is this a sign of inflammation? Is the pain on the external side of my throat worse than the internal throat pain, and should I continue with ice or switch to heat therapy?

Yunying, 20~29 year old female. Ask Date: 2020/08/01

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Yu Ning,
Hello! Generally, you should apply ice packs for two days after tooth extraction.
Swelling may last for about 4 to 5 days.
If you do not have a fever, it is likely not a cause for concern.
However, if necessary, you should return for a follow-up examination.
Take care! Wishing you all the best and a smooth recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/08/01

More Info

After wisdom tooth extraction, it is not uncommon for patients to experience various forms of discomfort, including throat pain. This can be particularly concerning, especially if the pain seems to radiate from the extraction site to the throat. Understanding the causes of this pain and how to manage it is essential for a smooth recovery.

Causes of Throat Pain After Wisdom Tooth Extraction
1. Surgical Trauma: The extraction of a wisdom tooth, especially if it is impacted or requires surgical intervention, can cause trauma to the surrounding tissues, including the muscles and nerves in the jaw and throat area. This trauma can lead to inflammation and pain that may radiate to the throat.

2. Infection: Post-operative infections are a potential complication after any surgical procedure, including tooth extractions. If bacteria enter the surgical site, they can cause localized infections that may lead to swelling and pain, which can extend to the throat.

3. Referred Pain: The anatomy of the jaw and throat is interconnected. Pain in one area can often be felt in another due to shared nerve pathways. This is known as referred pain. Therefore, discomfort in the throat could be a result of the extraction site rather than an issue directly related to the throat itself.

4. Swelling: After surgery, it is common for swelling to occur in the jaw and surrounding areas. This swelling can put pressure on adjacent structures, including the throat, leading to discomfort or pain.

5. Dry Socket: This is a painful condition that can occur if the blood clot at the extraction site dislodges or dissolves before the wound has healed. While dry socket typically causes pain localized to the extraction site, it can also lead to discomfort in nearby areas, including the throat.

Remedies and Management
1. Pain Management: It is crucial to adhere to the prescribed pain management regimen. If you are taking antibiotics and pain relievers, ensure you follow the dosage instructions carefully. If pain persists, consult your dentist or oral surgeon for further evaluation.

2. Cold and Heat Therapy: Initially, applying ice packs to the affected area can help reduce swelling and numb the pain. After the first 48 hours, switching to warm compresses can promote blood flow and healing. You can alternate between cold and heat as needed, depending on which provides more relief.

3. Hydration and Soft Foods: Staying hydrated is essential, especially if swallowing is uncomfortable. Opt for soft foods that require minimal chewing, which can help avoid further irritation to the throat and extraction site.

4. Saltwater Rinses: Gentle saltwater rinses can help keep the mouth clean and may reduce inflammation. Mix a teaspoon of salt in a glass of warm water and rinse gently, avoiding vigorous swishing that could disturb the healing site.

5. Monitor Symptoms: Keep an eye on your symptoms. If the throat pain worsens, or if you develop a fever, increased swelling, or pus discharge from the extraction site, these could be signs of infection, and you should seek medical attention promptly.

6. Follow-Up Appointments: Regular follow-ups with your dentist or oral surgeon are essential to monitor your healing process. If you have concerns about persistent pain or swelling, do not hesitate to reach out for a re-evaluation.

Conclusion
While throat pain after wisdom tooth extraction can be alarming, it is often a manageable symptom resulting from the surgical procedure. By understanding the potential causes and implementing appropriate remedies, you can facilitate your recovery. Always prioritize communication with your healthcare provider to ensure any complications are addressed promptly. Remember, healing takes time, and being patient with your body is key to a successful recovery.

Similar Q&A

Post-Wisdom Tooth Extraction: Understanding Pain and Swelling Concerns

Hello, doctor. I had my wisdom teeth removed on March 4th, and since yesterday, my throat has been very painful. The first day, it was a sharp pain when swallowing saliva, and now on the second day, I have a constant sensation of something stuck in my throat, making it difficult ...

Dr. Zeng Guanghui reply Dentistry
The above situation likely pertains to the tooth extraction process, where surrounding bone plates are removed, possibly due to an impacted wisdom tooth or one that was trapped by the bone plate, resulting in a large extraction wound, which could cause throat pain. As long as ora...

Post-Wisdom Tooth Extraction: Understanding Complications and Symptoms

Hello Doctor: I had my lower left wisdom tooth extracted yesterday (with stitches), but today I am experiencing severe throat pain (sharp pain when swallowing), a sore on the tip of my tongue, redness and swelling of the gums on the inner side of my upper left first and second mo...

Dr. Zeng Guanghui reply Dentistry
Dear Ms. Kuo, The conditions mentioned above may occur after wisdom tooth extraction. This is due to the proximity of the extraction site to the throat and the lingual side. It is recommended to keep the wound clean and take anti-inflammatory and pain relief medications as presc...

What to Do If You Can't Swallow After Wisdom Tooth Extraction?

If the dentist advised you to swallow saliva after having your wisdom teeth removed, but your throat is very sore and you can't swallow, try the following: 1. Stay hydrated by sipping on water or clear fluids to help soothe your throat. 2. Use a saline gargle to reduce thr...

Dr. Zeng Guanghui reply Dentistry
After having your wisdom teeth removed, you must bite down on the gauze tightly and swallow your saliva to help stop the bleeding. If you have a sore throat and cannot swallow your saliva, you should promptly return to your dentist to check if the wound has stopped bleeding. If i...

Post-Wisdom Tooth Extraction: Fever and Sore Throat Concerns

Hello Doctor, I had my lower left horizontal wisdom tooth extracted at a large hospital on the evening of August 27, and I received stitches. After the extraction, I started experiencing a persistent fever that night and the following day, along with severe throat pain when swall...

Dr. Huang Tingfang reply Dentistry
Dear Mr. Tony, Hello! The primary focus should still be on anti-inflammatory and analgesic treatment! Additionally, it is important to maintain oral hygiene! If the condition is severe, please return to the clinic for treatment promptly! Take care! Wishing you peace and smooth r...