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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Dull Ache And Pressure In Lower Teeth And Gums, Tightness And Clenching Jaw. History Of Extraction Of Wisdom Tooth. Suggest

I am 39 years old and had a lower mostly erupted Wisdom tooth removed 11 days ago..The extraction site is mostly pain free and has not caused me any problems.. My issue is the 4 lower front teeth and gums. I have a constant dull ache and pressure that is driving me crazy. Oddly the pain seems to decrease when I am sleeping but is constant throughout the day. I am concerned this could be some form of nerve damage although I have no numbness. Also I am experiencing some tightness and clenching in my jaw that I did not have before the extraction.
Wed, 28 Aug 2013
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Dentist 's  Response
hello
thanks for query
no friend your symptoms do not suggest a nerve damage...may be you are having some periodontal problem in lower front teeth... you should visit a dentist and get an x ray done for the affected area to make clear diagnosis.. scaling and root planing is advisable...a periapical infection is also possible...
you can go for warm saline rinses 3-4 times a day and also take vitamin b and vitamin c supplements once daily... maintain proper oral hygiene...
take plenty of fluids and avoid extreme cold drinks or food...
tightness and clenching of jaw can be due to extraction of third molar so you can take some pain killer in combination with a muscle relaxant bout only after consulting your dentist...
thank you
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Dentist, Implantology Dr. S.Naveen Kumar's  Response
Hi there,
Thanks for asking your query,

What was the reason for extraction of wisdom tooth ? Wisdom tooth have to be extracted only if they are impacted.because impaction may cause pain and discomfort.

From your symptoms i suspect TMJ pain.A misdiagnosed temporomandibular pain can lead to the extraction of a wisdom tooth. The dentist should properly evaluate the possibility of tmj problems before proceeding to any therapy .Confusing a tmj tooth pain with a wisdom tooth pain is the most common case of misdiagnosing tmj problems.

Relief can be obtained for mild pain by taking prescription drugs like ant-inflammatory and muscle relaxants.but visit to an Oral and maxillofacial surgeons who are specially trained for treating temporomandibular joint will solve your problem.

meanwhile maintain a good oral hygiene,
hope this will help you,
regards,
Dr.naveen


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Constant Dull Ache And Pressure In Lower Teeth And Gums, Tightness And Clenching Jaw. History Of Extraction Of Wisdom Tooth. Suggest

hello thanks for query no friend your symptoms do not suggest a nerve damage...may be you are having some periodontal problem in lower front teeth... you should visit a dentist and get an x ray done for the affected area to make clear diagnosis.. scaling and root planing is advisable...a periapical infection is also possible... you can go for warm saline rinses 3-4 times a day and also take vitamin b and vitamin c supplements once daily... maintain proper oral hygiene... take plenty of fluids and avoid extreme cold drinks or food... tightness and clenching of jaw can be due to extraction of third molar so you can take some pain killer in combination with a muscle relaxant bout only after consulting your dentist... thank you