The tooth was removed, the teeth and gum hurt. What should I do in this case?

Tooth extraction is a small operation, with the need for which one person almost collides one day. The cause of extraction, as a rule, is the inflammation of the peri-toothed tissues, or the risk associated with the possibility of the appearance of such a phenomenon.

Pain after tooth extraction

Inflammation can occur for a variety of reasons, among which the most common are the following:

- severe tooth decay with caries;

- impossibility of eruption;

- incorrect growth of one tooth, interfering with the rest;

- the appearance of granuloma in the apex of the root;

- development of periodontitis.

- formation of a cyst of a tooth;

Very often, patients who underwent this operation complain that they had a tooth removed . Sore teeth after the procedure - can there be such a reaction? What are the complications? What is the norm, and what is the pathology after the extraction of the teeth? Why does the remote tooth hurt? All these questions are asked by almost every patient.

Symptoms after tooth extraction

Whatever the reason for the removal of the tooth, pain is a perfectly natural reaction of the body, because after the procedure, usually there are lacerated gum tissues and a deep enough wound, in place of which sutures can even be applied. This site at first can bleed, around the removed tooth and in surrounding tissues there may be a small swelling.

Fortunately, with the removal of teeth have to face infrequently, and some lucky ones only a couple of times in life. Probably, therefore, having experienced unpleasant sensations, a person is worried about the fact that he was removed a tooth, but it hurts not only in the place of removal.

If we generalize the complaints of those who had an operation to remove the tooth, then we can distinguish the following:

• Pain occurs a few hours after the action of anesthesia. It can be pulling, moderate. It ceases for a while, but appears again.
• Edema of the socket in place of the removed tooth, swelling of the gums and tissues of the neck. This phenomenon is usually temporary, due to local inflammation and almost always occurs when the wisdom teeth are removed. It is permissible if the edema increased the day after the operation, but later this phenomenon should regress.
• Sometimes it happens that the tooth is removed, the jaw hurts. It is quite possible. This phenomenon is temporary, it occurs due to mechanical pressure on the neck tissue, gums, jaws during tooth extraction, and also due to local inflammation.
• A small bruise on the cheek from the side where the operation was performed. Again, it is associated with a strong pressure on the tissue during the operation.
• The temperature is 37-38 degrees, which usually rises nearer to bedtime or at night. It is explained by the increased work of immunity in connection with inflammation in the tissues.

Pathological causes of pain after tooth extraction

Common complaints in the dentist's office sound like this: the tooth was removed, the teeth hurt. In some cases, pain is a pathological symptom. Unfortunately, the occurrence of complications after tooth extraction often happens, so patients should carefully monitor the symptoms indicating a worsening.

Causes of development of pathological pain syndrome and symptoms

• Alveolitis is an inflammation of the socket formed at the site of surgery, when the site of the removed tooth hurts. Infection from the burst cyst could give an impetus to the inflammatory process. Also, the reason may be the physiological characteristics of the patient - low body resistance, weak immunity. In addition, the pathology often happens when the hygiene rules are not followed after the tooth extraction prescribed by the dentist. Signs of the alveolitis include the presence of pus in the hole, which has an unpleasant smell, sometimes swelling from the side of the cheek, when the tooth was removed. The gum hurts if the doctor made a mistake and damaged it. It is also possible that the doctor did not remove the cyst, which ruptured when the tooth was extracted.
• Suppuration of hematoma. It could be formed due to injury of the blood vessel during the operation. Another formation of hematomas can be triggered by existing patient diseases, such as hypertension.
• Signs of suppuration of the hematoma: pain in the area of the gum transition to the cheek, strong swelling of the gums and cheeks near the wound surface, temperature and even blue skin on the side of the cheek.

Thus, if you have a tooth removed , your teeth hurt, your cheek, gingiva, edema develops and fever is present, and all these symptoms do not subside, it makes sense to be concerned. When these complaints occur, you should never do self-medication: warm a sore spot or rinse with salt. This can lead to the development of purulent inflammation of the tissues. For help, it is better to consult a dentist.

What determines the severity of pain in the absence of pathology?

Patients often complain that they have a tooth removed, the gum hurts. The more complicated the tooth removal operation is performed by the doctor, the greater the trauma is to the bone and soft tissues, which means the greater the pain.

Difficult tooth extraction may be required in cases where:

- when trying to remove a tooth, it crumbles into pieces;

- when it has curved roots;

- when the tooth rotted to the gums and it is difficult to grab it to wrest.

In all situations, when access to the dental tissue is difficult, an operation is performed that is characterized by greater trauma. In these cases, in order to release the tooth from the gums and bone tissue, the doctor has to cut the gum, separate it from the bone, cut the tooth to pieces, then remove it.

That is why a complex tooth extraction and severe pain after it is a natural syndrome. Therefore, the patient should be prepared for the fact that unpleasant sensations may appear if a tooth is removed. The teeth hurt - this is a normal physiological process. Disturb will be the place where the operation was performed. And also the cheek on the side of the removal (due to soft tissue edema) can hurt, and the reflected pain can even be in the neighboring teeth.

Pain after removal of wisdom tooth

Removing the wisdom tooth in most cases is treated by dentists as a complex operation. This is due to the fact that wisdom teeth rarely grow as they should. Often they are inferior and grow unevenly. Often the tooth has to be practically removed from the bone and the gums. Therefore, if the remote wisdom tooth hurts, this is explained by severe trauma when it is extracted.

The most common problems are associated with the emergence of wisdom teeth:

- it grows at an angle, supporting the molars;

- the wisdom tooth is under the hood;

- he is mostly immersed in bone;

- the tooth of wisdom is highly prone to tooth decay and, having just appeared, can already be rotten from within.

All these situations stipulate that a person will need a complicated operation. Pain after the removal of the wisdom tooth can be so intense that it seems to the person that his jaw or neighboring teeth hurts.

As practice shows, when the tooth was removed, the jaw hurts - this may indicate such causes of discomfort:

• The integrity of the ligaments, vessels and nerve fibers that supported the neighboring teeth was broken.
• During the operation, there was strong mechanical pressure on the jaw and adjacent teeth.
• During the extraction, strong pressure was applied to soft tissues, so an increase in the area of infection occurred, which was point-like before removal.

Thus, if a certain category of clients complains that they have removed the wisdom tooth, it hurts not only the site of the operation, but also the adjacent area - this may be due to the above symptoms.

If after removal the cheek and throat hurts

First of all, it is necessary to examine the mucous cheeks for wounds and injuries when the tooth is removed. Sometimes patients complain to the doctor that they have a tooth removed, a cheek or throat hurts. It is possible that the doctor cut the cheek from the inside with the sharp edge of the instrument or the removed tooth. Often against the background of the inflammatory process in the oral cavity, very painful ulcers called "stomatitis" occur. If you see a red ulcer with a white rim or a white ulcer with an inflammatory halo when you examine the oral cavity in the mirror - most likely it's an aphtha. Treatment of stomatitis is simple, sometimes enough rinsing infusions of herbs.

If the cheek does not have any mechanical damage, no ulcers, it is worth considering that this pain is reflected from the main center of pain. In the absence of other symptoms, you do not need to worry.

It happens that with the pains there is also swelling of the cheeks. If its strength and degree of pain does not progress over time, most likely it is a natural phenomenon. Such a situation could be a consequence of carrying out the procedure against the background of inflammation, or as a result of a complicated operation. It should be borne in mind that if the gum has been cut, then the appearance of the edema is considered to be natural.

The addition of temperature to the above symptoms can also be a variant of the norm, if it appeared soon after tooth extraction, does not tend to increase and does not last more than two days. Severe fever and general malaise indicate the development of complications.

In the event that the pain in the cheek is accompanied by progressive swelling, fever, it is difficult to open the mouth, and in the tooth socket there is no blood clot, it is necessary to urgently consult a doctor.

Another part of the clients of the dental office often complain that they have a tooth removed, a sore throat. Such sensations after surgery can also be reflected or caused by pain in the neck muscles, which have been strained for a long time due to extraction of the tooth. Another reason is the arisen pharyngitis due to acute inflammation in the oral cavity.

How to behave after the operation to remove the tooth

Preventive measures directed against the occurrence of pain, consist, first of all, in the strict adherence to the appointments of the dentist. It is necessary to take all the medicines prescribed by the doctor and properly take care of the sore spot. The most important thing is to prevent infection of the well.

Dentists recommend the following protective measures:

• Remove the tampon imposed by the doctor not earlier than after 30 minutes.
• Do not eat on the side of the removed tooth for 3 days. Do not touch the affected area with tongue, foreign objects and fingers. Refuse chewing gum and irritating food (salty, spicy, sweet, sour).
• The cleaning of the teeth can also not be performed in the first three days after the operation. Upon their expiration, it is permissible to use special antiseptics for cleaning the oral cavity, which are sold exclusively in pharmacies. These do not include mouthwash, sold in stores.
• Do not tolerate severe pain. When there is a tangible discomfort, you need to take anti-inflammatory and pain medications, but not more than 2 times a day.
• On the first day you need to apply cold compresses to your cheek more often - they will relieve the inflammation and will not give rise to a strong pain syndrome.
• In no case can you remove blood from the socket.
• Smokers should give up cigarettes at least for the next two days after tooth extraction.
• Contra-indication of hot baths and showers, being in the sun in hot weather.

How to get rid of pain

If pain occurs, the following activities are recommended:

• Leave the hot room or go to the shade if it's hot outside and you're in the open sun.
• Apply a cold compress to your cheek, but do not overcook the gum.
• Take the drug on the basis of a non-steroidal anti-inflammatory drug ("Ketanov", "Analgin").

If your dentist noted the need for antibiotics, do not ignore this recommendation. Most often prescribe antibacterial drugs such as Summamed, Biseptol, etc. Keep in mind that you should not stop taking antibiotics even when you are not worried about anything - you need to drink tablets just as much as your doctor prescribed.

If the tooth is hurt in which the nerve is removed

Many believe that if the nerve is removed during the treatment, the tooth will never be bothered again, because there is nothing to be sick anymore. However, as soon as a person falls into a stressful situation or freezes, he begins to whine and shoot a tooth without a nerve. In this case, people have to go to the dentist again with a complaint that they have removed the nerve, the tooth hurts. I must say that for doctors such statements do not seem surprising at all, because teeth without a nerve in people hurt very often. And the recommendations of doctors in such situations are almost stereotyped: it is necessary to re-drill and then treat the canal of the tooth.

Causes of pain

Why does the tooth hurt? The nerve is removed, but the discomfort persists. Dentists call the main situations when unpleasant feelings can arise:

• Cause 1. The tooth was poorly cured: the canal was poorly sealed and as a result, pathogenic bacteria developed there, which "fell" into the root of the tooth, gum or bone. Therefore, discomfort in the gums and in the bone is perceived as a pain in the tooth, so the patient often complains that he was removed a tooth, the gum hurts.
• Cause 2. The nerve was not killed in the tooth. It is enough to remain a tiny piece of nerve, so that the pain continues to plague its owner: the tooth hurts when weather changes, reacts to hot and cold, whines at night.

That is why it must be treated anew: drill, clean channels, get to the top of the root. After that, the place of infection is removed, a seal is placed. After a quality treatment, patients will not complain about the toothache. The nerve is removed and there are no more reasons for discomfort.

Duration of pain syndrome

The duration of pain depends on the complexity of the operation performed, on the complications that have arisen. As a rule, acute pain ceases on the second day after tooth extraction. But sometimes it happens that it persists after the tooth has been removed. It hurts a week for a damaged place - this is an occasion to pay attention to whether there are other important symptoms: edema, temperature, odor from the hole, purulent discharge from the wound. If there are no other complaints, then, probably, we are talking about the individual characteristics of the organism. Most likely, the doctor in this case will recommend waiting a couple more weeks and observe the condition.

In doubtful cases, a general blood test will be required to determine the presence of a hidden inflammatory process. Sometimes bacterial inflammation in tissues can be determined only in this way. With the confirmation of suspicion, antibiotics will be prescribed for a period of 7-10 days.

The most important thing that every person who suffers from pain syndrome after tooth extraction should remember is that symptomatology should not grow. Let and slowly, but the inflammation should decrease. Do not ignore discomfort and negligent attitude to their own health, because the consequences can be deplorable.