pain 6 weeks after widsom teeth extraction
 

Hi

I got all four of my wisdom tooth removed 6 weeks ago. One was very impacted and ended up getting dry socket. I battled through that and 3 weeks after surgery was doing fine. Could eat and talk with no pain
Then all of a sudden my top right last molar beside where the tooth was extracted started getting pain when eating. Went to dentist he said its normal and give it time
Now the bottom area where the impacted tooth was is very painful
It's not as bad in the morning but by the end if the day when I'm putting my kid to sleep it throbs and stings .
I can't chew on that side of my mouth because of pain
The pain is worse when I'm working and doing physical activity or talk a lot
I went back to the oral surgeon and he said that everything looks fine but I could possibly have an infection so he put me on antibiotics
Is this normal??? It's stressing me out. I dont smoke other than the occasional "toke"
I'm 30 years old any help is much appreciated

Izmon,

Generally at 6 weeks post op extractions, if the surgical areas are healing well there are no flare ups of pain or infection in those areas. It is common for people to experience discomfort or sensitivity in the teeth adjacent to the extracted ones. This can occur immediately after the surgery or a few weeks post op. Those teeth need to checked for fractures, gum recession, mobility, or infection.

I don't know if any of this applies to you but because you had delayed problems with more than one area you may be doing something that is aggravating the surgical sites. Some things that can do that are.... smoking (this results in delayed healing of the wound and can contribute to some degree of necrosis of the jaw bone in those surgical areas as the smoking deprives the areas of oxygen and red blood cells) .... drinking alcohol or using mouthwash as they are irritating to the surgical sites and healing can be delayed ..... poor oral hygiene results in the build up of plaque which is a sticky bacteria that become infectious .... poor eating habits that offer little nutrition .... not enough intake of water ....... medications that cause dry mouth ... etc.

Do any of those things apply in your case?
Bryanna

Hi

Thanks for the reply

It's a sharp pain that is in half my mouth
I don't smoke or drink
Been doing good oral hygiene
I'm on day 4 of my antibiotics and feel the same
It gets worse at night and when I do physical activity
It's not just sensative it's a pain that stops me in my tracks and can't chew on it.
It throbs to my heart beat
I don't know what to do
If been to the OR many times and he says it looks really good.
The post op xrays look good
It's almost a stinging feeling that radiates to my other teeth top and bottom

izman,

When you had the dry socket, did the OS treat it? If so what did he do?

Your symptoms are not normal healing and I wonder if the actual problem is coming from the top or the bottom... or both??

Did the OS make any mention of a sinus perforation when he extracted your upper wisdom teeth?

Do you clench or grind your teeth? Do you wear a night guard? Do you have a TMJ disorder?

Bryanna

Yes he treated the dry socket by packing it
No mention of sinus
I don't clench it grind my teeth
Not sure about tmj .Once in my life I had jaw problems where I could not open my mouth wide for a week but that was 15 years ago and never had a problem since

Could it be a nerve problem .Like nerve damage or something
I'm just scared it's going to never go away

It seems to be both top and bottom that hurt on the one side

It's just hard not knowing what it is
What's strange is I was feeling fine and eating 2 weeks after them all of a sudden this happens .It was not as bad at first but got progressively worse

Izmon,

How many times did the OS pack the dry socket? The usual protocol of treating a dry socket is to debride the surgical site and get a good blood flow going, then pack it. A day or two later, remove the pack and place a new pack. Sometimes this needs to be done 3 or 4 times depending on the individual case.

Are the wounds still open or has gum tissue closed them over completely?

Bryanna

Yes he cleaned it packed it and did that another 3 times over the week
The wounds are closed over .There is hardley even a hole

Izmon,

The stinging pain can be nerve related but that does not definitively mean there is permanent nerve damage. The throbbing pain is from stimulation to the sensory neurons (nerve cells) as they respond to the pulsations of nearby blood vessels. Teeth that have decay, infection, and even recession can cause similar symptoms. So it's wise to rule out those things. These symptoms can also occur as part of a prolonged healing time. Meaning if there was some substantial nerve trauma during the extractions, the healing of those areas can be lengthy and variations in pain can occur during that time.

What is the health status of your other teeth and of your gums? Do you have any root canaled teeth?

If the rest of your teeth are healthy according to a recent dental examination and xrays, then it's important that the OS know exactly what is going on. He would need a time line with descriptive symptoms as he may want to refer you to another dentist or neurologist. If these symptoms are not subsiding and/or they are increasing in intensity, please do not hesitate to go back to the OS.

Bryanna