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Pain in lower left jaw, molars. Surgery done to remove wisdom teeth. Treatment?

I had dental surgery last Monday to remove 4 impacted wisdom teeth , I was put to sleep for the procedure. No pain killers have helped me with pain and I can t sleep as the lower left side of my jaw and molars are constantly throbbing, it has literally been nonstop. Should I still be in this much pain almost 7 days later?
Asked On : Wed, 21 Nov 2012
Answers:  5 Views:  65
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014
Hi,
Welcome to the forum.
Pain after wisdom tooth extraction is common. This occurs as a result of inflammation caused by the extraction procedure itself. The intensity and duration of pain gradually reduce and disappears.

However if some amount of bone was removed then the post-operative pain or if there is some wound contamination the pain may persist. One can have some amount of swelling and fever with these conditions. You have not reported any swelling or fever. Let me know if you have some amount of swelling which is gradually increasing or if you develop fever.

You may continue Diclomol for two more days and hopefully your pain should subside. In addition icing the part might give added benefits. If the pain persists or any of the aforementioned symptoms arises, it warrants attention by your doctor to rule out localised infection.

I hope this is helpful to you.
You can consult me again directly through my profile http://www.healthcaremagic.com/doctors/dr-saurabh-gupta/64132

Regards.
Answered: Wed, 6 Feb 2013
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Pathologist and Microbiologist Dr. Shailja Puri 's  Response
Hello and welcome to HCM
The surgical procedure for removal of impacted teeth is painful.
However, taking painkillers, hot fomentation and saline rinses help to relieve the pain and the swelling associated with the surgical procedure.
As you have described that you are suffering from throbbing pain, it indicates that there is some kind of infection in the wound.
This could be due to infection in the suture or infection in the wound.

Please visit your dental surgeon and get the wound examined.
In case of pus or infection a course of antibiotics may be required.
If pus accumulation is present it may have to be drained out.

Thank you and take care
Dr Shailja P Wahal

Answered: Thu, 22 Nov 2012
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Dentist Dr. Khushboo Bhatia's  Response
HELLO,
Some times during wisdom tooth extraction lot of bone cutting has to be done. In that case it takes lot of time to heal.
From your symptoms it looks like that it is just a pain after surgery as sometimes healing takes long. Healing depends on type of tooth extraction. sometimes extraction is trumatic and lot of bone cutting has to be done and in this case healing takes long. Pain after tooth extraction can be there upto 2-3 weeks. So there is nothing to worry if there is no acute pain or swelling. Try to maintain good oral hygiene and do warm saline rinses 3-4 times day. Avoid eating from that side so that socket can be kept clean and food lodgement is not there. Donot forget to take your medicines regularly.

Answered: Tue, 5 Feb 2013
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Dentist Dr. Anshumala Singh's  Response
dear friend,
thanx for sharing your concern,

Some times during wisdom tooth extraction lot of bone cutting has to be done. In that case it takes time to heal completely.

From your history it seems that it is a pain after surgery do not worry you will be fine.

Healing depends on type of tooth extraction. sometimes extraction is traumatic and lot of bone cutting has to be done and in this case healing takes long.


Pain after tooth extraction can be there up to three to four weeks.

there is nothing to worry if there is no acute pain or swelling.

Try to maintain good oral hygiene and do warm saline rinses 3-4 times. take semi solid diet and plenty of fluids . your diet should be nutritious too. so that healing is faster.

don't do forceful mouth rinsing or vigorous brushing.

hope this helps.
thanx.
Answered: Wed, 27 Feb 2013
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Dentist Dr. Deepthi Reddy's  Response
Hi,
Thank you for the query.
Throbbing pain present after the extraction of impacted teeth suggests of presence of infection at the extracted site or a non healing socket which has developed dry socket .
This can be treated by irrigating the area with betadine and saline followed by zincoxide eugenol pack application . this should be followed by a course of antibiotic and analgesics.
Get an x-ray done and see your dentist to rule out the exact cause for the pain .
Hope this information helps you.
Answered: Tue, 5 Feb 2013
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