Discomfort and Blisters After Wisdom Tooth Extraction: Causes and Solutions - Dentistry

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Discomfort in the lower jaw and the presence of blisters in the oral cavity after wisdom tooth extraction?


Hello Doctor, I had my lower wisdom teeth extracted on July 27th, and for the past week or two, I've been experiencing discomfort in my lower jaw.
Sometimes it feels warm and has mild pain, and I have recurring small blisters in the gum area behind the left lower wisdom tooth.
I visited the dentist for a follow-up, and the doctor reviewed the X-rays, indicating that the wound site looks fine and advised me to monitor the situation.
I would like to know if the discomfort in my lower jaw could be due to a bone infection, or if it might be related to the muscles and fascia of the temporomandibular joint (TMJ)? (I have been frequently opening my mouth wide to observe the condition of my oral cavity.) Additionally, what could be the cause of the recurring small blisters in my mouth? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2023/08/13

Dr. Lin Jiayong reply Dentistry


Hello: Bone infections can usually be detected through X-rays.
Recurrent blisters are more related to gum infections or minor salivary gland injuries.
Symptoms associated with temporomandibular joint (TMJ) issues include limited mouth opening, joint clicking sounds, and muscle soreness from the temporal bone to the shoulder area.
To confirm the true cause of the blisters, it is advisable to consult the oral diagnosis department or oral pathology department at a medical center for a clearer assessment.

Reply Date: 2023/08/13

More Info


After wisdom tooth extraction, experiencing discomfort, blisters, or any unusual sensations can be concerning. It's important to understand the potential causes of these symptoms and the appropriate steps to take for relief.

Firstly, the discomfort you're feeling in the lower jaw could stem from several factors. One possibility is that the extraction site is still healing, which can lead to inflammation and sensitivity. It's not uncommon for patients to experience some level of discomfort for a few weeks post-extraction, especially if the procedure was complex or if the teeth were impacted. The sensation of heat and mild pain could indicate that the body is responding to the surgical trauma, which is a normal part of the healing process.

However, if the discomfort persists or worsens, it could be indicative of a more serious issue, such as an infection. Bone infections, known as osteomyelitis, can occur after dental procedures, although they are relatively rare. Signs of infection may include increased pain, swelling, fever, or the presence of pus. If you notice any of these symptoms, it is crucial to seek immediate dental care.

Another potential cause of your discomfort could be related to the temporomandibular joint (TMJ) or the muscles surrounding it. If you've been frequently opening your mouth wide to inspect the extraction site, you may have strained the muscles or irritated the joint, leading to discomfort. TMJ disorders can manifest as pain in the jaw, clicking sounds, or difficulty in opening or closing the mouth. If this is suspected, a dentist or oral surgeon may recommend specific exercises or therapies to alleviate the strain.

Regarding the small blisters you're experiencing in the gum area, these could be a result of several factors. One common cause is irritation from the healing process itself. As the tissue regenerates, it can sometimes form small fluid-filled sacs. Additionally, if you are using any oral rinses or medications, they may cause localized reactions leading to blister formation. Another possibility is that the blisters are aphthous ulcers, which can occur due to stress, dietary deficiencies, or trauma to the oral mucosa.

To manage your symptoms, consider the following recommendations:
1. Maintain Oral Hygiene: Continue to keep the extraction site clean, but be gentle. Use a soft-bristled toothbrush and avoid the extraction site directly until it has healed sufficiently.

2. Warm Salt Water Rinses: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. It can also soothe any irritation in the mouth.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the recommended dosages.

4. Avoid Irritants: Stay away from spicy, acidic, or hard foods that could irritate the healing tissue.
5. Monitor Symptoms: Keep an eye on your symptoms. If the blisters persist, increase in size, or if you develop new symptoms such as fever or increased swelling, return to your dentist for further evaluation.

6. Consult a Specialist: If discomfort continues or if you suspect a TMJ issue, consider consulting a dentist who specializes in TMJ disorders for a comprehensive evaluation.

In conclusion, while some discomfort and minor issues like blisters can be part of the healing process after wisdom tooth extraction, persistent or worsening symptoms warrant further investigation. Regular follow-ups with your dentist are essential to ensure proper healing and to address any complications that may arise. Your oral health is crucial, and timely intervention can prevent more serious issues down the line.

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