Post-Wisdom Tooth Extraction: Is Tongue Pain Normal? - Dentistry

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Wisdom tooth extraction and tongue issues?


I recently had my lower right wisdom tooth extracted, but after 1-2 days, the right side of my tongue feels like it has been scraped.
This sensation has lasted for 3-4 days.
I'm wondering if this is normal and how much longer it might continue.

yang, 20~29 year old female. Ask Date: 2020/08/27

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Yang: After having your impacted wisdom tooth removed, if you experience a scraping sensation on the right side of your tongue 1 to 2 days later, it is advisable to return for a follow-up examination to check the wound for any retained fragments or to see if the edges of the alveolar bone are too sharp, which may be affecting your tongue.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2020/08/27

More Info


After having your wisdom tooth extracted, experiencing tongue pain can be a common occurrence, especially if the extraction was surgical or if there was significant manipulation of the surrounding tissues. The sensation of your tongue feeling "scraped" or sore could be attributed to several factors related to the extraction process.

Firstly, during the extraction of a wisdom tooth, especially if it is impacted or positioned horizontally, the dentist may need to apply considerable force to remove the tooth. This can lead to trauma not only to the gums but also to the surrounding soft tissues, including the tongue. If the tongue was inadvertently pressed against the teeth or the surgical site during the procedure, it could result in soreness or a feeling of abrasion.

Additionally, after a tooth extraction, it is common for the area to be inflamed and sensitive. This inflammation can sometimes extend to nearby structures, including the tongue. The healing process can also lead to changes in sensation, where the nerves in the area may become temporarily hypersensitive, causing discomfort.

In terms of duration, tongue pain following a wisdom tooth extraction can vary from person to person. Generally, if the pain is mild and gradually improving, it is likely part of the normal healing process and should resolve within a week or so. However, if the pain persists beyond a week, worsens, or is accompanied by other symptoms such as swelling, fever, or difficulty swallowing, it would be advisable to consult your dentist or oral surgeon. They can assess whether there is an underlying issue, such as an infection or a reaction to the surgical procedure.

It is also important to maintain good oral hygiene during the healing process. Gently rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Avoiding irritants such as spicy foods, alcohol, and tobacco can also be beneficial.

In conclusion, while tongue pain after wisdom tooth extraction can be normal, it is essential to monitor the symptoms. If you have concerns about the severity or duration of the pain, or if you notice any unusual changes, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide personalized advice and ensure that your recovery is on track.

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