Post-Wisdom Tooth Extraction Pain and Discomfort - Dentistry

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After wisdom tooth extraction


After having my upper left wisdom tooth and lower impacted tooth extracted on January 14, I have been experiencing persistent soreness in the lower left teeth, to the point where it causes pain in the left side of my head.
Sometimes, I can't even sleep.
I have seen doctors who say everything is fine.
What could be the reason for this? How could extracting a wisdom tooth lead to the feeling that other teeth are affected?

eva, 30~39 year old female. Ask Date: 2014/01/22

Dr. Zhuang Suhui reply Dentistry


Eva: Hello, after the extraction of impacted teeth/wisdom teeth, it generally results in a larger wound, which can cause some discomfort during the healing period.
As long as there are no complications during the extraction process and the extraction site is healing properly, it should gradually improve.

Reply Date: 2014/01/22

More Info


After wisdom tooth extraction, it is not uncommon to experience pain and discomfort that can radiate beyond the extraction site. Your symptoms of pain in the lower left teeth and even headaches on the same side can be attributed to several factors related to the extraction process and the healing phase.

Firstly, the extraction of wisdom teeth, especially impacted ones, can lead to inflammation and swelling in the surrounding tissues. This inflammation can affect the adjacent teeth and even the jaw muscles, leading to discomfort that feels like it is spreading to other areas, including the head. The pain you are experiencing may be a result of referred pain, where the brain interprets pain signals from one area as coming from another. This is a common phenomenon in dental procedures.

Another possibility is that the extraction may have caused some trauma to the surrounding nerves or tissues. The inferior alveolar nerve, which runs near the lower jaw, can sometimes be affected during the extraction of lower wisdom teeth. If this nerve is irritated, it can lead to pain that radiates to the lower teeth and even the head. This condition is often temporary, but it can be quite uncomfortable.

Additionally, if there was any infection or dry socket (a condition where the blood clot at the extraction site becomes dislodged), this could also lead to increased pain and discomfort. Dry socket is particularly painful and can cause pain to radiate to the ear and head. It is essential to monitor for signs of infection, such as increased swelling, redness, or pus at the extraction site.

To manage your pain and discomfort, consider the following recommendations:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain. If your pain is severe, your dentist may prescribe stronger pain medication.

2. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing some relief from pain.

3. Saltwater Rinse: After the first 24 hours post-extraction, gently rinsing your mouth with warm salt water can help keep the extraction site clean and promote healing.

4. Soft Diet: Stick to a soft diet to avoid putting pressure on the extraction site. Foods like yogurt, smoothies, and mashed potatoes are good options.

5. Follow-Up: If your pain persists or worsens, it is crucial to return to your dentist for a follow-up examination. They can check for complications such as dry socket or infection and provide appropriate treatment.

6. Rest: Ensure you are getting enough rest and managing stress, as both can exacerbate pain perception.

In conclusion, while it can be concerning to experience pain in areas beyond the extraction site, it is often a normal part of the healing process. However, if the pain is severe or accompanied by other symptoms, seeking further evaluation from your dentist is essential to rule out any complications. Healing from wisdom tooth extraction can take time, and patience is key as your body recovers.

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