Post-Wisdom Tooth Extraction: Nerve Discomfort

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: 2021/08/10

Dr. Lin Jiayong reply Dentistry

Hello, it is recommended that you discuss this issue with your physician when you have your sutures removed, to confirm whether there is any injury to the inferior alveolar nerve.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/10

More Info

After wisdom tooth extraction, it is not uncommon to experience discomfort or unusual sensations in the surrounding areas, including the jaw and head. The discomfort you are feeling, particularly if it seems to be related to a nerve that extends into your lower jaw, could be attributed to several factors associated with the procedure.

1. Nerve Irritation or Damage: During the extraction of the wisdom tooth, especially if it is impacted or located close to the mandibular nerve (which runs through the lower jaw), there is a risk of nerve irritation or even damage. This can lead to sensations such as tingling, numbness, or discomfort in the jaw, chin, or even the lower lip. If the discomfort is localized and occurs at certain angles, it may indicate that the nerve is still irritated but not necessarily damaged.

2. Swelling and Inflammation: Post-operative swelling is a common occurrence after dental extractions. This swelling can put pressure on nearby nerves, leading to discomfort. As the swelling subsides over the days following the extraction, you may find that the discomfort decreases as well.

3. Sutures: The presence of stitches can also contribute to discomfort. They may irritate the surrounding tissues or nerves, leading to sensations that you did not experience before the extraction. Once the sutures are removed, if they are indeed the cause of your discomfort, you may notice an improvement.

4. Healing Process: The healing process after a tooth extraction can vary from person to person. It is possible that your body is still adjusting to the changes in the area where the tooth was removed. As healing progresses, many patients report a gradual decrease in discomfort.

5. Jaw Position and Movement: Sometimes, the way you move your jaw or the position of your head can exacerbate discomfort in the area. If you are unconsciously altering your jaw position due to discomfort, this can create a cycle of irritation.

Recommendations:
- Monitor Your Symptoms: Keep track of your discomfort. If it worsens or if you experience additional symptoms such as severe pain, swelling, or signs of infection (like fever or pus), you should contact your dentist or oral surgeon immediately.

- Follow-Up Appointment: It is advisable to have a follow-up appointment with your dentist or oral surgeon. They can assess the healing process and determine if the discomfort is within the normal range or if further evaluation is needed.

- Pain Management: Over-the-counter pain relievers, as recommended by your healthcare provider, can help manage discomfort. Ensure you follow the dosage instructions carefully.

- Avoid Strain: Try to avoid activities that may strain your jaw or exacerbate the discomfort, such as chewing hard foods or excessive jaw movements.

In conclusion, while some discomfort after wisdom tooth extraction is normal, especially if it involves nerve areas, it is essential to monitor your symptoms and consult with your dentist if you have concerns. The discomfort may resolve as you heal, particularly after the sutures are removed. Always prioritize your oral health and seek professional advice when in doubt.

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