Post-Extraction Symptoms: What to Expect After Tooth Removal - Dentistry

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I would like to consult a doctor about the symptoms after having my upper right second molar extracted. Could you please help me clarify this? I couldn't find much information online?


Due to a cavity and discomfort in the right side of my mouth (with inflammation symptoms in the triangular area behind the molar), I experience a sharp pain when my tongue touches that area.
Additionally, I feel a slight referred pain from my ear to the upper neck.
Initially, I consulted an ENT specialist who said everything looked fine, and there were no abnormalities in my ear or neck.
It was later speculated that the inflammation might be due to soft tissue between the soft palate and the molar.
That evening, I visited a dentist who suspected that the issue was caused by a cavity in my second upper molar, which I also believed could be the case since it was on the same side as the discomfort.
I decided to have the tooth extracted, and the second upper molar was removed without sutures.
I would like to ask if it is normal to have bruising in the soft palate and hard palate on the side of the extraction nine days post-surgery? Does bruising typically require more time to heal? Is it normal for the extraction site to appear dark with some white tissue when viewed with an intraoral camera? There seems to be a sore-like appearance in the gum near the extraction site (but it does not hurt); is this normal? The inflammation in the area behind the molar has improved significantly, but I still experience slight referred pain in my ear and neck.
Occasionally, I feel a bit of soreness at the extraction site.
I am unsure if this is referred pain from the extraction or if it could be a sign of oral cancer.
If these symptoms are all normal, I will continue to monitor them.
However, if there are any signs of precancerous lesions, I will return for a follow-up.
Thank you for your professional response.

Yangyang, 20~29 year old female. Ask Date: 2022/07/04

Dr. Lin Jiayong reply Dentistry


Hello: After tooth extraction, it is recommended to have the original dentist check the condition of the wound and to inquire about any signs of precancerous lesions.
As for the ear and neck areas, you can only observe for any improvements.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/07/04

More Info


After a tooth extraction, particularly of a molar, it's common to experience a variety of symptoms as your body begins the healing process. Understanding what to expect can help alleviate anxiety and guide you in managing your recovery effectively.

1. Bruising and Discoloration: It's not unusual to notice bruising in the soft palate and hard palate areas following an extraction. This can occur due to the trauma of the procedure and the manipulation of tissues. Bruising typically resolves within a week or two, depending on individual healing rates. If the bruising is extensive or accompanied by severe pain, it may be worth consulting your dentist.

2. Appearance of the Extraction Site: The extraction site may appear dark or black, which can be due to blood clot formation or the healing process. The presence of white tissue is often a sign of granulation tissue, which is part of the healing process. This tissue is typically not a cause for concern unless it becomes excessively painful or shows signs of infection (such as increased redness, swelling, or pus).

3. Mouth Ulcers: The appearance of what looks like a mouth ulcer near the extraction site can be normal, especially if it does not cause pain. These can occur due to irritation from the extraction or from food and other irritants. If it persists or worsens, it’s advisable to seek a dental evaluation.

4. Referred Pain: The sensation of pain radiating to the ear and neck is not uncommon after a tooth extraction. This referred pain can occur due to the close anatomical relationships between the teeth, jaw, and surrounding structures. As the inflammation from the extraction site subsides, this referred pain should diminish. However, if it persists or intensifies, further evaluation may be necessary to rule out any complications.

5. Post-Extraction Pain: Mild discomfort at the extraction site is expected for several days post-surgery. This pain should gradually decrease. If you experience sharp, severe pain that does not improve or worsens, it could indicate a condition known as dry socket, where the blood clot at the extraction site dislodges or dissolves before healing occurs. This condition requires prompt treatment from your dentist.

6. Monitoring for Complications: While it’s natural to worry about serious conditions like oral cancer, the symptoms you describe are more likely related to the healing process after your extraction. However, if you notice any persistent changes in your oral health, such as non-healing sores, significant swelling, or unusual growths, it’s crucial to consult your dentist for a thorough examination.

In summary, while many of the symptoms you’re experiencing can be normal after a tooth extraction, it’s essential to monitor your recovery closely. If you have any doubts or if symptoms worsen, don’t hesitate to reach out to your dental professional. They can provide reassurance and ensure that your healing process is on track. Remember, maintaining good oral hygiene and following post-operative care instructions will significantly aid in your recovery.

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