Two months after wisdom tooth extraction, there are still times when it can be very painful?
Hello Dr.
Tseng, I had my lower left wisdom tooth extracted in August.
There were stitches due to the wound, but it healed quickly.
However, recently I sometimes feel a lot of soreness in the area where the tooth was removed.
Is this normal? Thank you!
Xiao Fu, 20~29 year old female. Ask Date: 2015/10/29
Dr. Zeng Guanghui reply Dentistry
The above situation may indicate that the adjacent tooth to the extraction site has gingival inflammation.
It is recommended to consult a dentist for further evaluation and treatment.
Reply Date: 2015/10/29
More Info
Experiencing pain two months after wisdom tooth extraction can be concerning, and it's important to understand the potential reasons behind this discomfort. While some degree of soreness can be expected during the healing process, persistent or recurrent pain after such a significant period may indicate underlying issues that need to be addressed.
Firstly, it’s essential to recognize that the healing process after wisdom tooth extraction varies from person to person. Generally, the initial healing phase lasts about one to two weeks, during which the gum tissue closes and the bone begins to heal. However, complete healing of the bone can take several months. If you are experiencing pain two months post-extraction, it could be due to several factors:
1. Dry Socket (Alveolar Osteitis): This is a common complication that can occur after tooth extraction, particularly if the blood clot that forms in the socket is dislodged or dissolves too early. Symptoms include severe pain that can radiate to the ear or jaw, and it typically occurs within the first few days after extraction. However, if you are experiencing pain now, it is less likely to be a dry socket unless it was misdiagnosed initially.
2. Infection: An infection can develop in the extraction site, leading to pain, swelling, and sometimes fever. If you notice any discharge or a foul taste in your mouth, it’s crucial to consult your dentist or oral surgeon as you may require antibiotics.
3. Nerve Irritation or Damage: During the extraction, nearby nerves can be irritated or damaged, leading to ongoing discomfort. This is more common in lower wisdom teeth due to their proximity to the inferior alveolar nerve.
4. Bone Spurs: Sometimes, small fragments of bone can remain in the extraction site, which can cause discomfort as the surrounding tissue heals. These may need to be removed by a dental professional.
5. Adjacent Teeth Issues: Pain may also arise from adjacent teeth that could be experiencing issues such as decay or gum disease, which can sometimes be mistaken for pain from the extraction site.
6. Jaw Issues: If you have been clenching or grinding your teeth (a condition known as bruxism), this can lead to muscle tension and pain in the jaw, which may feel like it’s coming from the extraction site.
Given your situation, it is advisable to schedule a follow-up appointment with your dentist or oral surgeon. They can perform a thorough examination to determine the cause of your pain and recommend appropriate treatment. This may include imaging studies, such as X-rays, to check for any complications that may not be visible during a physical examination.
In summary, while some discomfort can be normal during the healing process, persistent pain two months after wisdom tooth extraction warrants further investigation. It’s crucial to address any concerns with a healthcare professional to ensure proper healing and to rule out any complications. Your oral health is important, and timely intervention can prevent further issues down the line.
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