Wisdom Tooth Extraction Pain and Recovery Tips - Dentistry

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Regarding wisdom tooth extraction issues?


Dear Dr.
Chang,
I went to the dental clinic a few days ago to have my wisdom tooth extracted, and it's been 8 days, but I'm still in a lot of pain.
During the recovery period after the extraction, I also had treatment for a cavity in the tooth in front of the wisdom tooth.
Initially, the plan was to perform a root canal, but due to some issues with my health insurance, I had to pay out of pocket, which the doctor said would be quite expensive.
So, they just filled the cavity for now.
However, after 8 days of taking the anti-inflammatory and pain relief medication prescribed by the doctor, I'm almost out of them, and I'm still experiencing pain.
What should I do? I don't want to keep taking so much medication.
How can I feel better? Also, is a root canal very painful? Thank you, Doctor.

Xiao Shan, 30~39 year old female. Ask Date: 2011/11/20

Dr. Zhang Xiangyuan reply Dentistry


Dear online friend, based on your description, here are my responses: (1) If the pain after wisdom tooth extraction is due to the wound, you should have a doctor examine the site for any abnormalities.
(2) If the pain is caused by decay in the tooth in front of the wisdom tooth, it may require filling or root canal treatment depending on the situation.
The duration and time for root canal treatment may be longer, but the doctor will administer anesthesia or prescribe medication as needed based on the circumstances.
I recommend not to worry too much.
If the pain persists, please seek medical attention promptly to receive treatment as soon as possible.
Thank you! Dental Dr.
Chang Hsiang-Yuan

Reply Date: 2011/11/20

More Info


After wisdom tooth extraction, it is common to experience pain and discomfort during the recovery period. This pain can be attributed to several factors, including the surgical trauma to the tissues, inflammation, and the healing process itself. In your case, it has been eight days since the extraction, and you are still experiencing significant pain, which can be concerning.

Firstly, it is important to understand that the healing process after wisdom tooth extraction varies from person to person. Factors such as the complexity of the extraction, the position of the tooth, your overall health, and how well you follow post-operative care instructions can all influence recovery time. In some cases, pain may persist for a week or more, especially if there were complications during the extraction or if the surrounding tissues were significantly affected.

The pain you are experiencing could also be related to the treatment of the cavity in the tooth adjacent to the extracted wisdom tooth. If the cavity was deep or if there was any irritation to the nerve during the filling process, this could lead to ongoing discomfort. Additionally, if food particles are getting trapped in the extraction site or around the adjacent tooth, this could lead to inflammation and pain.

Here are some tips to help manage your pain and promote healing:
1. Follow Post-Operative Instructions: Ensure you are following all the post-operative care instructions provided by your dentist. This typically includes avoiding hard or crunchy foods, maintaining good oral hygiene, and using saltwater rinses to keep the area clean.

2. Pain Management: While you mentioned not wanting to rely on pain medication, it is important to manage your pain effectively. If the prescribed anti-inflammatory and pain medications are not providing relief, consult your dentist. They may be able to adjust your medication or suggest alternative pain management strategies.

3. Cold Compress: Applying a cold compress to the outside of your jaw can help reduce swelling and numb the area, providing temporary pain relief.

4. Hydration and Nutrition: Stay hydrated and maintain a balanced diet. Soft foods that are easy to chew can help minimize discomfort while ensuring you get the necessary nutrients for healing.

5. Avoid Irritants: Stay away from tobacco, alcohol, and very hot or spicy foods, as these can irritate the extraction site and delay healing.

6. Monitor for Complications: Keep an eye out for signs of infection, such as increased swelling, pus, or fever. If you notice any of these symptoms, contact your dentist immediately.

Regarding your question about root canal treatment (抽神經), it is often perceived as a painful procedure; however, advancements in dental anesthesia and techniques have made it much more tolerable than in the past. Most patients report feeling little to no pain during the procedure itself, as the area will be numbed. Post-treatment discomfort can occur but is usually manageable with over-the-counter pain relievers.

If your pain persists beyond the expected recovery period, or if you have concerns about the adjacent tooth, it is advisable to return to your dentist for a follow-up examination. They may need to take X-rays to assess the healing process and determine if further treatment, such as a root canal, is necessary.

In summary, while some pain after wisdom tooth extraction is normal, persistent pain warrants further evaluation. Effective communication with your dentist about your symptoms and concerns is crucial in ensuring a smooth recovery and addressing any underlying issues.

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