Toothache
Hello, doctor: I had my second molar extracted due to decay at a major hospital the day before yesterday (11/20), but today (11/22) I noticed that the teeth on the same side, both upper and lower, are experiencing soreness.
Is this normal?
yu, 10~19 year old female. Ask Date: 2020/11/22
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Yu,
Hello! The main wound is not infected.
Some pain is unavoidable, which is known as referred pain.
You can apply ice packs and take medication to manage it.
Wishing you a speedy recovery!
Sincerely,
Dr.
Huang Ting-Fang, Chief of Dentistry
Reply Date: 2020/11/22
More Info
After wisdom tooth extraction, experiencing pain in the surrounding teeth is not uncommon, and there are several factors that can contribute to this discomfort. When you undergo a dental procedure such as the extraction of a wisdom tooth or a second molar, the trauma to the area can lead to inflammation and sensitivity in adjacent teeth. This is particularly true if the extraction was complicated or if the tooth was impacted, as these situations can cause additional stress to the surrounding tissues.
Firstly, it is essential to understand that the extraction site can be quite sensitive for several days post-surgery. The pain you are feeling in the adjacent teeth could be due to a few reasons:
1. Inflammation: After an extraction, the body initiates a healing process that involves inflammation. This inflammation can extend to nearby teeth, causing them to feel sore or sensitive.
2. Nerve Sensitivity: The extraction process may irritate the nerves in the surrounding area. This irritation can lead to a sensation of pain or discomfort in adjacent teeth, which may feel more pronounced when consuming hot or cold substances.
3. Jaw Alignment: If the extraction has altered your bite or jaw alignment, it can lead to discomfort when chewing or even at rest. This is especially true if the extracted tooth was a molar, as it plays a significant role in your bite.
4. Dry Socket: In some cases, a condition known as dry socket can occur, where the blood clot at the extraction site becomes dislodged or fails to form properly. This can lead to severe pain that radiates to other areas, including adjacent teeth.
5. Underlying Dental Issues: If the adjacent teeth had pre-existing conditions, such as decay or gum disease, the trauma from the extraction could exacerbate these issues, leading to increased sensitivity or pain.
Given your situation, it is advisable to monitor the pain. If the discomfort persists beyond a few days, worsens, or is accompanied by other symptoms such as swelling, fever, or a bad taste in your mouth, you should contact your dentist or oral surgeon. They may want to evaluate the extraction site and the surrounding teeth to rule out any complications, such as infection or dry socket.
In the meantime, here are some recommendations to help manage your pain:
- Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help alleviate discomfort. Be sure to follow the dosage instructions on the package.
- Cold Compress: Applying a cold compress to the outside of your cheek near the extraction site can help reduce swelling and numb the area, providing some relief.
- Soft Diet: Stick to a soft diet for a few days to avoid putting pressure on the extraction site and surrounding teeth. Foods like yogurt, smoothies, and mashed potatoes can be good options.
- Oral Hygiene: Maintain good oral hygiene but be gentle around the extraction site. Rinse your mouth with warm salt water to help keep the area clean and promote healing.
In conclusion, while some discomfort in the surrounding teeth after a wisdom tooth extraction can be normal, it is essential to remain vigilant about your symptoms. If the pain continues or worsens, seeking professional advice is crucial to ensure proper healing and address any potential complications.
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