Post-operative issues after wisdom tooth extraction?
After having my lower left wisdom tooth extracted (with stitches), I feel discomfort in a nerve extending to my jaw at certain angles.
What could be the reason for this? I didn't experience this before, and I still have not had my stitches removed.
Will this go away after the stitches are taken out? Thank you.
Lin, 20~29 year old female. Ask Date: 2021/08/09
Dr. Lin Jiayong reply Dentistry
Hello: I suggest that when you have your stitches removed, you mention this issue to your physician to confirm whether the inferior alveolar nerve has been injured.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/08/09
More Info
After wisdom tooth extraction, experiencing discomfort or unusual sensations in the head or jaw area is not uncommon. This discomfort can often be attributed to several factors related to the surgical procedure and the healing process.
1. Nerve Irritation or Damage: During the extraction of wisdom teeth, particularly the lower ones, there is a risk of irritating or damaging nearby nerves, such as the inferior alveolar nerve or the lingual nerve. These nerves are responsible for sensation in the lower jaw and tongue. If these nerves are affected during the extraction, it can lead to sensations of tingling, numbness, or discomfort that may radiate to different areas, including the head and jaw.
2. Swelling and Inflammation: Post-operative swelling is a common response to surgery. This swelling can put pressure on surrounding tissues, including nerves, leading to discomfort. As the swelling decreases over time, you may find that the discomfort also diminishes.
3. Muscle Tension: After surgery, patients often unconsciously tense their jaw muscles, especially if they are experiencing pain or discomfort. This tension can lead to muscle soreness and discomfort that may feel like it is coming from the nerves.
4. Sutures: The presence of sutures can also contribute to discomfort. If the sutures are irritating the surrounding tissues or nerves, this could lead to sensations of discomfort. Once the sutures are removed, you may notice an improvement in your symptoms.
5. Healing Process: The healing process after a tooth extraction can vary from person to person. Some individuals may experience discomfort for a longer period, while others may heal more quickly. It is essential to monitor your symptoms and give your body time to heal.
In most cases, the discomfort should gradually improve as you heal. However, if the discomfort persists or worsens, it is crucial to consult your dentist or oral surgeon. They can evaluate your situation more thoroughly and determine if any further intervention is needed.
Recommendations:
- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Always follow the dosage instructions provided by your healthcare provider.
- Follow-Up Appointment: Schedule a follow-up appointment with your dentist or oral surgeon to discuss your symptoms. They can assess the extraction site and ensure that there are no complications, such as dry socket or infection.
- Gentle Care: Avoid hard or crunchy foods that may irritate the extraction site. Stick to soft foods and maintain good oral hygiene to promote healing.
- Monitor Symptoms: Keep track of your symptoms, including any changes in sensation or discomfort. If you notice any new symptoms, such as increased swelling, fever, or severe pain, seek medical attention promptly.
In summary, while discomfort after wisdom tooth extraction can be concerning, it is often a normal part of the healing process. Understanding the potential causes of your discomfort can help alleviate anxiety and guide you in managing your recovery effectively. If you have any ongoing concerns, do not hesitate to reach out to your dental care provider for personalized advice and support.
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