Post-Wisdom Tooth Extraction Pain and Recovery

Issues After Wisdom Tooth Extraction

Last week, I underwent surgery at the hospital to remove my lower right horizontal wisdom tooth and my upper right wisdom tooth (the upper right one is not horizontal).
However, it has been seven days, and the wound is still very painful.
The upper right tooth is manageable, but the lower right one is particularly painful, especially in the mornings when I wake up.
On the day I had my stitches removed, I asked the doctor about it, and he said everything looked normal and there were no abnormalities, just some food particles trapped.
The doctor also mentioned that I was prescribed strong pain medication, but that night I woke up due to the pain and had to quickly take more painkillers to fall back asleep.
Even now, I can only eat soft foods like congee; I can't eat anything else.
Is this level of pain normal? What can I do to alleviate the pain?

Ms. Chen, 20~29 year old female. Ask Date: 2015/09/10

Dr. Zhang Xiangyuan reply Dentistry

Dear user, based on your description, you underwent the extraction of your lower right horizontal wisdom tooth and upper right wisdom tooth last week.
Following the extraction of impacted teeth, it is common to experience swelling and pain for several days to a week, which should gradually improve.
Since individual dental and health conditions vary, some patients may experience more pronounced pain.
It is advisable to monitor the discomfort (redness, swelling, heat, and pain) after the extraction to see if it is gradually improving, and to check for any signs of fever or pus formation.
If discomfort persists, please consult your dentist for an evaluation and possible medication.
Thank you for your inquiry.

Reply Date: 2015/09/10

More Info

After wisdom tooth extraction, it is common to experience pain and discomfort, especially in the first week following the procedure. The intensity and duration of pain can vary significantly from person to person, depending on several factors, including the complexity of the extraction, the position of the teeth, and individual pain tolerance. In your case, having had both a horizontal and a non-horizontal wisdom tooth removed, it is understandable that you are experiencing significant pain, particularly in the lower extraction site.

Understanding Post-Extraction Pain
1. Normal Pain Response: Following the extraction of wisdom teeth, it is typical to experience pain and swelling. The pain usually peaks within the first 48 to 72 hours and can last for several days. The fact that you are experiencing heightened pain in the mornings may be due to several reasons, including the accumulation of pressure in the extraction site overnight or the position in which you sleep.

2. Food Particles: The presence of food particles in the extraction site can exacerbate pain and discomfort. It is crucial to maintain good oral hygiene post-surgery, but be gentle around the extraction sites. Rinsing your mouth with warm salt water can help keep the area clean and may alleviate some discomfort.

3. Pain Management: If the prescribed pain medication is not providing adequate relief, it is essential to communicate this with your dentist or oral surgeon. They may need to adjust your medication or prescribe a stronger pain reliever. Over-the-counter options like ibuprofen or acetaminophen can also be effective, but always consult your healthcare provider before combining medications.

Recommendations for Pain Relief
1. Cold Compress: Applying a cold compress to the outside of your cheek near the extraction site can help reduce swelling and numb the area, providing some pain relief. Use the compress for 15-20 minutes at a time, with breaks in between.

2. Dietary Adjustments: Since you are currently limited to soft foods, continue to consume items like yogurt, smoothies, and mashed potatoes. Avoid hard, crunchy, or spicy foods that could irritate the extraction site. Staying hydrated is also essential, so consider drinking plenty of fluids.

3. Oral Hygiene: Maintain oral hygiene by gently brushing your teeth, avoiding the extraction site. After 24 hours, you can start rinsing your mouth with warm salt water to promote healing and reduce the risk of infection.

4. Follow-Up Care: If the pain persists beyond a week or worsens, it is crucial to return to your dentist. They will check for any complications, such as dry socket, which can occur when the blood clot at the extraction site dislodges or dissolves, exposing the bone and nerves underneath. Symptoms of dry socket include severe pain that typically starts a few days after the extraction and may be accompanied by a bad taste or odor in the mouth.

5. Rest and Recovery: Ensure you are getting adequate rest, as your body needs time to heal. Avoid strenuous activities that could strain your body and potentially exacerbate pain.

Conclusion
While some pain is expected after wisdom tooth extraction, persistent or severe pain should be addressed with your healthcare provider. They can assess your situation and provide tailored advice or treatment options. Remember, healing takes time, and following post-operative care instructions is crucial for a smooth recovery. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your dentist for further evaluation.

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