Is It Normal to Feel Sharp Pain After Wisdom Tooth Stitch Removal? - Dentistry

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Post-operative issues after wisdom tooth extraction and suture removal?


Doctor, I just had my stitches removed, and the night after, I felt a prickling sensation as if the wound might open up.
Is this prickling sensation normal?

CaiJie, 20~29 year old female. Ask Date: 2020/08/07

Dr. Huang Tingfang reply Dentistry


Hello CaiJie, if the wound continues to feel uncomfortable, it is advisable to return to the clinic for a doctor to examine the wound.
Take care! Wishing you peace and smooth recovery! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/08/07

More Info


Experiencing sharp pain or a prickling sensation after the removal of stitches from a wisdom tooth extraction site can be concerning, but it is not uncommon. After wisdom tooth extraction, the healing process can lead to various sensations as the body repairs itself. Here’s a detailed explanation of what you might be experiencing and some insights into the healing process.


Understanding Post-Extraction Pain
1. Healing Process: After a wisdom tooth extraction, the body goes through a healing process that involves inflammation, tissue regeneration, and the formation of new bone and gum tissue. This process can lead to discomfort or pain, especially as the stitches are removed. The sensation you describe as "sharp" or "prickling" may be due to the underlying tissues adjusting and healing.

2. Stitch Removal: When stitches are removed, it can sometimes expose the healing tissue underneath, which may still be sensitive. The sensation of the wound feeling like it might "split" could be related to the tension in the surrounding tissues as they heal. It’s important to remember that the area is still recovering, and some discomfort is expected.

3. Nerve Sensitivity: The extraction of wisdom teeth, especially if they were impacted or required significant manipulation, can affect nearby nerves. This can lead to sensations of sharp pain or tingling in the area, which may be more pronounced after stitches are removed as the area becomes more sensitive.

4. Infection or Complications: While some pain is normal, it’s crucial to monitor for signs of infection, such as increased swelling, redness, or discharge from the extraction site. If the pain intensifies or is accompanied by these symptoms, it’s essential to contact your dentist or oral surgeon for an evaluation.

5. Bone Healing: The jawbone where the tooth was removed takes time to heal. During this period, you might feel sharp pains as the bone remodels and fills in the extraction site. This process can take several weeks to months, depending on individual healing rates.


Recommendations
- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Always follow the dosage instructions and consult your healthcare provider if you have any concerns about medication.

- Follow-Up Care: If the sharp pain persists or worsens, or if you experience any unusual symptoms, it’s advisable to return to your dentist for a follow-up appointment. They can assess the healing process and determine if any additional treatment is necessary.

- Oral Hygiene: Maintaining good oral hygiene is crucial during the healing process. Gently rinsing with warm salt water can help keep the area clean and promote healing. Avoid vigorous rinsing or spitting, as this can dislodge the healing tissue.

- Dietary Considerations: Stick to soft foods and avoid anything that might irritate the extraction site. Foods that are too hot, spicy, or crunchy can exacerbate discomfort.


Conclusion
In summary, experiencing sharp pain or a prickling sensation after wisdom tooth stitch removal can be a normal part of the healing process. However, it’s essential to monitor your symptoms and consult with your dentist if you have any concerns. Healing takes time, and being proactive about your oral health will help ensure a smoother recovery. If you have any further questions or if your symptoms change, don’t hesitate to reach out to your dental care provider for guidance.

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