Post-Wisdom Tooth Extraction: Causes of Front Tooth Pain and Bite Issues

Ten days after the extraction of the lower right wisdom tooth, there is pain in the anterior teeth and discomfort with occlusion?

Hello Doctor, I had my lower right and upper wisdom teeth extracted around February 4th of this year.
However, ten days later, I began to experience soreness in the anterior teeth of my lower right jaw (where the wisdom tooth was).
When I touch it, it feels like the alignment is off and the tooth has elevated, which has made the discomfort in my bite more pronounced.
What could be the possible reasons for this? (The doctor mentioned before the extraction that my bite on the right side was misaligned because one of my teeth was more prominent.) I had my stitches removed on February 13th, and the doctor examined me and confirmed that there were no issues with my recovery.
The extraction of my lower wisdom tooth took three and a half hours, as the doctor said my tooth roots were particularly deep.
My tooth was broken into five pieces, and each piece was removed slowly.
After such an extraction, is it common to experience the aforementioned situation? Thank you!

Ms. Chen, 30~39 year old female. Ask Date: 2016/02/14

Dr. Huang Zhicheng reply Dentistry

Hello, the teeth in front of the wisdom tooth may become inflamed and swollen after the extraction due to the wound not healing yet.
This can cause occlusal interference, and the roots of the teeth behind may be exposed, leading to sensitivity to hot and cold foods, which is normal.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/14

More Info

After undergoing wisdom tooth extraction, it is not uncommon to experience discomfort or pain in adjacent teeth, particularly if the extraction was complicated or if there were pre-existing dental issues. In your case, you mentioned that you had your lower right wisdom tooth and upper wisdom tooth extracted on February 4th, and you began to feel pain in the front teeth on the lower right side about ten days later. This pain, along with the sensation of misalignment and discomfort during biting, can be attributed to several factors.

Firstly, the extraction process itself can lead to changes in the alignment of your teeth. When a tooth is removed, especially a wisdom tooth that is often positioned at an angle or has deep roots, the surrounding teeth may shift slightly as they adjust to the new space. This can create a feeling of misalignment or discomfort when biting down. The fact that your extraction took three and a half hours suggests that it was a complex procedure, which could further contribute to post-operative complications or discomfort.

Secondly, the pain you are experiencing could be related to the healing process. After a tooth extraction, the surrounding tissues, including the gums and bone, undergo a healing process that can sometimes lead to inflammation or sensitivity in adjacent teeth. If the extraction site was particularly traumatic, it could have caused some irritation to the neighboring teeth, leading to pain or discomfort.

Additionally, if you had pre-existing dental issues, such as misalignment or decay in the adjacent teeth, these could be exacerbated by the extraction. You mentioned that your dentist noted a pre-existing bite issue, which could mean that your teeth were already in a compromised position. The extraction could have altered the dynamics of your bite, leading to discomfort or pain in the front teeth.

It is also worth considering the possibility of referred pain. Sometimes, pain from one area can manifest in another, especially in the dental region where nerves are interconnected. The discomfort in your front teeth may not be directly related to the extraction site but could be a result of changes in your bite or tension in the jaw muscles as you adjust to the new alignment.

To address your concerns, it is essential to follow up with your dentist or an oral surgeon. They can conduct a thorough examination, possibly including X-rays, to assess the healing process and determine if there are any underlying issues that need to be addressed. They may also evaluate your bite and suggest orthodontic treatment if necessary to correct any misalignment that has occurred post-extraction.

In the meantime, managing pain with over-the-counter pain relievers, applying warm compresses to the area, and maintaining good oral hygiene can help alleviate discomfort. If you notice any signs of infection, such as increased swelling, pus, or fever, it is crucial to seek immediate medical attention.

In summary, the pain and discomfort you are experiencing in your front teeth after wisdom tooth extraction could be due to a combination of factors, including changes in tooth alignment, the healing process, pre-existing dental issues, and referred pain. A follow-up visit with your dentist will provide clarity and help you find an appropriate solution to your concerns.

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