Wisdom tooth issues
Hello, Doctor.
I have a few questions to ask you.
I had my lower left wisdom tooth extracted on the afternoon of March 14.
After the anesthesia wore off that night, the pain was intense, and since then, up until today, March 19, I have been experiencing a dull ache whenever I don't take pain medication.
I often feel a nerve pain sensation in my upper teeth (even though I had the lower wisdom tooth removed), and I have also been experiencing a sore throat every day since the extraction.
Question 1: Can the sore throat be affected by the wisdom tooth extraction?
Question 2: I have a persistent dry mouth and dry tongue.
Question 3: I have been returning to the doctor for follow-ups, and the extraction site has a little bit of white tissue, but the doctor says the healing is normal.
Why do I still experience this dull pain? It gets a bit better with pain medication, but the pain returns once the medication wears off.
Question 4: Could this be a dry socket? I've read some frightening things online about it.
Question 5: Generally, how long does it take for the pain to subside after wisdom tooth extraction? My throat also hurts, and I have been in pain for a week now, which makes me quite worried.
Si Si, 20~29 year old female. Ask Date: 2023/03/19
Dr. Lin Jiayong reply Dentistry
Hello: For throat pain issues, it is recommended to consult an otolaryngologist to confirm whether there is any injury or infection in the throat.
If you have been continuously visiting the dentist for suture removal and the dentist has informed you that the wound is healing well, you can feel reassured.
However, if you are still concerned about the extraction site, you may seek a second or third opinion from the oral surgery department at a medical center.
Reply Date: 2023/03/19
More Info
After wisdom tooth extraction, it is common to experience pain and discomfort as part of the healing process. The duration and intensity of pain can vary significantly from person to person, and several factors can influence recovery, including the complexity of the extraction, the presence of infection, and individual pain tolerance.
Understanding Post-Extraction Pain
1. Pain Duration: Typically, pain after wisdom tooth extraction peaks within the first few days and should gradually decrease over the following week. However, some patients may experience lingering discomfort for up to two weeks or longer, especially if the extraction was complicated or if there are other underlying issues.
2. Pain Management: It is important to follow your dentist's recommendations regarding pain management. Over-the-counter pain relievers like ibuprofen or acetaminophen can be effective. If you find that you are relying heavily on pain medication, it is advisable to consult your dentist to ensure there are no complications.
3. Dry Socket (Alveolar Osteitis): One of the most common complications after tooth extraction is dry socket, which occurs when the blood clot at the extraction site becomes dislodged or dissolves before the wound has healed. Symptoms include severe pain that can radiate to the ear or jaw, a foul taste in the mouth, and visible bone in the socket. If you suspect you have dry socket, it is crucial to return to your dentist for treatment.
Addressing Your Specific Concerns
1. Throat Pain: It is not uncommon for patients to experience throat discomfort after wisdom tooth extraction, particularly if the procedure was extensive or if the jaw was held open for an extended period. Additionally, if you are breathing through your mouth due to discomfort, this can lead to dryness and irritation in the throat.
2. Dry Mouth: Post-operative dry mouth can be a result of several factors, including medication side effects, mouth breathing, or dehydration. Staying hydrated and using saliva substitutes can help alleviate this symptom.
3. White Discharge: The presence of a white substance at the extraction site can be normal, as it may be part of the healing process. However, if it is accompanied by increased pain, swelling, or a foul odor, it could indicate an infection or dry socket.
4. Recovery Timeline: Generally, most patients will start to feel significantly better within a week. However, complete healing of the extraction site can take several weeks. If pain persists beyond two weeks or worsens, it is essential to consult your dentist.
5. Follow-Up Visits: Regular follow-up appointments are crucial for monitoring the healing process. If you continue to experience pain or other symptoms, do not hesitate to reach out to your dentist for further evaluation.
Conclusion
In summary, while some discomfort is expected after wisdom tooth extraction, persistent or severe pain should not be ignored. It is essential to maintain open communication with your dental care provider and report any concerning symptoms. They can provide guidance tailored to your specific situation and ensure that your recovery proceeds smoothly. If you have ongoing concerns about your pain, throat discomfort, or any other symptoms, please seek a follow-up appointment with your dentist as soon as possible.
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