The issue of a hole caused by injury to the adjacent tongue base after wisdom tooth extraction?
Hello, Doctor! I had my wisdom teeth removed on February 16, and two days later, I noticed that the base of my tongue was very painful, so I went to see a doctor.
The doctor mentioned a large hole and prescribed me medication and an oral ointment.
The problem is that the oral ointment comes into contact with the wisdom tooth extraction site.
I also tried to remove it with a cotton swab, but I noticed some blood.
My question is, will the oral ointment affect the wisdom tooth extraction site if I don't remove it? Or should I use a cotton swab to remove it? Thank you, Doctor.
I look forward to your response.
Hui An, 20~29 year old female. Ask Date: 2021/02/21
Dr. Lin Jiayong reply Dentistry
Hello; applying an appropriate amount of oral ointment to the base of the tongue and the extraction site will not cause harm.
Do not repeatedly poke the extraction site with cotton swabs or other sharp objects! Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/02/21
More Info
After wisdom tooth extraction, experiencing pain at the tongue root can be quite common, especially if the extraction site is still healing. It's essential to manage this pain effectively while ensuring that the healing process is not disrupted. Here are some insights and recommendations based on your situation.
Understanding the Pain
The pain you are experiencing at the tongue root could be due to several factors:
1. Surgical Trauma: The extraction of a wisdom tooth can cause trauma not only to the tooth and surrounding gum tissue but also to nearby structures, including the tongue and the floor of the mouth.
2. Healing Process: After surgery, the body initiates a healing response, which can involve inflammation and discomfort in the surrounding areas, including the tongue root.
3. Infection or Dry Socket: If the extraction site becomes infected or if a dry socket develops (which occurs when the blood clot at the extraction site dislodges or dissolves), this can lead to increased pain and discomfort.
Managing Pain and Healing
1. Medications: Continue taking any prescribed pain medications as directed by your dentist or oral surgeon. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage pain and reduce inflammation.
2. Oral Care: Maintaining good oral hygiene is crucial. However, be cautious around the extraction site. Rinsing gently with warm salt water can help keep the area clean and promote healing without disturbing the wound.
3. Avoid Irritation: If the oral paste you were given is coming into contact with the extraction site, it may cause irritation. If you notice that it is causing bleeding or discomfort, it may be wise to avoid applying it directly over the extraction site. Instead, you can apply it to other areas of your mouth that are not affected.
4. Use of Cotton Swabs: If you are using cotton swabs to remove the paste, do so gently. If you notice blood, it may indicate that you are disturbing the healing tissue. It’s best to minimize any manipulation of the area.
5. Follow-Up: If the pain persists or worsens, or if you notice signs of infection (such as increased swelling, redness, or pus), it is crucial to return to your dentist or oral surgeon for a follow-up examination. They may need to assess the extraction site for complications.
When to Seek Further Help
If the pain at the tongue root does not improve with home care or if you experience significant discomfort, it’s essential to consult your dentist. They may consider:
- Further Evaluation: To rule out any complications such as dry socket or infection.
- Additional Treatments: Depending on the findings, they may recommend additional treatments or medications to alleviate your symptoms.
Conclusion
In summary, while it’s normal to experience some discomfort after wisdom tooth extraction, managing that pain effectively and ensuring proper healing is crucial. Avoiding irritation to the extraction site and maintaining good oral hygiene will aid in your recovery. If you have any concerns about the healing process or if the pain persists, don’t hesitate to reach out to your dental professional for further advice and treatment options. Your health and comfort are paramount, and timely intervention can prevent further complications.
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