Post-Wisdom Tooth Extraction Pain and Healing - Dentistry

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Post-operative pain issues after wisdom tooth extraction?


Hello Dr.
Tseng, I recently had my wisdom teeth extracted at the hospital—one was the upper right wisdom tooth and the other was a lower right impacted wisdom tooth (the one that was embedded in the tissue).
It has been 22 days post-surgery, and sometimes I feel a dull ache or slight pain at the surgical site, while other times there is no pain at all.
Eating does not cause any discomfort.
Since the lower right impacted tooth involved bone grinding, I have been using collagen supplements out of pocket.
I brush my teeth twice a day and use an alcohol-free mouthwash, and I also rinse the wound with a syringe.
I would like to ask if I can use a water flosser to clean the wound.
I returned to the hospital to see the oral surgeon, and both doctors said the wound looks normal and there are no signs of inflammation or infection; it just needs time to heal.
They also mentioned that there is still a hole.
I have been taking vitamin C, calcium, and B-complex supplements for nutrition, but I am wondering why there is occasional pain if there is no inflammation or infection.
Sometimes it hurts, and sometimes it doesn’t, but I feel something unusual in my mouth, as if there is something there.
I am not sure if it is related to the bone grinding.

Xiao Tu, 20~29 year old female. Ask Date: 2024/03/06

Dr. Zeng Guanghui reply Dentistry


Dear Mr.
Tu,
If the process of wisdom tooth extraction involves scraping the bone, the healing time for the wound is generally longer.
During the healing process, the risk of inflammation at the wound site is higher.
It may take 1 to 2 months for the bone at the extraction site to gradually regenerate, and the condition of the inflammation will slowly improve.

Sincerely,
Director Tseng Guang-Hui, Department of Dentistry, Nantou Hospital

Reply Date: 2024/03/06

More Info


Post-wisdom tooth extraction pain and healing can be a complex experience, and it’s not uncommon for patients to have lingering discomfort even weeks after the procedure. Based on your description, it seems that you are experiencing some normal post-operative sensations, which can include mild pain, a feeling of pressure, or a sensation that something is still present in the area of the extraction.
Firstly, it’s important to understand that wisdom teeth, especially impacted ones, can require significant surgical intervention. This often involves not just the removal of the tooth but also the cutting of soft tissue and sometimes the removal of bone. As a result, the healing process can take time, and it’s normal for the area to feel different as it heals. The sensation of having "something" in the area could be related to the healing tissue or the bone remodeling that occurs after such a procedure.

You mentioned that you are using a non-alcoholic mouthwash and have been diligent about oral hygiene, which is excellent. Maintaining good oral hygiene is crucial for preventing infection and promoting healing. However, using a water flosser or dental cleaning device in the immediate area of the extraction site should be approached with caution. While these devices can help remove food particles and debris, they can also disrupt the healing tissue if used too aggressively. It’s best to consult your oral surgeon or dentist before using such devices to ensure that it won’t interfere with your healing process.

Regarding the occasional pain you are experiencing, it’s worth noting that post-operative pain can be influenced by several factors. For instance, the presence of food particles trapped in the extraction site can lead to discomfort, even if there is no active infection. Additionally, the bone that was exposed during the extraction may be sensitive as it heals, leading to intermittent pain.
You mentioned that you have been taking vitamin C, calcium, and B vitamins to support your recovery, which is a good practice. These nutrients can aid in tissue healing and overall health. However, if the pain persists or worsens, it may be beneficial to follow up with your dentist or oral surgeon for further evaluation. They may want to check for any signs of dry socket, which can occur if the blood clot at the extraction site dislodges or dissolves before the wound has healed sufficiently.

In summary, while some discomfort is normal during the healing process after wisdom tooth extraction, it’s essential to monitor your symptoms. If you notice any significant changes, such as increased pain, swelling, or signs of infection (like fever or pus), it’s crucial to seek medical advice promptly. Healing can take time, and patience is key. Continue to follow your dentist's recommendations, maintain good oral hygiene, and ensure you’re taking care of your overall health during this recovery period.

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