Pain after wisdom tooth removal - what is the reason and what to do?

Each of us has at one time or another faced the need for dental treatment or removal.

Do not be afraid of these procedures, as they are absolutely painless, thanks to various methods of pain relief.

You should understand the questions of what is tooth extraction and anesthesia?

Tooth extraction is a surgical micro-operation, which is prescribed when treatment is impossible. The procedure is performed under anesthesia, sedation or general anesthesia, which allows the removal to be performed comfortably for the patient.

Proper oral care after tooth extraction

To prevent unwanted consequences from occurring, it is important not to do the following:

• touch the wound with your tongue or use other foreign objects for this,
• rinse your mouth generously in the first two days,
• make sudden movements with the facial muscles,
• plunge into hot water or rinse with it,
• Hard to work,
• eat food in the first 3 hours that follow the procedure, it is permissible to drink, but refrain from boiling water.
• You should also abstain from cigarettes at this time,
• alcohol is contraindicated within 24 hours after surgery. If your doctor prescribes the use of antibiotics, you should not drink alcohol until the end of the course of therapy.

Types of anesthesia for tooth extraction and methods of its behavior

Based on the depth of anesthesia, anesthesia is divided into the following types:

• surface;
• easy;
• full;
• super deep.

For dental treatment under anesthesia, only superficial and light anesthesia is used in dentistry. While the last two types are used for complex operations, for example, for maxillofacial injuries.

Anesthesia is carried out in two main ways:

• inhalation - you inhale sprayed particles of the drug through a special mask;
• intravenously - using a regular injection.

High-quality anesthetic drugs promote restful drug-induced sleep and recovery from it without any complications. Modern anesthetic medications are highly safe and suitable even for patients with allergies. They do not cause side effects or addiction and are easily eliminated from the body.

A cold compress will prevent swelling

Immediately after the manipulations, it is necessary to apply a cold compress, since after tooth extraction the cheek may swell.

To do this, take some chilled meat products or ice and apply it, after wrapping it in a cloth. Such actions will help to minimize or even eliminate swelling of the soft areas of the face that can form in the event of a serious intervention.

It is recommended to keep the ice for about 5 minutes, apply it 3-4 times, taking a break between applications. It is important to apply cold immediately after surgery, since further this action will not bring the desired effect. Under no circumstances should you use a warm compress or warm the tissue in any other way - thoughtless intervention can cause suppuration.

Why complications arise

After extraction, a wound is left in the gum and bone in which a blood clot (fibrin) forms. It “seals” the wound, preventing infection, and becomes the basis for the formation of new tissue that fills the space formed after the removal of the 8. After uncomplicated removal, healing lasts about a week. On days 3-4, the blood clot is gradually replaced by granulation tissue, which gradually fills the entire socket. Already after a month, the granulation tissue is completely replaced by connective tissue, and after 3 months - by bone.

Removal of third molars can have negative consequences that appear almost immediately after the intervention. Among the most common complications:

• “dry socket” - when a blood clot does not form or dissolves too quickly;
• paresthesia - damage to the nerve endings around the removed unit;
• alveolitis - inflammation of the socket;
• bleeding;
• cyst - fibrous formation at the site of an extracted tooth;
• endogenous periostitis (flux).

In rare cases, stomatitis, osteomyelitis, jaw trauma, and perforation of the bottom of the maxillary sinus are observed. The occurrence of complications is usually associated with ignoring the dentist’s recommendations regarding oral hygiene during the healing period, decreased immunity, and violation of surgical technique.

If your gums bleed after tooth extraction

You can stop bleeding in a number of effective ways. In most cases, this disease affects people with high blood pressure with hypertension or patients who have had a large vessel damaged.

It is worth noting that due to psychological overload and stress during activities, even in people with normal health, blood pressure may rise. The first step is to apply a tightly rolled piece of sterile bandage to the bleeding site, and then measure the patient’s blood pressure. If it is elevated, you need to resort to medications.

With increased blood pressure, the chance of hematoma and blood appearing after tooth extraction increases. This development of events is dangerous due to suppuration, which will then have to be opened, and bleeding can cause dizziness and weakness.

If bleeding appears several hours after removal, you should not wait for the situation to normalize, but seek medical help.

Diabetes mellitus during tooth extraction

If a person has this disease, it is recommended to measure their sugar levels immediately after surgery. Tension leads to the production of adrenaline, which can increase the rate. By measuring sugar, a person will know about his condition and will be able to prevent side effects.

If a gauze pad is placed on the gum

A gauze swab is placed on the hole if it is etching. In other situations, the use of this remedy is undesirable, as it can provoke inflammation. As the tissue is removed, the blood clot that has formed in the socket is also removed.

If the tissue lining is on the wound, it is necessary to carefully remove it after a certain period of time after removing the tooth. A tampon that has absorbed a certain amount of liquid automatically becomes a breeding ground for a wide range of bacteria. You should not keep it in your mouth for a long time to prevent the appearance of inflammatory processes in the hole that remains after tooth extraction.

Antiseptic rinses for suppurations

There is no need to rinse your mouth intensively; instead, use “baths”. In order not to disturb the damaged tissues, take a special anti-inflammatory solution into your mouth, keep it inside, and then spit it out.

Indications and contraindications

The use of anesthesia in each specific case must have serious medical reasons, so it is used infrequently. In addition, the cost of tooth extraction under general anesthesia is quite high. If you are simply afraid of surgery, but you only need to remove one front tooth, then in this case it is advisable to use light sedatives and carry out tooth extraction under local anesthesia. If the surgeon’s task is much more complex and the volume of work is large, then general anesthesia is appropriate.

Indications

The following main indications exist for the use of general anesthesia during tooth extraction:

• allergy to local anesthetics;
• panic fear of treatment;
• increased blood pressure (hypertension) due to stress;
• a gag reflex in the patient, which prevents the doctor from performing the operation;
• large volume of manipulations;
• inability of a patient with disabilities to sit in the dental chair.

Contraindications

Speaking about contraindications to tooth extraction under general anesthesia, you should be guided by the list of factors presented below that may cause refusal of this procedure:

• exacerbation of chronic pathologies;
• diabetes mellitus in the stage of decompensation;
• acute heart failure;
• period up to six months after myocardial infarction;
• heart defects;
• infectious diseases;
• anemia;
• epilepsy;
• pathologies of the respiratory system.

Baths should be carried out if:

• an incision was made to expose the gumboil;
• the tooth was removed due to inflammatory processes;
• there are harmful deposits on the teeth and caries;
• removal of the root of a tooth with caries

For procedures with baths, you can use an aqueous solution of chlorhexidine with a concentration of 0.05%. This drug is inexpensive, it can be purchased ready-made, it has excellent antiseptic effects, and tastes bitter. Such procedures must be carried out 3 times a day. The solution must be kept in the mouth for 1 minute.

Possible complications

Successfully performed surgery and following the doctor’s recommendations minimize the risk of complications. But they are still possible. This:

• severe pain that continues for several days;
• heavy bleeding from the surgical wound;
• inflammatory process (characterized by swelling of the gums, cheeks, and a significant increase in temperature);
• osteomyelitis of the jaw;
• loss of sensitivity in some areas of the face (parasthesia). Possible if the facial nerve is damaged.

Attention! All of the above symptoms are a good reason to immediately consult a doctor. Waiting “for it to resolve on its own” is unacceptable; this can lead to serious consequences, including sepsis.

If your gums hurt after tooth extraction

Tooth extraction leads to damage to soft tissues, which contain a large number of nerves. The doctor performs the procedures under local anesthesia, so the patient feels discomfort only in one thing - the need to spend a certain amount of time with his mouth wide open.

When the analgesic effect ends and the tooth has already been removed, the pain returns. Usually they are of a “aching” nature and do not fundamentally interfere with normal life activities. But in some cases the pain can be intense.

If the tooth extraction was not caused by inflammatory processes, you can avoid the use of painkillers. If pain relief is necessary to avoid severe pain after tooth extraction, it is recommended to take an analgesic until the anesthetic wears off.

Using painkillers after tooth extraction

If you experience intense pain, you can resort to using “Ketans”; The medicine is dispensed by pharmacists in pharmacies only with a prescription - this is due to the presence of side effects. Severe pain can occur during complex and lengthy medical intervention, especially if it was accompanied by drilling of the bone around the tooth, or if the operation was performed poorly, unprofessionally and traumatically.

“Ketorol” (an analogue of “Ketanov”), “Analgin” (will help reduce mild pain syndrome), “Spazmalgon” (in addition to the analgesic effect has an antiseptic effect), “Baralgin” (a drug that contains “Analgin” in its composition).

Pros and cons of local anesthesia in dentistry

Among the advantages of local anesthesia:

• affordable price;
• lack of significant impact on the patient’s body;
• low risk of adverse reactions;
• the ability to treat and remove baby and molars without pain.

The disadvantages include:

• the possibility of developing allergies, including anaphylactic reactions, laryngeal edema;
• low effectiveness if there is a pronounced inflammatory process in the maxillofacial area.

If the anesthesia method is chosen correctly, the removal will take place quickly and without complications. Trust your health to experienced dentists. Then even the most complex dental problems will be solved quickly and without pain.

Wisdom tooth removal

Wisdom teeth are the painter or chewing teeth located at the end. When chewing, they do not play a significant role; the structure is no different from ordinary teeth.

There are several generally accepted indications for removal:

• ingrowth of roots into the maxillary sinus,
• partial eruption
• facial neuralgia,
• inclined or lateral position,
• caries damage.

When removing a wisdom tooth, painkillers are used to relieve pain. Consequences after the operation may occur depending on the complexity of the operation, surrounding tissues, location, and access to the tooth.

Negative consequences may occur if the patient does not adhere to the doctor's orders. Baths of soda and herbal decoctions will also help alleviate the condition after removal. It is forbidden to rinse; it is important to preserve the blood clot, which protects the wound from infection.

Types of deletion

Wisdom teeth (eights, third molars) are larger than other dental units in the row. They differ not only in size, but also in the complex anatomy of the root system. Eight has from 2 to 6 roots

, which are often closely intertwined with each other. Given the complex arrangement of wisdom teeth, when they are removed, a significant wound is created.

The risk of complications will directly depend on how difficult the figure eight extraction was. With simple extraction, when the tooth is intact, the roots are not intertwined, and there are no other pathologies (pulpitis, periodontitis, etc.), the risk of complications is minimal. In such a situation, the doctor uses forceps or an elevator to remove the tooth from the socket.

If the wisdom tooth is incorrectly positioned (horizontal eruption, severe curvature), intertwined roots, significant destruction of the coronal part, or the presence of inflammation, a more global surgical intervention may be required. An incision in the gum, cutting a tooth into pieces with a drill, removing root fragments through the jaw bone and other manipulations significantly increase the traumatic nature of the procedure. Aching pain, swelling after removal of the figure eight, increased temperature (up to 37.5℃), hematoma on the cheek - this is a normal reaction to the intervention, which lasts no more than 5-7 days.

In what cases is it necessary to remove the nerve of a tooth?

Removing the nerve from a tooth kills it. Almost no nutrients are supplied, causing it to become darker and weaker. During treatment, dentists try to keep the dental nerve alive, but sometimes they have to take forced measures to put the oral cavity in order.

Nerve removal is necessary if:

1. Deep caries.

   If the disease has destroyed almost the entire tooth, there is nothing to save; the main thing for the doctor is to prevent further destructive process.

2. Prosthetics.

   To install the prosthesis, an incision must be made in the pulp chamber. This is especially necessary in situations where teeth grow at an inclined angle.

3. Incorrect treatment in the past.

   This can happen if during treatment the doctor resorted to opening the pulp chamber. In this case, it is necessary to partially remove the nerve.

4. Mechanical damage.

   Injury can lead to chips in the enamel where the nerve is located. If the front teeth are damaged, the nerve is not completely removed.

Antibiotic therapy after removal of unhealthy teeth

Antibiotics are prescribed by the attending physician - dentist. Drugs are prescribed in case of difficult extraction, to prevent the risk of complications if the tooth was removed due to inflammatory processes.

The drug usually prescribed is Lincomycin 0.25. Take capsules after tooth extraction for 5 days, 2 capsules 3 times. If purulent inflammation is present, the antibiotic is prescribed as intramuscular injections.

Those who suffer from intestinal and stomach disorders can take antibiotics in effervescent forms, for example, Unidox Solutab and Flemoxin Solutab.