They pulled out a tooth, the gum hurts - what should I do? Dentist's advice

Despite all the amazing achievements in the field of dentistry, sometimes you have to remove your teeth. One of the most frequent complaints after such an operation is pain. Unfortunately, this phenomenon can not be avoided, as tissues are injured, and healing takes time. This is a natural process - if you tore out a tooth, the gum hurts. What to do after the operation and how not to aggravate the situation?

Causes of pain after tooth extraction

In fact, even the most experienced surgeon can not remove the tooth in such a way as to completely rid the patient of unpleasant sensations. The procedure itself is performed under local anesthesia, but within two to three hours after removal the effect of the drug ceases. Relatively painless only the removal of milk teeth due to the characteristics of their structure and lack of roots. Even if you assume that you need to get rid of a perfectly healthy tooth, and this is obviously a meaningless process, then the manipulations are associated with a trauma of the soft tissues of the gums and the mucous membrane of the mouth.

A dentist prescribes an operation to remove a tooth, only if it is not possible to heal and restore it, therefore, it is a question of a neglected situation. This is associated with additional difficulties, so the pain is inevitable: once pulled out the tooth - the gum hurts. What to do in this case and how to determine how dangerous this pain is?

Normal dynamics of development and extinction of pain

When local anesthesia ceases to operate, the patient begins to suffer from a gum in the place where the tooth used to be. The norm is monotonous aching pain, a slight swelling is possible. These events take place on average over three to four days, even if the removal of the molar has been performed and the hole is large enough.

Nevertheless, the personal characteristics of the patient can not be overlooked: the pain threshold is different for all, and pain of the same intensity can only be an annoying hindrance or almost unbearable suffering. The situation is aggravated by the inconvenient location of the nidus of unpleasant sensations-you can not put a bandage or a compress on your gum, it interferes with saliva, an unpleasant aftertaste. In addition, when the tooth was pulled out, the blood still continues to ooze for a while, in the hole a clot is formed from it, which may look somewhat frightening. Dentists warn: the formation of a blood clot is normal, it does not need to be removed by yourself!

Features of removal of problem teeth

The most serious consequences appear after the removal of so-called problem teeth. For example, if the dentist has to operate the gum to get to an unsharpened wisdom tooth, or the process is complicated by suppuration, cysts. Sometimes tooth decay is so great that it falls apart, it must be removed in parts. If such a serious and painstaking operation was conducted, edema and pain can be considered less of the possible negative consequences.

If, after a visit to a dentist, the pain does not subside, but only becomes stronger, then doctors recommend not increasing the dose of anesthetic drug, but returning to the specialist who performed the operation. You can go to another doctor and state the situation: so many days ago, a tooth was pulled out, the gum hurts, what to do if the pain does not decrease. You may need a picture of the gum in case there are fragments of bone tissue inside.

Complications after the procedure

The success of the procedure depends little on the situation - the removal of the upper teeth is not more difficult or easier than the operations on the lower jaw. Simply for each case there is a kind of tools, and on their correct choice depends the result. The causes of complications after tooth extraction can be both patient's errors and poor-quality treatment. In addition, inevitable problems are not excluded, especially if the procedure was complicated.

If the hole after removal of the tooth on the gum is filled with pus and necrotically altered tissues, then this phenomenon is called the alveolitis. Another complication is the trigeminal neuritis. Predicting the likelihood of any of the complications is almost impossible, but following the recommendations of the dentist after the procedure will help to significantly reduce the risk.

Accuracy of treatment

Far from always the disadvantages of treatment are associated with the incompetence of the doctor. In some cases, the cyst, located on the roots, breaks off after the extraction of the tooth and remains unnoticed in the soft tissues of the gum. Suppuration after this is almost inevitable, as with the occasional leaving in the wound of tiny fragments of bone tissue.

In cases where the surgeon has a lot of negative feedback from clients of the clinic, experts recommend considering other candidates. Dental clinics compete with each other, and serious attention is paid precisely to the qualifications of doctors, because the choice of patients depends on them.

What is the alveolitis and what is it dangerous?

If the hole after the removal of the tooth swells and begins to fester, this is a clear sign of the development of the alveolitis. Normally, the hole must be filled with a blood clot, which protects the injured tissue from outside influences, if it was a complex tooth extraction. Swelling is also normal, but it should be insignificant and decreasing. In the case of the alveolitis, the clot is absent in whole or in part, the remainder of the food is visible in the hole, mixed with saliva, purulent inclusions, white or yellow plaque on the gums around - necrotic tissue can be seen.

Symptoms of the alveolitis develop with increasing. The aching pain gradually increases (normally should decrease), if after the tooth is pulled out, the gum is swollen, then the alveolitis does not subside, but is aggravated. The temperature may rise, co-occurring problems may start, and the pain can spread not only to the jaw, but also to the ear, eyes, and shoot into the neck.

Dentists categorically do not recommend self-medication and try to clean the hole yourself - always contact a doctor! The doctor will carefully clean the hole, take a picture, if necessary, perform an additional operation, apply seams and cover the hole with a medicinal patch. After this, antibiotics must be prescribed. Self-activity and uncontrolled reception of antibiotics, as a rule, do not bring a positive effect, because the cause of inflammation is not eliminated.

Neuritis of the trigeminal nerve

Another unpleasant complication, which is observed if removal of the molar tooth was performed on the lower jaw - neuritis of the trigeminal nerve. The pain in this case is seriously different from normal, it is not aching, but sharp and even shooting across the entire face, the temple and neck. It becomes difficult to open the mouth, the pain syndrome can be aggravated by an extensive edema, even the skin on the face hurts.

For successful treatment, it is always necessary to consult a doctor, after the diagnosis, medication is prescribed, which quickly relieves symptoms. The complexity of the process can be aggravated by a combination of neuralgic damage and an inflammatory process - the alveolitis may well develop in parallel with neuritis.

The main mistakes of patients after tooth extraction

In an effort to ease the condition after a visit to the dentist, patients may panic. If you tore out a tooth, the gum hurts - what should you do, go back to the doctor, or try to cope on your own? And if a simple rinse with herbal decoction does not do much harm, then trying to clean the hole yourself, remove a blood clot or apply a warming compress will only aggravate the situation.

Recommendations dentists in most cases coincide: do not invent some incredible compositions for rinsing. However, if you have a tooth extraction, than rinse your mouth to get rid of the feeling of discomfort in your mouth? A solution of soda, so beloved by folk healers, violates the notorious acid-base balance. It will be enough to clean warm water, boiled, you can add one drop of alcohol solution of iodine to a glass of liquid to further disinfect. To rinse it is necessary without fanaticism, without trying to wash out of a hole a bloody clot. The main function of the procedure is to wash away saliva and food.

Unsaturated broths of medicinal plants, mostly chamomile, sage and calendula, will not cause harm. It is important that the decoction is carefully filtered from the microparticles. This rinse brings relief, if a couple of days after removal can not fully clean the teeth.

How to reduce possible problems to a minimum

Can I protect myself from complications before tooth extraction? An experienced dentist will not undertake removal on the background of any infectious disease in the patient. Banal angina is guaranteed to increase the likelihood of developing the alveolitis several times. If you cure the throat even before the tooth is removed, complications can be avoided.

If any process that could exacerbate a condition is taking place in the body, it is desirable to first get rid of the infection, wait until the end of flowering of allergenic plants, if there is a predisposition to hay fever. This is especially true if there is a difficult removal with the opening of soft gum tissue.

Finally, the most important recommendation of dentists: try not to bring your teeth to such a deplorable state that they had to be removed. In most cases, they can be saved before the problem becomes too large. Irrational fear of dentists needs to be sent back, modern technology and drugs have long made dentistry painless and safe.