Post-Wisdom Tooth Extraction: Addressing Jaw Tightness and Pain - Dentistry

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Extraction of impacted wisdom teeth and issues related to mandibular opening?


Last week, I had my lower left horizontal wisdom tooth extracted.
Shortly after the extraction, I had difficulty opening my mouth, but after taking medication and resting for a week, it improved significantly.
However, I still feel tightness and pain in the lower left cheek area when I open my mouth too wide.
Additionally, when I open and close my mouth, my lower jaw feels slightly shifted to the right, and it hurts a bit when I move it to the left.
I thought this might be due to the stitches not being removed yet.
Yesterday, I returned for a follow-up appointment, and the doctor mentioned that my lower jaw is a bit tense and stuck, and recommended that I take muscle relaxants.
Should I continue to rest, take medication, and apply heat to gradually improve, or is there a different issue at play?

Niming, 20~29 year old female. Ask Date: 2020/09/30

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Anonymous: Hello! Apply heat packs frequently and maintain good oral hygiene.
You should gradually recover! Take care! Wishing you peace and smoothness in everything! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/09/30

More Info


After wisdom tooth extraction, it's not uncommon to experience discomfort, tightness in the jaw, and pain, especially if the extraction was complicated, such as in the case of impacted teeth. Your symptoms of tightness and pain in the left side of your face, along with the feeling of your jaw being slightly misaligned, can be attributed to several factors related to the surgical procedure and the healing process.

Firstly, the extraction of a wisdom tooth, particularly a horizontally impacted one, often involves cutting through gum tissue and sometimes even bone. This can lead to inflammation and swelling in the surrounding tissues, which may contribute to the sensation of tightness in your jaw. Additionally, the muscles that control jaw movement can become tense or spasm in response to pain or discomfort, leading to further tightness and difficulty in opening your mouth fully.

The fact that your doctor recommended muscle relaxants suggests that they suspect muscle tension or spasms are contributing to your symptoms. Muscle relaxants can help alleviate this tension, allowing for better mobility and comfort. It's important to follow your doctor's advice regarding medication and to take the prescribed muscle relaxants as directed.

In terms of managing your symptoms, here are several strategies that may help:
1. Rest and Recovery: Continue to allow your body time to heal. Avoid strenuous activities that may exacerbate your symptoms. Rest is crucial in the recovery process.

2. Heat Therapy: Applying a warm compress to the affected area can help relax tight muscles and improve blood circulation, which may alleviate pain and discomfort. Use a warm towel or a heating pad for 15-20 minutes at a time.

3. Gentle Jaw Exercises: Once the initial pain subsides, gentle stretching exercises for your jaw can help improve mobility. Open your mouth slowly and gently, and try to move your jaw from side to side. However, avoid any movements that cause pain.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Be sure to follow the dosage instructions on the packaging or as advised by your healthcare provider.

5. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support your healing process. Soft foods that require minimal chewing can be beneficial during this time.

6. Follow-Up Appointments: Keep all follow-up appointments with your dentist or oral surgeon. If your symptoms do not improve or worsen, it is essential to communicate this to your healthcare provider. They may need to evaluate your jaw alignment and assess for any complications, such as dry socket or infection.

7. Avoiding Certain Activities: Refrain from activities that could strain your jaw, such as chewing gum or eating hard foods, until you feel more comfortable.

In conclusion, while your symptoms are likely part of the normal healing process following wisdom tooth extraction, it is essential to monitor your condition closely. If you experience persistent pain, swelling, or any new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide additional insights and treatment options tailored to your specific situation. Remember, healing takes time, and being patient with your recovery is key.

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