Unexplained Cheek Discomfort After Wisdom Tooth Extraction - Surgery

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Facial pain without swelling?


Since I had my upper left wisdom tooth extracted last week, the left side of my cheek feels strange (about the size of a palm).
There is no swelling and it's not very painful, just very, very mildly uncomfortable, but pressing on it causes more pain.
When I touch the inside of my mouth, the area feels slightly thinner than the parts that don't feel uncomfortable.
By the way, during the extraction, a small segment of nerve approximately 0.4mm was removed.

li, 20~29 year old female. Ask Date: 2014/09/08

Dr. Xu Kaixi reply Surgery


Your issue falls within the dental scope; I recommend that you visit a dental clinic for an examination.

Reply Date: 2014/09/08

More Info


After wisdom tooth extraction, it is not uncommon to experience some discomfort in the surrounding areas, including the cheeks. This discomfort can arise from several factors related to the surgical procedure, especially if a small segment of the nerve was inadvertently removed during the extraction. Here’s a comprehensive explanation of what might be happening and what you can do about it.


Possible Causes of Cheek Discomfort
1. Surgical Trauma: The extraction of a wisdom tooth can cause trauma to the surrounding tissues, including the muscles, nerves, and skin. Even if there is no visible swelling, the manipulation of tissues can lead to lingering discomfort.

2. Nerve Involvement: Since you mentioned that a small segment of the nerve was extracted, this could be contributing to your discomfort. The inferior alveolar nerve, which runs near the lower jaw, can sometimes be affected during wisdom tooth extractions. Damage or irritation to this nerve can lead to sensations of discomfort or altered sensation in the cheek area.

3. Inflammation: Post-operative inflammation is a normal part of the healing process. Even in the absence of significant swelling, the body’s inflammatory response can cause discomfort in the surrounding tissues.

4. Muscle Strain: If you have been favoring one side of your mouth while eating or speaking to avoid discomfort, this could lead to muscle strain in the cheek area, contributing to your feelings of discomfort.

5. Infection: Although less likely if you are following post-operative care instructions, an infection can sometimes develop after tooth extraction. Signs of infection include increased pain, swelling, fever, or pus discharge. If you notice any of these symptoms, it’s important to contact your dentist.


Recommendations for Management
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. Always follow the recommended dosages and consult your healthcare provider if you have any concerns.

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

3. Gentle Oral Hygiene: Maintain good oral hygiene to prevent infection. Be gentle when brushing near the extraction site, and consider using a saltwater rinse to promote healing.

4. Follow-Up Appointment: If the discomfort persists or worsens, it’s advisable to schedule a follow-up appointment with your dentist or oral surgeon. They can assess the extraction site and determine if there are any underlying issues that need to be addressed.

5. Monitor Symptoms: Keep track of your symptoms. If you experience increased pain, swelling, or any signs of infection, seek medical attention promptly.


Conclusion
In summary, while mild discomfort after a wisdom tooth extraction is common, especially if a nerve was involved, it’s important to monitor your symptoms and manage any discomfort appropriately. If the discomfort continues or worsens, don’t hesitate to reach out to your dental care provider for further evaluation. They can provide you with tailored advice and treatment options to ensure a smooth recovery. Remember, your comfort and health are paramount, and addressing any concerns early can prevent complications down the line.

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