Post-Tooth Extraction: Cognitive and Emotional Changes

Q: Post-Tooth Extraction: Cognitive and Emotional Changes

Hello： The symptoms you mentioned are systemic conditions (such as confusion, dementia, cognitive decline, etc.), and since the CT scan has already been performed and is normal, attributing systemic discomfort to a localized outpatient procedure seems a bit far-fetched. <br>After

Abnormal brain activity after tooth extraction?

1.
Can tooth extraction lead to the aforementioned brain issues?
2.
Could the extraction of two teeth at once have caused damage to the brain?
3.
If tooth extraction does not cause any brain damage, what could explain my current condition? I was very active and healthy before the extraction, but now I feel significantly unwell and unable to participate in any activities.
I have seen a neurologist and had a CT scan that showed normal results.

4.
Could the absence of upper molars on both sides lead to a lack of occlusion with the opposing teeth, potentially causing my brain discomfort, which in turn leads to muscle soreness in the temporal region and headaches? If this is the case, why didn't I experience any discomfort before the extraction?
5.
During the extraction, the dentist administered approximately three injections of local anesthesia and incised the gums and alveolar bone.
Could there have been any issues or oversights during this process?

fan nao, 30~39 year old female. Ask Date: 2022/06/03

Dr. Lin Jiayong reply Dentistry

Hello: The symptoms you mentioned are systemic conditions (such as confusion, dementia, cognitive decline, etc.), and since the CT scan has already been performed and is normal, attributing systemic discomfort to a localized outpatient procedure seems a bit far-fetched.
After all, no abnormalities have been found, and without abnormalities, there are no causes for those abnormalities.
I recommend further detailed examinations.
Additionally, issues related to medical disputes cannot be discussed here.
Thank you! (Indeed, malocclusion can cause tension around the unilateral temporomandibular joint, which may involve the temporalis and sternocleidomastoid muscles, leading to headaches and muscle soreness in the shoulders and neck.) Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/06/03

More Info

To address your concerns regarding the cognitive and emotional changes you are experiencing after tooth extraction, it's important to understand the relationship between dental procedures and neurological health. While it may seem that there is a direct correlation between tooth extraction and cognitive changes, the evidence supporting this is not definitive.

1. Cognitive Changes Post-Extraction: There is no substantial evidence that tooth extraction directly causes cognitive impairment or emotional disturbances. However, some individuals may experience anxiety or stress related to dental procedures, which can manifest as cognitive difficulties, such as trouble concentrating or feelings of disorientation. The psychological impact of undergoing a dental procedure, especially if it involves multiple extractions, can lead to temporary emotional and cognitive changes.

2. Impact of Multiple Extractions: Having two teeth extracted in one session can be more taxing on the body than a single extraction. The stress of the procedure, combined with the physical recovery process, may contribute to feelings of fatigue or cognitive fog. It is not uncommon for patients to feel a sense of disconnection or altered mental state after significant dental work, particularly if they are also managing pain or discomfort.

3. Understanding Your Symptoms: If you are experiencing symptoms such as a lack of concentration, feelings of detachment, or memory issues, it may be beneficial to consider other factors that could be contributing to these feelings. Pain, medication side effects, and emotional responses to the procedure can all play a role. Additionally, if you have a history of anxiety or depression, these conditions may be exacerbated by the stress of dental surgery.

4. Jaw and Muscle Tension: The absence of opposing teeth can lead to changes in how your jaw functions, potentially causing muscle tension and discomfort. This tension can radiate to the head and neck, leading to headaches or feelings of pressure. If you did not experience these issues before the extractions, it is possible that the changes in your bite and jaw alignment are contributing to your current discomfort.

5. Concerns About the Procedure: Regarding the use of local anesthesia and the surgical process, it is standard practice to administer anesthesia to ensure patient comfort during tooth extractions. The procedure typically involves incisions in the gum tissue and manipulation of the bone, which can lead to temporary discomfort and swelling. If you have concerns about the technique used by your dentist, it may be worthwhile to seek a second opinion from another dental professional.

In conclusion, while there is no direct evidence linking tooth extraction to long-term cognitive impairment, the stress and physical effects of the procedure can lead to temporary emotional and cognitive changes. It is essential to communicate your symptoms with your healthcare providers, including both your dentist and any medical professionals you are seeing for your cognitive concerns. They can help determine if there are underlying issues that need to be addressed or if your symptoms are part of the normal recovery process. If your symptoms persist or worsen, further evaluation may be necessary to rule out other potential causes.

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