They pulled out a wisdom tooth, now it hurts, what to do with pain after removal. How long does it take for gums to heal after wisdom tooth removal?

From this article you will learn:

• wisdom tooth removed how much will it hurt,
• what are the complications
• how long does the gum heal after the removal of a wisdom tooth.

The article was written by a dental surgeon with more than 19 years of experience.

According to statistics, after the removal of a wisdom tooth - in 25-30% of cases, inflammation of the hole occurs extracted tooth. For example, after the removal of any other groups of teeth, inflammation occurs only in 3-5% of cases. This is due: firstly, to the higher complexity of removing wisdom teeth, and secondly, to the fact that they are surrounded by a large amount of soft tissue.

The last circumstance is very important, because the presence of mobile soft tissues in the area of ​​the socket of the extracted tooth often leads to the loss of a clot - its loss or even destruction. If the hole of the extracted tooth is without a clot, inflammation will inevitably develop in it.

Gums after wisdom tooth removal (normal) -

When wisdom teeth are removed, sutures are almost always applied. This is necessary because these teeth are located deep in the soft tissues and in this place the mucous membrane is very mobile. The lack of sutures in this situation can lead to clot prolapse and inflammation. But if the patient has a long jaw and there is enough space for the wisdom tooth, the hole will look traditional (Fig. 3).

Why complications often occur after the removal of a wisdom tooth -

It must be said that the severity of negative symptoms after the removal of a wisdom tooth directly depends on the degree of traumatic removal. In turn, the traumatism depends not only on the simple or complex position of the tooth in the jaw, but, first of all, on the qualifications of the dental surgeon.

For example, surgeons often try to remove a patient’s wisdom tooth for 1-2 hours with just forceps and an elevator - instead of immediately making a gum incision, drilling a little bone around the tooth and / or sawing the crown of the tooth into several parts (after removing each root along separately), and spending only 15-20 minutes on it.

Another major cause of complications after complex removal wisdom tooth is the use by the surgeon of a drill, the surgical handpiece of which is not water-cooled. As a result, a thermal burn of the bone occurs, followed by severe pain and the development of suppuration of the hole of the extracted tooth.

Important : thus, the main causes of inflammation and other complications are errors and negligence of the dental surgeon during the removal process. However, a lot also depends on the doctor's prescriptions. Proper appointments dramatically reduce the risk of developing inflammation of the hole.

What to do after the removal of a wisdom tooth so that there are no complications -

What to do after the removal of a wisdom tooth will depend on the complexity of the removal. If the removal was simple (i.e., not accompanied by a gum incision and sawing out of the bone), then it will be enough after removal. If the removal was difficult or was carried out against the background purulent inflammation, then you need to add to these recommendations the following ...

• Antihistamines –
  such funds are also called antiallergic. Their reception will reduce the swelling of the soft tissues of the cheek after removal, which will definitely appear the next morning, and in addition, they enhance the effect of analgesics. It is best to take Suprastin. This is very strong drug, but with a hypnotic effect. Therefore, we recommend taking it in the first 2-3 days after removal, shortly before bedtime (1 time per day).

• Antibiotics –
  after a complex extraction, or if the extraction was carried out against the background of inflammation in the tooth, antibiotics are mandatory. Because after tooth extraction, a bone wound is formed, then antibiotics should be with tropism to bone tissue. At the moment, the most popular antibiotics among dental surgeons are several drugs.

  First - "Amoxiclav". The adult dosage should contain 500 mg of amoxicillin and 125 mg of clavulanic acid. In this dosage, the drug is taken only 2 times a day. However, if earlier after taking antibiotics you had diarrhea, then it is better to purchase another drug - "Unidox-solutab" in soluble tablets(taken 100 mg 2 times a day, 5 or 6 days).

  Very often, doctors also prescribe a drug from the Soviet past - ( adult dosage- 2 capsules 3 times a day, only 5-6 days). It is inexpensive, effective, but it kills the entire intestinal microflora, forcing you to suffer from dysbacteriosis later.

What are the complications after wisdom tooth extraction?

When a wisdom tooth was removed, what to do after removal will directly depend on the symptoms that you have. I must say that according to statistics, complications after the removal of a wisdom tooth occur in almost every 4th patient. Most often, patients experience the following symptoms, indicating the development of complications -

• pronounced spontaneous pain,
• pain when cold or hot water enters the wound,
• swelling of the soft tissues of the cheek,
• unpleasant odor from the socket of the extracted tooth,
• painful swallowing,
• difficulty opening the mouth
• temperature,
• bleeding,
• the appearance of a hematoma on the face.

1. Pain after wisdom tooth removal -

They pulled out a wisdom tooth for how long it will hurt - most often patients ask. How much the gum hurts after the removal of a wisdom tooth directly depends on the degree of traumatic removal. Pain after the removal of a wisdom tooth should normally not be very strong and, having arisen, then it should gradually only decrease. After a simple removal, the pain usually disappears completely in 1-2 days, and after a complex one, it usually takes no more than 3-5 days.

If you have a wisdom tooth pulled out and the pain immediately after removal is very strong and practically does not decrease in the first days, this indicates an excessive invasiveness of the removal and the possible development of inflammation of the hole of the extracted tooth (). Here you need to urgently go to the dentist for a second examination. In the worst case scenario, pain can be observed for up to 3-4 weeks.

Symptoms of inflammation of the socket of the wisdom tooth –
on examination, you can see that the hole is empty, or it is filled with food debris and necrotic decay blood clot. Sometimes patients can feel sharp/movable bone fragments with their tongue. There is always pain, there is always an unpleasant smell from the hole. The mucous membrane is edematous and red. Such symptoms are characteristic of a mild form.

However, in some cases, the inflammation of the hole proceeds with profuse formation of pus, swelling of the cheek, difficulty opening the mouth, and painful swallowing. And it must also be said that if you experience pain on a cold or hot water, this unequivocally indicates the presence of an exposed area of ​​the bone. In any case, only a dentist can help you.

Inflammation of the hole of the removed wisdom tooth: video

Below you can see what the inflammation of the holes looks like. extracted teeth video wisdom. Please note that in video 2 - when pressing on the gum in the area of ​​​​both removed wisdom teeth in a patient from hole is coming thick pus.

Reasons for the development of alveolitis –
if the patient rinses his mouth strongly in the first days after extraction, this can lead to a blood clot falling out of the hole of the extracted tooth. This in 100% of cases leads to inflammation, because. the hole is immediately filled with food debris and microbes from the oral cavity. But in most cases, alveolitis still develops through the fault of the doctor -

• traumatic removal,
• splinters or slightly movable bone fragments are left in the hole,
• when sawing the bone, the doctor used the tip of the drill without water cooling, which led to overheating and necrosis of the bone,
• the doctor was too lazy to take in the mucous membrane over the hole (in some cases, this can lead to the exposure of the bone area in the next few days),
• the doctor did not prescribe antibiotics after a difficult extraction, or in the case when the tooth was removed against the background of inflammation.

Important : alveolitis is the most common complication after wisdom tooth extraction. If the described symptoms occur, you need to urgently run to the doctor and treat the alveolitis. From experience I can say that when a doctor sutures a hole even after a simple removal, the number of cases of alveolitis development is almost zero. In addition, studies have shown that suturing the socket reduces the severity of pain after removal by 30-50%. Therefore, even before removal, it is worth asking the doctor to sew in your hole, even if you have to pay extra for it (about 500 rubles for 2 stitches).

2. Edema after wisdom tooth removal -

If you had a wisdom tooth removed, your cheek was swollen the next day, then in some cases this is normal. Normally, after a simple removal, edema rarely develops, and most often it occurs in people with an abundance of subcutaneous fat on the face. Such edema most often becomes noticeable only in the morning the next day.

Normally, after a difficult removal, the edema gradually develops immediately and gradually increases, becoming maximum the next morning. Usually, the swelling is stable for the next 1-2 days, after which it begins to slowly decrease. If, against the background of the edema that has arisen, there is no increasing temperature, pain, but on the contrary, all the symptoms slowly decrease, then everything is OK.

When to sound the alarm –
if the edema continues to increase over the next 1-2 days after removal, pain and temperature may also increase, pain when swallowing increases, and the mouth opens less and less - all these are unfavorable symptoms indicating suppuration. If you have at least one of the above symptoms, you need to urgently run to the dentist.

Important : so that the swelling after the removal of the wisdom tooth does not appear or is minimal - the first 2-3 days before bedtime it is advisable to take antihistamines (preferably Suprastin) - 1 time per day at bedtime. Antihistamines have not only anti-allergic effect, but also anti-edematous.

3. Temperature after wisdom tooth removal -

• If the tooth was not removed due to inflammation –
  if you have a wisdom tooth removed, the temperature may well rise to 37.5 degrees, but only on the first evening. The body sometimes reacts to injury just such a small subfebrile temperature, even if the tooth was not removed against the background of inflammation. This is especially true if the removal was difficult. Normally, the next morning after removal, the temperature should disappear.

  When to sound the alarm: if the temperature does not subside all the next day after removal, and even more so continues to grow, then this indicates suppuration of the hole of the extracted tooth. Here you just need to run to the dentist.

• If the tooth was removed against the background of purulent inflammation –
  in this case, the temperature may be higher than 37.5. But normally - from the next day the temperature should progressively decrease. If it keeps and even more so increases (this indicates an increase in inflammation), you need to urgently go to the dentist.

5. Hematoma after wisdom tooth removal -

A hematoma appears due to the fact that any vessel in the soft tissues was injured. There is no point in blaming the doctor for this, because. the doctor, when administering anesthesia, does not see where the vessels pass in your soft tissues. The needle can injure such a vessel and after a few days, cyanosis may appear on the skin. Gradually it will pass.

However, the formation of a hematoma may require additional measures. Hematoma after the removal of a wisdom tooth often suppurates. In this case, already on this or the next day after removal, the patient develops swelling of the cheek, a feeling of fullness, pain, and a slight temperature. Here you need to urgently consult a doctor, because. with suppuration of the hematoma, an incision is required to release the pus.

Answering frequently asked questions from patients

If you had a wisdom tooth removed: what to do after removal, how to rinse, how quickly the hole will heal and when it will be possible to treat your teeth ... We answer all questions separately.

1. How to rinse your mouth after removing a wisdom tooth -

Rinsing your mouth after wisdom tooth removal is best. This drug is sold in every pharmacy, and costs only about 30 rubles for a 100 ml bottle. Please note that you can only rinse your mouth quietly, because. strong rinsing can cause a blood clot to fall out of the hole of the extracted tooth. The latter will lead to the development of inflammation.

2. How long does the gum heal after the removal of a wisdom tooth -

How long the gum heals after the removal of a wisdom tooth depends on the complexity of the removal. Usually, to start treatment after the removal of a wisdom tooth, you need to wait 1 week. But after a complex removal, the gums can heal longer (up to 10-14 days), which will depend on the degree of traumatic removal. If inflammation occurs in the hole, then healing can be delayed for a period of 20-30 days. We hope that our article on the topic: Removed a wisdom tooth for how long it will hurt - turned out to be useful to you!

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A dental operation to remove the "eight" is a rather complicated and unpleasant procedure. After its implementation, almost every patient experiences pain after the removal of a wisdom tooth, the intensity and duration of which directly depends on the initial state of the tooth and oral cavity. In addition to the pain syndrome, uncomfortable sensations are supplemented by swelling of the gums, swelling of the cheeks, a slight increase in temperature, and difficulty swallowing. Such symptoms are considered to be natural, and their appearance is a natural reaction of the body to surgical intervention.

Under normal circumstances, when a wisdom tooth is removed and the gum hurts, unpleasant symptoms pass quickly and full recovery does not take more than a week. If no improvement is observed, suppuration, bleeding, heat and other deviations, this signals the development pathological process and is the reason for a visit to the attending dentist.

Compared to other teeth, figure eights have characteristic differences in the form late eruption, accompanied by complications, location, anatomical structure. They have a wide crown and roots - one or more, for which it is common to intertwine and grow together, which makes extraction difficult.

To assess the features of the structure and location of the wisdom tooth, the dentist prescribes an x-ray without fail. Based on the picture, a decision is made on the method of extraction (removal). If your wisdom tooth hurts, carefully read the extraction methods and the pain that accompanies them.

Simple tooth extraction

A simple extraction is carried out with the correct location of the figure eight, which has the integrity of the crown and no bent roots, and there are no inflammatory processes in the oral cavity. In this case, pulling out the tooth is easy. The development of complications in this case is minimized, provided that the dental manipulation is performed correctly and the patient complies with all postoperative recommendations.

The essence of the procedure:

• tools are needed to perform extraction: S-shaped forceps, elevator;
• occurs by its gradual rocking, after which the torn tooth is removed from the hole;
• the process is accompanied by a rupture of the ligaments holding the third molar;
• there is trauma to the surrounding tissues.

If it breaks when pulled out, then all the fragments are removed.

Despite the ease of manipulation, the presence of pain and swelling in a patient who has had a wisdom tooth pulled out is considered the norm. The condition is due to concomitant injuries, damage to soft tissues and nerve endings.

Dmitry Sidorov

Dentist-orthopedist

Unpleasant symptoms usually disappear within 24-48 hours, if there is a reverse trend - an increase in pain every day, hyperthermia, you should consult a doctor.

Complex removal

Complicated extraction of the wisdom tooth is carried out according to the following main indications:

• incorrect growth and location (at a large angle, horizontally);
• difficult eruption - pericoronitis;
• completely destroyed crown;
• ingrowth of roots into the maxillary sinuses.

Under such circumstances, the doctor needs to perform an operation to extract the wisdom tooth. The procedure does not last long, is carried out using painkillers and consists of the following stages, depending on the initial state:

1. the doctor cuts the gum, exposes the problem tooth (with incomplete eruption);
2. sometimes a drill is required (for cutting a multi-rooted tooth);
3. drilling of bone tissue;
4. sequential removal of dental residues;
5. at the end of the operation, the gum is restored, the hole is sutured with threads.

Compared with simple extraction, it is associated with more significant mechanical influences and damage. Therefore, a person should immediately tune in that as soon as the effect of the anesthetic drug ends, there will be aching pains, swelling, and a rise in temperature is possible.

To summarize: according to medical standards unpleasant symptoms may persist for a week, but there should be a trend towards a daily reduction in discomfort and improvement in well-being. Otherwise, please contact medical care, because instead of the healing process, inflammation may develop.

Dmitry Sidorov

Dentist-orthopedist

How much does the gum hurt after the removal of a wisdom tooth? At proper treatment no more than a week.

As a result, we can identify the main causes of pain after removal:

• traumatization of the gums, bone tissue;
• violation of the integrity of the ligaments that hold the molar (rupture of nerve fibers, blood vessels);
• mechanical influences during the operation due to which the nerve effector endings are destroyed;
• temporary activation and distribution inflammatory process to the surrounding tissues.
• The above points relate to extraction injuries, are temporary and are considered natural, so the reaction of patients to such manifestations should be normal.

Do not worry about these symptoms:

• if It's a dull pain after the removal of a wisdom tooth, it persists for 1-2 days, sometimes it seems that;
• there is swelling on the cheeks, lips - 3 days;
• sometimes a hematoma may appear;
• a slight increase in temperature on the first day (but not more than 38 ° C);
• headaches are present.

In the normal course of the healing process, the symptoms should be dulled daily, the pain should be gradually removed. All other cases are considered a deviation and indicate the development of complications.

Complications

The development of complications after wisdom tooth extraction is directly related to the complexity of the initial situation, the correctness of the procedure and the patient's compliance with the doctor's recommendations for oral care.

Danger signs:

• the presence of a strong pronounced swelling of both cheeks;
• the wound bleeds;
• body temperature from 38 ° C and above;
• fever, chills;
• inflammation, redness of the gums.
• the presence of purulent discharge on the hole;
• unrelenting pain.

Alveolitis

One of the most common is the development of an inflammatory process in the cavity of the hole. The condition is accompanied by very severe pain, an unpleasant aftertaste in the mouth and is called alveolitis. Occurs due to incomplete tooth extraction or infection during surgery.

The main factors preceding the occurrence of alveolitis:

1. A blood clot fell out of the hole, and it remained empty. Under such circumstances, the wound is not protected and is open to pathogenic microbes, food debris, which leads to an inflammatory process. In some patients, the blood clot falls out during intensive rinsing of the mouth, so this point should be taken into account.
2. The bone tissue of the alveoli was exposed at the location of the tooth. One of the reasons for this trouble could be the divergence of the seam.
3. Suppuration formed on the blood clot - the contents of the hole in the form of necrotic disintegration of the clot, food debris.

Why pus is collected:

• during the operation, not all fragments of bone tissue were removed, particles of the tooth remained in the wound;
• the presence of carious teeth provokes suppuration;
• extraction against the background of an inflammatory process in the mouth.
• With such a complication, one cannot endure, try to relieve pain with pills, self-medicate. It is necessary to immediately consult a dentist, especially if high fever has joined the existing symptoms, dull pain in the ear, head, severe swelling.

Periostitis

Sometimes untreated alveolitis becomes the basis for the formation of an additional complication - periostitis. Inflammation can also develop due to poor processing of medical instruments, the remaining fragments of the tooth in the hole.

Signs of periostitis:

• sharp, pronounced pain that does not stop;
• swelling of the face (up to the middle of the nose, neck, chin), soft tissues of the oral cavity;
• fever, malaise, headache.

If the periosteum of the jaw is affected by the inflammatory process, the condition can lead to an abscess.

Osteomyelitis

The process is an extremely dangerous consequence of periostitis, characterized by an inflammatory-necrotic state. There is a defeat by purulent formations not only of the jawbone, but also bone marrow which poses a serious threat to life.

Signs:

• very strong pain syndrome;
• swell soft tissues;
• nausea, vomiting;
• headaches;
• heat.
• This complication is considered a neglected form, in which the patient must be urgently hospitalized.

paresthesia

In medical practice, this phenomenon is extremely rare if the nerves were damaged during the extraction of the tooth. Main symptom- numb tongue, chin, cheeks, lips, fuzzy diction. Usually return to normal state occurs in 2-14 days. Much depends on the individual and the degree of damage. For recovery use Galantamine, Dibazol (injections).

Bleeding from hole

This is the most common complication that people experience after an extraction procedure.

Hole bleeding can be caused by the following reasons:

• in case of violation of the doctor's instructions during the postoperative period;
• mechanical damage to the wound;
• inflammatory process;
• damaged blood vessels;
• concomitant diseases of the patient - against the background of hypertension, sepsis, leukemia.

For prolonged bleeding, you should consult a dentist. It may be necessary to re-suture, apply hemostatic agents, apply cold to bleeding vessels.

Ways to reduce pain

If it hurts after tooth extraction, you must adhere to the following recommendations for successful wound healing:

1. Apply a cold compress, an ice bag to the place of removal (from the side of the cheek). The procedure must be performed in episodes to avoid hypothermia. Heating prohibited.
2. Refuse to eat for 3-5 hours. Also, at least a day, you should refrain from drinking hot drinks, soups, and other liquids.
3. Hot baths are not allowed.
4. Brushing your teeth is allowed the next day after the operation (not a day, but a day!).
5. While eating, try to distribute the load on the opposite side, to minimize the ingress of residues on the hole.
6. You can not touch the hole with foreign objects, touch the tongue.
7. Refuse intensive rinsing, especially in the first 48 hours after surgery - this prevents the formation of a blood clot, which should close the wound.
8. Severe pain after the removal of a wisdom tooth can be relieved with painkillers (Analgin, Ketanov), if necessary, you can use an antipyretic. How much they help depends on the person's body.

Dmitry Sidorov

Dentist-orthopedist

The dentist may prescribe antibacterial medications if there is a threat of complications, inflammatory processes.

Recipes for rinsing, appropriate preparations are prescribed by the doctor based on the situation, in each case individually. If you strictly follow the simple requirements in the postoperative period, then the pain after the removal of the wisdom tooth disappears on its own after 3-7 days.

Some of the organs that a person has have no practical significance. One of them is the wisdom tooth - the 8th molar in the jaw row, that is, the molar. In the distant past, it was essential for chewing tough, uncooked food. Since now this function is not needed, a larger number of the population, the tooth begins to erupt much later than the others (from 15 to 25 years), and sometimes it may simply remain inside the gum or be completely absent.

Due to the fact that the wisdom tooth has lost its physiological necessity, it is extremely rarely laid and develops normally - without interfering with other molars, without damaging surrounding tissues and without provoking an infection. If it causes discomfort to a person, the doctor recommends that this molar be removed.

When should a wisdom tooth be removed?

There are two groups of indications when a molar should be removed from the dentition. The first are urgent, when the wisdom tooth is removed immediately after the pathology is detected. These include:

In a planned manner, this procedure is carried out if there is no immediate threat to the patient's health. Conditions in which wisdom tooth extraction can be delayed somewhat are listed below:

• Incorrect position of the molar, leading to damage to surrounding tissues;
• A wisdom tooth that has not erupted, which can cause periodontitis/periodontitis;
• Increased mobility of the "eight" and the extension of the tooth.

Having decided on the indications for the removal of the molar, the doctor indicates the possible timing of the operation. They depend not only on the state of the dental system, but also on the general well-being of the patient.

When not to delete?

There are a number of conditions when it is dangerous to perform a tooth extraction operation, due to the high likelihood of complications. In this case, you should wait a certain time and improve the patient's well-being. This tactic should be followed if the patient:

• Acute infectious disease(influenza, SARS, etc.);
• Pathologies of the heart and blood vessels (unstable; recently transferred; hypertension not controlled by drugs). It is also contraindicated to remove the wisdom tooth if the patient suffered six months before the operation;
• Exacerbation of mental illness (psychosis, schizophrenia, etc.);
• Insufficient blood supply to the brain (, recent ischemic attack, vertebral artery syndrome).

Blood coagulation disorders (hemophilia, von Willebrand's disease, Werlhoff's disease) are not contraindications to extracting a wisdom tooth. However, to perform the operation, one condition must be met that will help prevent uncontrolled bleeding - remove the molar at the dentist in the hematology department of the general hospital.

The postoperative period is the most important stage in the removal of a wisdom tooth. At this time, the bleeding from the gum pocket stops, the formation of a blood clot and the gradual overgrowth of the hole. Proper adherence to the recommendations of the dentist allows you to speed up the healing time of the wound and reduce the likelihood of complications.

Immediately after removal

During this period, the main thing is to stop the bleeding. The patient's pain is not yet disturbing, due to the action of the anesthetic drug, and the edema has not had time to form. After performing the manipulation, the doctor leaves a small gauze swab, which accelerates the formation of a clot in the gum pocket. Normally, the blood should stop oozing after 5-10 minutes. The tampon is removed no later than 20 minutes after the operation.

However, due to the difficult removal of the wisdom tooth (with deformed roots, in a transverse position, etc.), the edges of the wound may be too large for the formation of a clot between them. In this case, the dentist puts several sutures from self-absorbable threads (Vikryla or Ketkuta). This procedure does not affect the care of the hole, with the exception of one nuance - you should monitor the sutures after the operation. If they have not separated from the gums on their own, you should re-contact the doctor, who will remove them after the edges of the pocket have grown together. As a rule, this procedure is carried out free of charge.

In case of continued bleeding from the hole, the dentist applies a special hemostatic (hemostatic) sponge or compress (for example, Alvogyl). They are removed after 4-7 days, depending on the rate of "overgrowth" of the wound. You should not do this yourself, as improper removal of these materials can lead to re-bleeding.

Edema after the removal of a wisdom tooth, especially a complicated one, is formed quite large - as a rule, it is visible even to the gaze of a non-specialist. To reduce it, the doctor may recommend applying it to the affected side for 40 minutes immediately after the operation.

Within hours after surgery

Patients at this time present three main complaints: pain, the appearance of a temperature of 37-37.9 ° C and the beginning of the formation of edema. Bleeding from the gum pocket may also resume, which is not the norm. It indicates the "washing out" of the clot from the hole and requires a second visit to the doctor.

• Do not eat or rinse your mouth with any liquid;
• Can't do heavy physical exercise or put yourself under stress. These conditions lead to an increase blood pressure, because of which the clot will simply “wash”;
• Feeling with your tongue, finger, or touching the hole with a toothbrush is also not worth it, because of the possibility of renewed bleeding;
• You should not drink hot liquids and take warm-up procedures: a bath, a sauna, a bath, etc.;
• If the pain is severe, one of the following NSAIDs should be taken: Nise (Nimesulide), Meloxicam, Celecoxib. These medicines are less side effects than others (Ketorolac, Citramon, etc.), but provide good effect after dental interventions.

A temporary increase in temperature (for 1-2 days) and swelling are normal reactions of the body that promote wound healing. Therefore, it makes no sense to fight them.

Days after surgery

At this time, the gum pocket gradually heals after removal - a young gum begins to form. connective tissue and grow blood vessels. In order for the process to go quickly and without complications, infections should not be allowed to enter the wound. For this purpose, it is recommended to make baths with solutions of 0.04% Eludril or 0.12% Chlorhexidine. To do this, dissolve 2 tablespoons of the medicine in half a glass of water, put them in your mouth, hold for a few minutes and spit. Do not rinse or swallow these solutions.

Most often, pain and swelling bother the patient for about a week. Eliminate discomfort You can use the above NSAIDs, taking them no more than 3-4 times a day. It is necessary to remember about side effect these drugs, in the form of rapid development and/12 duodenal ulcer. If you think that you need to take NSAIDs for a long time (more than 2 days), it is recommended to drink 1 tablet of Omerpazole (or OMEZ, Rabeprazole, Lansoprazole) before stopping treatment with NSAIDs.

Complications after the removal of a diseased wisdom tooth are quite common, so you should be careful about the state of your body. Here are some signs that you should see a dentist if you find them:

• The cheek after removal continues to swell for several days (longer than 3), which indicates an increase in edema;
• Bleeding from the gum pocket resumes;
• The temperature rises above 38 o C, or stays within 37-39 o C for several days;
• Numbness of the skin of the face (in the area of ​​the cheeks, chin, nasolabial triangle, lips) and gums.

After the operation, for several days, a slight contracture may persist - difficulty opening the mouth. It occurs reflexively and goes away on its own without any treatment. To speed up the recovery of movements, you can “train” the temporomandibular joint every day, actively opening your mouth until pain.

One week after surgery and later

How much does the gum pocket area hurt after removal? After 7 days, pain should no longer bother the patient. Edema by this time also significantly decreases in volume or completely disappears. Since the young connective tissue has already completely filled the hole, it makes no sense to continue further prevention of infection. Given these nuances, taking baths and using NSAIDs is not necessary a week after tooth extraction.

Further healing and formation of bone tissue, if there were no complications in the postoperative period, proceeds independently. The first signs of bone formation can be detected after 2 weeks. Complete closure of the hole with bone - after four months.

Possible Complications

In some cases, the overgrowth of the hole after the removal of the wisdom tooth does not go according to the above scheme. Due to the development of complications, tissue repair can be delayed for a very significant period (up to six months). To prevent this from happening, you should know the first signs of pathology and, if they appear, contact your dentist.

dry hole

This complication often occurs due to the use of anesthetics along with vasoconstrictor drugs (adrenaline). Spasm of the arteries prevents the formation of a blood clot, without which the healing of the gums is impossible.

The treatment of a dry socket is quite simple - you should slightly injure the walls of the gingival pocket after the cessation of the action of vasoconstrictor drugs. Only a doctor should perform this manipulation, since independent actions can cause tissue infection.

Lunar postoperative pain

Gum pain after molar extraction is normal and occurs in all patients. As a rule, unpleasant sensations are aching / pulling in nature and of low intensity. On average, they persist for 3-5 days.

The appearance of a sharp, “shooting” pain in the area of ​​​​the gum pocket, which does not subside after the use of NSAIDs, is an unfavorable sign. Its appearance should alert the patient, since often such sensations are the first signs of damage to surrounding tissues or their inflammation. Conditions accompanied by alveolar postoperative pain, and the features of their clinic are listed below:

The patient's tactics for all these conditions should be the same - contact the attending dentist, who will accurately determine the cause of postoperative pain and carry out the necessary treatment.

Purulent postoperative complications

These are the most unfavorable options for the consequences of wisdom tooth removal, which require surgical treatment. To purulent complications include phlegmon and abscess. Pain in these conditions is slightly expressed, in contrast to the symptoms of intoxication:

• Temperatures above 38 ° C;
• Headache, dizziness;
• Weaknesses;
• Loss of appetite.

Also, the formation of phlegmon / abscess is often characterized by the appearance of pronounced edema of the entire face. The presence of the above symptoms after the removal of a wisdom tooth is an absolute indication to consult a doctor. If possible - to the maxillofacial surgeon.

Removal of a wisdom tooth is a serious operation, after which it is important to follow the recommendations of the doctor. He will tell the patient how to take care of the gum pocket, how to rinse after removal and the approximate healing time. If the extraction of the molar was performed skillfully and the patient managed to avoid the development of complications, the overgrowth of the hole with the bone occurs after four months. Otherwise, much later. To prevent this from happening, you should carefully consider the appointments of the dentist and regularly monitor the condition of the gum pocket.

Hello dear reader. Today's article will be devoted to the removal of wisdom teeth. More precisely, what needs to be done after this procedure and what are the recommendations after the removal of a wisdom tooth. For many people, the last molars in a row deteriorate, rot, and collapse. They have to be torn out. Dentist advice usually boils down to the fact that the hole should not be touched, rinsed, etc.

Symptoms after removal

Considering anatomical features of these teeth, the practice of their removal is often associated with such unpleasant moments as injuries, infection, suppuration, etc. The means used for anesthesia are far from always having the necessary effectiveness. Therefore, you should not be surprised if, for example, your cheek is swollen after the removal of a wisdom tooth. An almost 100% chance that the gum will be significantly damaged leads to what appears, which is standard for such injuries.

At the same time, it hurts not only for a person to eat, but also just to open his mouth. If food gets into the hole, the pain intensifies. Under normal conditions, such symptoms remind of themselves for only a few days. But not everyone is so lucky. It is not at all uncommon when the pain does not subside, the swelling of the cheek increases, and then the body temperature rises to 38-38.5 degrees.

Don't panic, but don't start either. Because you don't know what's wrong. In any case, you need to see a dentist.

Doctors are people too and can make mistakes in their work. For a surgeon, such a mistake can lead to the death of a patient; for a dentist, it is usually less tragic. In addition, teeth often grow in such a way that it is impossible to do without “victims”.

My friend had a similar situation. Wisdom tooth hurt. He went to remove. They took a picture, they said that the root grows very uncomfortable. They pulled out, as they say, with a creak. They damaged the adjacent tooth, turned the gum. He suffered more with the consequences than with the tooth itself. Moreover, he followed all the doctor's advice, because the man is very disciplined and responsible. And how many people think that all these recommendations are nonsense?

If your wisdom has risen, immediately go to the doctor. If suppuration has begun, urgent action must be taken before something more serious happens.

Do not heat the hole yourself. In this regard, I will tell another interesting story from my life. My other old one decided (on the advice of his father) to warm up the hole with the help of a UHF apparatus, which the father of the family wrote off at work in Soviet times. The result was not long in coming. The gum was swollen, then began to swell. I had to cut. Therefore, it is better not to pretend to be a doctor, but to listen to what the dentist advises, so that later you do not eliminate the consequences of your amateur performance.

Video - Consequences of wisdom tooth removal

Do's and Don'ts

I'll start with the most basic. The swab that the dentist-surgeon who removed your tooth leaves should be spit out after ten minutes. Otherwise, you may interfere with the proper formation of a blood clot at the bottom of the well. And in the process, the development of infection can begin.

After three hours nothing can be eaten. Hot drinks are also prohibited. This can lead to the fact that pathogenic microorganisms begin to multiply in the well or bleeding occurs. For the same reason, you can’t go to the bathhouse or sauna on this day, take a hot bath.

Physical activity and the consumption of alcoholic beverages are also prohibited. This can lead to an increase in pressure in the vessels, which, in turn, causes bleeding from the hole.

For the first day or two, do not rinse your mouth with anything. Let the clot harden. To alleviate the condition, you can apply ice to the cheek. Only without fanaticism, so as not to catch a cold facial nerves. When the hole dries up, you can rinse your mouth with sage, chamomile, solution drinking soda. But it is best to do not rinse, but baths. To do this, the infusion is drawn into the mouth and kept on the affected side, after which it is spat.

You may not brush your teeth immediately after extraction. Also, do not touch the hole with a toothbrush, toothpicks, or other items. If the doctor left the medicine in the well, it is not necessary to remove it from there. Exclude from the diet too hot, spicy, sour, salty foods. Sweets can also wait. Eating them provokes the multiplication in the mouth of bacteria that can infect the hole.

Video - What to do after tooth extraction

Medications

If you have a sore throat after removing a wisdom tooth, it is possible that the infection has got to the tonsils. In this case, it is also worth visiting a therapist.

Possible complications after removal

The first problem that occurs with improper treatment or violation of the recommendations of the dentist is alveolitis. It is the one that occurs inside the socket of the extracted tooth.

In some cases, the process is accompanied by suppuration, necrotic tissues appear, and the temperature may rise.

The cause may be an accidental displacement of a blood clot. However, it is not always accidental. Often, patients touch the hole with their tongue, immediately begin to rinse their mouth and actively brush their teeth. Their actions lead to the washing out of the clot. After a while, bad breath, pain, inflammation appear. If the alveolitis is not treated, then the periosteum is affected, there may be complications in the form of abscesses, phlegmon.

Among the symptoms of alveolitis after the removal of a wisdom tooth, the following should be highlighted:

• loss of strength, general fatigue;
• an increase in body temperature to 37 - 38.5 degrees;
• inflammation of the submandibular lymph nodes;
• appearance bad smell from mouth;
• specific bitter taste;
• pain. It can give into the ear, temple, neighboring teeth.

Self-treatment of the disease is not provided. It should be carried out by a dentist, using special preparations, removing pus and necrotic tissue.

How long can gum hurt after wisdom tooth removal? Under normal conditions and with minimal trauma during the operation, the pain disappears in two to three days. If the gum had to be cut or it was significantly injured, with swelling and inflammation, discomfort can persist much longer. You can completely forget about what happened in one and a half to two weeks, and even then if there are no complications.

4 painkillers after tooth extraction:

Rating	Name	A photo	Analogues
	Nimesil		Nurofen, Diclofenac, Nise, Affida Fort
			, Spasmalgon, Tempalgin, Antipyrine
	Movalis		Meloxam, Xefocam, Amelotex, Diclofenac

If the pain persists longer than can be explained natural causes, you do not need to drown it with pills. It is important to find out the cause of this unpleasant phenomenon.

Sometimes, during the removal process, a fragment of a tooth or a piece of the root may remain in the hole. This leads to an inflammatory process. The doctor needs to eliminate the error, treat the well with antiseptics. In some cases, it is necessary to prescribe additional treatment to protect the patient from the spread of infection. These can be complex methods that combine the use of topical drugs and taking pills.

Sometimes associated with a specific reaction of the body. This is an allergy to a drug used as an anesthetic. Many people have a similar effect. A large percentage of dentist patients are allergic to lidocaine. Therefore, other drugs are used for them to avoid side effects.

As for bleeding, it passes quickly. Except in cases of poor blood clotting. It may be caused by the use acetylsalicylic acid, Heparin preparations and other blood-thinning agents. If you have bleeding problems or are using any of these medications, you should tell your dentist right away. In his arsenal there are specialized hemostatic agents that will help resolve the issue without unpleasant complications.

At the dentist

The cause of the inflammatory process may be a cyst, which was not found either before the removal of the wisdom tooth or after the operation. It is a source of infection in the well and carries a danger to the body as a whole. It is important to detect and remove it in a timely manner before the infection enters the surrounding tissues, blood.

Another unpleasant complication is associated with nerve damage. It's called paresthesia. The patient feels numbness of the chin, lips, tongue. In most cases, these symptoms go away after a couple of weeks. But sometimes this effect persists. Fortunately, the second option is rare.

The most common question among dentist patients is when can I drink and eat after the removal of a wisdom tooth? official medicine says in 2-3 hours. But here the question is very individual. For some people, it's better to wait a little longer. Also, avoid rough, hot and spicy food to avoid complications. Chewing on the side where the tooth was pulled out is also impossible.

I wish you good health and that you will never be disturbed toothache. If you happen to have wisdom teeth removed, my advice to you is do not neglect the doctor's advice, then you will not have to treat unpleasant and painful consequences.

Video - Wisdom Tooth Removal

Any dental defect modern medicine resolved almost painlessly. However, if the gum hurts after tooth extraction, what should I do at home?

When does this indicate serious inflammation, and when is pain considered normal?

Why does the gum hurt after pulling out a tooth?

Any surgical intervention is accompanied by pain after the cessation of anesthesia. After removal, a wound remains in the gum and it takes up to 10 days to heal, so the appearance of discomfort and pain in the first days is normal.

Pathological pain is a syndrome indicating an active inflammatory process. There are enough reasons for this, but all the complications have almost the same beginning - this is the washing out of the formed clot. Due to ingested food infectious process develops very quickly.

Causes of pain can be:

• a fragment of a tooth in the wound cavity - pus begins to accumulate if the tooth is not completely removed, often this happens when “difficult” teeth with twisted roots are removed;
• hematoma formation can be accompanied by both pain and temperature. There is a danger of suppuration of accumulated blood in the soft tissues. People with diabetes and heart disease are most susceptible to complications;
• alveolitis is an inflammation of the gum tissue - infection provokes food, poor hygiene, and especially the presence of carious teeth;
• osteomyelitis is considered most dangerous complication, since infection affects not only soft tissues, but also the jaw bone. The penetration of pathological bacteria into it occurs with a weak immune status or as a result of a long delay in treatment. The danger of the disease lies in the fact that there is a risk of infection of the brain.
• cyst - develops on the root of the tooth at the time of infection. Sometimes it is not removed with the tooth and therefore provokes a strong pathological process;
• A “dry socket” is difficult to notice for an ordinary person; as a result of careless hygiene, the clot is washed out, opening the wound and making it accessible to bacteria;
• inflammation trigeminal nerve it can even lead to paresis and hearing loss, so at home it is dangerous to treat such a complication;
• bleeding appears in 90% of cases and is considered a normal process. Prolonged bleeding requires immediate treatment of the wound by the dentist and the establishment of its cause.

How long does the gum hurt after tooth extraction?

How long can the pain last? If moderate pain is present in the first 2-4 days, then this is normal. Longer discomfort lasts if there was inflammation or a wisdom tooth was pulled out. This phenomenon is explained by the usual trauma of the gums, which occurs even with uncomplicated tooth extraction.

For a month, the pain cannot continue, so if you still have a similar symptom, it is better to consult a doctor to rule out the pathological process. Epithelialization should begin as early as day 4, and if healing does not occur, it is better to consult a dentist. To miss the beginning of the inflammatory process is quite easy for an unprepared person.

What to do if the gum hurts after tooth extraction?

The situation when a tooth is pulled out, and the gum aches and the pain interferes with normal activities, is familiar to almost everyone. All negative sensations should be treated at home carefully so as not to provoke infection and leaching of the formed clot from the wound. The following measures help the most:

1. Apply a cool compress to the cheek at the operation site. Such a measure significantly contributes to the removal of edema, pain, and the formation of a hematoma is not so active.
2. When the hole periodically bleeds, it is better to apply an application from a sterile bandage previously moistened with an antiseptic to it. At frequent seizures bleeding, you can not constantly apply compresses, you should immediately go to the dentist!
3. Pain reliever for a short period, but still helps to relieve pain. The main thing is not to use such medicines too often.

Folk remedies are best used after a few hours, when the blood has thickened in the wound from the tooth and there is no danger of washing it out. Decoctions of calamus, oak root, aloe, sage and chamomile help not only to remove the pain syndrome, but also generally disinfect the oral cavity. Regular rinsing helps prevent inflammation. For the same purposes, it is useful to use solutions with salt or soda.

When should you see a doctor?

Pain is normal after a tooth is pulled out. However, a person needs to monitor his condition in order to determine in time when this symptom becomes a sign of a pathological process. Inflammation is evidenced by the following factors:

• puffiness;
• pus in the wound;
• weakness;
• spread of pain to other parts of the face;
• pulsation in the hole.

What to do in case of complications

With any of the complications, you should not try to treat yourself or just relieve the symptoms that bother you. The intervention of a dentist is always required, which must take measures to clean and disinfect the well in order to prevent the spread of necrosis.

Alveolitis

The formed well is washed out with Chlorhexidine or furacilin solution. The area is anesthetized first. If the inflammation is small, then these antiseptic solutions are replaced with hydrogen peroxide. The treatment procedure for alveolitis is the extraction of all dead particles.

When the hole is cleaned and drained, special antibacterial compounds are injected into the wound to prevent an increase in infection. A small bandage soaked in an anesthetic is applied to the gum itself. Active healing begins on the second day.

With advanced alveolitis, physiotherapy is additionally required. Her measures have a general strengthening effect on the body. Along with this, the patient takes vitamins and antibiotics.

Neuritis

Severe pain that occurs with the disease is treated through broad anti-inflammatory therapy. With vivid symptoms, blockades are made with novocaine. They are repeated if necessary until the symptoms disappear. As in the previous case, vitamin therapy and physiotherapy are required.

Cyst

The nature of the treatment of a cyst is determined by its features and degree of spread. Sometimes quite complex antibiotic therapy, but if the cyst is large, then it is required to remove it surgically. The operation can go almost unnoticed by the patient if she did not have time to hit the adjacent teeth.

With the help of a laser, treatment is carried out with the defeat of neighboring teeth. This technique simultaneously relieves inflammation, stops the growth of the cyst. Laser dialysis is complementary to conventional surgical intervention to remove broken teeth. In the future, the patient is selected drugs for conservative therapy.

Hematoma

A bruise is not dangerous for a person, it does not provoke strong symptoms, but it causes other inconveniences. For quick release from a hematoma, it is better to regularly apply medicine to an injury in order to speed up its resorption and remove swelling.

Sometimes a similar sign indicates an infection, therefore, for prevention, rinsing with antiseptics is regularly done, even antibiotics are used. The spread of the hematoma can be prevented by a pressure bandage.

Video: Pain after tooth extraction causes, duration, numbness.