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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain After Wisdom Teeth Removal

Hi! I am 21 F. I had all my wisdom teeth removed 6 days ago. The first few days the pain wasn t as bad as I had expected, I was just quite swollen. Anyway I started eating more solid foods but have kept a regime of antibiotics , painkillers and mouthwash and haven t smoked or anything. But today, particularly after lunch and worsened after dinner, my bottom left cavity is hurting a LOT more than it did before! At first I thought I must have just aggravated it a bit from eating but the pain isn t going away. I still have my stitches in, and to be honest, although it s difficult to distinguish between the two, the pain feels centred around the wound exactly where the stitches are rather than actually inside my gum, but even slight movement of my facial muscles causes pain to the entire area, almost reaching my ear . It s basically a constant ache, not sharp pain unless I move my tongue over and touch the stitches. I wouldn t say it s excruciating but I m not sure how much longer I ll be able to take it! Does this sound like dry socket? Or is it normal healing process? And if so why is it hurting so much more than my other ex teeth, which in comparison (especially the upper ones) feel hardly any pain! Painkillers aren t doing the trick, and my previously successful method of keeping crushed ice in the area isn t doing much help either. I m seeing my dental surgeon on Wednesday, but if it s dry socket it s only going to get worse, and I go back to work on Monday argh!! Any help please?? 2 things to note. Within two hours of getting the surgery I was given apple juice to drink out of a straw...didn t know it at the time, but now I know that was a silly mistake by the nurses! Also, I m on the contraceptive pill which I now know disrupts blood clotting...and i may have missed a few nights and taken 2 or 3 on a single day. So these are the only two factors I can think of that could directly lead to dry socket, as I have been very gentle and careful with everything else! Thank you!
Sun, 3 Apr 2011
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Dentist 's  Response
this is not a dry socket...in dry socket condition there is a pain during breathing from mouth and foul smell from socket...pain is due to bone filling is done incompletely or there is any boney spicules or boney prominence....first to take radio-graph of that region to clear that any root of the tooth are not remaining..and healing properly..........
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Dentist Dr. Justin Rader's  Response
This does sound like a dry socket or partial dry socket potentially aggravated by the cavity on an adjacent tooth that you mentioned in the text. It is to be managed with pain killers, antibiotics, and visits to dentist to monitor it and/or pack antimicrobial cord in it until it heals on it's own, which could take two to three weeks before it feels better. The sucking through the straw and possibly other meds led to the clot chances of coming out to go up. Get the sutures out as scheduled and check your options with your dentist.
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Pain After Wisdom Teeth Removal

this is not a dry socket...in dry socket condition there is a pain during breathing from mouth and foul smell from socket...pain is due to bone filling is done incompletely or there is any boney spicules or boney prominence....first to take radio-graph of that region to clear that any root of the tooth are not remaining..and healing properly..........