Post-Wisdom Tooth Extraction Complications and Concerns - Dentistry

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Wisdom tooth extraction


Doctor, I would like to ask about my experience after having my upper and lower right wisdom teeth extracted.
I feel that when I talk or smile, the muscles on the right side of my face move differently compared to the left side, and the corners of my mouth are at different heights, with the right side being lower.
I would like to ask: 1.
What symptoms can occur from nerve damage caused by wisdom tooth extraction? 2.
Based on my description, is it possible that this is related to the tooth extraction? 3.
Can wisdom tooth extraction potentially harm the facial muscles? 4.
What would be the best way to address this? If I go directly to see a dentist, will they think I am overreacting?

Yan, 20~29 year old female. Ask Date: 2007/04/14

Dr. Zhuang Suhui reply Dentistry


If there is nerve damage, there is usually a tingling sensation.
Sometimes, after having a tooth extracted, the pulling pain from the wound can lead to a lack of coordination in the facial muscles.
It is advisable to observe the situation for a while.
If you are really concerned, you can visit a major hospital with an oral surgery department for an examination.

Reply Date: 2007/04/14

More Info


After undergoing wisdom tooth extraction, it is not uncommon to experience various complications and concerns, particularly regarding facial symmetry and muscle function. Your observations about the differences in muscle movement and the height of your mouth corners are valid and warrant further discussion. Let’s address your questions one by one.

1. Symptoms of Nerve Damage Post-Extraction: Nerve damage can occur during wisdom tooth extraction, particularly if the tooth is located near the inferior alveolar nerve, which supplies sensation to the lower lip and chin. Symptoms of nerve damage may include numbness, tingling, or a burning sensation in the lower lip, chin, or tongue. In some cases, patients may experience altered sensation or even pain in the affected areas. If you notice persistent numbness or tingling, it is crucial to consult your dentist or oral surgeon.

2. Possibility of Symptoms Being Related to Extraction: Your description of asymmetry in facial muscle movement could potentially be related to the extraction. After surgery, swelling, bruising, or inflammation can temporarily affect muscle function and facial symmetry. However, if the asymmetry persists beyond the typical healing period (usually a few weeks), it may indicate a more serious issue, such as nerve involvement or muscle strain.

3. Potential for Facial Muscle Injury: While it is less common, it is possible for facial muscles to be affected during wisdom tooth extraction. This can occur due to direct trauma during the procedure or as a result of swelling and inflammation in the surrounding tissues. If the muscles are strained or if there is significant swelling, it may lead to temporary asymmetry in facial expressions.
4. Recommended Actions: If you are concerned about the symptoms you are experiencing, it is essential to seek professional advice. Visiting your dentist or oral surgeon is the best course of action. They will be able to assess your condition, possibly perform imaging studies if necessary, and determine if there is any nerve damage or other complications. It is important to communicate your concerns clearly; a good healthcare provider will appreciate your proactive approach to your health.
In addition to these points, it is worth noting that healing after wisdom tooth extraction can vary significantly from person to person. Factors such as the complexity of the extraction, individual healing capacity, and adherence to post-operative care instructions can all influence recovery.
If you are experiencing significant discomfort, asymmetry, or any other unusual symptoms, do not hesitate to reach out to your healthcare provider. They can provide reassurance, evaluate your symptoms, and recommend appropriate treatment if necessary. Remember, it is always better to address concerns early rather than waiting for them to potentially worsen.
In summary, while some degree of asymmetry and discomfort can be expected after wisdom tooth extraction, persistent or severe symptoms should be evaluated by a professional. Your health and well-being are paramount, and seeking help is a responsible and necessary step in your recovery process.

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