Post-Wisdom Tooth Extraction: Common Symptoms and Concerns

Symptoms after wisdom tooth extraction?

Hello Doctor: I had my upper left wisdom tooth extracted on August 18, and today is August 28, which makes it 10 days since the procedure! I have the following questions: 1.
During the extraction of the upper left wisdom tooth, a small piece of bone that was attached to the tooth root was also removed.
Is this phenomenon normal? What impact could the removal of this bone have? 2.
Now on the tenth day, I experience pain when drinking water, and sometimes I also feel soreness and itching at the site.
How long will it take for the wound and bone to heal? Thank you for your response!

Mr. J, 30~39 year old female. Ask Date: 2015/08/28

Dr. Zeng Guanghui reply Dentistry

1.
When extracting wisdom teeth, the surrounding bone plate is often thin and fragile, making it easy for it to be removed along with the tooth during the extraction process.
As long as the postoperative wound is kept clean and efforts are made to avoid infection, the removed bone will gradually regenerate.
2.
The aforementioned situation may lead to inflammation due to food debris or bacterial residue in the wound.
It is advisable to return for a follow-up visit to have a thorough examination by a dentist.
Generally, the wound and bone require about 1 to 2 months to gradually heal.

Reply Date: 2015/08/28

More Info

After a wisdom tooth extraction, it's common to experience a range of symptoms and concerns, especially in the days and weeks following the procedure. Your questions touch on important aspects of recovery, and I will address them in detail.

1. Bone Fragment Removal: It is not unusual for a small piece of bone to be removed along with the wisdom tooth, especially if the tooth was impacted or if there was significant bone surrounding the tooth root. This can happen during the extraction process, particularly if the tooth is deeply embedded in the jawbone. The removal of a small bone fragment typically does not cause significant issues, as the body is capable of healing and remodeling the bone over time. However, if a large piece of bone was removed or if there are concerns about the integrity of the surrounding bone, it is important to follow up with your dentist or oral surgeon. They can assess the healing process and ensure that there are no complications.

2. Pain and Sensation at the Extraction Site: Experiencing pain, tenderness, or a sensation of itching at the extraction site ten days post-surgery is not uncommon. The healing process can vary significantly from person to person, and while some may feel better within a week, others may take longer to heal. The pain you feel when drinking water could be due to the sensitivity of the healing tissue or the exposure of the underlying bone. It is essential to maintain good oral hygiene during this period to prevent infection, which can exacerbate pain and delay healing.

Generally, the initial healing of the soft tissue can take about 1-2 weeks, while complete healing of the bone may take several months. If you continue to experience significant pain, swelling, or if the area appears to be worsening rather than improving, it is crucial to contact your dentist. They may want to evaluate for possible dry socket (a condition where the blood clot at the extraction site fails to develop or is dislodged), infection, or other complications.

Additional Considerations
- Post-Operative Care: After wisdom tooth extraction, it is vital to follow post-operative care instructions provided by your dentist. This typically includes avoiding strenuous activities, not smoking, and adhering to dietary restrictions (soft foods, avoiding hot liquids, etc.) to promote healing.

- Signs of Complications: Be vigilant for signs of complications such as increased swelling, persistent pain, fever, or discharge from the extraction site. If you notice any of these symptoms, seek medical attention promptly.

- Follow-Up Appointments: Regular follow-up appointments with your dentist or oral surgeon are essential for monitoring the healing process. They can provide reassurance and intervene if any issues arise.

In summary, while some discomfort and unusual sensations are normal after wisdom tooth extraction, it is essential to monitor your symptoms closely. If you have any concerns about the healing process or if your symptoms worsen, do not hesitate to reach out to your dental care provider for further evaluation and guidance. Your health and comfort are paramount, and professional advice can help ensure a smooth recovery.

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