Post-operative condition after wisdom tooth extraction?
Hello, doctor: I would like to ask, it has been ten days since I had my upper right wisdom tooth extracted, but I am still experiencing significant pain, even radiating to my lower jaw.
Is this normal? I still have to rely on painkillers every day for relief.
😔😔
Lan, 40~49 year old female. Ask Date: 2023/09/04
Dr. Zeng Guanghui reply Dentistry
Hello Mr.
Blue: If the process of wisdom tooth extraction involves the modification of the jawbone and the removal of the wisdom tooth, resulting in a larger extraction site, the recovery time for the postoperative wound will be longer.
Director Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/09/04
More Info
Experiencing pain after wisdom tooth extraction is not uncommon, but the intensity and duration of the pain can vary significantly from person to person. In your case, having persistent pain ten days post-extraction, especially if it radiates to your lower jaw, warrants further attention.
After a wisdom tooth extraction, the body undergoes a healing process that can involve inflammation, swelling, and discomfort. Typically, some level of pain is expected in the first few days following the procedure, but this should gradually decrease. If you find yourself still relying on pain medication after ten days, it may indicate that something is not quite right.
Several factors could contribute to prolonged pain after wisdom tooth extraction:
1. Infection: One of the most common complications following tooth extraction is an infection at the extraction site. Symptoms of infection can include increased pain, swelling, redness, and sometimes fever. If you notice any of these symptoms, it’s crucial to contact your dentist or oral surgeon.
2. Dry Socket: This condition occurs when the blood clot that forms in the socket after extraction either dissolves or becomes dislodged, exposing the underlying bone and nerves. Dry socket can cause severe pain that typically starts a few days after the extraction. It is often characterized by a throbbing pain that radiates to the ear or jaw.
3. Nerve Injury: Although rare, it is possible to injure the nerves during the extraction process, particularly if the wisdom tooth is impacted or located near the nerves. This can lead to persistent pain, tingling, or numbness in the jaw, lip, or tongue.
4. Adjacent Teeth Issues: If the tooth next to the extracted wisdom tooth was already compromised (e.g., due to decay or previous dental work), it might also cause pain after the extraction. The trauma from the extraction can exacerbate existing issues.
5. Healing Process: Everyone heals at different rates. Factors such as age, overall health, and adherence to post-operative care instructions can influence recovery. If you have any underlying health conditions or if you smoke, these can also affect healing.
Given your situation, it is advisable to follow up with your dentist or oral surgeon. They may want to examine the extraction site to rule out any complications such as infection or dry socket. They might also consider taking an X-ray to ensure that there are no remaining tooth fragments or other issues contributing to your pain.
In the meantime, continue to manage your pain with over-the-counter medications as directed by your healthcare provider. Applying a cold compress to the outside of your jaw can help reduce swelling and numb the area, providing some relief. Additionally, maintaining good oral hygiene is essential to prevent infection, but be gentle around the extraction site.
In summary, while some pain after wisdom tooth extraction is normal, persistent pain ten days post-extraction is not typical and should be evaluated by a dental professional. Prompt attention can help address any complications and facilitate a smoother recovery.
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