Post-Dental Cleaning Pain: Is It Nerve-Related? - Dentistry

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Pain in the left temple after dental cleaning?


Hello, I recently visited the dentist due to discomfort from my wisdom tooth (which has a cavity but no significant pain) and wanted to have it extracted.
The doctor recommended that I first get a dental cleaning before scheduling the extraction.
After the cleaning, my wisdom tooth still felt slightly uncomfortable but was not painful, and I had no issues eating.
The next day, I started experiencing swelling and pain around my left temple, which sometimes feels like sharp pain.
There is also a sensation of swelling around my eyes, and my eyes hurt when I blink, but there is no noticeable swelling in my face.
I would like to know if this could possibly be dental nerve inflammation or an issue with the trigeminal nerve?

chichi, 30~39 year old female. Ask Date: 2010/08/29

Dr. Zhuang Suhui reply Dentistry


Hello: Based on your description, it seems that the symptoms are caused by inflammation of the wisdom teeth.
You can take medication to manage the symptoms first, and then proceed with extraction.

Reply Date: 2010/08/29

More Info


Post-dental cleaning pain can be a concerning experience, especially when it manifests as discomfort in areas beyond the immediate dental site, such as the temples or around the eyes. Your symptoms, including the pain radiating to the temple and eye area, raise important questions about the underlying causes and whether they are related to nerve issues.

Firstly, it is essential to understand that dental cleanings, while generally safe and beneficial for oral health, can sometimes lead to temporary discomfort. This discomfort can arise from several factors, including:
1. Gum Irritation: During a dental cleaning, the hygienist may use tools that can irritate the gums, especially if there is existing inflammation or periodontal disease. This irritation can lead to localized pain that might feel like it radiates to other areas, such as the temples.

2. Tooth Sensitivity: If you have sensitive teeth or if the cleaning process has exposed areas of your teeth that are typically protected by gum tissue, you may experience heightened sensitivity. This sensitivity can sometimes be perceived as pain in adjacent areas, including the jaw and head.

3. Referred Pain: The phenomenon of referred pain is common in dental issues. Pain originating from the teeth or gums can sometimes be felt in other areas of the head, including the temples and eyes. This is particularly true for the trigeminal nerve, which is responsible for sensation in the face and motor functions such as biting and chewing. If your wisdom tooth is causing irritation or inflammation, it could potentially affect the trigeminal nerve, leading to pain in the temple region.

4. Sinus Involvement: The roots of upper teeth are located near the maxillary sinuses. If your dental cleaning or the condition of your teeth has led to sinus pressure or inflammation, this could also manifest as pain in the temple or around the eyes.

5. Nerve Issues: While it is less common, there is a possibility that the discomfort could be related to nerve issues, such as trigeminal neuralgia or inflammation of the dental nerves. If the pain is sharp, sudden, and severe, it may warrant further investigation.

Given your symptoms, it is advisable to follow up with your dentist or an oral specialist. They can conduct a thorough examination, possibly including imaging studies, to determine if there are any underlying issues such as nerve inflammation, sinus involvement, or complications related to your wisdom tooth.
In the meantime, here are some steps you can take to manage your discomfort:
- Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate pain and reduce inflammation.

- Cold Compress: Applying a cold compress to the affected area may help reduce swelling and numb the pain.

- Avoid Irritants: Stay away from very hot or cold foods and beverages, as they may exacerbate sensitivity.

- Good Oral Hygiene: Continue to maintain good oral hygiene to prevent further irritation or infection.

In conclusion, while your symptoms could be related to nerve issues, they may also stem from more common causes such as gum irritation or referred pain. A thorough evaluation by a dental professional is crucial to determine the exact cause and appropriate treatment.

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