Why did the neighboring tooth start to hurt after extraction?

• When is it necessary to remove the lower wisdom tooth?
• Tooth eruption problems. Wisdom teeth removal in advance
• Indications and contraindications
• Preparation for the procedure
• Removal steps
• Possible complications after removal
• Time and prices for the procedure
• Advantages of treatment at Aurora

Removal of a wisdom tooth on the lower jaw

Most people of conscious age go to the dentist because of problems with their lower wisdom teeth.
They often interfere, put pressure on neighboring molars, and cause discomfort or pain after eating. Most often, wisdom teeth in the lower jaw appear between the ages of 20 and 25, although the timing varies from person to person; for some, they may appear at the age of 16, for others closer to 40 years. In most cases, the appearance of figure eights is accompanied by various complications that require their removal. Malocclusion, difficulty in teething, tumors and trauma to the mucous membrane and much more.

Why does a tooth hurt after extraction?

Pain after tooth extraction is quite common and manifests itself in most cases in some form. Pain at the extraction site is divided into several types. We will talk about each type of pain.

Aching pain after tooth extraction

This type of toothache is the most common and is observed in almost all patients who have undergone tooth extraction. The first pain appears after the anesthesia wears off and lasts for about two days. By its nature, this pain resembles an aching character. In some cases, pain is experienced when opening the mouth, this is due to the fact that the gums and chewing muscles are stressed and inflamed due to tooth extraction.

Severe pain after tooth extraction

This type of pain usually appears after the removal of impacted and dystopic teeth. When they are removed, a larger volume of mucous membrane is exposed, and the removal operation itself lasts longer compared to conventional removal. Because of this, the impact on the oral cavity is much greater, and inflammation is more pronounced.

Phantom pain after tooth extraction

After complex removal surgery, in rare cases, phantom pain may occur. This occurs due to the sprouting of nerve fibers into the tissue. This type of toothache occurs in people with weak immunity or autoimmune diseases of the body.

Due to the sprouting of nerve fibers, the removal site becomes very sensitive. When chewing soft food, severe pain can spread to other teeth.

When is it necessary to remove the lower wisdom tooth?

Eighth teeth are removed in two cases: when they have not yet sprouted or are already protruding from the gums. In the first case, the operation is performed if the patient feels discomfort, and during an external examination the doctor does not see diseased teeth. The appearance of pain means that the molar in the gum is pressing on its neighbor and disturbing him.

If the wisdom tooth has erupted incorrectly - that is, not straight up, but with a deviation, at an angle to the jaw and neighboring teeth, then removal is also a mandatory procedure. The slope of the figure eight is:

• distal - when the “eight” is tilted back, away from the “seven”. In this case, there is a risk of injury to the gums and damage to the roots of the adjacent tooth;
• medial - when the “eight”, on the contrary, is inclined towards the neighboring tooth. This increases the likelihood of damage to the crown part of the “seven” and the development of caries on both teeth;
• buccal – in this case, the wisdom tooth is turned towards the cheek and constantly touches the mucous membrane, causing irritation and hardening of the tissues. This condition can eventually lead to the formation of a tumor on the mucosa.

The removal of a wisdom tooth in the lower jaw is definitely necessary in the following cases:

• Caries on a wisdom tooth.
• Lack of space in the row for teeth. The last molars put pressure and cause discomfort.
• Pain in the gum where the wisdom tooth is located, at any time of the day, even after sleep.
• Incorrect growth sideways towards the tongue or larynx. This phenomenon is called dystopia.
• It interferes with implantation.

A tooth can erupt without causing pain once it appears; it will still be removed because it is not growing properly. The dentist makes an accurate diagnosis. To make an appointment, leave a request on the website or call one of the numbers: +7-924-444-05-45 - administrator

Removing a wisdom tooth in the lower jaw is a more complex procedure than removing an upper tooth. The bottom eights have a more powerful root system, and the jaw bones are denser and thicker. To remove a lower molar, it is necessary to perform a complex operation with dissection of the gum. In some cases, the surgeon has to remove part of the bone, divide the root into several parts and extract them separately.

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Tooth eruption problems. Wisdom tooth removal in advance

Many patients think that if the wisdom tooth is not visible on the gum, then there is no need to worry. However, over time, this molar increases in size and begins to interfere with the others. Waiting until the wisdom molar appears can lead to the following problems:

• pain in the tooth and gum;
• caries between molars;
• curvature of the roots of a healthy chewing tooth;
• infection in the place where the molar erupts because it grows incorrectly;
• curvature of the bite.

It is easier for a doctor to pick up and remove a tooth that has not yet come out. So while there is no pain, it is better to have surgery in advance.

Healing of the tooth socket on the gum

The healing process of the hole after tooth extraction takes about 3-4 weeks. It all depends on the size of the hole and the characteristics of the body. Complete restoration of bone tissue occurs approximately 6 months after removal.

The healing process can be divided into stages:

• 1-2 hours after the tooth is removed, blood begins to form in the place where it was located, just like on ordinary wounds. Therefore, it is not recommended to expose the tooth to any impact during the first 2 hours. Including consumption of food, hot and cold water;
• After 2-3 days, gum swelling and pain decrease;
• After 3-4 days, granulation tissue begins to form at the site of removal;
• On days 5-6, this tissue begins to grow, swelling and pain in most cases subside and disappear;
• A week after removal, the hole heals;
• Next comes the active healing process, and if there are no complications, then by 3 months the bone tissue is saturated with minerals, and the recovery stage is considered almost complete;
• Six months after removal, the gums are completely healed;

Indications and contraindications

The attending physician (therapist) or orthodontist directs the removal of a molar in the lower jaw. In any case, the patient is sent for a panoramic photo, where the location of the teeth is visible. This procedure facilitates the work of the surgeon who has to deal with a complex operation. Contraindications for removal are as follows:

• Pregnancy and breastfeeding. After such a complex removal, the mother will have to stop breastfeeding, because antibiotics and painkillers can get into the baby along with the milk.
• People of the older generation with a diseased heart, hypertension of the 2nd or 3rd degree should be attentive to their health and not rush into surgery, but it is better to refuse it altogether.
• Malignant formation in the tooth growth zone.

Tooth extraction is also done as a preventive measure in advance, so that later they do not hurt and do not interfere with others.

Pulpitis or periodontitis

After tooth extraction, did the neighboring tooth start to hurt? Unpleasant sensations may have nothing to do with the extraction. Perhaps pulpitis or periodontitis has developed in the crown nearby. The dentist will be able to determine what exactly provoked the pain syndrome only after examining the oral cavity and x-raying the area that is bothering the patient.

It is not recommended to treat adjacent teeth immediately after extraction, since the bacteria that caused caries in them can enter the socket and cause alveolitis. The doctor will determine when treatment can begin. Experts usually recommend waiting until the wound has completely healed, but with severe inflammation this is not always possible.

Preparation for the procedure

Before removing a tooth, it is necessary to undergo a computed tomogram (CT ). The device allows you to illuminate the teeth and see the location of the crowns and roots in the gums. CT will make the surgeon’s work easier and save him from a long and complex operation. The procedure is painless. Done quickly.

The choice of tooth extraction technique depends on several factors:

• the presence or absence of inflammation of the soft tissues surrounding the tooth,
• duration of the process,
• location of the third molar in the bone,
• contacting a doctor during periods of exacerbation or remission of the disease,
• degree of tooth crown destruction.

Removal steps

The procedure can be divided into three stages:

1. preparatory;
2. The operation itself;
3. After surgery.

Preparatory stage.

At this stage, the doctor visually examines the patient's oral cavity. Then a computed tomography is done to look at the length and shape of the roots, the depth of the tooth, etc.

Surgery

Complex wisdom tooth removal is divided into several stages. Let's consider a generalized operation scheme:

• A painkiller is given. To do this, a needle is inserted into the lower jaw to the nerve bundle so that the patient does not feel pain. Lips, chin, tongue are numbed. If sensitivity does not disappear, an additional injection is given. After anesthesia, the course of a complex extraction procedure depends on the location of the tooth.
• An incision is made with a scalpel.
• The tooth is sawed down to make it easier to remove.
• Take out the crown and roots.
• The wound is treated and sutured.

This completes the surgical stage.

Postoperative stage

This stage is very important, its duration is 7 – 10 days. During this period, the surgical wound heals, and a clot first forms in the hole and then resolves. Patients must follow our doctor's instructions exactly to avoid post-operative complications.

Tooth extraction: how long does the procedure take?

With a simple type of extraction, the procedure is carried out in 10 - 20 minutes. The process of complex removal lasts from 30 minutes or longer, depending on the specifics of the operation. For example, removing a horizontal tooth can take up to 2 hours or more. At the same time, sometimes additional preparatory procedures are necessary, which also take time.

After tooth extraction in the lower jaw antibiotics to prevent the entry and spread of infection. Such complex manipulations are contraindicated for pregnant and nursing mothers. Painkillers are prescribed to reduce pain after the procedure.

For complex removal, the patient is asked to come back again in five days or earlier if a fever appears. If the tooth has come out halfway (semi-retinated tooth), removal is carried out in the same way, but it is easier to pull it out, since part of the molar is on the surface.

Alveolitis

Inflammation of the socket after tooth extraction is called alveolitis. At the first stage, it is manifested by swelling and redness of the soft tissues, severe pain in the jaw - the patient may feel that it is not the hole that is bothering him, but the dental unit next to it. Without treatment, alveolitis leads to a sharp increase in temperature, enlarged lymph nodes, and destruction of the periosteum and bone tissue.

To reduce the risk of developing an inflammatory process, it is enough to strictly follow the dentist’s recommendations until the wound is completely healed. Before extraction, you need to tell your doctor about existing chronic diseases and regular use of medications that affect tissue regeneration. Thus, oral contraceptives and decompensated diabetes mellitus can increase the risk of developing alveolitis.

Possible complications after removal

Complications after surgery arise due to violations of doctors’ recommendations. Patients begin to rinse their mouth, go to the bathhouse, play sports, or do not take medications that were prescribed. It is absolutely IMPOSSIBLE to do this for 5 days, because the place where the tooth was located is easily inflamed. Pain after removal is normal. Because the anesthesia wears off and the gums heal. Taking painkillers reduces pain.

Without taking antibiotics, inflammation and suppuration may begin. This situation arises due to the fact that food often accumulates at the end of the gums, which is difficult to remove with a brush, and along with it remain microbes that cause suppuration.

If bleeding occurs after removal, you should press the wound with a cotton pad for 15 minutes. If the bleeding does not stop, you should consult a doctor.

For reference! For high-quality and rapid healing, it is necessary that the wound heals well, so you should not eat hard food for at least 5 days and clean the hole.

How long does your gum hurt after tooth extraction?

Normally, after 1-3 days, tissue swelling gradually decreases, pain goes away, and health improves. Already on the 3-4th day, the blood clot is gradually replaced by granulate, and after a week it fills the entire hole. After tooth extraction in the upper jaw, the recovery time is identical to the lower jaw, but bone regeneration in the upper dentition occurs more slowly.

In some clinical cases, the surgeon may cut the gum and drill out the jaw bone. Typically, such manipulations accompany the extraction of the outer eighth molars (wisdom teeth). Then healing takes longer than after a simple operation.

If 5-7 days after the intervention the pain does not decrease, but rather becomes more intense, you should consult a doctor. Acute, nagging, constant pain after tooth extraction can be a symptom of complications.

The tooth socket heals in approximately 2-4 weeks. Recovery time depends on the parameters of the wound and the body’s reaction to the removal procedure. Bone volume is restored approximately 6 months after the intervention.

Time and prices for the procedure

This complex operation takes about an hour. The duration of the procedure depends on the complexity of the figure eight position and the degree of neglect.

The consultation is free of charge. The final cost can be found out after consulting a specialist.

A detailed price list can be found on the website.

Make an appointment for lower wisdom tooth removal

Byshlyaga Dmitry Yurievich
Byshlyaga Dmitry Yurievich Orthopedic dentist

Extensive practical experience. Regularly undergoes internships and advanced training courses.

Working hours: from 9.00 to 20.00, daily, seven days a week, by appointment

Make an appointment

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Asatryan Alexander Aramovich

Asatryan Alexander Aramovich Dentist therapist - orthopedist - surgeon

Extensive practical experience. Regularly undergoes internships and advanced training courses.

Working hours: from 9.00 to 20.00, daily, seven days a week, by appointment

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Advantages of treatment at Aurora

Removing the lower wisdom tooth is a complex procedure that requires high specialist competence. Due to the inconvenient location and improper growth of the last molar, neighboring teeth suffer. Highly qualified specialists of our center easily and quickly carry out complex operations of this level. In addition, Aurora dentistry has other important advantages over its competitors:

• the possibility of receiving installments from Pochtabank or Renaissance Credit;
• individual approach;
• work on weekends, including for residents of the region by appointment;
• The doctor is assisted by an assistant, which allows him to carry out manipulations 2 times faster;
• modern, 100% high quality, imported materials.

Our dentistry offers the following promotions for the removal of the lower wisdom tooth:

1. If you found out about us through 2GIS, we provide 5% on services;
2. 10% discount on your birthday and the next 3 days
3. For pensioners there is a “Golden Watch” promotion - a 10% discount on tooth extraction from 9-00 to 11-00

If you need complex and long-term dental treatment in Blagoveshchensk, we have an individual discount policy and a flexible payment schedule

To make an appointment, just call. On the appointed day, the doctor will see the patient and tell him how the lower wisdom tooth will be removed without pain after the procedure and fear.