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Old 03-11-2015, 05:36 PM
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Bryanna Bryanna is offline
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Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Hi Tab,

When a patient is reasonably comfortable for the first few days after the extractions and then develops pain after that, it often indicates a dry socket. The pain with a dry socket can cause other teeth to hurt. I am not sure if that is the cause or a contributing factor to what you are experiencing in your first molar. But if the pain becomes steady and/or gets progressively worse, or you develop swelling or a fever, do not wait to see the dentist, get in asap.

Regarding the restorations and possible crack on the first molar.. metal mercury fillings deteriorate over time which causes openings to occur that allow bacteria to get in underneath and around the filling. It is also typical for teeth with these fillings in them to fracture because metal fillings do not bond with the tooth like white composite fillings do, instead they act like a wedge in the tooth. So over time, the tooth surrounding the metal filling becomes weak and is prone to fracture.

The symptoms you describe on that tooth are typical of tooth nerve pain. Not neuralgia type pain from an injection. This could mean that the fillings have open areas....could be decay underneath the fillings.... could be an irritated nerve or beginnings of infected nerves in the tooth, could be the tooth is fractured... etc.

The tooth needs to be evaluated by the dentist with at least one xray to determine if there is decay or an infection brewing. The dentist should also check for a fracture, he can do that with a bite stick. Just tell him your symptoms and he will do the xray and the fracture check.

Hope this info is helpful to you. Please keep us posted.

Bryanna



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Quote:
Originally Posted by Tabutts View Post
Hi Bryanna,

I found this thread while looking up reasons for my recent symptoms. I am a 19 year old female and I just got two of my wisdom teeth (bottom ones) removed at my normal dentist on March 3rd 2015. They were impacted and causing me pain on the left side. It's been 8 days since extraction (which my dentist said went well) but I started to experience additional pain 3 days ago. I'm not sure of what is causing the pain, but it is affecting the first molar, not the molar next to the wisdom tooth but the one after. There is only pain on the left side, and that is also the side that was experiencing pain before extraction under the assumption that the wisdom tooth was damaging the neighboring teeth. The tooth that feels pain has been heavily worked on in the past and has 2 large metallic fillings. It has had history of cold sensitivity in the past but never to this extent.

The past two days the pain was on an off, mostly occurring when I ate or drank anything, but today it has been in constant pain, and is unbearable. I am scheduled for a post op check up in 3 days, but it would make me feel better if I could go to my dentist with some knowledge as to why I'm feeling pain.

here are the symptoms.
1. Throbbing and pain when blood rushes to head
2. constant dull aching pain
3. high sensitivity to both hot and cold
4. pain when chewing even when not chewing on the molars.
5. pain when pressure is applied

I have some ideas as to why it's hurting. I think there might be a fracture on the tooth which is causing the pain. I can see a hairline crack extending horizontally on the tooth, which seems abnormal for a tooth crack. I am not sure if it has always been there or just recently appeared after the surgery. Another theory is that there was nerve damage from the application of needles to numb the surrounding area. I needed quite a few.

I would just really like to know if these seem like likely causes for my pain or if there are any other reasons that I don't know of and what kind of treatments, if any, there are.

I really hope I don't need to go through another tooth extraction and that this is just a side effect from the wisdom tooth removal that will subside with time.

-Tab
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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