Altered taste sensation after tooth extraction?
Your question: Hello doctor, I visited a major hospital (Lixin Hospital) on December 4th.
On December 3rd, I started experiencing a salty taste on my tongue.
The doctor advised me to observe it for a while, but two days have passed, and it feels like my tongue is pickled in salt.
The salty sensation is only present on the right side of the tip and the back (possibly where the anesthesia was administered).
I am unsure where to seek further medical attention.
Are there any clinics in Taoyuan Zhongli that I can visit? Which department should I consult? Thank you.
Your question: Hello doctor, it has been two weeks since I had my wisdom teeth removed on November 13th.
I can only open my mouth about one finger's width, and if I try to open it wider, it feels like it gets stuck.
The wound is still inflamed, and I have been taking anti-inflammatory medication (although the wound itself no longer hurts).
My face was very swollen, but after acupuncture and massage, the swelling has significantly reduced, although there is still one area that feels hard and painful when pressed.
The right side of my tongue is still numb and slightly swollen.
When I asked the doctor, they said it was due to the wound.
I would like to ask: 1.
How long will it take for me to be able to open my mouth normally? What treatment should I pursue? Previously, the doctor used a mouth opener to examine the wound, and I was in so much pain that I cried.
The second time, I told the doctor not to use it, and they became angry, saying that if I was afraid of pain, I wouldn't be able to open my mouth (I genuinely feel like my jaw is stuck, and it gets very sore if I hold it open for too long).
2.
Is it normal for my tongue to be numb?
Response from the doctor: Dr.
Zhuang Su-Hui from the dental department suggests: 1.
Given your situation, it would be best to go to a major hospital for further examination and treatment, ideally consulting an oral surgeon (a dental specialty).
2.
The treatment for wisdom teeth can vary significantly due to the variations in wisdom teeth, and there are many surgical methods, leading to considerable differences in postoperative recovery.
Without seeing the wound, I cannot provide an accurate assessment or treatment plan, nor can I offer you professional advice.
3.
Difficulty opening your mouth? This involves individual pain tolerance, the speed of wound healing, or other issues, so the time frame can vary greatly.
Treatment must also be tailored to the specific problem.
4.
Numbness of the tongue? The causes are complex, and without seeing the actual condition, I cannot make a judgment.
The treatment for tongue numbness varies greatly depending on the underlying cause, so it is best to seek medical attention at a major hospital as soon as possible for more comprehensive treatment.
5.
My suggestion: After two weeks, you may consider applying local heat to improve blood circulation, which might help with opening your mouth and alleviating tongue numbness.
If the heat application causes increased pain, stop immediately and seek medical attention at a major hospital.
Note: 1.
Most major hospitals have dental emergency services.
If your situation is urgent or uncomfortable, you can visit a nearby major hospital.
The on-call dentist in the emergency department can refer you to the appropriate dental specialist based on your condition.
2.
If you have concerns about the current doctor's treatment approach or explanations, you can seek a second opinion from another doctor.
Asking questions online may not resolve the issue effectively.
Fanny, 20~29 year old female. Ask Date: 2008/12/05
Dr. Zhuang Suhui reply Dentistry
Your questions have all been answered previously.
Reply Date: 2008/12/05
More Info
After tooth extraction, it's not uncommon for patients to experience unusual sensations, including abnormal tastes and discomfort in the tongue. Your experience of a persistent salty taste on the right side of your tongue, particularly after the extraction of your wisdom tooth, can be attributed to several factors.
Firstly, the extraction site can sometimes lead to changes in taste perception. This can occur due to trauma to the nerves that are responsible for taste sensation, especially if the extraction was complicated or if there was significant swelling. The area where the anesthesia was administered may also be contributing to this altered sensation. Anesthesia can temporarily affect the nerves, leading to sensations of numbness or tingling, which might be perceived as a salty taste.
Secondly, the presence of inflammation or infection at the extraction site could also lead to abnormal tastes. If the extraction site is not healing properly, it can lead to the accumulation of bacteria, which may produce a salty or unpleasant taste. This is often accompanied by other symptoms such as swelling, pain, or a bad odor from the mouth. It's crucial to monitor these symptoms closely, as they may indicate a need for further medical intervention.
Regarding your concerns about the difficulty in opening your mouth and the persistent numbness in your tongue, these symptoms can also be linked to the extraction process. Limited mouth opening, known as trismus, can occur due to muscle spasms or inflammation in the jaw area following surgery. This can be exacerbated by pain, leading to a cycle of discomfort and limited mobility. The numbness in your tongue could be a result of nerve irritation or damage during the extraction, which may take time to resolve.
In terms of treatment, it is advisable to follow up with an oral surgeon or a dentist who specializes in post-operative care. They can perform a thorough examination, possibly including imaging studies, to assess the healing process and rule out any complications such as dry socket or infection. If there is evidence of infection, appropriate antibiotics may be prescribed. Additionally, they can provide guidance on pain management and recommend therapies to improve mouth opening, such as gentle stretching exercises or heat application.
If you are experiencing significant discomfort or if the symptoms persist, seeking a second opinion from another dental professional may also be beneficial. They can provide additional insights and treatment options tailored to your specific situation.
In summary, while abnormal taste sensations and discomfort following tooth extraction can be concerning, they are often manageable with proper care and follow-up. It's essential to communicate openly with your healthcare provider about your symptoms and any changes you notice, ensuring that you receive the most appropriate care for your recovery.
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