If you get severe pain after tooth extraction, you probably wonder what's going on! You probably got the tooth pulled out in the first place because you were in pain. And now you've still got pain, after tooth extraction. What is going on?
Getting a tooth pulled is never entirely 100% painless; sure, the dentist can get it really numb for the procedure itself, but when the anesthetic starts to wear off, you are always going to get some pain afterwards. That's normal. Absolutely normal. You have just had surgery on your mouth!
But how much pain is normal? And how long should the pain last?
These are things that depend almost entirely on the situation that existed just before you got the tooth out, and how you heal up. Some people seem to heal faster than others.
To a degree, it also depends on how you perceive pain. Some people are more sensitive than others.
But occasionally it can be bigger, and the dentist
will put a few stitches or sutures in there to help it heal up more
quickly. But even with stitches to help it heal, it will be more
painful afterwards than a straightforward extraction.
But that bone removal is going to be sore afterwards. Your dentist would normally tell you to expect this, and prescribe you some antibiotics to help prevent infection afterwards, and some strong painkillers such as Vicodin.
Imagine a child's birthday balloon, only half full of air. It's pretty soft. Now imagine that the fingers of your right hand are tooth roots. Press those fingers into the half-filled balloon. See how your fingers can stick into the balloon?
That's pretty much how tooth roots can stick into the sinus cavity. Now, imagine getting that molar tooth and roots pulled out. You can see how the egg-shell thin bone around the root tips might get fractured, or disrupted during the procedure. The thin membrane lining the sinus can get torn, and NOW you have an opening from the tooth socket through up into the sinus cavity!
I believe that this happens with a lot of upper molar extractions, but we never notice because the socket gets a blood clot in it, which plugs the hole, and it all heals up in 2 weeks. But sometimes that little hole doesn't heal up, and delays healing.
Your dentist will give you some antibiotics to kill the infection. He may also want to numb the area again and clean out the infection surgically.
Antibiotics will not help, because there are no bacteria! The pain is caused by the bone of the tooth socket being exposed. You have an open wound. You never got a stable blood clot forming in the socket; or, if you did, it got washed out.
The good news it that a dry socket will sort itself out within 2 weeks. In the meantime you will need painkillers. Again, your dentist may want to numb up the area again and clean it out surgically.
Remedies for pain after tooth extraction.
Here are a few general rules to help ease any pain after tooth extraction;
Repeat this 4 or 5 times. In a perfect world, you'd do
hour. In reality, most folks manage it about every 2 hours! But that's
OK. After 2 days, the benefits of this start to fall away. But
initially, it can make a big difference to your healing time.
thing is something like a bag of frozen peas! Only apply this for 10
minutes at a time, every 30 minutes, otherwise you might get frostbite!
And it's really only useful for the first 24 hours after the tooth
For pain after tooth extraction, I would recommend a dose of 600mg every eight hours. After 3 days, the discomfort should have improved enough that you can cut the dose in half.
For more severe pain after tooth extraction, your dentist may prescribe you something with codeine in it, such as Vicodin. This is much stronger, and you should be very careful about the dose you take.
Getting a tooth out is never going to be fun, but the very least you expect from it is to get rid of your toothache. So it can come as something of a surprise to find out that you can still get pain after tooth extraction! Hopefully I've been able to explain why this might happen, and give you some hints about what you can do to help things settle down.