Post-Extraction Symptoms: Can Tooth Removal Affect Brain Health?

Are there any complications after tooth extraction?

Hello Doctor, I had severe cavities in my upper first and second molars.
Last year, I visited a clinic, and the dentist advised that the cavities were too extensive and recommended extraction.
After consideration, I followed the dentist's advice and had both decayed teeth removed.
However, since then, I have been feeling unwell and my mental state has changed.
I would like to know if having both molars extracted at the same time could affect my brain, as my mental sensations have not returned to their previous state.
The extraction sites healed quite well within 3 to 4 days.
Is it possible that the tooth extraction could have harmed my brain or led to a bacterial infection, such as brain abscess? Additionally, could you please clarify if general dentists without specialized certifications are qualified to perform tooth extractions?

Fanrao, 30~39 year old female. Ask Date: 2022/03/31

Dr. Lin Jiayong reply Dentistry

Hello,
1.
The maxillary molar region is indeed closer to the sinuses.
If there is a communication with the oral cavity leading to sinusitis, it can indeed cause symptoms such as dizziness and a feeling of pressure in the head.
If left untreated, the infection may spread to the retro-orbital area and potentially lead to meningitis.
If you are very concerned, it is advisable to go to a hospital for a CT scan of the head and neck.
2.
If you are using your National Health Insurance identity for tooth extraction, you may inquire with your local National Health Insurance Bureau or relevant health authorities regarding regulatory issues.
Sincerely,
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare

Reply Date: 2022/03/31

More Info

Tooth extraction is a common dental procedure, and while it can lead to some discomfort and temporary symptoms, it is generally not associated with direct effects on brain health. However, your concerns about experiencing unusual cognitive symptoms after the extraction of your upper molars are valid and worth discussing.

1. Can Tooth Removal Affect Brain Health?
Tooth extraction itself does not directly harm the brain. The procedure primarily involves the removal of the tooth and surrounding tissue, and while it can cause localized pain and swelling, it should not impact cognitive function or brain health. However, some patients report feeling "off" or experiencing changes in mood or cognition after dental procedures. This can be attributed to several factors, including anxiety about the procedure, the effects of anesthesia, or even the body's response to pain and healing.

2. Impact of Extracting Two Teeth Simultaneously
Extracting two teeth at once can lead to increased discomfort and a longer recovery period, but it is unlikely to cause any brain injury. The sensation of feeling "different" after the procedure may stem from the stress of the experience, changes in bite or jaw alignment, or even psychological factors related to the procedure. If you were already experiencing anxiety or stress, this could be exacerbated by the dental work.

3. Possible Causes of Your Symptoms
Your symptoms, such as difficulty concentrating, feelings of detachment, and cognitive decline, may not be directly related to the tooth extraction. It is essential to consider other factors that could contribute to these feelings. For instance, if you were already experiencing dental issues, the pain or discomfort might have affected your overall well-being. Additionally, if you were under significant stress or anxiety leading up to the extraction, this could also manifest as cognitive changes.
4. Infection Concerns
While it is rare, infections can occur after tooth extraction. If bacteria enter the bloodstream during the procedure, it could potentially lead to more severe complications, such as a brain abscess. However, this is uncommon, especially if you have been monitored by healthcare professionals and have not shown signs of systemic infection (such as fever, severe pain, or swelling). If you are concerned about the possibility of an infection, it is crucial to consult with your dentist or a healthcare provider for further evaluation.

5. Qualifications of the Dentist
Regarding your question about the qualifications of the dentist who performed the extraction, it is essential to ensure that your dental care is provided by a licensed professional. In the United States, dentists must complete a dental degree and obtain a license to practice. While some dentists may not have specialized training in oral surgery, they are generally qualified to perform routine extractions. If you have concerns about the procedure or the qualifications of your dentist, it may be beneficial to seek a second opinion from a specialist, such as an oral surgeon.

In conclusion, while tooth extraction can lead to temporary discomfort and changes in how you feel, it is unlikely to cause direct harm to your brain. If your symptoms persist or worsen, it is essential to follow up with a healthcare professional who can help determine the underlying cause and provide appropriate treatment. Your health and well-being are paramount, and addressing any concerns you have with a qualified provider is the best course of action.

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