Next you will find out:
- What could be the consequences of removing wisdom teeth;
- What unpleasant situations can arise directly during tooth extraction;
- Dangerous complications that sometimes arise a little later - when you come home from a dentist-surgeon;
- And is it possible to lose the sensitivity of a part of the face and chin when removing wisdom teeth, to lose sight, and in general, how to act if something went wrong.
Although numerous stories about the possible unpleasant consequences of wisdom teeth removal did not arise from the air, one should not overestimate the associated risks. Extraction of teeth (not only wisdom, but in general) is indeed a rather traumatic procedure, and not always during such a surgical procedure and after it everything goes smoothly. However, as practice shows, it is much more dangerous not to remove a wisdom tooth with appropriate indications than to contact a dentist-surgeon for help.
On a note
For example, the failure of wrinkled or polyurethinized wisdom teeth (that is, with the eruption of which difficulties are observed) often leads to quite serious inflammatory processes. Against the background of a weakened immunity, such inflammations can even pose a threat to a person’s life - there are cases when the lack of timely surgical intervention led to death.
Below will be described a lot of various dangerous and unpleasant consequences of the removal of wisdom teeth, which most often have to face doctors and their patients. However, the presented information is intended not to frighten the reader before a visit to the dentist-surgeon, but to give an understanding of the whole picture, showing how to act in the event of a problem situation.
Complications that sometimes occur during the removal of a wisdom tooth, as well as their consequences
The upper and lower wisdom teeth erupt later than all other teeth (according to statistics, usually 18-25 years old), so in most cases they simply do not have enough free space. That is why even a wisdom tooth, having initially a normal structure and location in the jaw, in the process of its development and eruption often begins to deform.
This concerns, first of all, the roots of the tooth, which somehow can be bent in the jaw, just to give the coronal part the opportunity to turn so that it still emerges from the gum surface and stands in the dentition. The result of all these “tests on the way to the light” is the unique for each person bends of the roots of the wisdom tooth and sometimes its absolutely unbelievable position in the dentition (if, of course, it cuts through the gum).
The photo below shows the initial stages of the procedure for the removal of the impacted wisdom tooth (that is, hidden under the gumline):
If it is a matter of tooth extraction, then it is the dentist-surgeon who assesses the complexity of the upcoming procedure. And the more obstacles to simple extraction of the tooth from the hole with forceps are suggested by this clinical situation, the more likely is the development of a scenario for atypical (complex) removal of a wisdom tooth, which under certain variants of development of events may well have unpleasant consequences for the patient.
Factors that complicate the wisdom tooth extraction procedure include:
- pronounced inclination of the tooth toward the cheek or into the oral cavity;
- low location of the coronal part in relation to the adjacent seventh tooth;
- strongly curved roots (sometimes even at a right angle - see the example in the photo);
- close location of the roots to the maxillary sinus or mandibular canal;
and some others.
A significant part of the unpleasant consequences of wisdom tooth removal observed in dental practice is in many ways associated with medical errors. And the more inexperienced the dental surgeon, the higher the risk of such errors.
For example, during a wisdom tooth extraction procedure, the following situations may occur:
- Fracture or dislocation of a neighboring tooth - this happens when the tooth next to it receives a heavy load, as a result of which it breaks or begins to stagger (a not quite experienced doctor takes it as a support for the elevator, which removes the wisdom tooth).
Dental Surgeon Comment
In case of an accidental injury of a neighboring tooth, the patient rarely experiences pain, as usually 2-3 or more teeth enter the area of anesthesia. Most often, a crown fracture occurs in a sealed adjacent tooth, often dead, due to the insufficient resistance of its hard tissues to the load (strength decreases due to the absence of a neurovascular bundle that previously fed such a tooth).
In the practice of most dental surgeons with experience of more than 10 years, there must have been at least 1 case of an accidental “poddevaniya” seals on the adjacent tooth to be removed. Almost always, this is an “old” filling, which has required replacement for a long time, but explaining to the patient why, after removing a tooth, he needs to go back to putting the lost filling, is not easy.
With a significant fracture of the crown part of the tooth, depending on the clinical situation, it is possible to carry out its restoration with composite light-cured materials with a pin or without it, put a tab and (or) a crown. But with significant damage to the coronal part, it may be necessary to remove this tooth (further prosthetics with bridges or implants may be possible).
- Damage to the gums and other soft tissues in the mouth. With inaccurate possession of the wisdom tooth extraction technique, the gum tissue around it may be simply torn and crushed. During the excessive efforts of the dentist-surgeon, if the forceps and the elevator accidentally slide off, there can even be a serious cut or tear of the tissues, leading to prolonged bleeding and requiring emergency care in the form of suturing.
- Breakaway of the alveolar process.With a deep grip of the tooth with forceps, it is possible to break off the part of the bone that previously held it, from the outside or the inside (the patient then sometimes feels the sharp edges of the bone in place of the dental hole). The consequence is often a long healing of the hole.
- An unexpected and unpleasant consequence of the removal of teeth in general, especially the lower molars, is sometimes a fracture or dislocation of the lower jaw. Professional dentists-surgeons know that the removal of a wisdom tooth normally does not require the application of considerable physical force, since there are many ways to make the removal, even if the tooth does not “go”.
- Perforation of the maxillary sinus - pushing the root of the upper wisdom tooth or even the entire tooth into the maxillary sinus. The consequence of this, frankly, unpleasant situation is that it will be necessary to remove this very foreign object from the sinus - for this, a hole is made in the bone, through which the object gets.
As for pain when removing wisdom teeth: this procedure can be carried out absolutely without pain, but the main thing here is to carry out a good anesthesia.Poor anesthesia still remains one of the most problematic moments during the work of dental surgeons. Therefore, most people are afraid of precisely possible pain during tooth extraction, rather than bleeding, hematoma, alveolitis, etc.
A high percentage of the risk of painful removal of a wisdom tooth belongs to budgetary medical institutions (polyclinics, hospitals), where only 15–20 minutes are allocated per patient according to the standards. During this time, in normal private clinics, the doctor only manages to get acquainted with the person, and in a public institution, the dentist-surgeon needs to have time to figure out which tooth to remove, make anesthesia, wait for its action, and then almost immediately carry out removal.
Of course, when 10-15 or more people accumulate in the corridor, there can be no talk of full-fledged anesthesia. It is not by chance that surgeons have a joke: “to remove teeth under Krikain”. "Krikaine" is not a drug, but a derivative of the word "cry." At a free or almost free admission, patients' screams from pain do not rarely happen, especially when removing the bottom sixth, seventh, and especially eighth (wise) teeth,as it is not possible to whip up quality anesthesia.
Note: "Is it possible after removal of upper wisdom tooth or fangs lose sight? "
For some reason, people have long been following the myth that canines are the so-called "eye" teeth, and that their removal can lead to vision problems, since their roots are supposedly close to the optic nerve (this myth has gradually spread to the upper teeth wisdom). However, this legend does not have any medical basis, since even the longest of all teeth canine roots do not reach the eye and do not damage the optic nerves during removal.
The consequences that arise after the removal of the wisdom tooth
After it turned out successfully to pull out a wisdom tooth, and, it would seem, everything is already behind, a person can not guess about the possible additional unpleasant consequences, slightly delayed in time. And problems can begin at home: either immediately, or in the evening, or in a day or two.
Possible consequences in time after the removal of a wisdom tooth (as well as any other, especially indigenous):
- Significant increase in pain - with the termination of the anesthetic;
- Prolonged bleeding from the hole when the blood does not want to stop;
- Fever;
- Hematoma;
- Paresthesia (prolonged loss of sensation of cheek, chin, lips, tongue).
Pain after wisdom tooth removal
Generally speaking, pain is a normal response of the body to an injury in the oral cavity, caused by the removal of a tooth and the tearing of previously surrounding tissues. The more damaged tissues, the usually higher intensity of pain.
On the first day of the removal of any tooth, painkillers are recommended. Dosage and specific drug are selected individually. This takes into account allergic reactions, tolerability of a particular drug and its effect in the past, the duration of action, the effectiveness of the drug (strength), as well as the financial capacity of a person.
It is interesting
Local anesthesia (infiltration, palatine) on the upper teeth acts no more than an hour, but subjectively it can be felt for about 1.5-2 hours. For the lower wisdom teeth, a different technique of anesthesia (mandibular, torusal) is performed, which lasts 1-1.5 hours, but the sensations of "freezing" on half of the face persist for 4-8 hours or more.This cheek, half lips, the tip of the tongue, etc. on the removal side do not have normal sensitivity during this time. While anesthesia is working, pain does not occur after the removal.
Prolonged bleeding from the tooth hole
The bleeding that occurs immediately after a tooth is removed is a natural process required to fill the hole with a blood clot that will prevent infection from getting into the wound. If the hole does not bleed (sometimes there is really a “dry hole” effect), then this always creates an increased risk of developing alveolitis - inflammation and suppuration of the hole.
However, prolonged bleeding from the well (more than a few hours) is not considered normal. The consequence of such bleeding may be an article of a general deterioration of a person’s well-being, in rare cases, up to loss of consciousness.
On a note
Sometimes the bleeding begins at home when the vasoconstrictor effect of adrenaline ends, which is usually included in the preparations used for local anesthesia.
Usually, after the wisdom tooth is removed, the dentist immediately or after stitches at the edges of the gums around the hole, puts a sterile gauze pad and recommends the patient strongerpress it with opposing teeth. The force of compression of the edges of the hole partly determines the speed of the bleeding stop.
According to the situation, a special hemostatic (hemostatic sponge) or other drugs that can stop the bleeding in individuals who are at risk for long-term bleeding (high blood pressure, taking drugs that "thin" blood, diseases associated with impaired coagulability) can be pre-administered to the well.
However, local application of hemostatic drugs does not always give the desired effect, so it is important to timely diagnose the main cause of bleeding (if any) and quickly eliminate it:
- Lower blood pressure;
- A few days before the removal of the tooth, in consultation with the attending physician (general practitioner, cardiologist), cancel the use of drugs that violate blood coagulation;
- To control blood sugar in diabetes, etc.
If a blood after tooth extraction wisdom does not stop for a long time, it is better to call a specialist (perhaps the doctor who extracted the tooth) and ask to advise you on further actions.
Is the temperature dangerous after removing a wisdom tooth?
The consequence of removing a wisdom tooth, especially in the case of a traumatic procedure, is often a significant increase in body temperature in a few hours, often in the evening.
The increase in temperature is a consequence of the inflammatory response of the body in response to injury (but not only). However, even if the temperature rises to 38-39 degrees on the first day, this still does not indicate a serious suppuration of the hole and the danger of developing an infectious process, but only requires dynamic observation and alertness from the person. High temperature (above 38) can be beaten down with appropriate preparations.
Feedback:
“Yesterday I removed the lower wisdom tooth, the eight, everything was turned to me there. Hour tormented, then seams imposed. And in the evening everything was very sick, the temperature rose. At night, it was already 39.3, they beat down with my husband pills and a cold towel. Now 37.2, I am sitting on Nurofen, my entire cheek hurts and has swollen ... ”
Oksana, Moscow
How to know when the temperature rise is the norm, and when should the alarm be sounded? A slight increase in temperature to 37.5 degrees - it fits into the conventional definition of "norm",as well as a sharp increase to 38.1-38.2, followed by a decrease by the end of the day. What is important is the fact of the disappearance of temperature syndrome on the first day (maximum - on the second) after tooth extraction.
If the temperature continues to rise again regularly (as the action of the antipyretic drug stops), the gum is sore and especially if there is a putrid smell from the mouth - in this case, you should immediately consult a doctor.
Why is it important to consult a doctor if you suspect a “bad” temperature?
An increase in temperature can be not only a consequence of a complex and traumatic removal of a wisdom tooth, but can also be an indicator of the development of a dangerous infection process in the hole in the background of errors made by the dentist:
- left root or part of the tooth in the gum;
- pushing carious tissues or left cysts and granulomas deep into the hole;
- the effect of "dry hole" and its inflammation;
- perforation of the maxillary sinus, pushing the root of the tooth into it with the development of sinusitis;
etc.
That is why it is so important to consult a dentist in a timely manner so that he can inspect the hole and take an X-ray.
Hematoma on the face after the removal of the wisdom tooth
Provocative factors:
- Damage to the vessel during local anesthesia;
- High blood pressure;
- Increased capillary fragility.
Feedback:
"Hello! On the eve I was pulled out a wisdom tooth in the lower jaw and during the freezing it was very painful to put an injection, I jumped in the chair. After the removal of the tooth, a bruise grew under my jaw on the very first day. Moreover, the naked eye can see that the cheek is swollen. I went to the same doctor, they told me that maybe it was an allergy (just what was asked) and appointed Suprastin. At the moment, the swelling was a bit asleep, but the bruise remained, as well as concerns about it. How to deal with this bruise under the jaw, is this generally normal? ”
Alexander, Pskov
Generally speaking, the appearance of a hematoma is in most cases not as scary as it may seem due to the formidable look of a purple bruise. Such a bruise usually quickly resolves itself.
The main emphasis should be placed not on the appearance of a bruise, but on controlling the progress of the healing hole.At the slightest suspicion of alveolitis (suppuration from the hole, unpleasant smell, decayed or missing blood clot, severe pain and high fever), you do not have to stay at home and wait that everything will resolve itself - you should come to the dentist for a consultation as soon as possible.
Paresthesia on the background of damage to the mandibular nerve
Quite rare but very unpleasant the consequence of removing a wisdom tooth in the lower jaw There may be a temporary (and sometimes permanent) loss of sensitivity in certain areas of the cheek, lips, tongue and chin — paresthesia.
Risk factors for paresthesia after removal of the lower wisdom tooth:
- The particular location of the roots and a high degree of activity of the inflammatory process on the roots. The closer the roots or the granulomas or cysts present on them are to the mandibular canal, where the mandibular nerve passes, or to the lingual nerve, the higher the risk of loss of sensitivity of the corresponding area.
- Medical factor. Timely diagnosis of the proximity of the roots to the mandibular canal makes it possible to pre-plan a surgical intervention.The experience of the surgeon and the technique used during the removal of a wisdom tooth determine the likelihood of paresthesia due to the doctor’s fault.
Paresthesia is a phenomenon in which there is a loss of pain, temperature, taste, sensory and proprioceptive sensitivity, but there is no paralysis. That is, the face retains its former appearance, is not skewed, and the patient's subjective sensations are comparable with the infinitely continuing anesthesia. Most often remain numb chin, tongue and lip.
Usually, paresthesia itself goes away after a couple of weeks, but sometimes the restoration of nerve tissue requires assistance in the form of prescribing physiotherapeutic procedures and / or special preparations. In very rare cases, loss of sensation may persist forever.
When after removing a wisdom tooth it’s really worth sounding the alarm
The removal of an 8th tooth can have serious consequences, which in severe cases lead to abscesses, cellulitis, mediastinitis and sepsis (blood infection). Simply put, the more intensive the infectious process develops in the hole of the extracted tooth, the more likely it will be the spread of microbes and their toxins into the deep spaces of the lower jaw, head and neck.
The maxillofacial region is rich in large and small blood vessels. This determines the risks of the rapid penetration of microbes to vital organs and formations, which sometimes even leads to death.
The following are the cases when, in order to prevent serious consequences after the removal of a wisdom tooth, it is no longer necessary to wait for the discomfort to pass by itself, but you should consult a doctor for advice:
- If the bleeding from the hole does not stop within a few hours;
- If the temperature lasts for 3 or more days, and, especially, if there is a tendency to its increase with each evening to all higher values;
- In general, any negative trend is a reason to consult a doctor. For example, if pain and swelling do not subside, but, on the contrary, each time progress, this is also an alarming symptom;
- If there are problems with opening the mouth;
- If a putrid odor has appeared from the mouth, suppuration is observed from the well;
- If the numbness of the tongue, chin, lips, cheeks persists for several days.
And remember: a dentist is not your enemy. Some people are embarrassed to “strain” the problems that have arisen on their attending doctors (thinking that the doctor has enough of his worries,or that he will be offended because of such “stupid fears”), but such an approach can lead to serious consequences. A good dentist, like no one else, is interested in the fact that after the patient’s services everything is good, so he has to do everything possible to eliminate the problem of concern to the person or, at least, to clarify the situation and reassure.
Interesting video about some problems that may occur after tooth extraction
And this is how the removal of the impacted wisdom tooth
In the lower jaw, wisdom teeth usually begin to form at the age of 20-25 years, although occasionally they erupt at 15 years and after 40. With ...
No matter how hard the dentist-surgeon gently removed your tooth, however, forcibly removing it from the hole is always associated with injury ...
So, suppose that after removing a tooth, your cheek is swollen and you don’t know what to do - is it normal, or is it a dangerous complication, ...
Great article, thanks.
I had wisdom teeth removed and after removing my face was very swollen, the temperature was high and rotted, and what will happen now? Whose mistake is the doctor or the patient?
Great article! Thank! Thanks to you, it turned out that I have paresthesia, I hope, will pass. 3rd day after removal of 3 lower molars.
Hello! Tell me, how long did you have symptoms of paresthesia?
7 o'clock
My 3rd day already lasts, it bothers me ...
Everything is detailed and clearly written! Thank.
Thank. Great article.
Oh, how well everything is described. Ripped out the 8th top. Some kind of growths was, the doctor said, "mutant." I got sick for a while, after I stopped, and on the 4th day I started to twitch in my cheek, in my ear, but there was no smell. Worried. I read the article and calmed down. Thank.
A year ago, the lower wisdom tooth was removed, they said that if she was a week late, she could be in intensive care. After removing the horror that was happening to me, I can’t describe it in any way ... The high temperature, terrible pain, I don’t know what I want, infuriates the father-in-law with her mother-in-law. And now again the same trouble, only on the other side it hurts. I'm afraid the same way.
Two hours removed the bottom eight, the tooth was difficult. Then antibiotics, the temperature was kept for two days, the gum healed. The edema, by itself, was decent. There was no bruise, although I was promised it on the floor of the face. What I have today, a month later: paresthesia is on the side of removal, moreover, currently I am in hospital with the diagnosis “trigeminal neuralgia of the second and third branches”. Shooting in the temple began, in front of the ear and behind the ear, two weeks after removal - as a result, an unbearable headache. Treatment with injections and ultrasound in the local clinic did not help. Called heavier artillery - stationary. Hoping for the best! Good luck and good health to all!
How do you feel now? After the New Year, it is necessary to remove 2 wisdom teeth, it has been spent, now I'm afraid ...
Do not be afraid, everyone has everything differently.Removed yesterday the third eight. Everything is fine! If you are from St. Petersburg, I know the most beautiful surgeon.
Anastasia, what kind of surgeon?
Advise the most beautiful surgeon.
I am very afraid of removing the horizontal eight, the tooth has already darkened, it lies with a tilt and there is chronic inflammation. Food gets between 8 and 7 teeth, then aches, you have to rinse with soda or salt after each meal. I am from Kazakhstan, the city of Aktobe, I am afraid to delete, I save all the time!
I do not know how to cope with the fear of removing a wisdom tooth, how am I afraid. Quickly he turned dark with me, although I looked after, cleaned twice a day!
Dear Dina, I had my tooth removed in October 2016. I was not afraid to immediately go to the dental surgeon. According to the symptoms, namely: numbness of the left side of the face, pain when opening the jaw and pressing on the gum - I immediately understood that it was a wisdom tooth ... I went to the surgeon, I was sent for an x-ray, and this was all confirmed - the tooth was lying, that is . in a horizontal position. Appointed the day of the operation, I came that day. Do several injections of anesthesia. After cutting and sawing, I was pulled out piece by piece.It was very difficult (judging by the way the doctor sweated and puffed). The operation lasted about 2 hours. Stitched. Already at home there was a strong weakness and pain was slowly emerging. I immediately fell asleep. Naturally, the jaw immediately you do not close. I slept with my mouth open for about 3 hours, after only I drank water. She ate liquid: yogurts, kefir, milk, soups. On the second day, everything will swell. You will be prescribed antibiotics, antiseptic - mouthwash. You will visit the doctor again 3 times a day after 4-6 admission. On the 4th day, the swelling completely subsided. On the 5th day I removed the stitches. After I began to rinse more often, but all the same, food got into the hole, so I visited the doctor again 3 times to wash the food hole ...
And all) So do not be afraid, be decisive. It is better to suffer a lot once, than to suffer all my life)) And by the way, I immediately took a sick leave for three days and advise you. Good luck!
Hello, Julia, I am very happy for you that you have everything behind. My tooth does not hurt, but since it grows horizontally, it is inconvenient to clean it and it has already begun to darken from below. I can’t make up my mind, I’m very afraid, after your story I cheered up a little! Thank you, I, it turns out, not one so lucky.
Dear Julia! You can find out, and what city are you from? We just have few good surgeons in the city.
Thanks for the article, very useful and accessible!
PPC, in 2007, on New Year's Eve, a wisdom tooth grew, began to stop the jaws from closing and opening. Went to delete. Upper right 8, removed without consequences, healed quickly. 2008, on New Year's Eve, wisdom tooth 8 right lower, the same doctor. After surgery, healed quickly, but with paresthesia. Numbness of the lower jaw (sensation as if anesthesia has not passed), the right side of 1, 2, 3, 4 teeth and up to the chin, a small but visible swelling. I live with this for 9 years, was treated (current, leeches, acupuncture) - to no purpose, they could not help me. So people, a good doctor, a bad doctor - all this is complete bullshit. And now I need to remove the eights of the left side, I'm afraid ... I'm afraid not of pain, but of consequences.
The article does not describe another consequence when the facial nerve is hurt, and half of the face sags.
The same thing, I live with numbness of the lips and chin for 5 years. The tooth did not interfere, did not hurt, was inside the gums. But a very “business-like” surgeon decided to earn some extra money - he saw that the tooth was sitting on the mandibular canal, but it still crawled! Like, someday it can get sick ... And I was 45 years old, and I lived with it from my youth.Always go to several doctors! Do not listen to one, the opinions are different for all doctors! There are grabbers, just to make money, but there are honest ones.
Removed the lower wisdom tooth. They pulled it out quickly for me, they managed it in 30 minutes. The wound hurt for a long time, weeks 2 were tormented by pain, and the bleeding was for 7 days. Then, it seems, everything healed. It is necessary to delete 3 more, but now I’m even more afraid of this procedure. Just as I remember all these postoperative pains, it becomes bad. But that's not the point ... It took 4 months after removal, and I started having pains at the place of removal, my mouth does not open, the pain gives in my ear, it is impossible to chew solid food. What could it be?
Hello! There are several suspicions:
1. The dentist-surgeon left the root of the tooth, its part, granuloma or cyst in the hole;
2. Either there is a hidden carious process near the hole, in the 7th tooth, which crossed the boundary of the pulp and now there is a place to be pulpic pain;
3. Either a complication of alveolitis - bone osteomyelitis (less likely, but worth checking).
Therefore, before removing the next wisdom tooth, you should definitely find out the real reason for the existing sharp pains (on a full-time appointment with a dentist) and promptly fix the problem,so as not to leave the source of infection. Thanks for asking.
Thank. I went to the doctor - indeed, after X-rays, it turned out that a piece of the root remained after removal. The dentist said that the root is in the middle of the wound and it will not be difficult to remove it. But he turned out to be there, allegedly due to the fact that I pushed him there with my tongue. Today went to the removal of this "piece". And ... the doctor was picking for a long time, twisting something there, but the root never pulled out. A terrible jaw ached, and the pain began to shift into the ear. She didn’t pick any more, explaining that it could damage her nerves, and it will only get worse. In general, she said that maybe it will come out by itself (I do not understand how this is possible). I suspect that the mouth will not open normally now ... I also said something about the hospital. Very upset. This was my first molar extraction.
Hello! It is impossible to “push the root of the tooth back" with your tongue, the doctor is deceiving you in this regard. The fact that she failed to remove a complex root also does not give reason to hope that he will come out on his own.Misinformation for misinformation allows us to state the fact that you should turn to another dental surgeon for help. Otherwise, there may be added a number of complications: alveolitis, turning into osteomyelitis, abscess, and, as an option - phlegmon. So the sooner you change the doctor, the better. Act in this direction!
After the removal of the lower wisdom tooth, which was seen only on the X-ray, numbness of the chin and lips appeared. A week passed, the swelling has not yet passed, and the pain of the jaw remains. The doctor said that the well was healing normally. I am worried about pain. How long can they be and is it normal?
Hello! After a complex surgical intervention, numbness may persist for up to 1-3 months, sometimes longer. Physical therapy often speeds up the process of sensitivity recovery (much depends on whether the mandibular nerve is damaged, how badly damaged it is, or whether it is simply squeezed due to edema). Edema can be up to 1-2 weeks, but the trend should be to decrease every day.Pain decreases as the main symptoms disappear. If the swelling decreases, then the pain will gradually disappear. In order to prevent you after some time it makes sense to refer to the dentist again to assess the state of the healing hole.
Good evening! A complex wisdom tooth was removed, growing horizontally at the bottom left and resting on a 7 tooth. Crushed bone and tooth and pulled it in pieces. The next day, the gum of the adjacent 7 tooth was strongly inflamed and the tooth itself aches with the slightest pressure. They said that you need a root channel, or delete it. Could I have damaged this tooth when the wisdom tooth was removed, or did the wisdom tooth damage it so much, pushing it all the time to the right? The gums from the 7th tooth swelled strongly and covered in a blood clot. The doctor said that everything is normal, just this tooth needs a root canal or removal. I do not know how to be, lose another important tooth and have a hole with a fist?
Hello! During the complex removal of a wisdom tooth, when it rests against the seven, it is quite possible to damage the seventh tooth. Although it is too early to make a decision after 1 day after removal - usually in the first 3-7 days after the procedure, the teeth adjacent to the hole react with the load.Even on the part of the removal of the teeth, the “neck” is sometimes open: although this is temporary, it can be a matter of concern.
It’s best not to rush to conclusions, but get advice from your doctor in a week (or earlier, if there is a negative trend): check the seventh tooth of the image again and then decide whether to treat the root canals or not, whether to save the tooth or not . As for removal, it is better to try to save the seventh tooth in all possible ways, and there in the course of life everything will be clear. Good luck!
Hello. I have a horizontal wisdom tooth, it does not bother me, but since it lies horizontally, it is inconvenient to clean it, and it began to deteriorate a little. There is no pain yet! Very afraid of deletion, I can not tune in any way. The doctor says: as long as it does not hurt, does not bother, you can not touch it, because it is difficult to remove. I'm very afraid. I'm from Kazakhstan. Tell me, who has the same situation? And who decided to delete, how did it go?
Hello! If the wisdom tooth, which, as you said, “lies horizontally” (and most likely you meant “under a big slope”) and has already begun to deteriorate (is destroyed by caries), then it should be urgently removed.With deep destruction will begin the pain, perhaps it will go to the complication of caries, God forbid - periodontitis or even periostitis. Why should you wait for the start of purulent complications? And so the tooth may not be easy, but there is also additional difficulty for you and the doctor. Moreover, the purulent processes near the wisdom teeth in the lower jaw often lead to formidable complications, including death. Planned it is much easier to remove.
Unfortunately, I can not see how terrible the tooth is there and assess the scale of the problem. I know many cases when the removal of such teeth took place in a matter of minutes. A week ago, a patient was sent to me to remove a “complex”, according to the outpatient doctor, upper wisdom tooth. The local dentist told the patient that the tooth was “very complex, under the gum, it would be necessary to almost beat it out,” so he did not take it, was reinsured. In fact, this work took 5-7 minutes. So do not be afraid and trust a good doctor!
Hello, deleted two days ago a retracted wisdom tooth below. The doctor said that everything went well, prescribed baths and antibiotics. The edema is small, but on the second day the jaw began to ache, I can only open it a little, I cannot bite.Is this normal?
Hello! On the second day, this is possible due to the fact that, against the background of the injury, local inflammations are intensifying - this can manifest itself in the form of pain and swelling, which just causes disruption of mouth opening. I recommend to contact your doctor for an examination and correction recommendations. May require special exercises to develop the jaw. This is also regulated by the doctor on the control examination after the operation.
About the difficulty in biting food is a frequent occurrence, since the tooth adjacent to the hole can become painful when biting due to proximity to the wound.
Good afternoon, May 29, the hood was cut off at the wisdom tooth. After anesthesia, it was painful to swallow and open the mouth (but it opened). Today it is easier to swallow, but still it is uncomfortable to open your mouth. The doctor insists on removing the tooth. But the nerve goes very close, is it worth removing? What are the possible consequences after such removal (I mean skewed face or numbness)? Pictures can not be inserted.
Hello! The reasons for the fact that the doctor insists on the removal of a wisdom tooth are quite understandable: today, experts are inclined to avoid cutting the hood at all, but to immediately remove the problem tooth so that there are no complications.
Regarding the risks associated with the proximity of the mandibular canal: unfortunately, I do not see this clinical situation with my own eyes, so I have no right to insist on any action or reassure. It’s up to the attending physician to decide whether to extract a tooth, correlating all the pros and cons.
If the mandibular canal with a nerve is affected, the consequences can be different. In most cases, numbness lasts for 1-3 months, but with a serious wound of the nerve - over the years (with physiotherapy treatment - faster).
I would advise 2-3 oral surgeons to consult (in the chair) as narrow specialists in this specificity. After they express their opinion, having analyzed the very position of the tooth in the mouth and in the picture, correlated with the proximity of the channel, then they will make an informed decision.
After the removal of the 8th lower tooth, the pressure rose to 170 and I cannot knock down a week in any way.I swallow pills, even at night.
Hello! In this case, there is cause for serious concern. The fact is that normally the pressure should stabilize during the day. The reasons for its long-term increase can be both the stress of the manipulation and the drugs used in dentistry. Also, the influence of existing somatic diseases is not excluded - in other words, a person already comes to the dentist with cardiovascular diseases, which manifest themselves after surgery. In such cases, tooth extraction affects the onset of the problem only indirectly, and the true reason lies much deeper, requiring the attention of a cardiologist, and preferably urgent!
In 2014, he removed a cyst on the root 5. The doctor decided at the same time (without my consent) to delete the impacted canine tooth (3). After removal, the sensitivity of the upper lip is gone. After half a year she turned to a neurologist. The neurologist "reassured" - the sensitivity will never return. Now it's 2017. Sometimes the tip of the nose and lower lip grows numb. Apply heparin ointment.Sensitivity of the nose and lower lip returns. But the upper lip does not feel the temperature, unpleasant numbness is already annoying to the heat. IS IT POSSIBLE TO FAVOR THIS STATE?
Hello! In your case, it makes sense to consult a physiotherapist - it may still be possible to find the necessary manipulation to restore the sensitivity of the lips and nose (even despite the pessimistic forecast of the neurologist). For example, in some cases, electrophoresis with potassium iodide and UHF in combination with medication.
Removed the lower wisdom tooth 2 months ago. Removal was difficult, 1.5 hours. I still feel numbness of the tongue. The doctor says that it can take up to six months, but maybe not. It is terrible that it will remain so. What can be done?
Hello! If during the procedure there was damage to the mandibular nerve, then the time to restore sensitivity may actually take a lot - the dentist did not deceive you. To speed up the recovery of nerve fibers,physiotherapy procedures are often prescribed, the list of which is determined by the maxillofacial surgeon together with the physiotherapist.
Usually numbness tends to decrease with each passing month. I'm pretty sure that you get into positive statistics and get rid of the problem within a few months.
They removed the 7th and 8th lower ones, now it is the 6th day, with periods of aching pain all over the jaw, and the teeth seem to be itching. I drink painkillers. Consulted with a dentist every two days - he says, healing is normal. But the problem is that my cheeks started to hurt badly inside, opposite the upper 8-ok, which got out normally for a long time and never bothered me. What could it be?
Hello! I think that, against the background of the injury, there is an irradiation of pain to the adjacent areas from the holes of the extracted teeth. I also do not exclude that the pains spreading along the trigeminal nerve can be the result of incipient alveolitis, and the inflammation of the hole proceeds in a mild form, therefore pains are aching. The fact that you regularly consult with your doctor is great: monitoring in this case definitely does not hurt.
I recommend you to watch some more time (about a week). If there is a tendency to reduce the symptoms, then do not worry. If there is no improvement, then it will be necessary to thoroughly understand the situation with your doctor and take action.
Removed the upper wisdom tooth. The day was terribly sick, now it does not hurt, but the tumor has not yet subsided, and the temperature rises periodically (the third day goes). But the most unpleasant - the congestion of the right nostril and unpleasant pressure in the right temple! Panic, or will it pass? Thank!
Hello! Urgently contact your doctor, or immediately to a highly specialized specialist - maxillofacial surgeon for advice. The fact is that according to your symptoms there is a risk of a connection between the removal of the upper wisdom tooth and inflammation of the maxillary (maxillary) sinuses, since the roots of this tooth are often in the immediate vicinity of the sinus. There could be a complication. If the dentist (possibly with a joint ENT doctor) eliminates sinus damage and the start of the inflammatory process in it, then it will be necessary to focus only on the healing of the hole.Otherwise, it is possible that it will be necessary to plan the treatment of sinusitis, to which I am more inclined according to your description.
Hello. It's me again. Thanks for answers. It is a pity that I saw so late ... I still go with that very “spine” - I’m already used to the fact that my mouth does not open normally. A week ago, I removed the top eight from the same doctor. And again the problem. The tooth was carious and grew sideways. Quickly also removed, the doctor did not prescribe either antibiotics or rinsing and sent home. In the evening, the wound began to bleed, I had to go to the dentist again - she did some kind of compresses for an hour. There was less blood and they sent me home.
The next day, the wound was bleeding, but tolerable. On the third day (at night), severe bleeding began. There was no pain after removal. There was no dentist in the city, and I had to urgently decide something - I went to round-the-clock with other doctors. They thought for a long time what the reason was (they did an x-ray, but they didn’t see any remnants of the tooth). And blood clots directly fell out of the wound. The doctors decided that it was a cyst, and began to clean the wound - they scraped out a lot. They put a tampon on the wound, prescribed antibiotics, rinses and sent home. Today is the second day without blood.And the dentist, from whom I extracted a tooth, without seeing me, insists that there could be no cysts, because pulpit tooth, and it was necessary to just sew up the wound. Now I’m even afraid to go to her and imagine what she would do if she was in the city. In general, I have all the consequences. How can you be so careless about patients! I go to her and pay money, and get only new sores and problems. People, be very attentive to the choice of a dentist.
Everything is written very correctly.
Good day! After removing a wisdom tooth, taste is lost. 3 weeks passed, the wound healed, but a bone came out of the gums. I still do not feel the taste of food. What is it?
Hello! The fact that bone fragments remain in the wound is not a cause of the loss of taste of food. Numbness of the tongue, which does not pass after the procedure for removing the lower molars (including the lower wisdom tooth), is directly associated with damage to the lingual nerve. Most often this occurs when the nerve is damaged as a result of anesthesia, which was brought too close during the injection.
I recommend contacting your doctor: I think that the problem can be solved by prescribing drugs to speed up the recovery of nerve fibers + by prescribing physiotherapy procedures.
It is necessary to sue these haughty, charlatans-ignoramuses who are sure of their untouchability! And if it doesn’t help, I’ll be able to do it myself (in the stairwell, for example) “perforation of the maxillary sinus” (Makit's puncher, for example). Or the mandibular nerve rhizotomy (together with the lower jaw) with a spade 🙂
P.S. And then multiplied by the dental charlatans.
Hello. It is necessary to remove a wisdom tooth. However, in 3-4 weeks I should start seasonal allergies (pollen). It is manifested by inflammation of the mucous membranes of the nose and throat, sneezing. Sometimes it is quite strong, and antihistamines do not completely relieve symptoms. Will the hole heal by that time? Could there be complications?
Hello Victor! Usually, after removing a tooth, the wound heals completely within 2 weeks. Seasonal allergies will not prevent healing.Fear of the subsequent use of antihistamines are also not worth it (in some cases they even help the healing of the hole).
So you can now routinely remove a wisdom tooth and not worry about possible complications from an allergy to pollen.
Hello. Two weeks ago, 8 was removed from the right side of the upper jaw. The gum was very painful, where anesthesia was given, the wound also did not heal, but not the blood. She began to rinse the place of removal by the Rotokan immediately after a day - a fleece fell out of the hole (I understand that the doctor forgot to remove it). Ranka began to heal, but the gum on the inside hurts. But she is not swollen, there is no redness either, but it hurts as if you press a bruise. And another tooth began to hurt, 7-ka. Could this be a complication?