Wisdom Tooth Pain: Is It Related to Nerve Damage? - Dentistry

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Wisdom tooth issues


Doctor, I had my lower right wisdom tooth extracted on March 14, and starting on March 17, all the teeth in my upper right quadrant have been very painful, like nerve pain from a cavity.
I went to see a doctor, and they said the extraction site is healing well.
Is it possible that the extraction of the lower wisdom tooth could have affected the nerves in the upper teeth? The pain is really intense; taking painkillers helps a little, but without them, the pain is unbearable.

Si Si, 20~29 year old female. Ask Date: 2023/03/18

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to take a periapical X-ray of the upper jaw teeth to confirm whether there is any injury or nerve inflammation, etc.

Reply Date: 2023/03/18

More Info


After having your wisdom tooth extracted, it is not uncommon to experience pain in adjacent teeth, especially if the extraction site is still healing. The pain you are experiencing in your upper right teeth could be due to several factors, and while it is unlikely that the extraction directly damaged the nerves in your upper teeth, there are some considerations to keep in mind.

Firstly, the extraction of a wisdom tooth, particularly if it was impacted or required significant manipulation, can lead to inflammation in the surrounding tissues. This inflammation can sometimes cause referred pain, where the sensation of pain is felt in a different location than the actual source of the problem. The nerves that supply sensation to your teeth and gums are interconnected, so irritation or inflammation in one area can lead to discomfort in another.

Secondly, if the extraction site is still healing, it is possible that the surrounding teeth may be experiencing sensitivity or pain due to changes in bite alignment or pressure distribution. After the removal of a tooth, the way you chew and bite can change, which may put additional stress on adjacent teeth, leading to discomfort.

Additionally, if the tooth above the extraction site had pre-existing issues, such as decay or a compromised nerve, the stress from the extraction could exacerbate those problems. It is essential to have a thorough examination of the upper right teeth to rule out any underlying dental issues, such as cavities or pulpitis (inflammation of the dental pulp), which could be causing the pain.

In terms of nerve damage, while it is rare for a wisdom tooth extraction to cause direct nerve injury, it is not impossible, especially if the tooth was located near the mandibular nerve or if there was significant swelling. However, if your dentist has assessed the extraction site and indicated that it is healing well, it is more likely that your pain is related to the factors mentioned above rather than direct nerve damage.

To manage your pain, it is advisable to continue taking over-the-counter pain relievers as directed. If the pain persists or worsens, you should return to your dentist for further evaluation. They may recommend imaging studies, such as X-rays, to assess the condition of the upper teeth and surrounding structures.

In summary, while it is unlikely that the extraction of your lower wisdom tooth directly affected the nerves of your upper teeth, the pain you are experiencing could be due to inflammation, changes in bite dynamics, or pre-existing conditions in the upper teeth. It is essential to communicate your symptoms to your dentist and follow up for a thorough evaluation to ensure that any underlying issues are addressed.

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