Tooth extraction is a fairly serious dental procedure, which can sometimes cause prolonged intense pain and complications. Especially dangerous is the removal of a wisdom tooth, or "eight", which is associated with its anatomical features. They also largely determine the choice of method. surgical intervention, flow postoperative period, duration and severity of pain in the patient.
What are the characteristics of a wisdom tooth
Like all molars (premolars and molars), the "eight" is designed for chewing food, therefore it has a wide surface with protruding tubercles. But the wisdom tooth also has several features that are unique to it:
- most late deadline teething. This usually happens after 17-20 years, although the beginnings of "eights" appear as early as adolescence. For some people, teething begins after 30 or even 40 years.
- the absence of predecessors in the form of milk teeth, which would have “blazed a path” in advance in the bone and soft tissues of the gums for eruption.
- the presence of a larger number of root processes than other molars (from 2 to 5), their significant length and branching.
- a tendency to insufficient eruption, as a result of which an impacted tooth appears, partially protruding above the gum;
- a tendency to change the normal direction of growth to a pathological one: towards the seventh tooth, backwards, towards the tongue or cheek. Such situations are always accompanied by the appearance of a whole range of negative symptoms and definitely require surgical intervention.
In many cases, the need for removal is explained precisely by the incorrect growth of "wise" teeth, causing inflammation tissues of the gums or cheeks, leading to injury to the tongue or adjacent tooth. In addition, due to the distant location and, therefore, the difficulties encountered with brushing the toothbrush, the “eights” are especially susceptible to carious destruction, which also entails their removal.
And this operation, as you know, inspires many patients intense fear, which is due to the expected sensation of severe pain. But not always the removal process can be so painful that it is determined by many individual and technical factors. Likewise, with varying intensity pain syndrome, the period after the removal of the wisdom tooth also proceeds.
What determines the severity of pain during surgery
In dental practice, manipulations with the extraction of teeth are divided into simple and complex. In cases with "eights" they are almost always complex, which is explained by the above characteristic features of these teeth. In addition, they also determine a longer list of indications for removal (not only, for example, deep caries or suppuration of a cyst on the roots, but also a non-standard location).
Of course, the operation is performed only with anesthesia, in most cases local. But there are also patients who have to remove a wisdom tooth under anesthesia in stationary conditions (with complications in the form of an abscess, phlegmon). For local anesthesia, Lidocaine is used (rare now) and more modern, high-quality and sparing drugs: Ubistezin, Ultracain, Septanest, Scandonest. Their effectiveness is also influenced by the individual characteristics of the patient's body, for example, the level of pain threshold.
Under the influence of anesthetics, the patient does not feel pain during the removal process, but when the operation is very complex and lasts 2-3 hours, he may still experience minor pain. Such moments happen if forceps or an elevator are not enough to remove a wisdom tooth, but it is necessary to make an extensive gum incision, expand the bone hole, separate the roots and pull them out from the depths of the jaw.
How harder operation, the more painful the patient's sensations, the more responsible the postoperative period and the longer the healing. In addition, the development of pain after the removal of the "eights" is mainly associated with this.
How long does pain last after wisdom tooth extraction?
Immediately after the manipulation, patients do not feel pain, as local anesthesia continues to act for several hours. As soon as its influence ends, in most cases a fairly pronounced pain syndrome develops. You can stop it with the help of painkillers in tablet form ("Ketorol", "Spazgan", "Analgin").
The intensity and duration of pain depends on several factors:
- human pain threshold;
- qualitative characteristics of local anesthesia during removal;
- instruments used by the dentist;
- the vastness and depth of the surgical field, the degree of traumatization of soft tissues and jawbone.
If the postoperative period proceeds normally, then the most severe pain is noted in the first 2-3 days. They are localized in the zone of the wound itself, neighboring teeth, cheeks or even the entire jaw, and sometimes combined with the formation of gum edema. In addition, the patient may experience headaches, discomfort when swallowing, soreness in the throat or ear. All these symptoms are considered normal postoperative manifestations and are temporary.
The most important thing during this period is to observe the necessary rules of oral hygiene and follow the appointments of the dentist. Then the pain gradually subsides, the swelling disappears, the wound stops bleeding and is covered with new gum tissue. As a rule, this happens within 1-2 weeks.
A more dangerous situation is when, against the background of already subsiding pain (usually for 3-4 days), it suddenly intensifies and new undesirable signs appear:
- increase in body temperature;
- malaise or severe weakness;
- sharp pain begins to radiate (give) to the temple, ear or jaw;
- it becomes difficult for the patient to open his mouth and swallow;
- there is a deformation of the face due to severe edema;
- appears putrid smell from mouth;
- increased bleeding from the wound.
All these symptoms clearly indicate that an infection of the wound (alveolitis) has occurred and the possible spread of infection throughout the body. In such cases, it is necessary to urgently contact the patient to the dentist, which often entails hospitalization and repeated surgical intervention.
It consists in opening an already partially protracted hole, cleansing it of inflamed areas of soft tissue, blood and pus, a thorough revision and removal of possible bone fragments. Then the wound is treated with antiseptics and sutured. To cope with the infection, the patient must be prescribed a course antibacterial drugs, antipyretics, enhanced drinking regimen and recommendations for further care of the oral cavity.
Naturally, in such cases, the pain syndrome after the removal of the wisdom tooth is observed in the patient more long time than in uncomplicated situations. Sometimes the treatment of infected wounds is delayed up to 1-2 months.
What to do if there is severe pain after removal
Dentists advise taking painkillers for the first time without waiting for the anesthetic to wear off: usually by the end of the first 3-4 hours. Quite effective are "Nise", "Spazgan", "Ketanov", "Ketorol". They must be taken at a frequency that is specified by medical recommendations, usually within 2-3 days after the removal of a wisdom tooth.
On the first day, to reduce pain and prevent bleeding from the hole, you should refrain from smoking and alcohol, do not eat hot and spicy food. If the patient suffers from elevated blood pressure, then a few more days are prohibited intensive physical exercise and general thermal procedures (bath, sauna, hot shower).
To reduce the severity of future pain after removal, it is necessary to follow the instructions of the dentist immediately after the operation:
- press a sterile swab to the well for 20 minutes to stop bleeding;
- do not eat or drink for the first 2-3 hours;
- regularly rinse your mouth with decoctions of string, sage or chamomile;
- if necessary, use anti-inflammatory gels;
- Start taking antibiotics as directed.
Most patients manage to quickly cope with pain and begin to lead a normal life. And further compliance with all the recommendations of the doctor helps to fully recover after the removal of a wisdom tooth.
Wisdom tooth extraction is carried out in several stages. At the first patient, an x-ray is taken and the location of the roots is determined. On the second, the gum is cut, pulled out with forceps upper part and clean the resulting hole from debris. The third stage is oral care at home. The patient should regularly clean the wound and disinfect oral cavity, follow the doctor's prescriptions and diet so that the gums heal quickly without serious complications.
The dentist closes the formed hole with a cotton swab. It is kept for 20-30 minutes and then removed. Dried blood accumulates inside the wound, which acts as a barrier that protects against germs and bacteria. This cork should not be touched with fingers or tongue, scratched with a toothbrush or other objects.
The hole will tighten and stop bleeding in 2-3 hours. During this period, you can not eat or drink. On the first or second day after the removal of a wisdom tooth, it is recommended to abandon raw vegetables and fruits. Prepare mashed soups or slimy porridges, and beat the meat and fish, cleaned of bones, in a blender with a small amount of broth. Solid particles will traumatize the hole left from the third molar, and can cause bleeding.
Dishes must be warm. Jelly is contraindicated chewing gums and other adhesive products. Sour-milk drinks can be introduced into the diet, but they must be warmed up to room temperature.
It is advisable to eat food through a straw or with a teaspoon. The patient should not open his mouth wide so that the seams do not open. Chew on the healthy side so that fewer germs and food debris get into the hole.
On the first day after surgery, it is better to stay at home and avoid stressful situations. It's good to sleep a lot. The body recovers faster during rest. You should not take a hot bath or go to the bath in the first week after the removal of the third molar. High temperatures can cause bleeding that only a dentist can stop.
The patient is advised to refrain from evening brushing. But in the morning, be sure to treat the oral cavity. Only the brush should not touch the blood clot and the hole, because the gum is easy to injure. And to bring an infection, provoking inflammation and suppuration of soft tissues.
Pain and temperature
The effect of the anesthetic gradually decreases, and uncomfortable sensations appear in the area of the third molar. They intensify, preventing the patient from sleeping and eating. Pain is a normal reaction to wisdom tooth removal, but it is not necessary to endure.
The dentist who performs the operation must select drugs that remove discomfort. If the doctor forgot to make a list of painkillers, you can try Ketanov, Baralgin or Tempalgin. But take no more than 3 tablets per day. Abuse of potent drugs is fraught with tachycardia, stomach pain, problems with nervous system and pressure.
On the second or third day after the operation, when blood clot dry a little, you can apply a piece of garlic to the hole. A spicy vegetable, peeled, cut into thin slices and pressed against the gum. Or they squeeze juice from the workpiece and soak a gauze swab with homemade medicine.
Garlic is an antiseptic and pain reliever in one bottle. The product destroys bacteria, reduces the likelihood of inflammation, and stimulates the healing of the socket. But compresses from a spicy vegetable are applied no more than 3 times a day and kept for 10 to 15 minutes so that the product does not burn the delicate mucous membrane of the gums.
Pain is relieved with cold compresses. Hot are contraindicated. Warm lotions increase swelling and blood circulation in the hole. Cold ones freeze the nerve endings and dull the uncomfortable sensations. The compress is made from ice cubes or a piece of meat lying in the freezer. The product is wrapped with cling film and a small terry towel. The fabric will protect the skin from frostbite.
Cold compresses are used 3-4 times a day. Lotions are applied for 20-30 minutes, but you can’t keep it longer, otherwise the capillaries located in the gum will become fragile and brittle. The risk of bleeding will increase.
In the first days after the operation, the patient complains not only of pain, but also of high temperature. Indicators of 37.6–38.5 are considered normal. If the thermometer mark is gradually approaching 39 or even 40, then you need to call the dentist or call an ambulance.
At home, the fever is brought down by drinking plenty of water. Only hot teas and decoctions are prohibited. Warm drinks are replaced with non-carbonated water, natural juices and chilled fruit drinks. It is worth giving up sweet soda and jelly. Sugar settles on the blood clot that closes the hole, and creates ideal conditions for the reproduction of microbes. But the bacteria cause inflammation and increase the fever.
The temperature is lowered with Ibuprofen, Nurofen or Nise. The drugs have analgesic properties. Also, in case of heat after the removal of a wisdom tooth, Paracetamol and Nimesil are recommended. Tablets are taken every 6-8 hours, not more often. If the temperature does not decrease, you should consult your doctor.
Disinfecting procedures
Improper care of a fresh wound leads to complications and serious diseases:
- alveolitis;
- stomatitis;
- hematomas;
- osteomyelitis of the jaw;
- purulent periodontitis;
- abscesses.
In order for the hole to heal quickly and without problems, the patient must give up heavy physical exertion for 1-2 weeks. You can not lift heavy bags, buckets and go to the gym. Even morning exercises in the early days are contraindicated.
The risk of complications is increased by smoking. Hot smoke dissolves the blood clot, so it can fall out prematurely. An open wound will remain, into which infections and bacteria will penetrate.
You can’t rinse your mouth, but you can make disinfectant baths. Disinfectants are made from medicinal plants:
- chamomile;
- oak bark;
- calendula;
- eucalyptus;
- sage.
Herbs not only kill germs, but also stop inflammation. And also stimulate the regeneration of soft tissues and dull pain. Decoctions are prepared from 2-3 tbsp. l. healing raw materials and a cup of water. Plants are either steamed with boiling water or use a water bath. Solutions for disinfecting the oral cavity are cooled to 35–36 degrees and must be filtered through gauze folded in 7–8 layers. The main thing is that there are no small particles in the infusion that can get stuck in the hole.
Antiseptics for washing the wells are prepared from baking soda. For 300 ml chilled boiled water 35–40 g of powder. Plus 5-6 drops of iodine or alcohol tincture calendula. You can use "Chlorophyllipt", but not necessarily. The soda composition is also filtered through gauze.
The third version of the antiseptic is prepared from table or iodized salt. The spice kills germs and also cauterizes the edges of a fresh wound, reducing the chance of bleeding. The solution should not be too concentrated, so 25-30 g of salt is taken per cup of liquid. Stir until the seasoning crystals are completely dissolved, and then filter so that solid particles do not injure the gums.
A patient who is about to remove a wisdom tooth can purchase Miramistin or Chlorhexidine in advance. The second option is practically no different from the first, but costs two to three times cheaper. Pharmacy antiseptics are used to disinfect the oral cavity 3-4 hours after the operation.
So that the solution does not wash out the blood clot, you need to take the product into your mouth and slowly “pour” it onto the affected side. Keep the antiseptic for 5 to 15 minutes, and then gently spit it out. The procedure is repeated 4-5 times a day.
Opened bleeding
If the operation to remove the third molar was successful, there should be no discharge. Bleeding, especially profuse, stops the dentist. The doctor puts the antiseptic medicine "Alvozhil" into the hole, gives the patient special preparations.At home, a sterile gauze swab is pressed against the wound. Cotton wool will not work, particles of the material stick to the gum and remain in the open hole. The tampon is pressed against the teeth. The workpiece can be moistened in a solution of soda with iodine or in Chlorhexidine. Before the operation, you can buy hemostatic tablets Vikasol or Dicinon. But the drugs must be approved by the doctor, because they are not suitable for all patients. If the bleeding does not decrease within 5-10 minutes, an ambulance is called.
Warning symptoms
Edema appears on the first day after the removal of the third molar. It should decrease by 2-3 days. If the cheek is swollen, and the body temperature is kept in the range of 37-39 degrees, you need to make an appointment with a doctor.
A dentist consultation will be needed if the patient has:
- headache;
- inflammation of the lymph nodes located next to the wisdom tooth;
- numbness of the lower face or gums;
- an unpleasant odor indicating decay;
- throbbing pain in lower jaw and ear.
The gum is opened for a person with complications. The purulent contents are removed and the well is washed with antiseptic solutions. And then antibiotics are prescribed to prevent re-inflammation. Only a dentist or maxillofacial surgeon should carry out manipulations and select drugs. It is forbidden to remove a blood clot and pierce abscesses at home.
Wisdom teeth have many nerve endings lymphatic vessels and blood capillaries, so the removal of the third molar is often accompanied by pain, swelling and fever. But the symptoms disappear for 3-6 days, if a person follows the doctor's recommendations, does not forget to take the prescribed drugs and carefully cares for the oral cavity.
Sooner or later, every person has a moment when he goes to dental clinic. Many people are afraid of such visits and postpone them until the last moment. And often this leads to the fact that the diseased tooth is no longer subject to treatment. Or there is an abnormal arrangement of teeth on the jaw arch. In such situations, the doctor may also recommend surgery. For example, wisdom teeth are not treated, but immediately removed if they are incorrectly located or affected by caries. In general, situations are different. Therefore, in the article we will talk about what to do after tooth extraction. General rules care of the oral cavity after surgery should be known to every person.
Description of the procedure
Modern technologies allow to painlessly solve almost any problem of the patient. In the event that the doctor has ruled that surgery is necessary, you will receive a referral for tooth extraction. For anesthesia, the specialist uses anesthesia in the form of an injection or spray. The choice of the drug and the calculation of the dosage takes into account the individual characteristics of the patient. After a person loses sensitivity to pain, the surgeon removes the tooth with special forceps. Usually, the patient is given detailed recommendations about what to do after tooth extraction. Please note that in different cases, the advice of a doctor may differ. This suggests that self-medication is highly undesirable.
Possible Complications
Just in order for the healing period to pass quickly and without excesses, the patient must know what to do after the removal of the molar. As we all know, the oral cavity is a breeding ground for pathological microflora very often. Therefore, it is necessary to follow some rules for care after surgery. Well, what if you don't? What can happen?
Firstly, the wound can become infected, and this will lead to an inflammatory process.
Secondly, microbes can provoke an acute purulent disease of the soft tissues of the gums.
Thirdly, the infection can spread to the bone tissue. And this is already serious illness which doctors call osteomyelitis.
Some patients are so afraid of everything related to dentistry that when they come home they cannot remember what exactly the doctor said about what to do after tooth extraction. Therefore, the following information will fill the gaps in knowledge. What do doctors recommend?
1. After removing the tooth, the surgeon does not stop the bleeding, but simply puts on a swab, which must be spit out after 15 minutes. This is necessary so that the cavity of the hole is filled with a clot that prevents microbes from getting inside.
2. For the first few days, any rinsing is prohibited. If necessary, the doctor may prescribe therapeutic baths.
3. You will have to follow a diet for several days.
4. Do not visit the sauna, bathhouse, swimming pools and solariums for five days.
5. In no case do not warm your cheek if you experience pain.
6. If the need arises, you can take an anesthetic (for example, a tablet of Ketanov, Ketarol, Baralgin, etc.).
What can not be done after tooth extraction?
As we have said, you can not rinse in the early days. We follow this advice so that the clot does not wash out of the hole. Otherwise, the cavity may become infected. If the case was difficult, avoid eating hard foods for about three days. You can not chew it on the side with which the wound is located. You can not eat dairy products for two days. It is forbidden to touch the hole with the tongue or any other objects. There may be light bleeding for some time. And even during this period, it is undesirable to spit saliva, so as not to break the vacuum formed in the hole. Those patients who use any drugs that affect blood clotting may experience bleeding for about three days. It is strictly forbidden to heat the cheek area. Please note that if you feel worse, it is forbidden to treat yourself. Go to the doctor immediately. Only he can determine the cause of complications.
What to do after wisdom tooth removal?
Usually, the doctor makes recommendations even before the start of surgery. All of them completely coincide with the tips that we discussed above. But there are some nuances. A feature of the eighth molars is the frequency of their abnormal eruption or the location of the roots.
Sometimes the surgeon puts stitches after the extraction of the tooth. To avoid violating their integrity, it is not recommended to open your mouth wide or smile for three days. It happens that in difficult cases, the doctor prescribes a second visit. So you need to be patient. It also rarely goes without the use of antibiotic therapy.
It happens that the surgeon after the operation places one tampon inside the wound, and applies another piece of gauze to the wound. Spit out the swab no later than 15 minutes later. Otherwise, a bloody bandage becomes a favorable environment for the reproduction of microorganisms. But you can not take out the tampon that is placed in the wound. It will be removed by the doctor himself during the next examination of the patient.
The conclusion suggests itself about what to do after the removal of a wisdom tooth, nothing special will have to be done. It is only necessary to strictly follow the recommendations of the doctor.
What to rinse?
Based on the situation and the individual characteristics of the patient, the doctor prescribes a rinse procedure a few days after the operation. In simple cases, you may be advised to use soda or herbal solutions. If the removal took place at a time when inflammation had already formed on the soft tissues or an abscess was opened, then it is more expedient to use special disinfectants. What to do after tooth extraction and which rinse to choose? In these matters, you must rely on the advice of a specialist. Next, consider several recipes for the preparation of products that are used for rinsing the mouth.
We prepare the solution ourselves
The recipe for the most popular remedy is simple. You will need regular table salt (iodized is better) and soda. A solution can be prepared from a mixture of these components. They are also used individually. Soda is used in cases where inflammation of a purulent nature was found on the gum.
So, you just need to dissolve a teaspoon of one of the proposed products or their mixture in a glass warm water. Then you can start the rinsing procedure. This product is not just for adults. Rinsing soda solution- the answer to the question of what to do after the extraction of a tooth in a child. Of course, we mean simple cases in which the doctor does not prescribe special therapy.
Decoction of herbs
Medicinal decoctions from medicinal plants are used in simple cases. Chamomile flowers, calendula, sage, eucalyptus are suitable for us. All of these plants have antibacterial properties. True, they are weakly expressed. So after complex removal the doctor prescribes disinfectant solutions that can be purchased at the pharmacy.
So, here is another answer to the question of what to do. After tooth extraction, prepare an herbal decoction. To do this, take a tablespoon of any of these herbs or their compounds and pour a glass of boiling water. Keep the decoction in a water bath for 10 minutes. Then we filter. We use for rinsing in a warm form.
Prevention
We all understand that prevention is of great importance in preventing any disease. Observe some simple rules and, perhaps, then you won’t have to puzzle over the question “What to do after tooth extraction?”.
First of all, dentists recommend preventive visits to the doctor twice a year. It is also necessary to devote enough time to conduct oral hygiene procedures. It is impossible to postpone the treatment of carious teeth. Otherwise, the condition may worsen to such an extent that the patient will have to go to the surgeon. It is worth thinking about the harm to health caused by smoking and alcohol. Experts also recommend reconsidering your diet for its balance. Oh, and don't forget to rest. A tired, exhausted body becomes easy prey for various infections.
Wisdom can testify both to the normal course of recovery, and be the result of pathological processes.
Painful sensations can normally last from a couple of hours to several days.
Even after a simple procedure, the patient will have a headache, cheek and hole left after the extracted tooth for some time. In severe cases, pain may radiate to the ear, throat, and jawbone.
If the pain does not go away within a few days and other symptoms appear, then you should not postpone a second visit to the dentist.
Any procedure, one way or another associated with traumatization of the gums, even in medicinal purposes will cause temporary pain.
Therefore, if in the first time after removal there are painful sensations, then this does not always indicate the presence of problems or complications.
If the pain is moderate, then such discomfort is considered a variant of the norm.
Damaged during tooth resection neighboring tissues, nerves and blood vessels.
Therefore, not only the hole often hurts: throbbing pain can spread to the gums, and to the cheeks, and to the ear. There is a feeling that the whole head hurts, or rather even the jawbone.
Often the throat gives a reaction close to the manifestations of a sore throat - this is how the body responds to injury and protects itself from possible inflammation.
With an uncomplicated resection, the throat goes away on its own, but if the pain lasts for a long time, then a specialist consultation is necessary.
Immediately after the anesthesia wears off, the gums can hurt for a couple of hours or a couple of days.
Pain after the removal of a wisdom tooth will increase with a load on the hole and may even radiate to nearby tissues.
Normally, during exercise, the throat, cheek and jaw can hurt, less often patients complain of pain in the ear. The ear usually hurts from the extracted tooth.
You may feel dizzy immediately after the procedure. This can be caused by the action of the drugs used, stress, or even a small loss of blood.
The severity of discomfort depends on how much blood the patient has lost.
If the dentist had to resort to cutting the gums or even drilling out the bone, then the healing process will take a long time and have its own difficulties.
If the tooth had to be removed in parts, then the gums, cheek and jaw will ache for 3-4 days. The hole in this case will require especially careful and at the same time gentle care.
The throat and oral cavity must be rinsed gently without using a toothbrush. Normally, after a few days, the cheek and gums will hurt only with mechanical action.
Unpleasant throbbing pain should noticeably decrease. In order for the recovery to last faster, loads on the jaw are contraindicated in the first few days.
Anxiety should be caused by severe pain that does not subside for a long time.
Normally, the painful processes in a couple of days should already be significantly reduced, but if the discomfort remains at the same level or intensifies and spreads, then it will good reason see a doctor.
Often, symptoms develop when the hole becomes inflamed, and they talk about a possible alveolitis.
There is a loss of a blood clot from the wound, as a result of which the vulnerable surface of the gums becomes exposed to microbes.
Like the prolapse of a blood clot, suppuration processes will also be dangerous. A blood clot without proper care will be an ideal environment for the development of an infection.
Inflammation appears when the alveolar bone is exposed. Outwardly, the wound may look neat, but necrotic processes will develop inside.
Then anxiety symptoms there will be bad breath, severe pain, rising temperature and swelling. The cheek and gum near the affected area will be swollen and painful.
Fever and swelling of adjacent tissues
Sometimes the appearance of edema can also be a variant of the norm. For example, when removing a wisdom tooth located in upper jaw, there is a high probability that the cheek will swell in the area of \u200b\u200bthe upper cheekbones. A similar symptom can occur even without complications during the resection process.
The cheek swells due to the fact that in the area where the upper teeth wisdom, is a large number of vessels.
Soft tissues in this area are actively supplied with blood, which is why they are more prone to the formation of edema.
If the removal of the wisdom tooth was difficult or was carried out with concomitant inflammatory processes, then the risk of developing edema increases. The likelihood of swelling increases when the patient is overweight.
Often when severe swelling headache, throat and ear. These symptoms often go hand in hand with each other. With severe symptoms, signs of a sore throat may appear in a few days.
When removed lower teeth wisdom, the likelihood of developing edema is lower.
But all of the above factors increase this risk. The throat and cheek may hurt, and even swallowing will become difficult and painful.
Normally, swelling will reach its maximum only the next morning after the procedure and will last for a couple of days, after which it will gradually decrease on its own.
How long the recovery period will last depends largely on the person's immunity.
If the recovery is not accompanied by an increase pain and the spread of symptoms to the throat, ear or entire jaw, then the healing process is normal.
A negative development of events will be when the edema after the operation does not subside for a long time or even increases.
It will be more and more difficult for the patient to open the mouth, the temperature will rise, the throat and head will hurt, and swallowing will be difficult, and the pain from it can be given to the ear.
If at least one of the above symptoms appears, then you should consult a doctor.
If the extraction of the tooth was not accompanied by inflammation, then on the first evening there may be a slight increase in temperature and a headache.
The maximum should not exceed 37.5 degrees - this is a protective reaction of the body to the injury. By the next morning, the temperature should have subsided.
If the temperature does not decrease, and even the next day it stays above the specified norm, then we can talk about the onset of the inflammatory process and the addition of an infection.
The risk of infection increases in the presence of carious processes on other teeth.
When the tooth extraction occurred against the background purulent inflammation, the temperature may rise higher than indicated, but with proper treatment, it should be normal from the next day, it should steadily decrease to the usual level.
What to do with bleeding and hematoma formation?
Normally, the blood in the hole coagulates within a minute. But if during the operation the vessels were affected and the cheek or gum was cut, then the time how much the wound will "bleed" depends on the characteristics of the injury.
Sometimes additional stitches may even be required.
Prolonged bleeding can cause dizziness and weakness. If bleeding opens during the procedure, the doctor will immediately take measures to eliminate the problem - he will suture or apply a special sponge with a hemostatic effect.
In most cases, this is enough to stop the bleeding and form a blood clot. How many stitches you need to apply depends on the extent of the wound.
Oral hygiene in such cases should be delicate so as not to damage the seams and not break the blood clot, since in this case there is a high probability of re-bleeding, which will be difficult to stop at home.
But often the blood continues to stand out even after leaving the doctor.
An experienced specialist will always additionally put one or two stitches on the hole so that the recovery is faster, and the edges of the hole are closer - so the likelihood of bleeding is significantly reduced.
Sometimes bleeding can occur at night, and people do not always notice it in time.
With moderate bleeding, a person wakes up literally with mouthful blood, and if blood flows into the throat, then a person in a dream can involuntarily swallow it.
Sometimes traces of blood can be on bed linen. In this case, you need to estimate how much blood was approximately lost.
If the bleeding does not stop, and the loss was already significant, then it is worth calling an ambulance.
To eliminate night bleeding, you need to make a tight swab of gauze and put it on the hole from the extracted tooth.
The jaws must be tightly compressed in order to feel how the tissue firmly lay on the injured area.
Applying ice or frozen foods to the cheek will help stop the excessive bleeding because the cold should reduce bleeding.
Applying ice is outside to the area close to the place of tooth extraction. The desired effect is usually achieved in 5 minutes.
If the gum is still bleeding, then the procedure should be repeated. In such cases, ice is applied 2-3 times and kept as long as necessary (but not more than 10 minutes).
At heavy bleeding it is worth calling a doctor or contacting the clinic yourself for suturing, since in some cases such situations can even lead to significant blood loss.
Sometimes a hematoma appears after the procedure. It occurs when a doctor, doing anesthesia, pierces a vessel in the gums or in the soft tissues of the cheek.
A bruise can appear both directly on the day of the procedure, and a day later.
Simple is rarely accompanied by complications, but when it occurs unpleasant symptoms you should immediately contact a specialist.
Remember that the question of why the hole, cheek or gum hurts after the removal of a wisdom tooth can only be answered by a dentist after an examination.
Complicated situations, the doctor usually tries to observe, appointing additional visits and giving special instructions care if necessary.
Teething of wisdom teeth is a painful and long process, during which the gums often swell and become inflamed. This is due to the fact that the growth of "eights" begins at an age when the bones are fully formed, and there is not enough room for new molars to grow. Because of the wisdom teeth, the tongue can be injured and the destruction of neighboring units can begin. It is for this reason that dentists often recommend removing the “eights”.
Pain after tooth extraction: normal or abnormal?
Unlike other teeth, the “eights” have a wider crown and intertwined roots, so it is difficult to extract a wisdom tooth during extraction. Before the operation, it is necessary to make a fluoroscopy, which will show the position and condition of the molar and the structure of the horses. Based on the picture, the specialist will prescribe the operation. It can be of two types:
- simple removal;
- difficult removal.
The first method is used when the tooth is intact, its roots are not intertwined with each other, there are no other diseases of the oral cavity. Then the removal procedure will not cause difficulties, and the risk of complications is minimal. It is enough that the doctor pulls out the tooth with high quality, and the patient follows the recommendations after the procedure.
To remove the "eight" use forceps or an elevator. The tooth is gradually shaken and pulled out of the gums. In this case, the periodontal ligaments of neighboring molars are injured, they are torn soft tissues and nerve endings. Because of this, pain after the procedure is considered the norm.
The second method is used in the following cases:
- teeth eruption horizontally or at a large angle;
- pericoronitis;
- severe destruction of the crown;
- twisted root system.
In the presence of the above conditions, the operation is scheduled. The procedure includes:
- gum incision;
- sawing a tooth with a drill;
- bone drilling;
- suture on the gum.
After a complex extraction of the "eight", after 2-3 hours, there are strong pain sensations (at first, anesthesia still works). Often the cheek swells and the body temperature rises. If the symptoms persist for a week, but pain relief is felt day after day, then the healing process is going well.
The hole hurts, including when pressed
A hole is a depression left after a tooth has been removed. The place of the removed unit hurts a lot when suppuration has begun, then there is an unpleasant aftertaste in the mouth. This condition is called alveolitis. Most often, inflammation occurs because there is no blood clot in the hole. It can fall out while rinsing your mouth. An empty well is not protected from the effects of microorganisms and food particles. The cause of alveolitis is often exposure bone tissue due to the divergence of the seam or the formation of pus in the wound, then the hole hurts when pressed.
Factors affecting the appearance of suppuration:
- particles of dental tissue remained in the wound;
- caries on adjacent molars;
- inflammation in the mouth.
If you experience these symptoms, you should consult your dentist. Urgent care required with an increase in body temperature, the appearance of pain in the ear and swelling.
Another cause of pain in the hole is periostitis. It occurs due to poor-quality processing of instruments, as well as if particles of the tooth remain in the wound. At the same time, the gums hurt a lot, swelling appears and the body temperature rises.
If you do not provide timely assistance when signs of periostitis occur, it develops into a more serious disease called osteomyelitis. These symptoms include headache and nausea. With periostitis, hospitalization is needed.
Jaw pain
Extraction is a painful procedure, it is much more difficult if a wisdom tooth is removed. Causes of pain in the jaw:
The patient may feel pain and discomfort also because the mouth for a long time had to be kept open. As a result, the ligaments are simply “tired”, and the person is in pain due to the overstrain.
It hurts to swallow
Often, after the extraction of the "eight", the throat begins to hurt. Especially often the pain occurs after the removal of a wisdom tooth on mandible(We recommend reading:). This is due to the proximity to the place of tooth extraction. trigeminal nerve.
Reasons for sore throat:
- During the operation, the trigeminal nerve was affected, salivation increased.
- Complications after gum dissection during complex removal. There is swelling of the gums and cheeks, because of this it becomes painful to swallow.
- The inflammatory process that began in the gums moved to soft tissues and the throat area.
- Long operation. The patient kept his mouth open for a long time, so the mucous membranes dried up and a tickle appeared.
If soft tissues and nerve endings are injured during the operation, pain during swallowing persists for about two weeks.
This pain can be added:
- swelling of the gums and cheeks;
- discomfort in the jaw;
- increase in body temperature;
- bleeding in the hole.
If these symptoms occur, you should visit a doctor for a consultation. Timely assistance will reduce the risk of serious complications.
Types of pain
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Constant
Constant pain after the removal of a wisdom tooth is most often aching in nature (see also:). Pain interferes with normal life. How long the pain lasts depends on the procedure. Most often, it subsides after 2-3 days, this time must be endured.
If the pain becomes unbearable, you can take an analgesic or alleviate the condition with a cold compress by applying it to the outside of the cheek. The action of the compress should be precisely cooling, since warming procedures can aggravate the situation. To do this, the compress must be changed periodically, taking breaks between applying.
- response to surgery
- alveolitis;
- suppuration in the hole without a blood clot.
When persistent pain persists for more than two days after extraction, a dental examination is necessary. He will bring out possible complications and will prescribe the necessary drugs to eliminate inflammation and relieve pain.
Pulsating
Strong throbbing pain occurs against the background of:
- Poor quality treatment. The doctor can make a mistake, remove the root badly, leave particles of the tooth in the wound.
- Alveolitis. This is inflammation that begins due to infection in the wound. Infection can occur due to an "empty" well, when a blood clot does not form or it is pushed back. AT open wound Bacteria easily enter, and a humid, warm environment contributes to their rapid reproduction.
- Trigeminal neuritis. With neuritis, there is no swelling and redness of the gums, their condition does not change. Pain sensations occur periodically, sharply and spread to the area of the temples, neck and eyes. Most often, trigeminal neuritis occurs during the extraction of the "eight" on the lower jaw. This is due to the fact that the branch of the nerve is located close to the removed molar, it is easy to damage it during the procedure.
If you feel throbbing pain, you should visit the dentist if the following symptoms appear:
(we recommend reading:)
How long is the pain present?
If a wisdom tooth is removed, how much the wound will hurt depends on the rate of healing of the hole. Stages of wound healing after tooth extraction:
- filling the hole with a blood clot;
- formation of granulation tissue;
- filling the upper part of the wound with tissue;
- formation of bone tissue in the hole;
- resorption of wound edges.
The whole process takes 2-3 months. This time is necessary for the formation of a full-fledged bone tissue and filling the formed hole with it.
If during the procedure it is necessary to make an incision on the gum, a suture is applied, which speeds up the process of joining the gum tissue. For this reason, the incision does not affect the healing rate of the hole, it is delayed, as with simple method removal. State immune system and degree inflammatory process directly affect how much the gum will hurt.
When removing a wisdom tooth that has not erupted or partially erupted, healing will be much slower (more details in the article:). This is explained by this procedure involves sawing the roots and reducing the volume of the bone. Complete healing occurs after the reconstruction of bone tissue.
Any tooth extraction occurs with the use of painkillers, so pain becomes noticeable 2-3 hours after the procedure. Due to tissue damage, pain can persist for several days. The main criterion for proper healing is the reduction of pain every day. If a tooth is pulled out by a complex method, pain can move to neighboring molars, throat, ear and head. They can be present for up to seven days.
How to reduce pain syndrome?
Pain can be reduced by following these guidelines:
- Refrain from eating and drinking for 3 hours after the procedure. When extracting the "eight" of the lower row, the effect of the anesthetic drug lasts several hours, so when eating, you can bite your cheek, which will increase pain later. In addition, pieces of food can get into a fresh wound and cause inflammation.
- Do not rinse your mouth without the advice of a doctor. manipulation herbal decoctions and antiseptics can wash away the blood clot. In the absence of a clot, the healing process will be delayed, since granulation tissue will form more slowly. In addition, there is a risk of infection in an open wound. This will increase pain and delay the healing process.
- Exclude hot, spicy and hard food for the first 2 days after removal. It easily injures the inflamed gums.
- For 2-3 days, exclude physical activity and going to the pool and bath. These actions increase the risk of bleeding and wound healing time.
- Exercise caution when brushing other teeth.
- Do not touch the extraction site with your tongue or hands.