Post-Wisdom Tooth Extraction Pain: Causes and Remedies - Dentistry

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Experiencing tooth pain after wisdom tooth extraction for a period of time?


I had my lower right wisdom tooth extracted in early April; it was horizontally impacted, and the doctor mentioned that the roots were quite deep.
Recently, for the past two or three days, I've been experiencing sudden pain in the gums near the lower right area of my mouth at night, which extends to the right side of my face and even to the base of my ear.
Applying ice helps alleviate the pain.
I would like to know if this could be due to the bone healing and growing together, or if there are other possible causes for this discomfort.
Thank you.

Tiffany, 20~29 year old female. Ask Date: 2021/05/25

Dr. Zeng Guanghui reply Dentistry


After the extraction of impacted wisdom teeth, if there is pain near the wound, it may indicate inflammation or infection.
It is advisable to return for a follow-up appointment for a thorough examination by a dentist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/05/25

More Info


Understanding post-wisdom tooth extraction pain can be quite complex, as there are several factors that can contribute to discomfort following the procedure. Wisdom teeth, particularly those that are impacted or horizontally positioned, can lead to a variety of complications during and after extraction. In your case, it seems you are experiencing pain in the area where the tooth was removed, which can radiate to other parts of your face, including the ear.


Causes of Pain After Wisdom Tooth Extraction
1. Inflammation and Infection: After the extraction of a wisdom tooth, especially if it was impacted, the surgical site can become inflamed. This inflammation can lead to pain that may feel sharp or throbbing. If the area becomes infected, you might experience increased pain, swelling, and possibly fever. Signs of infection can include pus or a foul taste in the mouth.

2. Nerve Irritation: The proximity of the wisdom teeth to the nerves in the jaw can sometimes lead to nerve irritation during extraction. This can cause pain that radiates to other areas, such as the ear or jaw.

3. Dry Socket (Alveolar Osteitis): This condition occurs when the blood clot at the extraction site either dissolves or becomes dislodged before the wound has healed. This can expose the underlying bone and nerves, leading to significant pain that often radiates to the face and ear.

4. Referred Pain: Sometimes, pain from the extraction site can be perceived in other areas due to the way nerves are interconnected. This is known as referred pain and can make it seem like the pain is coming from a different location.

5. Bone Growth and Healing: As the bone and tissue heal after the extraction, you may experience discomfort as the body works to fill in the space left by the tooth. This is typically a normal part of the healing process, but if the pain is severe or persistent, it may warrant further investigation.


Remedies and Management
1. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain. If your dentist prescribed medication, it’s important to follow their instructions regarding dosage and duration.

2. Ice Packs: Applying ice packs to the outside of your jaw can help reduce swelling and numb the area, providing temporary relief from pain.

3. Salt Water Rinses: Gentle rinsing with warm salt water can help keep the extraction site clean and may reduce the risk of infection.

4. Avoiding Certain Foods: Stick to soft foods and avoid anything that could irritate the extraction site, such as spicy or crunchy foods.

5. Follow-Up with Your Dentist: If the pain persists or worsens, it’s crucial to follow up with your dentist. They can assess for any complications such as infection or dry socket and provide appropriate treatment.

6. Good Oral Hygiene: Maintaining good oral hygiene is essential to prevent infection. Be gentle around the extraction site while brushing and avoid using straws, as the suction can dislodge the blood clot.


When to Seek Further Help
If you notice any signs of infection (increased swelling, pus, fever), or if the pain is severe and not alleviated by over-the-counter medications, you should contact your dentist immediately. They may need to perform a thorough examination, possibly including X-rays, to determine the cause of your pain and recommend further treatment.

In conclusion, while some discomfort is expected after wisdom tooth extraction, persistent or severe pain should not be ignored. Understanding the potential causes and remedies can help you manage your symptoms effectively and ensure a smoother recovery. Always communicate openly with your healthcare provider about your symptoms and concerns for the best outcomes.

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