Discomfort in the cheek?
Since I had my upper left wisdom tooth extracted last week, my left cheek feels strange (about the size of a palm).
There is no swelling, and it's not very painful, just extremely mild discomfort, but pressing on it causes more pain.
When I touch the inside of my mouth, the area feels slightly thinner than the surrounding areas.
By the way, during the extraction, a small segment of about 0.4mm of nerve was removed.
Additionally, I would like to know what kind of examination the dentist would perform if I go back for a check-up.
Would they use a needle to poke around, or would they just take X-rays? I want to mentally prepare myself.
li, 20~29 year old female. Ask Date: 2014/09/09
Dr. Zhuang Suhui reply Dentistry
Hello, it's advisable to observe for a few days after tooth extraction, as some discomfort is normal.
If the discomfort persists, you should return to the hospital for further examination.
Most likely, an X-ray will be performed first.
Reply Date: 2014/09/09
More Info
After having your wisdom tooth extracted, it's not uncommon to experience some discomfort, especially in the area surrounding the extraction site. The symptoms you're describing—mild discomfort, a feeling of thinness in the oral mucosa, and localized pain upon pressure—can be typical following such a procedure. It's important to remember that the extraction of a wisdom tooth, particularly if it was impacted or involved the removal of a small segment of nerve, can lead to various sensations as the area heals.
What to Expect After Wisdom Tooth Extraction
1. Healing Process: After a tooth extraction, the body goes through a healing process that can take several weeks. Initially, you may experience swelling, bruising, and discomfort. The area where the tooth was removed may feel tender, and it’s not unusual for the surrounding tissues to feel a bit different as they adjust to the absence of the tooth.
2. Nerve Involvement: If a small segment of nerve was removed during the extraction, it could contribute to altered sensations in the area. This might manifest as tingling, numbness, or discomfort. In most cases, these sensations will gradually improve as the nerve heals, but it can take time.
3. Signs of Complications: While mild discomfort is expected, you should be vigilant for signs of complications such as increased swelling, severe pain, or signs of infection (like pus or fever). If you notice any of these symptoms, it’s essential to contact your dentist.
What Happens During a Follow-Up Visit?
When you return to the dentist for a follow-up examination, they will likely perform a thorough assessment of the extraction site. Here’s what you can expect:
1. Visual Inspection: The dentist will first visually inspect the extraction site to check for proper healing. They will look for any signs of infection, excessive swelling, or complications.
2. Palpation: The dentist may gently palpate the area around the extraction site to assess tenderness and to check for any abnormalities.
3. X-Rays: Depending on your symptoms, the dentist may take X-rays to evaluate the healing process and to ensure that no fragments of the tooth or bone are left behind. This is a common practice, especially if there were complications during the extraction.
4. Sensitivity Testing: While it’s less common to use needles for testing sensitivity in the area of an extraction, your dentist may use other methods to assess nerve function and sensitivity. This could include light tapping or applying pressure to the area.
5. Discussion of Symptoms: Be prepared to discuss your symptoms in detail. This includes when they started, their intensity, and any changes you’ve noticed. This information will help your dentist determine the best course of action.
Managing Discomfort
In the meantime, here are some tips to manage discomfort after your extraction:
- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort. Always follow the dosage instructions on the label or those provided by your dentist.
- Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing some relief.
- Soft Diet: Stick to a soft diet to avoid irritating the extraction site. Foods like yogurt, smoothies, and mashed potatoes are good options.
- Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Avoid vigorous rinsing or using straws, as these can dislodge the blood clot and lead to dry socket.
Conclusion
It’s essential to communicate openly with your dentist about your symptoms and concerns. They are there to help you navigate the healing process and address any complications that may arise. If your discomfort persists or worsens, don’t hesitate to reach out for further evaluation. Remember, healing takes time, and your body is working hard to recover from the extraction.
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