Wisdom Tooth Pain and Post-Filling Discomfort

Pain after wisdom tooth extraction and dental fillings?

My wisdom teeth have been coming in, and every once in a while, I experience pain that lasts for about a week.
I visited the dentist, who said that all four of my wisdom teeth are coming in properly.
The pain is due to their growth, and the dentist just did some fillings without recommending extraction.
However, they have been coming in for 7 to 8 years, so they should be fully developed by now.
Can you explain why I experience pain intermittently? If I choose not to extract them, how can I maintain them to avoid constant pain? Each time I feel pain, my entire mouth hurts to the point that I can hardly open it.
Additionally, is it normal to have a dull, lingering ache (spontaneous pain) for 3 to 4 days after getting a cavity filled?

maggie, 20~29 year old female. Ask Date: 2016/01/16

Dr. Zeng Guanghui reply Dentistry

All four wisdom teeth are positioned correctly, and the cavities have been filled, but they occasionally cause pain.
This may be due to the fact that the spaces around the wisdom teeth have not been thoroughly cleaned, leading to plaque accumulation, which can cause inflammation and even severe infection, resulting in difficulty opening the mouth.
Additionally, the fillings for the cavities have only been in place for 3 to 4 days, yet there is still persistent pain.
This may indicate that the original extent of the cavities was significant, which is why discomfort persists even after the fillings.
It is advisable to consult a dentist for further evaluation.

Reply Date: 2016/01/16

More Info

Wisdom teeth, or third molars, often cause discomfort during their eruption phase, which can last for several years. The pain you experience intermittently, even after several years of having your wisdom teeth, can be attributed to several factors related to their growth and positioning.
Firstly, even if your dentist has confirmed that your wisdom teeth are growing in straight, they can still cause discomfort as they push through the gums. This process can lead to inflammation in the surrounding tissues, resulting in pain. The gums may also become irritated or infected, especially if there is not enough space in the jaw for the teeth to emerge fully. This condition is known as pericoronitis, which can cause significant discomfort and swelling.

If your wisdom teeth are not causing any severe issues, such as recurrent infections or damage to adjacent teeth, your dentist may recommend monitoring them rather than immediate extraction. However, it is essential to maintain good oral hygiene to minimize the risk of complications. Here are some tips for caring for your wisdom teeth:
1. Regular Dental Check-ups: Regular visits to your dentist can help monitor the growth of your wisdom teeth and catch any potential issues early.

2. Oral Hygiene: Brush and floss your teeth thoroughly, paying special attention to the back of your mouth where the wisdom teeth are located. This helps prevent plaque buildup and reduces the risk of gum disease.

3. Warm Salt Water Rinses: If you experience pain or discomfort, rinsing your mouth with warm salt water can help reduce inflammation and promote healing.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort when needed. However, consult your dentist before taking any medication.

5. Dietary Adjustments: Soft foods can help minimize discomfort when chewing. Avoid hard or crunchy foods that may irritate the gums.

Regarding the discomfort you feel after a filling, it is not uncommon to experience some sensitivity or mild pain for a few days following dental work. This can be due to several reasons:
1. Inflammation: The process of drilling and filling can cause temporary inflammation in the tooth and surrounding tissues, leading to discomfort.

2. Nerve Sensitivity: If the filling is close to the nerve of the tooth, it may cause sensitivity to temperature changes or pressure.

3. Bite Adjustment: Sometimes, the filling may be slightly higher than the surrounding tooth structure, causing discomfort when biting down. If this is the case, your dentist can easily adjust the filling.

4. Material Reaction: Some patients may have a mild reaction to the materials used in the filling, which can cause temporary discomfort.

If the pain persists beyond a few days or worsens, it is crucial to return to your dentist for an evaluation. They can determine if there are any underlying issues, such as an infection or a need for further adjustment of the filling.

In summary, while intermittent pain from wisdom teeth can be normal, maintaining good oral hygiene and regular dental visits is essential for managing discomfort. If you experience persistent pain after dental work, consult your dentist to ensure there are no complications.

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