Post-Extraction Concerns: Tooth Removal and Mental Health

Q: Post-Extraction Concerns: Tooth Removal and Mental Health

Hello： 1. It is recommended to limit to no more than three extractions in a single appointment. 2. Unless there is an infection extending to the sinus or spreading upwards to the sphenoid sinus, or causing meningitis after extraction. 3. Yes. 4. Differ

Post-extraction complications?

Hello, doctor.
I have a few questions:
1.
How many teeth can be extracted at one time?
2.
Will extracting two molars (the first and second molars on the upper right side) affect brain function or mental capacity?
3.
Are wisdom teeth similar to other teeth in that they originate from the same nerves and blood vessels?
4.
Is there a specific tooth whose extraction is known to cause the most harm to the brain or body, aside from the differences in the difficulty of extraction and the resulting gap?
5.
Is it possible to have a tooth extraction done at night?
6.
Can tooth extraction lead to dementia? After having two molars extracted, I feel an unusual sensation in my head, as if I am not fully awake or alert.
Before the extraction, I was normal and active, but now I feel strange and have significant cognitive issues.
What could be happening?

Ahan, 30~39 year old female. Ask Date: 2022/06/26

Dr. Lin Jiayong reply Dentistry

Hello: 1.
It is recommended to limit to no more than three extractions in a single appointment.
2.
Unless there is an infection extending to the sinus or spreading upwards to the sphenoid sinus, or causing meningitis after extraction.
3.
Yes.
4.
Different teeth require various techniques and precautions during extraction.
5.
It is advisable to have extractions performed during the daytime.
6.
It is recommended to go to a larger hospital for a CT scan and blood tests to confirm whether there is any actual brain injury.

Reply Date: 2022/06/26

More Info

To address your concerns regarding tooth extraction and its potential impact on mental health, it's essential to understand the relationship between dental health and overall well-being. Your questions touch on several important aspects, so let's break them down systematically.

1. Number of Teeth Extracted at Once: Dentists can extract multiple teeth in one session, depending on the patient's health, the complexity of the extraction, and the dentist's judgment. However, it's generally advisable to limit the number of extractions to ensure that the patient can manage pain and recovery effectively.

2. Impact on Mental Health: The extraction of two molars, particularly if they are significant teeth, can lead to discomfort and changes in your oral environment. While there is no direct evidence linking tooth extraction to cognitive decline or mental health issues, the stress and pain associated with recovery can affect mood and cognitive function temporarily. Additionally, if you experience chronic pain or complications post-extraction, this can lead to feelings of anxiety or depression.

3. Nerve and Blood Supply: All teeth, including wisdom teeth and molars, are connected through a network of nerves and blood vessels. However, the extraction of one tooth does not directly affect the nerves supplying other teeth or the brain. The sensation you feel in your head after an extraction may be due to pain, inflammation, or stress rather than a direct neurological impact.

4. Specific Teeth and Health Risks: While all teeth play a role in oral health, there is no specific tooth whose extraction is universally linked to significant neurological damage. However, the loss of teeth can lead to changes in bite, jaw alignment, and even affect the temporomandibular joint (TMJ), which can indirectly influence overall health. The psychological impact of tooth loss, especially in visible areas, can also affect self-esteem and mental health.

5. Timing of Extractions: Tooth extractions can be performed at various times, including evenings, depending on the dental practice's schedule and the patient's needs. However, it's crucial to ensure that you have adequate post-operative care and support after the procedure.

6. Cognitive Changes Post-Extraction: Experiencing feelings of confusion or a lack of mental clarity after tooth extraction can be distressing. This may be due to several factors, including pain medication, anxiety about the procedure, or even dehydration and lack of nutrition during recovery. It is essential to communicate these feelings to your dentist or healthcare provider, as they can help assess your situation and provide appropriate support.

In summary, while there is no direct evidence linking tooth extraction to dementia or significant cognitive decline, the stress and physical discomfort associated with the procedure can lead to temporary changes in mental state. If you are experiencing persistent cognitive issues after your extractions, it is crucial to seek further evaluation from a healthcare professional. They can help determine if there are underlying issues that need to be addressed, whether they are related to the extraction or other health factors. Remember, your mental and physical health are interconnected, and addressing one often involves considering the other.

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