Post-Wisdom Tooth Extraction: Pain and Swelling Concerns - Dentistry

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Wisdom Tooth Surgery Post-Operative Care


Hello, doctor.
I had my wisdom teeth removed on March 4th, and since yesterday, my throat has been very painful.
The first day, it was a sharp pain when swallowing saliva, and now on the second day, I have a constant sensation of something stuck in my throat, making it difficult to swallow and even causing nausea.
Is this normal? Additionally, the left side of my face and throat are still swollen, and I feel pain in the area where the wisdom tooth was removed when I bite down.
Is this normal? I didn't experience this after my extraction in September.

Niming, 20~29 year old female. Ask Date: 2016/03/06

Dr. Zeng Guanghui reply Dentistry


The above situation likely pertains to the tooth extraction process, where surrounding bone plates are removed, possibly due to an impacted wisdom tooth or one that was trapped by the bone plate, resulting in a large extraction wound, which could cause throat pain.
As long as oral hygiene is maintained, the wound will gradually heal, and a follow-up appointment should be scheduled for the doctor to examine the wound postoperatively.

Reply Date: 2016/03/06

More Info


After undergoing wisdom tooth extraction, it is not uncommon to experience pain and swelling in the surrounding areas, including the throat and face. Your symptoms, such as throat pain, the sensation of something stuck in your throat, and difficulty swallowing, can be attributed to several factors related to the extraction process.

Firstly, the extraction of a wisdom tooth, especially if it was impacted or required surgical intervention, can lead to inflammation and swelling in the surrounding tissues. This inflammation can extend to the throat, causing discomfort and pain when swallowing. The sensation of something being stuck in your throat may be due to swelling in the area or irritation of the throat muscles, which can occur after dental procedures.

The pain you are experiencing on the left side of your face and throat, as well as the difficulty in chewing or biting down, is also a common post-operative symptom. The extraction site can be sensitive, and the surrounding teeth may also feel discomfort due to the trauma of the procedure. The fact that you did not experience these symptoms after your previous extraction in September may be due to differences in the complexity of the procedures, the position of the teeth, or individual healing responses.

In terms of management, here are some recommendations to alleviate your discomfort:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce pain and inflammation. If your dentist prescribed medication, be sure to follow their instructions.

2. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing some relief from pain.

3. Hydration and Soft Foods: Staying hydrated is essential, but if swallowing is painful, try consuming soft foods and liquids that are easier to swallow. Avoid hot, spicy, or acidic foods that may irritate your throat further.

4. Saltwater Rinse: After the first 24 hours post-extraction, gently rinsing your mouth with warm salt water can help keep the extraction site clean and may reduce inflammation.

5. Avoid Straws: Using straws can create suction that may dislodge the blood clot forming in the extraction site, leading to complications such as dry socket.

6. Follow-Up: If your symptoms persist or worsen, it is important to follow up with your dentist or oral surgeon. They can assess for any complications, such as infection or dry socket, which may require additional treatment.

7. Rest: Ensure you are getting enough rest to allow your body to heal. Avoid strenuous activities that could exacerbate swelling or pain.

In conclusion, while some discomfort and swelling are normal after wisdom tooth extraction, persistent or severe symptoms warrant a follow-up with your healthcare provider. They can provide a thorough evaluation and ensure that your recovery is progressing as expected. Remember, each individual's healing process is unique, and it is important to listen to your body and seek help when needed.

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