Hi, I am 28 , I had all my wisdom teeth (which were all fully erupted) extracted 6 months ago, 3 of them have healed painless and smoothly but at the right upper extraction site gum I still feel soreness and uncomfortable 24/7 from the time i wake up until i go to sleep ( i dont have any problem during sleeping). There is NO redness and NO swelling ,NO bleeding and nothing except slight tenderness when I rub my upper right palate gum with my tongue or when food touches the area. Even my regular dentist checked the extraction site twice and said that my gum has healed perfectly. So I am so frustrated since everything seems fine but I feel sore and uncomfortable at that site. Do you think there is any problem with bone healing or there are some bone particles left, even though 6 months has passed and I don't have any swelling or any bump at extraction site ?Do you think I should wait more and give it more time ? by the way I don't have any sinus problem.
I am also scared of atypical neuralgia and chronic osteomyelitis, can they have the same symptom ( gum soreness with no throbbing pain or swelling).

Hi Minaparto,

Did the dentist take an xray of that area at your last visit? Sometimes it's a little difficult to get an xray back there, but it can be done. The xray is called a periapical xray and it will show how the bone is healing and if there are any bony fragments remaining in that area from the extraction.

Just visually looking at the gum does not always tell what is going on if the problem is way under the gum and/or in the bone.

No, I would not wait to get this xray ... 6 months is long enough for that area to be healed enough so there is no discomfort. If the xray comes up negative, then the tooth in front of the extraction, tooth #2, should be checked for decay or even gum recession on the back of portion which could cause a sore or tender feeling as you have described it.

Let us know how you're doing...
Bryanna

Hi and many thanks for your quick reply,
actually yes in my last visit dentist took a X-ray from the area which i am sending it to you right now, also he double checked my gums and believes that nothing is wrong with that ( but when i look at it myself through mirror i see a very very small red line (not pink ) close to the tooth infront of the extraction site, which my dentist believes it is not a big deal). actually when i compare my discomfort with 2-3 month ago it is much less now but you know i just wanna get rid of it and i can not take any tingling itchy pressure like feeling in my mouth any more. Do you believe i should go to a new oral surgeon now or give it more time so some day it might vanish on its own (because i am scared that if anyone touches the area my symptoms might get worse)? and do you think my symptoms are similar to atypical neuralgia (though its not pain and is just discomfort with itchy tingling feeling on right upper palate gum and not the face)?

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Minaparto,

The xray looks normal from this perspective. There could be some slight neurological thing going. But if you feel it is improving, then it is probably only temporary.

Give it some more time. Another month or so and see how it goes. Hopefully it will continue to improve. Things like this are difficult to diagnose and most of the time they resolve on their own.

There is not much else you can do... but be patient ... avoid touching that area as much as possible and allow some more time.

If your symptoms increase, then have the site evaluated again.

Bryanna

Hi, i just wanted to update my situation. I went to a good oral surgeon in Manhattan, he got a PAN x ray and did a thorough mouth and gum exam and told me that everything looks fine, there is no loose bone, no infection and nothing. So actually I became sad when he mentioned that everything looks fine because i wanted him to find something and resolve the issue. So what do you think might be the cause of the burning tingling sensation in my extraction site which gets worse after any contact( any food or tongue). do you think its neuralgia? (though i dont have any mouth or face pain and its just burning tingling in extraction site gum line ) and who should i go to? can u suggest any treatments or anything ?

Hi,
Im new to this site and i have already found it helpful however i am still nervous about my situation.
I had my lower right wisdom tooth removed 4 days ago. It was impacted and laying sideways although the tip had poked thru the gum line. The surgery went well i think. i was even able to eat a bit that night. i was prescribed penicillin and have been taking it. theres a reasonable ammount of pain during the day but advil takes care of most of that. At night however after a few hours sleep i wake up in a lot of pain! throbbing like pain! I also have an awful taste in my mouth. Iv tried rinsing with salt water as suggested by many. I was told that it could be dry socket. And since its a weekend i could put a gauze with some destine in the socket. but the socket is sewn up whole so i can't possibly get anything into it. theres also a small lump sitting alongside the tooth in front right where the incision started. doesn't seem to hurt though. could all be ok and this night pain be a result of grinding teeth or clenching my jaw? i don't mind pain but i hate not getting enough sleep. please help me!!!

Hi donnyboy,

DO NOT put anything in or on top of that extraction site. If your pain has increased (rather than decreased) over the last 2 days, then you could have a dry socket. You cannot take care of this yourself, so please do not attempt to medicate this area with anything.

The best thing to do is to continue to rinse with lightly salt warm water 4 times a day as this will help to keep the extraction site clean. Use NO mouthwash because that will cause further irritation. People think if they use Listerine or some other harsh mouthwash that it will kill the germs but what it really does is kill the good germs that are essential for healing.Take your antibiotic as prescribed, avoid eating on that side and avoid food that requires a lot of chewing, best to stick to a soft food diet. Take the advil every 4-6 hours with some food. Call your dentists office today and ask the service to have him call you back. Get in to see him on monday if not sooner.

A dry socket is actually deep in the bone. It is not on the surface where you can see. So you cannot reach the problem yourself.

Please keep us posted on how you're doing... stay calm and be very aware of your eating habits to avoid further pain.

Bryanna

Thanks for your reply!
For the moment thanks to advil i feel fine…I must say that i can eat pretty much anything i like and it doesn't bother me much at all. only slight pain if i eat something a little chewy! and the pain seems to be the whole bottom row of teeth a little. from the extraction set to the middle bottom teeth. and my jaw bone a little. the wound itself looks like its healing ok. some of the stitches have come out and i can see where the socket starts! what bothers me most is the horrible taste in my mouth! will or can a dry socket heal itself? when should i expect the pain to subside? and the taste to go away? thanks bryanna!