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Old 03-11-2015, 05:36 PM #21
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Bryanna Bryanna is offline
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Bryanna Bryanna is offline
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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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***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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Old 03-14-2015, 12:55 PM #22
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Hello again,

I just came back from the dentist and my doctor said the sockets from the wisdom teeth removal are healing well and look to be in good condition. He gave me a syringe to flush out any debris from the hole and they should close up within the month.

I notified him about the pain I was experiencing in my first molar on the left side and I got an X-ray. Turns out it was infected since the mercury filling hadn't never been replaced and was installed a long time ago (he said he doesn't even know how long ago haha). That's what was causing all the pain and sensitivity.

I was prescribed antibiotics and 600mg Motrin for the pain. I'm going to have a root canal preformed on the 21st, I hope this will solve my pain issues for good!

Thank you for the replies and insight, I'm really glad that I don't have a dry socket or any other serious problems concerning my wisdom tooth extraction. Hopefully the root canal procedure will go smoothly and painlessly!

Sincerely,
Tab
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Old 03-14-2015, 07:01 PM #23
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Hi Tab,

Glad to hear the oral wounds are healing. It is very important to be very gentle when using the irrigation syringe. Only use warm salt water or plain warm water in the syringe. If you use anything else to irrigate with you will slow down the healing.

Regarding the issue with the tooth that is hurting you.... Just to help clarify what a tooth infection really is so you can understand what is going on more clearly. Tooth infections do not show up on a dental xray until the bacteria has spread from the tooth into the periodontal ligament or jaw bone. That means that the infection is not new it is something that was present inside of the tooth for quite some time. Also, most tooth infections typically have no symptoms until the infection has spread. This infection might have been visible on the xrays that were taken prior to your recent extractions. Did your dentist mention anything about that tooth to you prior to today?

Also, a tooth does not become infected because a mercury filling was not replaced. They become infected because either a piece of the filling broke off or the filling was deteriorating and bacteria was getting in and decaying the tooth underneath the filling. The decay does not happen suddenly and either problem is visible both clinically and on dental xrays quite some time before the decay occurs.

There is a lot of information on this forum about root canals. If you are curious about learning more about them, just skim through some of the threads about root canals. If you have any questions, please feel free to ask them here.

Bryanna





Quote:
Originally Posted by Tabutts View Post
Hello again,

I just came back from the dentist and my doctor said the sockets from the wisdom teeth removal are healing well and look to be in good condition. He gave me a syringe to flush out any debris from the hole and they should close up within the month.

I notified him about the pain I was experiencing in my first molar on the left side and I got an X-ray. Turns out it was infected since the mercury filling hadn't never been replaced and was installed a long time ago (he said he doesn't even know how long ago haha). That's what was causing all the pain and sensitivity.

I was prescribed antibiotics and 600mg Motrin for the pain. I'm going to have a root canal preformed on the 21st, I hope this will solve my pain issues for good!

Thank you for the replies and insight, I'm really glad that I don't have a dry socket or any other serious problems concerning my wisdom tooth extraction. Hopefully the root canal procedure will go smoothly and painlessly!

Sincerely,
Tab
__________________
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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Old 03-15-2015, 10:14 PM #24
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Hi Bryanna,

I have been using mild salt water to clean out the holes, they're actually quite small since the stitches were in places for almost two weeks. There was some bad tasting fluid coming from the right side, but after using the syringe it has gone away. My dentist said the fluid was not a problem and would go away with healing.

Thank you for clarifying that, I had no idea. The tooth had been bothering me for a while but I thought the sensitivity was only coming from the fact that the filling is quite large and close to the nerves. I actually hadn't been to the dentist in 3 years until I got my wisdom teeth removed haha, shame on me.

My dentist did not mention anything prior to my visit on saturday. He showed me the X-ray of my infected tooth and my untrained eyes couldn't really see anything, but he said there was an infection. Well I have no clue what's going on... I guess the infection has spread.

I'll be sure to do some sifting around in the root canal forums.

Thank you so much for all of your help and for just being here and doing such a kind thing for all these people looking for help.

Tab

Quote:
Originally Posted by Bryanna View Post
Hi Tab,

Glad to hear the oral wounds are healing. It is very important to be very gentle when using the irrigation syringe. Only use warm salt water or plain warm water in the syringe. If you use anything else to irrigate with you will slow down the healing.

Regarding the issue with the tooth that is hurting you.... Just to help clarify what a tooth infection really is so you can understand what is going on more clearly. Tooth infections do not show up on a dental xray until the bacteria has spread from the tooth into the periodontal ligament or jaw bone. That means that the infection is not new it is something that was present inside of the tooth for quite some time. Also, most tooth infections typically have no symptoms until the infection has spread. This infection might have been visible on the xrays that were taken prior to your recent extractions. Did your dentist mention anything about that tooth to you prior to today?

Also, a tooth does not become infected because a mercury filling was not replaced. They become infected because either a piece of the filling broke off or the filling was deteriorating and bacteria was getting in and decaying the tooth underneath the filling. The decay does not happen suddenly and either problem is visible both clinically and on dental xrays quite some time before the decay occurs.

There is a lot of information on this forum about root canals. If you are curious about learning more about them, just skim through some of the threads about root canals. If you have any questions, please feel free to ask them here.

Bryanna
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Old 01-07-2016, 04:15 PM #25
Kevdood83 Kevdood83 is offline
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Hey everyone,

I just wanted to come and update my post I originally made 2 years ago.

I see a couple people stumbled across my post through Google searches and had similar issues.

I am happy to report that the sensitivity has completely dissapearred and the pain when chewing has completely dissappeared as well.

But boy.... did it take a while!

The dull aching pain around the extraction site when chewing firm or crunchy foods took about 3 months to subside. Now it never hurts.

The hot/cold sensitivity was really bad for the first few months after the extraction. During the following summer I remember it only bothered me occasionally, and only if something was REALLY cold.

For the last year I have had zero discomfort, I seem to have healed 100%.

Also the socket where the wisdom tooth used to be kind of shrunk and closed up. Now it is a smooth healthy pink tissue sort of shallow divot.

I do still have to be careful to clean behind that tooth next to where my wisdom tooth used to be. But no biggie.

My advice for anyone who finds themselves in a similar situation is be patient, keep the extraction site clean until it smooths over, don't smoke for 2-6 weeks after extraction, and USE FLOURIDE RINSE. That helped a lot. I remember in the months following the extraction I would brush and floss and then hold FLOURIDE rinse inside my mouth over the whole area for several minutes before spitting it out and going to bed.

Hope everyone else who has this issue heals faster! It feels so much better not to worry about it now.

But boy... it sucked at the time :/

Thanks again to Bryanna, I hope you've been doing well.
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