Post-Wisdom Tooth Extraction: Tongue Friction and Pain Concerns - Dentistry

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After a wisdom tooth extraction, it is not uncommon to experience various sensations and discomforts, especially in the months following the procedure. Your concerns about tongue friction and pain, as well as the lingering discomfort in the area where the tooth was removed, are valid and deserve careful consideration.

Firstly, the sensation of your tongue rubbing against your teeth, particularly after swallowing, could indeed be related to your bite alignment or occlusion. If your left upper wisdom tooth remains intact while the lower one has been extracted, this could create an imbalance in your bite. When teeth are misaligned, it can lead to abnormal contact points, which might cause your tongue to come into contact with the teeth in a way that it did not before. This friction can irritate the tongue, leading to inflammation or soreness. It is advisable to consult with a dentist or orthodontist who can evaluate your bite and determine if any adjustments are necessary to alleviate this issue.

Regarding the persistent mild pain or discomfort in the area where your wisdom tooth was extracted, it is not unusual to experience some residual sensations long after the extraction site has healed. This could be due to several factors:
1. Nerve Sensitivity: The extraction process can sometimes irritate the nerves in the surrounding area. Even after the wound has healed, these nerves may remain sensitive, leading to a sensation of discomfort.

2. Bone Healing: After a tooth is extracted, the bone where the tooth root was anchored undergoes a healing process. This can sometimes result in a feeling of pressure or mild pain as the bone remodels itself.

3. Soft Tissue Changes: The gums and other soft tissues in the mouth can also take time to adjust after an extraction. If the tissue is still adapting, it may lead to sensations that feel like pain or discomfort.

4. Residual Infection or Dry Socket: Although it has been ten months since your extraction, if you experience any unusual pain or if the area feels inflamed, it is worth checking for any signs of infection or complications such as a dry socket, which can occur if the blood clot at the extraction site dislodges.

In summary, while some discomfort after wisdom tooth extraction can be normal, especially if there are changes in your bite or if the area is still adjusting, it is essential to monitor your symptoms. If the pain persists, worsens, or if you notice any other concerning symptoms, it would be prudent to seek a follow-up appointment with your dentist. They can perform a thorough examination, possibly including X-rays, to ensure that everything is healing properly and to rule out any complications.
Additionally, if you are considering orthodontic treatment to correct any bite issues, it is never too late to explore options. Many adults undergo orthodontic treatment successfully, and it can significantly improve both function and comfort in your bite.
In conclusion, while some discomfort can be expected after wisdom tooth extraction, persistent or worsening symptoms warrant further evaluation. Consulting with a dental professional will provide you with the best course of action to address your concerns and improve your oral health.