Post-Wisdom Tooth Extraction: Dealing with Inflammation and Pain

After having wisdom teeth removed, inflammation may occur behind the wisdom teeth?

Last Friday, I had my wisdom tooth extracted, and I've noticed that the wound has been very painful.
However, I had previously had another wisdom tooth removed without this level of discomfort.
So, I went back to see the doctor on Monday.
He said that the swelling was due to my opposing tooth biting down on it.
When I got home, I used a flashlight to look and noticed that the gum behind the wisdom tooth is inflamed.
Additionally, my throat hurts when I swallow saliva.
I'm not sure if this is normal and whether it will improve in a few days, or if I should see another doctor for a second opinion.

Ms. Hsu, 10~19 year old female. Ask Date: 2015/09/01

Dr. Zhang Xiangyuan reply Dentistry

Dear online user,
Based on your description, it seems that you are still experiencing pain at the extraction site after having your wisdom teeth removed.
I recommend that you return to your dentist for an examination to check if there are any abnormalities with the wound.
If necessary, your dentist can prescribe medication for you.
Generally, swelling after tooth extraction should gradually improve within a few days to a week.
If the wound continues to be red, swollen, or if you experience any other uncomfortable symptoms, please consult your dentist to determine if further treatment is needed.
Thank you for your inquiry.

Reply Date: 2015/09/01

More Info

After wisdom tooth extraction, it is not uncommon to experience pain and inflammation, especially if the procedure was surgical in nature. The discomfort you are feeling could be attributed to several factors, including the surgical trauma to the gum tissue, potential infection, or irritation from adjacent teeth.
Firstly, it’s important to understand that after a wisdom tooth extraction, the body goes through a healing process that can take several days to weeks. During this time, it is normal to experience some level of pain and swelling. However, if the pain is severe or worsening, it could indicate complications such as dry socket (a condition where the blood clot at the extraction site dislodges or dissolves, exposing the bone and nerves), infection, or even issues with the adjacent teeth.

The inflammation you noticed in the gum tissue behind the extracted tooth could be a sign of infection or irritation. This is particularly concerning if you are also experiencing pain when swallowing, as this could indicate that the inflammation is affecting the surrounding areas, including the throat.
Here are some steps you can take to manage your symptoms and promote healing:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. If your doctor prescribed pain medication, make sure to follow their instructions regarding dosage and frequency.

2. Oral Hygiene: Maintaining good oral hygiene is crucial after an extraction. However, be gentle around the extraction site. Rinse your mouth with warm salt water several times a day, especially after meals, to help keep the area clean and reduce the risk of infection.

3. Diet: Stick to soft foods and avoid anything too hot, cold, spicy, or crunchy that could irritate the extraction site. Foods like yogurt, applesauce, and smoothies can be good options.

4. Avoid Irritants: Refrain from smoking or using straws, as these can create suction that may dislodge the blood clot and lead to dry socket.

5. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, pus, or a fever, these could be signs of infection, and you should seek medical attention promptly.

6. Follow-Up: Since you have already seen your dentist and they indicated that the pain is due to the opposing tooth, it may be beneficial to follow up with them if your symptoms do not improve within a few days. If you feel uncomfortable or if your symptoms worsen, seeking a second opinion from another dentist or an oral surgeon could provide additional insights and treatment options.

In summary, while some discomfort after wisdom tooth extraction is normal, persistent or worsening pain, especially accompanied by inflammation and difficulty swallowing, warrants further evaluation. It is always better to err on the side of caution and consult with a healthcare professional if you have concerns about your recovery. Your health and comfort should be the priority, and there are various treatment options available to help you through this healing process.

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