In spite of modern ways treatment and restoration of teeth, sometimes extraction cannot be avoided. It is necessary to pull out a tooth when it is completely destroyed or interferes with neighboring ones. Also, wisdom teeth are often removed, which have long lost their original purpose. Dentist may recommend vomit wise tooth in order to avoid acute pain, possible deformation of the dentition (when the tooth does not have enough space for eruption) or inflammation of the gums (the figure eight erupts for a long time or grows horizontally). Now 8-ki may be needed only for prosthetics. You should figure out how long the hole heals, and what to do so that it stops hurting?
How long can gums hurt after a tooth is pulled out?
General healing and the accompanying pain directly depend on the type of tooth extraction and the complexity of the work. If before removal it was affected by caries, a cyst, partially destroyed, or an inflammatory process began, healing takes longer. In this case, the hole becomes red, constantly aches or hurts and does not heal well.
A simple removal is more gentle, while the gum is not subjected to incisions. The doctor takes out the tooth with forceps and other tools. Depending on the size of the tooth crown and roots, the dentist may sew up the edges of the hole so that the wound does not become infected and heals faster. After the doctor pulled out a molar, soft tissues they hurt for 3 days, if the gum was sewn up - at least 5 days (we recommend reading:). Provided that the work was carried out carefully, the removal was not accompanied by inflammation or suppuration, the hole heals quickly, there is a blood clot. During the first week, the pain disappears completely.
A complex extraction is an operation during which the doctor dissects the gum tissue, pushes them apart, and then removes the tooth and sutures (we recommend reading:). An even incision allows you to get the tooth and at the same time minimally injure the jaw bones and gums. After surgery, there is always swelling, slight inflammation and pain (after recovery from anesthesia).
The sutures are removed no earlier than on the seventh day after the procedure. Full recovery takes approximately 14 days (if the removal was not accompanied by complications). During this period, a person feels aching or sharp pain, the gums may pulsate a little. This is due to the tightening of the hole, incision and sutures. The gums usually hurt while talking, brushing your teeth, eating, and even just opening your mouth. The first 3-4 days the pain can affect the entire side of the skull, the ear and even the neck. Gradually, the pain syndrome decreases, and after recovery it completely disappears.
It is impossible to unambiguously answer the question “how long does a wound heal?”. All cases are individual. For a full recovery, you need to be patient for at least half a month.
Complex or simple removal?
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The type of removal is selected by the doctor based on the results of an X-ray examination. For example, the roots of wisdom teeth are prone to curvature and fusion, so without a picture it is impossible to determine the most appropriate method.
Indications for simple removal:
- the wisdom tooth crawled out completely or for more than half (the dentist can grab it with a tool);
- the doctor has the opportunity to get to the tooth without causing the patient severe discomfort;
- the roots are straight, not winding;
- the tooth is not destroyed by caries.
Indications for surgery:
Features of wisdom tooth removal
The lower wisdom teeth are more frequently exposed surgical intervention they are much more difficult to remove. From below, the jaw bones are denser, they firmly hold the roots, so it is not always possible to pull out the tooth with forceps. In addition, the roots themselves are prone to curvature and growth. The operation, although accompanied by pain and possible consequences, is the best option in this case.
Before the procedure, the dentist collects an anamnesis on the patient in order to rule out allergic reactions for drugs. Anesthesia is selected based on the method of the procedure and its duration. Removal can take from 5 minutes to 2 hours. During this time, the patient does not feel pain, only slight pressure.
After removal, the hole is treated with antiseptic drugs, sometimes the doctor puts a special medicine to quickly heal the wound. The dentist must carefully clean the gum from traces of inflammation or suppuration, as well as remnants of the roots or crown (if the tooth was pulled out in parts). In order to understand how the removal process looks like, it is worth looking at the photo of the operation.
Some doctors practice suturing even with simple removal. Especially if the roots were too massive. Closed edges protect the wound from food, bacteria, keep a blood clot and contribute to a speedy recovery.
What to do to speed up the healing of the hole at home?
After removal chewing teeth the gums in any case become inflamed and swell a little. In order to speed up the healing process as much as possible, it is necessary to strictly follow all the recommendations and adhere to the course of treatment.
After the procedure, eating is allowed after 3-5 hours, depending on the method of intervention. Applying cold to the cheek (ice, frozen foods, or a chilled heating pad) can help reduce swelling and pain.
Complex home care includes:
In cases where an operation was performed or the procedure was accompanied by complications, the doctor prescribes a course of antibiotics:
- Sumamed,
- ceftriaxone,
- Amoxiclav,
- amoxicillin,
- Lincomycin,
- Flemoxin.
Antihistamines additionally relieve puffiness:
- erius,
- Suprastin and others.
During the recovery period, care must be taken oral cavity. It is best to take a new soft toothbrush and a special healing or anti-inflammatory gum paste. The first days do not touch the wound with a brush, it is cleaned by thorough rinsing.
rinses
Rinses are mandatory, they relieve swelling, inflammation, disinfect the wound, draw out pus and soothe the damaged mucosa. For best results, rinse your mouth regularly (3-5 times a day, as directed by your doctor). The temperature of the liquid should be warm, but not hot (no more than 30-35 degrees). You can start treatment on the second day after the procedure.
The most effective means:
Fast Recovery Diet
The recovery diet excludes any irritation of the wound and mucous membrane. Worth going to natural products rich in vitamins. Cooked food should be warm and soft - in the form of purees, soups, cereals or broths.
Allowed products:
List of prohibited products:
- alcohol;
- sweet carbonated drinks with dyes;
- sour, spicy, spicy;
- solid food (including raw vegetables, which can additionally injure the wound);
- citrus and other sour fruits;
- hot drinks;
- sweets, semi-finished products.
In addition to alcohol, you must stop smoking. Cigarettes irritate the oral cavity, affect the internal microflora, and can also cause infection.
How to relieve the condition after the procedure?
At the time of healing, the patient can not do without painkillers. The recovery period causes enough severe pain especially in the first week. The drug and its dosage are selected by the dentist, taking into account the complexity of the procedure, general state patient, individual pain threshold.
Useful peace, good rest and sleep. The first couple of weeks after the procedure, you should refrain from overwork, stress, heavy physical exertion. Prolonged exposure to direct sunlight also harms.
Painkiller
Painkillers effectively relieve pain. As a rule, tablets are taken within 10-14 days after the tooth has been removed. The gum healing period is very unpleasant and painful. Doctors advise not to endure acute pain and take medicines on time.
Medicines must be taken as prescribed by the doctor according to the instructions. It is forbidden to increase the dosage and number of doses. Strong painkillers are addictive and affect the liver, so they should be taken seriously.
Painkillers prescribed by dentists:
- Nimesil;
- Ketanov;
- Tempalgin;
- Nalgezin;
- ibuprofen;
- Solpadein;
- Ketorol;
- Nise;
- Ibuprom and others.
Gels and ointments of local action
Gels and ointments used in dentistry have a dual effect - antimicrobial and anesthetic.
It is necessary to smear the damaged gum after removing the massive root between meals, after cleaning the oral cavity. Antibacterial gels reduce inflammation, lightly freeze pain, and promote healing of the wound.
Common topical gels and ointments:
- Holisal gel;
- Metrogyl denta;
- Holicet;
- Mundizal, etc.
Possible complications after the procedure
Possible consequences and why they occur:
- Dry hole. A blood clot forms in place of the tooth, which protects the socket and is involved in tissue regeneration. Sometimes it does not appear or falls out too quickly. The patient feels pain, appears bad smell from mouth. The doctor will put a special medicine that will perform the functions of a clot.
- Infection. Appears when bacteria and viruses enter the wound. Symptoms include swelling, sharp pain, redness, suppuration, swelling, and fever. Sometimes the gum takes on a blue or black tint. You will need a course of antibiotics or antiviral drugs as directed by your doctor.
- Nerve damage. Numbness of the tongue, gums, or cheeks. Symptoms usually resolve within a week. You should contact qualified professionals to avoid such problems.
- Stomatitis. Weakened immunity and the development of microorganisms sometimes leads to stomatitis. The disease must be urgently treated, as the hole can become inflamed.
Thanks to the availability of high-quality painkillers and the professionalism of dentists, the removal of a wisdom tooth is almost painless. This is a planned procedure, before which you do not need to panic and be afraid. A slight discomfort may occur after 2-3 hours (the effect of anesthesia stops). But if the pain does not weaken, but intensifies, this is a reason for a second visit to a specialist. Complications after the removal of a wisdom tooth can be caused by various factors.
Wisdom tooth: all the features of the "eight"
Dentists call the wisdom tooth the "eight": if you divide the oral cavity into two parts with a vertical line, then in the upper and lower rows the teeth will be located eighth (at the very end). The peculiarity of these teeth is the late growth time. They usually erupt in the period from 20 to 30 years, at a time when the human body slows down growth and enters a state of maturity.
In dental practice, it is not uncommon for a wisdom tooth to bring discomfort for another initial stages growth, as eruption is painful and long. Most often, this is accompanied by the development of an area of inflammation. The tooth itself, covered with affected tissue, is constantly injured by pieces of food. Bacteria penetrate the tissues and inflammation worsens. As a result, this leads to purulent inflammation(pericoronitis).
It's important to know! To prevent such troubles, it is recommended to consult a dentist to remove the hood over the tooth.
General facts about the procedure
The removal of this tooth has its own characteristics. It is located a little deeper than others, and the number of nerve endings is an order of magnitude higher. Incorrect removal can lead to prolonged healing and provoke various complications. Pain after the procedure is a normal and natural reaction of the body. In the hole that was previously occupied by the tooth, there should be a blood clot that prevents the infection from entering the wound. This shouldn't scare you.
Often, when wisdom teeth erupt, many people have a fever, and dentists consider this natural, since “eights” are unusual teeth. An increase in body temperature also often occurs after removal. This is a consequence of the inflammation caused by the intervention.
Even a temperature of 38-39 degrees does not indicate a large suppuration of the hole or the development of an infection, but requires caution and attention from a person. Temperatures above 38 degrees are recommended to be lowered with the help of appropriate preparations. It is worth sounding the alarm only if the high temperature lasts for more than two days. The specialist will definitely identify the cause of the complication and prescribe the appropriate therapy.
What causes complications: a list of the main factors
The reasons causing complications after such operations can be the most banal:
Open carious cavities in the mouth;
Generalized caries;
Inappropriate oral care.
There are also a number of reasons that have nothing to do with dentistry, but can become a catalyst for complications. Among these factors, experts distinguish hypertension, increased blood pressure in stressful situations and fragility of capillaries. Also, constant heavy physical work can become signs of a complication.
For reference! Bad habits - smoking, alcoholism - undermine the immune system and reduce the defenses. This is also the cause of prolonged wound healing and the development of complications against this background.
Types of complications and their treatment
Complications after wisdom tooth extraction occur quite rarely. But if this still happened, you should not blame the dentist alone. The occurrence of undesirable consequences can also be influenced by the individual characteristics of the structure of the body or how a person cares for the oral cavity.
Why does the hole bleed?
Usually, the blood in the well coagulates within the first minute, dragging on with a thin protective film. In the event that the dentist performed a complex removal of the wisdom tooth, the blood will clot a little longer. To avoid this, doctors make several tightening sutures, and also apply a hemostatic sponge to the hole.
Some specialists suture immediately after the procedure, but their other colleagues do not take risks due to the possible development of complications of other types. When suturing a wound, doctors recommend following several simple rules.
- People with hypertension need to carefully monitor the level of pressure. Those who take medication to lower, you need to remember that against the background of stress, the pressure can stay at a high level for a very long time, so the usual dosage of drugs will not be enough.
- It is forbidden to drink alcoholic beverages - they dilate blood vessels.
- Smokers should refrain from this habit for a while. Also, you do not need to spit and suck blood from the wound.
- A wide smile is beautiful, but not in this case.
- Weight lifting should be limited.
- You do not need to touch the stitches applied to the wound. If an infection gets there, then there will be an even greater complication.
It also happens that bleeding from the hole opens at home. Here, too, you need to remain calm and try to stop the bleeding yourself.
- Make a tight swab out of a sterile bandage and put it on the well (while pressing it hard).
- In place extracted tooth, With outside cheeks, you need to attach something cold (ice cream, meat or ice), previously wrapped in a towel. Hold for 3 minutes intermittently until the bleeding stops completely.
- If the bleeding does not stop, you need to call an ambulance. Doctors will take you to the nearest medical center, where they will provide qualified assistance.
Pus on the gums or alveolitis
One of the most unpleasant complications is the development of the process of suppuration of the gums - alveolitis. At normal healing a blood clot forms in the hole, which gradually tightens. With alveolitis, this clot acquires a "jelly" structure, has bad smell and taste.
The main factors causing this complication (except for carious cavities and caries) can be infectious diseases or reduced immunity. With this type of complications, the fault of the doctors who performed the operation is also possible. The procedure could be carried out unprofessionally, and a piece of root could remain in the hole.
Treatment of alveolitis is conventionally divided into two types: at the initial stage and late therapy. The latter implies an incision in the gums and its washing with antiseptic solutions, as well as the installation of drainage for the outflow of purulent masses.
If the alveolitis did not have time to develop, then the specialists are limited to extracting a festering piece from the hole, washing the wound with antiseptics and putting a special medicine there for quick recovery bone tissue and healing of the hole.
The residual phenomenon in the form of a hematoma
The appearance of swelling and pain at the site of the removed wisdom tooth is not a sign of alveolitis only. Such symptoms may be a signal that a hematoma has formed at the site of removal.
But the hematoma in the dental concept is somewhat different from its everyday understanding. The main causes of hematoma may be increased fragility of capillaries, as well as hypertonic disease. Also, a hematoma can be provoked by damage to one vessel during local anesthesia.
Wisdom tooth socket hematoma is an unpleasant and painful problem. Unlike alveolitis, which can be seen on early stage development, there are no primary signs of hematoma. But if the gum looks swollen, albeit without pain you need to see a doctor right away. And an attempt at independent home treatment- warming up, baths, lotions - will only aggravate the situation.
The correct solution for such a complication is surgical intervention. The actions of doctors are the same as for severe alveolitis. But here the incision of the gums should be carried out very carefully, not completely.
After the mini-surgery, you need to visit the dentist for at least a week, and also take prescribed antibiotics. Visits to the doctor should be made every other day for:
- dressings;
- if necessary, change the drainage;
- monitoring the general well-being of the patient.
Dry socket as a type of alveolitis
During the normal healing process, fibrin, which is a blood clot with impurities, will remain in the wells. It speeds up the healing process and is a protector against infections. If it happens that fibrin is not produced, then a “dry” socket complication occurs, which is accompanied by the following symptoms:
- pain at the site of removal;
- an unpleasant smell in the mouth.
The appearance of these symptoms occurs on average 2-3 days after visiting the dentist.
Paresthesia or loss of sensation
Paresthesia against the background of damage to the jaw nerve is quite rare, but is an unpleasant phenomenon. Temporary loss of sensation occurs when complex operations and goes away on its own in a couple of weeks. If the small area is damaged, the sensitivity returns itself after 2 days. In advanced cases, for help and treatment, consultation with the relevant specialists (surgeon, neurologist) will be required.
The phenomenon develops due to the action of several factors.
- Incorrect location of the roots, the presence severe inflammation. Proximity to nerves increases the risk of loss of sensation.
- Rude attitude and unprofessionalism. The dentist did not study the features of the bones and the location of the roots before the operation.
Why does the cheek swell?
Flux is the result of non-compliance with hygiene rules and infection in the periosteum (this causes inflammation). Typical symptoms:
- the gums swell and turn red;
- a person has excruciating pain at the place of removal;
- swelling also appears on the cheek;
- the temperature is rising.
Edema can act both as a normal reaction to the manipulations performed, and as a signal of the onset of a dangerous inflammation. The bag of pus may rupture on its own: the symptoms will go away, but the inflammation will continue inside the gum.
Interesting to know! The most dangerous case allergic edema in respiratory tract immediately after the procedure. The cheek swells strongly, breathing is accompanied by a whistle, shortness of breath appears. In such a situation, you can not do without emergency hospitalization.
Complications of a traumatic nature
Rare cases (no more than 5% of the total number of complications) - fractures or complete destruction of the enamel of adjacent teeth. To minimize injuries, it is important to pre-do x-rays and other tests (at the discretion of the dentist). Full information about the condition of the wisdom tooth will help the specialist decide what tactics to choose for removal.
Cracks in the jaw
During the manipulation, bone tissue is removed - this weakens the section of the jaws. Often, the removal of an adjacent healthy "seven" is required to reduce the risk of injury.
The presence of a crack can not be noticed in the chair at the dentist. The clinical picture of the complication, expressed by swelling, high fever, and aching pain, may also appear a week after the operation.
Defects in adjacent tooth
If the dentist does not have the results of a preliminary diagnosis, the shape of the bones can be an unpleasant surprise. As a result, hesitant actions, incorrect calculation of force and slipping of the tongs. Both adjacent teeth and soft tissues can suffer.
For reference! If the "seven" is further weakened by caries, the damage will be more significant.
If the tooth is broken, only extraction is prescribed. If there is a dislocation, the tire is adjusted for 30 days.
Root in soft tissue
One of the complications of this group is the involuntary pushing of the root into the area under the tongue. The provoking factor is resorption (destruction, resorption) of the lingual wall. As a result, the root of the wisdom tooth is displaced inside the groove.
If the defect is detected immediately, the root can be returned to its place using a soft tissue incision. Advanced cases require hospitalization.
Briefly about other consequences
Due to infection, stomatitis can develop, which is easily treatable. You just need to regularly rinse your mouth with various medicinal solutions. Also, a cyst may develop at the site of removal, which can only be removed with the help of surgery.
The patient may have momentary loss consciousness. Fainting in such a situation is the result of strong feelings and unrest (emotional overstrain). This situation is not dangerous, but it greatly frightens other patients. An influx will help to return a person to feelings. fresh air, ammonia and washing with cold water.
How to prevent complications?
Despite the variety of complications after the removal of the "eight", there is a general set of rules of conduct after surgery.
- Do not rinse your mouth throughout the day, brush your teeth also on the second day.
- Do not eat for 2 hours after the procedure.
- Avoid high and low temperatures food (as well as sudden changes).
- Do not touch the hole with your tongue, do not chew on the side of removal in the first few days.
- Use an antibacterial rinse.
Summing up
It must be remembered that with appropriate oral care and compliance with simple rules, there will be no complications when removing wisdom teeth. Familiarization with the information provided will be an excellent reason to give up smoking, alcohol and other bad habits paying attention to the state of your health.
An unpleasant symptom is toothache, which makes a person nervous and irritable. If you had to remove the eight on the top or mandible, discomfort oral cavities are preserved for a few more days. Pain and inflammation of the gums are quite normal, but they should not last longer than 2-3 days.
Why does pain occur after wisdom tooth removal?
Any injury in the human body is reflected by an acute pain syndrome. The removal of the figure eight is no exception, since the integrity of soft tissues is violated during surgical procedures. In a complicated operation, the doctor can damage the bone tissue, so an acute attack of pain is delayed for a longer period. According to the pronounced pain syndrome, one can judge the healing of the inflamed hole: the less it hurts, the faster the process of regeneration of tissues injured by the scalpel and forceps proceeds.
Swollen gum
It is necessary to pay attention to the external condition of the gums. Ideally, already on the second day, inflammation should pass, and the color of the mucous membrane should change from saturated red to pale pink. If this does not happen, the patient should have a suspicion that the healing of the hole is accompanied by certain complications. When there is no positive dynamics within 2-3 days, and the gum is still swollen and sore, you should immediately contact your dentist for advice.
Hole hurts after surgery
To carry out the resection of the figure eight, it is first necessary to anesthetize the focus of the pathology for the unimpeded conduct of further surgical procedures. After the end of the operation, the effect of local anesthesia weakens, and the inflamed hole begins to hurt badly. This is a normal reaction to the removal of the eighth tooth, requiring additional analgesics. After some time (1-2 days), the pain subsides, and the blood clot formed in the hole and normal body temperature eloquently indicate the absence of health complications.
How much pain in the gums is normally felt
expressiveness pain syndrome in the mouth depends on the individual characteristics of the operation, potential complications. How long the pain in the gum lasts after the extraction of the figure eight, the dentist will tell after a detailed examination of the focus of the pathology upon completion of all surgical procedures. Focus should be on such clinical pictures Oh:
- If this is a simple removal, then the gum will stop hurting after 1-2 days. The swelling of the jaw quickly disappears, the chewing function normalizes, and the patient soon forgets about the surgical procedures performed in the mouth.
- If the removal of the "wise" tooth was difficult, then the gums will hurt for another 3-5 days. After this, the complications should pass, and the general condition should return to normal. The healing process of hard tissues is individual and has a number of determining factors.
How long does gum pain last?
If the dentist managed to remove the third molar without pathologies, safely pull out the root, blood accumulates in the hole, which turns into a specific clot the very next day. This is the beginning of recovery, and the aching pain in the gums will disappear in 2-3 days. In the once sore spot, an accelerated process of tissue regeneration is observed, and after a couple of weeks the patient will no longer remember an unpleasant visit to the hospital. dental office.
How long does gum pain last after a difficult extraction
The consequences of a complicated operation can be the most unpredictable, and the recovery period for individual clinical pictures includes taking antibiotics in a full course. Ideally, the suture will stop whining after 4-5 days, but such discomfort can drag on for weeks. More often, this health problem occurs due to the growth of an impacted molar.
Removal of impacted teeth
If the doctor has to remove a molar that is not growing properly, then such an operation is complicated and requires high professionalism. The inflammatory process persists for several days, but may not stop for a week. Cheek swelling, impaired diction and chewing function, numbness of the tongue are those unpleasant symptoms that occur when an impacted wisdom molar is removed. In addition, the gums can swell and hurt a lot, suppuration against the background of progressive infectious process. To understand the cause of the pain, it is worth describing the sequence of the operation:
- Performing local anesthesia, less often - the need for general anesthesia.
- An incision in the gums with a scalpel and sawing of the bone tissue, which prevented the growth of the molar.
- Extraction of the impacted tooth from the hole using special dental forceps.
- suturing on open wound on the jaw at the site of the removed molar.
- Preparing a tampon with a hemostatic drug.
- The imposition of the specified medicine on the released hole, but not more than 10 minutes.
What to do if the gum hurts after pulling out a tooth
If the patient does not stop the attack of pain, it is pointless to take analgesics and temporarily anesthetize the focus of the pathology. The action of such drugs is not enough for a long time, especially if the body is dominated by serious complications. It is difficult to say how long the gum hurts, but it will heal for a long time. Especially dangerous is alveolitis (inflammation of the hole), which can be diagnosed already three to four days after the operation.
Gum care at home
It is important to know not only how much the gum hurts after getting rid of the wisdom molar, but also how to alleviate your condition at home. Folk remedies become a real salvation if you choose the right recipe, use it for its intended purpose, do not violate medical prescriptions and the regularity of procedures. Below are effective ways hole anesthesia. It:
- Chicory in the amount of 1 tsp. steam with boiling water, simmer on fire for 5-6 minutes. Use the prepared decoction in the form of heat for everyday mouth rinses to anesthetize the inflamed hole each time.
- A decoction of sage acts on the same principle, and it is recommended to use it up to 5 times a day. Such a remedy relieves inflammation, relieves pain, and has a beneficial effect on neighboring teeth.
- A decoction of oak bark anesthetizes better than any pills, does not injure the mucous membrane, kills pathogenic microbes, and is an effective oral hygiene. To prepare it, steam 2 tbsp. l. raw materials in 500 ml of boiling water, insist, strain, rinse your mouth.
- Another effective remedy- this is onion peel, from which you want to prepare a cool broth. If you had to remove the figure eight, already on the second day you need to rinse your mouth, but no more than 3-4 times a day. Otherwise, you can wash the blood clot, cause inflammation.
- Pine cones in the form of a decoction, they will also help you sleep peacefully if doctors had to remove a wisdom tooth. No need to edit the recipe, otherwise its effectiveness is reduced. 2 cones must be steamed in 500 ml of boiling water, simmer for 10 minutes on fire. Insist, strain, cool - the broth is ready.
Medical therapy
If an impacted "wise" tooth continues to grow in the mouth, it must be urgently removed. A photo of a bare hole is scary, but possible complications health is generally shocking. The gum will still hurt for some time, so there is an urgent need for additional pain medication. More often these are baths with time-tested antiseptics, for example, Miramistin, Chlorhexidine, potassium permanganate, medicinal decoctions.
The patient is able to alleviate his condition by medication. Painkillers such as Tempalgin, Analgin, Solpadein, No-shpalgin, Ketanov and others are especially effective. speed up therapeutic effect help folk remedies, but such A complex approach it is important to discuss the problem with the dentist first.
Video: why the gum hurts after tooth extraction
After visiting the dentist's surgical office and removing the decayed tooth, the patient expects the pain to go away immediately. But after the cessation of exposure to anesthetics, the discomfort returns or increases even more. If the pain after the removal of a wisdom tooth does not go away for a long time, what should be done, how many days will it bother?
Conventional extraction
Before removal (extraction), an x-ray is required to determine the location and structure of the roots of the wisdom tooth. If the figure eight has grown correctly, the crown is not destroyed, the roots are not bent, then the extraction is performed with S-shaped forceps and an elevator for the third molars.
The dentist gradually shakes and dislocates the tooth from the cavity of the hole. In this case, the ligaments holding the figure eight are torn, the surrounding tissues are injured. Therefore, after the operation, the patient feels pain from the injury.
How much does a tooth, gum hurt after a conventional wisdom tooth extraction? Unpleasant sensations and swelling can persist for up to 3 days. Gradually they should pass. If the symptoms do not go away, but rather intensify, this is a sign of a developing complication. Contact your doctor!
After pulling out a wisdom tooth, the jaw hurts, what should I do? Immediately after extraction, it is recommended to apply a cold heating pad to the cheek. Keep it for 5 minutes several times. This procedure helps to reduce pain and swelling, prevents the development of inflammation. For acute pain, pain medication will help: Nise, Nurofen, Ketorolac.
If, after a simple removal of a wisdom tooth, adjacent teeth hurt, this is a normal reaction to injury. In case of signs of inflammation in the hole, a feeling of discomfort when pressing on adjacent units, you should contact the surgeon.
Regular oral care should be performed after wisdom tooth extraction. Treatment with antiseptics will help eliminate pathogenic microorganisms, you need to thoroughly rinse your mouth after eating. Don't forget to brush your teeth regularly.
If the wisdom tooth has not completely erupted, is in the wrong position, there is not enough space in the row, the crown has collapsed, or the tooth germ is completely hidden in the jaw bone, removal is difficult.
With a destroyed crown, special forceps with thin cheeks are used. The gum is peeled off with a tool and pushed as deep as possible to be able to tightly capture the root. After that, rotational movements dislocate it. If it is not possible to apply the forceps, the extraction is performed by an elevator, which operates on the principle of a lever. In the case of a strongly bent structure of the roots, they are sawn with a burr at the junction and removed one by one.
If the figure eight did not cut through and remained in the bone layer, the dentist has to exfoliate the mucous membranes, drill a section of the bone with a drill. After the figure eight is removed, the gum edges are sutured.
Uncut wisdom tooth removed, how long will the hole and gum hurt? Post-extraction pain can persist for up to 7–10 days. To relieve discomfort, exclude the possibility of the development of suppuration after the removal of a wisdom tooth, it is necessary to perform antiseptic rinsing of the oral cavity. To do this, use a solution of Chlorhexidine, Miramistin, baking soda.
After a complex removal of a wisdom tooth, the jaw hurts, aches, what is recommended? For anesthesia, anesthetics are taken: Nimesil, Ketanov, Tempalgin. You can perform rinsing with decoctions and infusions from medicinal herbs calendula, chamomile, sage. Procedures will help relieve swelling, accelerate wound healing, prevent the development inflammatory process.
Inflammation after extraction
If dental care is not performed, immunity is weakened, a protective blood clot has fallen out, there are concomitant chronic diseases, root fragments in the wound, may develop 
inflammation of the wound after the removal of the wisdom tooth - alveolitis. In this case, suppuration occurs in the cavity of the hole. Patients complain of deterioration in well-being, high temperature 37.5–38˚, the appearance of a fetid odor, aching pains, increased swelling of the face.
How to relieve pain in alveolitis after wisdom tooth removal? With symptoms of inflammation, you need to visit a doctor. The dentist will clean the hole, remove necrotic masses, process antiseptics and administer anti-inflammatory medication. After that, regular oral care is prescribed. Perform rinsing antibacterial drugs taking antibiotics, painkillers. Additional treatment can be applied folk ways.
How much does a wisdom tooth hurt with alveolitis after removal? Therapy lasts 10-14 days. You can not treat the disease yourself, so you can worsen the condition even more. After visiting the doctor and following all the recommendations, the aching throbbing pain after the removal of a damaged wisdom tooth will begin to gradually decrease.
Cyst
After a tooth is pulled out, a cyst may form in the hole - a rounded formation filled with fluid. It is caused by an infection that has fallen into the cavity of the hole or small bone fragments that have not festered, but are overgrown with fibrous tissue. The cyst could be at the top of the wisdom tooth root and remain in the wound after removal.
If the granuloma was formed as a result of the degeneration of the tissues of the rudiments of the third molars, it is called a follicular cyst. It occurs in non-cut (impacted) eights. With inflammation of the hood (mucosa) above the wisdom tooth, a retromolar cyst is formed from the epithelial tissue of the germ. It can be fused with the crown of the tooth or located behind it.
They pulled out a wisdom tooth, a cyst formed, how long will it hurt? In the initial stages, the formation does not bother the patient, it can only be detected on x-rays. A symptom may be the appearance of a flux, abscess or fistulous tract on the gum with a missing molar. Unpleasant sensations appear with a significant growth of the cyst or its perforation.
When the formation is opened, the temperature rises sharply, purulent masses stand out from the hole, and the patient's well-being worsens. Inflammation can spread to neighboring healthy molars, so you need to see a doctor right away!
I removed a wisdom tooth, a cyst opened, the gum hurts, how to treat it? The dentist carefully cleans and processes antimicrobial agents hole. Then lays a special medicine. In addition, he prescribes antibiotic therapy, regular antiseptic rinses, and hygienic care. If the cyst is intact, it is carefully removed from the cavity of the hole.
Complications after extraction
Since the eights grow in a hard-to-reach place, there are branches nearby trigeminal nerve, blood and lymphatic vessels removal can cause a number of complications.
How long does aching or sharp pain after removal rotten tooth wisdom depends on whether the extraction was difficult or ordinary, the presence of inflammation, complications, whether the well is cared for at home.
As you know, the appearance of eights is often associated with all sorts of troubles. In most cases, dentists recommend getting rid of them. However, such manipulation can be very traumatic and cause some unpleasant consequences. Let's try to figure it out what to do when a wisdom tooth is pulled out.
It has been scientifically proven that the final formation and growth of the body is completed by the age of twenty-five. At the same time, two pairs of third molars may appear much later, already in adulthood, when the bones have already become stronger and have lost their elasticity. This factor causes the problem of normal growth and development of these rudimentary teeth. Often there is not enough space for them to take a normal position in the dentition. Of course, their appearance threatens the destruction of neighboring healthy molars. This becomes the reason for the frequent decision to get rid of the eights.
The need to remove wisdom teeth is due to the inability to take their normal position in the dentition.
However, the troubles don't always end there. Given the complexity of their location and the high probability of internal destruction, manipulation often becomes a rather complicated procedure. Of course, this entails certain complications. After all, you can hear so often: you removed a wisdom tooth, your gums hurt, or other similar statements. Therefore, we will analyze what causes difficulties and how you can deal with them.
Usually, if you have a wisdom tooth pulled out, how much the operated area will hurt depends on the nature of the placement of the molar. Eights growing at an acute angle or horizontally often cause their very traumatic removal, which can result in damage to the gum mucosa or other teeth. In addition, with insufficient observance of the sanitation of the mouth, purulent inflammatory processes are possible.
How many days the pain lasts after the removal of a wisdom tooth may also depend on the area where the manipulation was performed. As practice shows, upper teeth usually not as difficult to extract as the lower ones. Indeed, in these situations, the doctor opens the best viewing angle and provides a normal approach to the desired area.
Course and consequences of a typical removal
Before traction, the surgeon will refer you to an x-ray of the jaw to determine the nature of the future manipulation. The removal of a molar, which does not cause particular difficulties, is characterized by the following features:
- figure eight grows straight and not twisted;
- the roots are not curved and there are no more than two;
- absence of inflammatory process of soft tissues;
- the crown protrudes completely or two-thirds above the gum.
Even such a simple intervention will cause pain symptoms for a short period. Impossible to answer accurately how much the wisdom tooth hurts after removal, since it depends on the personal characteristics of the person and the possibility of tissue regeneration. However, on average, you will experience some inconvenience for about a week after the manipulation.
When removing the figure eight without complications, pain and others concomitant symptoms pass within a few days
As a rule, sensation will return immediately after the anesthesia wears off. Usually, doctors foresee this moment and prescribe an anesthetic after the removal of a wisdom tooth for the first three days. In the normal course of healing, this time is enough to fully restore the ability to work.
Complications in traumatic intervention
Traction can be complicated by certain circumstances of molar eruption. These usually include its horizontal placement or a strong bias towards the gums. For the most part, this applies to the bottom eights. After all, the bone of the lower jaw is much denser than the upper and is completely devoid of plasticity.
In addition, the formation of pericoronitis, especially aggravated by purulent discharge, as well as a ratted molar, can become the cause of traumatic intervention. In such cases after the removal of a wisdom tooth, the jaw hurts, the cheek swells, and other complications are possible. As a rule, discomfort will bother you for about three weeks until the healing process is completed.
This is due to the peculiarities of the manipulation - after all, in such a situation, the surgeon is forced to remove the tooth in parts, while sometimes performing a gum dissection. Such an extraction of the molar will require a thorough revision of the hole, so as not to leave fragments of bone tissue there. It is they who can cause alveolitis, as well as sinus cysts when they get into maxillary sinus. Such an intervention will certainly affect the adjacent tissues, so special care will be required after the removal of a wisdom tooth.
Often, the doctor prescribes antibiotics and analgesics to the patient to reduce discomfort and avoid complications.
Usually, specialists prescribe a course of taking analgesics and antibiotics to make the patient feel better and also prevent the possible spread of infection. In this case, rinsing is usually contraindicated to avoid the destruction of the blood clot of the operated hole. As a rule, a well-formed clot will protect the wound from the penetration of bacteria into it. This, in turn, will guarantee the speedy recovery of the patient.
Remember that in any course of the operation, swelling and temperature should not bother you for more than three days. In cases of a threatening trend towards a deterioration in well-being, you should immediately seek help from doctors. In addition, you should not delay additional treatment if you have lost sensation in your tongue, cheeks or chin, and you cannot open your mouth.
In a situation where a wisdom tooth has been removed, the cheek and gums hurt for a week, neighboring teeth are disturbed by a rise in temperature and an unpleasant odor from the hole, you should urgently visit a doctor. Such an outcome may indicate additional complications, such as nerve impingement, remnants of molar fragments in the socket, or their penetration into the sinus.
Healing duration
For most people, it is interesting to know how much the gum hurts after the removal of a wisdom tooth. Let's say that during the manipulation without any complications, you will feel a noticeable relief already on the third day. Of course, a traumatic operation can make itself felt for quite a long time. In such cases, you will experience not the most pleasant sensations for about a week.
If the tooth extraction has gone with complications, the likely consequences and pain may bother you for quite some time.
The healing process of the hole can take a particularly long time if the doctor used a gum dissection or gouged the tooth in parts. As a rule, this requires suturing the surface of the wound. They usually resolve on their own, and the full healing cycle will be completed in about a month. However, after the first seven days, you will feel a decrease in pain.
How to relieve pain
The correct behavior of the patient after the manipulation will help speed up the process of regeneration of mucosal tissues. This, of course, will help reduce pain symptoms and eliminate the possibility of infection of the operated area. So, let's figure out how to relieve pain after the removal of a wisdom tooth.
Usually, dentists advise patients to endure pain, because it usually goes away on the second day after surgery.
What to do when you feel like the anesthesia is slowly letting go? The main thing is to survive the first few hours. As a rule, in particularly difficult cases, the doctor makes clear prescriptions and prescribes an analgesic. Although, if you have a low pain threshold, you can coordinate your actions with your doctor in advance.In order not to damage the blood clot, you will have to adhere to the following rules:
- exclude food intake and, if possible, liquids for the first two hours after the manipulation;
- do not touch the hole with your tongue, and even more so with your fingers; remember, clot damage can be fraught with various complications, including sepsis;
- it is forbidden to cover the wound with a self-made bandage, especially with a medicine or other disinfectant;
- stop any rinsing until the hole heals completely, with the exception of baths prescribed by the dentist after a certain period of time;
- warming compresses and heating pads applied to the diseased area from the outside of the cheek are strictly contraindicated;
- exclude physical exercise, it is desirable to create conditions where you can relax calmly;
- take pain medication if the pain is too severe.
In cases where the manipulation took place without significant effort and complications, and patients diligently observe the regimen and adhere to these recommendations, the possibility of complications is almost zero.
If within a week the pain does not go away, and the swelling of the cheek does not subside against the background of an increase in temperature, you should immediately contact a specialist
However, sometimes the consequences of traumatic removal may not depend on these factors. Remember, if you have an increase in temperature on the second day, swelling of the face has appeared, the jaw does not open and the gums hurt - you do not need to delay a second visit to your doctor. Early detection of complications can prevent very undesirable consequences. It is important to consider when we are talking about health, you should listen to professionals.
As we said above, you should not drink liquids and food in the first two hours after the removal of the molar. At the end of this time, you can have a snack, but it is better to limit yourself to mashed and not hot food. Remember that you need to chew solid foods on the opposite side from the operated one. It is optimal to refrain from liquid foods for the first day in order to reduce the likelihood of a blood clot in the well. After all, when the wisdom tooth was removed, how much the gum will hurt depends on your compliance with all the doctor's prescriptions.
If we talk about dental hygiene, you can brush them after twenty-four hours, counting from the moment of the manipulation, provided that you do not observe bleeding. Otherwise, you should immediately consult a doctor. When cleaning, try not to touch the hole and the area close to it. If after the first cleaning the blood clot remains in place, you can start taking baths when necessary.
Often, dentists advise decoctions of chamomile, oak bark, calendula. Universal remedy in this situation - baking soda With salt. In addition, today you can purchase a ready-made drug that accelerates healing and provides sanitation - "Furacilin" or use a weak solution of potassium permanganate. Although, we should not forget that these procedures are possible only after the thrombus is fixed and only after consulting with the doctor.
Of course, the healing process of the hole is individual, but if you are constantly worried about complications, you need to re-visit the dentist.
In general, the process of mucosal tissue regeneration depends on several factors, including individual predisposition. However, exact observance of the dentist's instructions and careful handling of the hole will help, if not speed up the process, then avoid possible complications.
At difficult removal of the tooth, the doctor will definitely prescribe medication to alleviate the patient's condition. Immediately after the operation, you need to ensure complete rest and apply a cold bandage to your cheek to avoid possible bleeding. On the second day after removing the figure eight, you can start brushing your teeth, trying not to touch the operated area. Dentists advise after traction for two hours to refrain from eating, and then do not abuse hot and liquid dishes