Is It Normal to Experience Pain After Wisdom Tooth Extraction? - Dentistry

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Wisdom tooth extraction?


Because the lower left wisdom tooth has decayed to the nerve, the doctor recommended extraction.
The wisdom tooth was growing normally.
On the day of the extraction, the doctor took about 20 minutes because the decayed tooth was difficult to grasp and was brittle.
It became loose afterward, but the doctor said to come back in two weeks for another extraction.
Is it normal for me to experience pain again?

Tim, 30~39 year old female. Ask Date: 2022/08/27

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return for a follow-up appointment so that the physician can evaluate the situation.
If it is indeed a very difficult and complex tooth extraction case, it may be advisable to refrain from proceeding with the extraction (to avoid further tissue damage) or to issue a referral to a medical center.

Reply Date: 2022/08/27

More Info


Experiencing pain after wisdom tooth extraction is a common concern among patients, and it can be attributed to several factors related to the procedure and the healing process. When a wisdom tooth is extracted, especially if it is impacted or has significant decay, the surrounding tissues, including the gums and bone, can be traumatized. This trauma can lead to inflammation and pain, which may persist for several days or even weeks after the extraction.

In your case, since you mentioned that the extraction took about 20 minutes and involved a tooth that was decayed down to the nerve, it is not unusual to experience prolonged discomfort. The extraction of a tooth that is severely decayed can be more complicated, as the dentist may need to remove not only the tooth but also some surrounding bone or tissue. This can lead to a larger wound, which may take longer to heal and can be more painful.

Post-operative pain can also be influenced by factors such as the complexity of the extraction, the individual’s pain tolerance, and their overall health. For instance, if there was significant manipulation of the surrounding tissues or if the extraction site becomes infected, pain can be exacerbated. It is also worth noting that if you have a pre-existing condition, such as a respiratory infection (as you mentioned feeling a bit under the weather), this can slow down the healing process and contribute to discomfort.

In terms of your specific situation, if you are scheduled to have another extraction in two weeks, it is essential to communicate your concerns with your dentist. They can provide you with guidance on managing pain and may prescribe medications to help alleviate discomfort. Additionally, they can assess the healing of the first extraction site and determine if any complications, such as dry socket or infection, are present.

Dry socket, or alveolar osteitis, is a condition that can occur after tooth extraction when the blood clot at the extraction site dislodges or dissolves before the wound has healed. This can lead to severe pain and is often accompanied by an unpleasant taste or odor. If you experience worsening pain, particularly if it radiates to other areas (like your jaw or head), or if you notice swelling or discharge, it is crucial to seek immediate dental care.

In summary, while some pain after wisdom tooth extraction is normal, especially in complex cases, it is essential to monitor your symptoms closely. If the pain becomes severe or is accompanied by other concerning symptoms, do not hesitate to reach out to your dentist for further evaluation and management. They can provide tailored advice and treatment options to ensure your recovery is as smooth and comfortable as possible.

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