Gum Pain from Wisdom Teeth: When to Seek Further Dental Care - Dentistry

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Wisdom teeth biting into the upper gum can cause gum pain?


Hello Doctor, yesterday I felt pain in the gums where my upper left wisdom tooth was removed.
The pain comes in waves and radiates throughout the entire upper left gum.
I took painkillers, but they didn't help, so I went to see a dentist.
The dentist diagnosed that my lower wisdom tooth was hitting the upper gum, so they filed down the lower wisdom tooth and applied medication.
Later, they prescribed painkillers and antibiotics.
However, after returning home, I still experienced pain, and the painkillers did not alleviate it.
I would like to know if such intense pain is normal in this situation, or if I should go for another check-up or visit the hospital.
If I go to the hospital, should I see an oral medicine specialist or a surgeon? Additionally, would using an oral ointment help reduce the pain?

Ronnie, 20~29 year old female. Ask Date: 2022/06/11

Dr. Zeng Guanghui reply Dentistry


If the upper wisdom tooth was extracted and the lower wisdom tooth is grinding against the upper gum, the lower wisdom tooth can be reshaped to prevent further irritation to the upper gum.
However, if the upper gum continues to be painful after reshaping, it is important to consider whether there is gum inflammation around the upper molars.
It is advisable to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/06/11

More Info


Experiencing gum pain after the extraction of a wisdom tooth can be quite distressing, especially when the pain persists despite medication. It’s essential to understand the potential causes of this pain and when to seek further dental care.

Firstly, it’s not uncommon to experience some discomfort after a wisdom tooth extraction. The pain can arise from several factors, including inflammation of the gums, irritation from adjacent teeth, or even infection. In your case, the dentist diagnosed that your lower wisdom tooth was impacting the upper gum, which could lead to additional irritation and pain. The fact that you are experiencing pain that is not alleviated by painkillers suggests that there may be an underlying issue that needs to be addressed.

If the pain is severe and persists despite taking prescribed pain relievers and antibiotics, it is advisable to return to the dentist for a follow-up appointment. It is crucial to ensure that there is no infection or other complications such as dry socket, which can occur when the blood clot at the extraction site dislodges or dissolves before the wound has healed. Symptoms of dry socket include severe pain that typically starts a few days after the extraction, bad breath, and an unpleasant taste in the mouth.

When considering whether to visit a dental clinic or a hospital, it is generally best to return to your dentist first, as they are familiar with your specific case and can provide targeted care. If your dentist is unavailable or if you feel that your condition is worsening, you may consider visiting a hospital. In that case, you would typically want to see an oral surgeon or an oral medicine specialist, as they are equipped to handle complications related to dental extractions.

Regarding the use of oral gels or ointments, these can sometimes provide temporary relief for gum pain. However, it is essential to choose products that are specifically designed for oral use and to follow the instructions carefully. Some topical anesthetics can numb the area, providing short-term relief, but they do not address the underlying cause of the pain.

In summary, while some discomfort after wisdom tooth extraction is normal, persistent and severe pain warrants further investigation. It is advisable to return to your dentist for a follow-up examination to rule out complications such as infection or dry socket. If necessary, they may refer you to a specialist for further evaluation. In the meantime, using oral gels may provide temporary relief, but it is crucial to address the root cause of the pain for long-term resolution. Always prioritize communication with your healthcare provider regarding any ongoing symptoms.

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