Why is tooth extraction required?
In certain cases, tooth extraction is the only possible method of solving a particular dental problem. Indications for removal may include:
- Incorrect position of the tooth, when neither the patient nor the doctor can access it (high-quality hygiene and/or treatment is impossible);
- The absence of the main part of the dental material without a chance of its restoration;
- Malocclusions (for example, severe crowding);
- Inflammatory process in the roots of the tooth, which can lead to infection;
- Painful eruption of wisdom teeth.
This is also necessary when preparing to correct your bite using Invisalign aligners. In particular, it is usually necessary to remove the “eights” if they have not fully erupted and can interfere with quality orthodontic treatment. It is worth noting that such a decision should be prepared when there are certain indications and no other option is possible.
Otherwise, when installing aligners, the unerupted tooth hidden inside the gum will prevent the aligner from attaching and pull the remaining teeth in the right direction, leaving them no room to move.
On a note
You should not go to extremes and see any toothache as a serious disease of the internal organs. It could be ordinary caries and nothing more. After all, the cause of caries can be many different or a combination of several factors: past infectious diseases, stress, lack of microelements, metabolic disorders.
The listed symptoms only indicate that different systems of the body are interconnected. Moreover, this connection can also be the opposite: an infection from a diseased tooth can easily be transferred into the body with food and saliva. Damages often affect the cardiovascular system (increased blood pressure), the excretory system (the appearance of trophic skin disorders, increased sweating), and in some cases the nervous system.
During inflammatory processes in the teeth (caries, pulpitis), pain appears so acute that the person immediately grabs the pills and the pain goes away. It turns out that the signal from the diseased organ was never noticed. And the process of destruction does not slow down, foci of chronic infection arise, which can be a source of more serious disorders in the body (sometimes this can even result in a heart attack, meningitis, sinusitis). In order for the body to work smoothly, you need to contact the dentist in a timely manner. And at the same time, we should not forget that after treating a diseased tooth, it is advisable to examine the organs associated with it.
Why does a pulled out tooth hurt?
The presence of pain after tooth extraction is due to the fact that soft tissues, blood vessels and nerves are damaged during tooth extraction. Typically, the first pain symptoms appear 3-4 hours after surgery. This is due to the fact that this is when the anesthesia stops working.
Also, during removal, the bone tissue of the jaw socket may be damaged. In this case, the pain during the healing period is more intense and prolonged. However, if the removal was carried out correctly, it will soon pass.
How long does it hurt?
In most cases, pain during removal worsens on the second day. On the third day they begin to decrease. By the fourth or fifth day, there is practically no pain. If by this period the pain after tooth extraction does not subside, the patient should consult a doctor, as this may indicate the emergence of complications.
However, it is important to remember that complete healing of the hole occurs only in the second or third week after the procedure. Until this time, the gums and bone tissue are vulnerable, so if they are irritated, pain may also occur. To prevent this from happening, you should follow your doctor's recommendations.
Headache
The recovery period after tooth extraction may be accompanied by headaches of varying intensity. They are associated with damage to the nerve fibers that go to the brain. Such symptoms should not frighten the patient, since as the wound heals, they will also pass.
Another cause of headaches during this period may be hypertension. The patient must notify the attending physician about the presence of such an illness. In this case, the surgeon will be able to select appropriate medications that will reduce pain.
Ear pain
For the same reasons, a patient may experience unpleasant or even painful sensations in the ear after tooth extraction. Most often they have a shooting character. This symptom is also normal and goes away in the coming days after the intervention.
Ear pain may worsen if, after the procedure, the patient does not properly care for the oral cavity and tries to chew solid food.
Pain in the gums
Pain in the gum is associated with its direct damage. In this case, not only the soft tissue suffers, but also the nerves, which are also located in the gums. Depending on the degree of damage, pain can last for different times and occur with greater or less intensity.
Increased pain in the gum may indicate the presence of fragments in its tissues, as well as the occurrence of one or another complication. If such symptoms occur, you should immediately consult a specialist.
Pain is a good signal
The connection between internal organs and teeth and the oral cavity is evidenced by medical statistics on patient treatment accumulated over many years. For example, bad teeth can be a source of headaches. Damage to molars - there is pain in the parieto-occipital region. A source of infection in the maxillary incisors can lead to pain in the frontotemporal region, and from diseased canines the pain can be concentrated in the temporal region. If you have problems with the teeth of the lower jaw, a migraine may develop, and it can only be alleviated by visiting a dentist.
Painful sensations in the upper and lower incisors are a reason to get checked for cystitis, otitis media, or treat chronic pyelonephritis. Pain in the first incisor is a possible syndrome of prostate adenoma, frontal sinusitis, tonsillitis, prostatitis, osteochondrosis. Aching pain in the fangs is possible with hepatitis or cholecystitis.
Chronic pneumonia can be diagnosed by pain in the 4th and 5th molars. The same focus of pain indicates colitis, advanced dysbacteriosis, an allergic reaction (rhinosinusitis, bronchial asthma, respiratory allergosis).
Will the site of the extracted tooth stop hurting on the second day?
Patients often believe that the pain at the site of pulled out teeth should go away after sleeping on the second day, and they get scared when it becomes even stronger. This situation is normal, since after a certain time the damaged gum tissue begins to swell, thereby pinching the nerves. All this leads to pain becoming more intense.
You need to be prepared for this. Today there are a large number of analgesics and other medications that can reduce inflammation and eliminate pain syndromes.
Why does a tooth that has no nerve hurt when pressed?
The onset of pain immediately after treatment may be a natural process.
The norm is a period of up to 2 weeks after visiting the dentist. This can be explained by the gums becoming inflamed after manipulation. You should also listen to your own feelings - whether the source of problems is the neighboring tooth, because the source of inflammation in the dentition is very easy to confuse. In this case, you will need treatment again, but without touching the recently placed filling.
The reaction to cold or hot temperature, its rapid changes, is a consequence of the exposure of soft tissues, which, with some stretch, can also be considered the norm in the first days after the procedure.
If the therapy is successful, the pain should gradually decrease until its intensity reaches a minimum. You should only worry when it grows and becomes unbearable over time. Then there is no need to wait 2 weeks, it is better to immediately make an appointment with your dentist. And if the specialist confirms that the painful sensations are localized precisely in the treated organ, then you need to understand why a tooth without a nerve aches and hurts when pressed or pressed and determine what to do in a particular case. Let's present a list of possible reasons:
- Poor hygiene, relapse and re-development of caries. Pathogenic bacteria can actively multiply due to plaque and food debris that accumulate in fissures (the so-called depressions on the chewing surface). Prevention can only be regular cleaning of the oral cavity, visiting the dentist twice a year for professional cleaning, as well as timely healing of even small carious lesions.
- A leaky seal. If the filling is of poor quality, gaps are allowed through which pathogenic bacteria can penetrate. In this case, the decomposition process occurs directly under the filling. This leads to the fact that it is very painful to press on a tooth without a nerve, as inflammation occurs at the root, periodontitis and its support in the bone - the dental-gingival ligament - is destroyed. As a result, rocking begins. Loosening is especially felt when chewing hard food.
- Root damage. If it was hurt during treatment, pain may be felt for a long time.
- Allergic reaction. May occur on painkillers, antiseptics.
- Poor quality materials for fillings, which cause significant shrinkage and the installation begins to move in the cavity, causing pain.
- A big mistake by the dentist: he could have left a microscopic foreign body in the canal, for example, a splinter from an instrument or the dentin itself, fibers from cotton wool.
- Increased fragility of tissues that do not contain pulp. Fragile roots are susceptible to splitting, and the appearance of a crack can become the root cause of painful sensations when chewing.
The site of tooth extraction hurts after a week, what should I do?
The holes in which the extracted teeth were located are usually completely healed by the end of the first week. Final healing still needs to wait, but the pain should have passed during this period. If, after a week, the area continues to hurt after tooth extraction or any other symptoms appear, such as bleeding, the patient urgently needs to see a doctor.
Under no circumstances should you try to relieve pain on your own. If it continues to bother the patient, this may indicate the development of inflammation or an abscess process in the gum. If they are not eliminated in time, the consequences can be very serious.
Stages of socket healing
The holes in the place of pulled out teeth heal in several stages. The first one lasts about a week. At this time, the wound heals, its surface becomes smoother. The patient can return to his usual lifestyle - eat regular food, brush his teeth, etc. Usually, during this period, a blood clot remains on the surface of the hole, which in no case should be torn off, as this can lead to bleeding and will slow down the final healing process.
Complete healing of the wound ends by the end of the second week. At this time, the clot disappears, and residual pain goes away. The last stage, that is, complete healing, ends by the end of the third week. If the intervention was very serious, this period may last 4 weeks. By this time, the nerve fibers and blood vessels are completely restored, and the gums become completely smooth.
Complications after removal
In some cases, tooth extraction can cause complications. They can be associated both with poor quality of the procedure itself and with illiterate oral care during the healing period.
The main complications that may arise during tooth extraction include the following:
- an abscess that appears as a result of infection in open wounds in the sockets where teeth used to be;
- bleeding, which may be a consequence of injury to the gums during the healing period, and may also occur due to the presence of hypertension or poor blood clotting in the patient;
- paresthesia, characterized by numbness of the gums or part of the jaw in the place where the tooth was pulled out.
One of the most serious complications is osteomyelitis. It is characterized by the presence of an inflammatory process in the bone and bone marrow. This disease can occur when the patient has an infection of the bone tissue against the background of a general decrease in immunity. This disease requires immediate treatment.
Symptoms
The main symptom of a complication after tooth extraction is increased pain after the 5th day of healing. If by this period they do not subside, then you need to contact a specialist to find out the reasons. This could be either inflammatory processes or the presence of tooth particles that went unnoticed after the procedure.
Another symptom is a strong increase in temperature, sharp cramps in the head that last more than 5 days. This can also cause your gums to swell. If this happens, it means that the swelling cannot go away for some reason. This, in turn, is a sure sign of a complication.
Reasons for the development of complications
There can be a large number of reasons for the appearance of one or another complication. In addition to medical errors and improper oral care, these include the presence of certain physical diseases in the patient, which can lead to the development of inflammation or frequent bleeding.
To prevent such situations from arising, the patient must warn the doctor about all his ailments, even if he is sure that they will not affect the outcome of the procedure. After this, the specialist will be able to select certain medications that will reduce the risk of complications and make the wound healing process more comfortable.
Why does pain occur in all teeth at once?
If you look at the structure of our jaw, you can easily understand the cause of pain in several units of the dentition at once. The thing is that the teeth are connected to each other by many nerve endings, and the nerves are located both in the lower jaw and in the upper jaw.
Each alveolar nerve has several branches, which allows it to connect different types of teeth. To have a more visual representation, you can visually divide the branches of the nerve into anterior, middle and posterior. In this case, the front one will go to the frontal zone of the smile, the middle one will go to the area where the premolars are located, and the back one will go to the molars.
In addition, there are smaller nerve endings in the oral cavity, on which the sensitivity of the crown of the tooth depends. With the slightest damage to the enamel, gums or nerve of one tooth, unpleasant sensations quickly spread throughout the entire jaw. At the same time, it seems that the entire row is aching at once.
What to do after removal?
After tooth extraction, it is important to maintain proper oral hygiene and also slightly limit your diet. The main recommendations are:
- You can apply a cold compress to the damaged gum, which will reduce the pain;
- if the bleeding does not decrease, you can firmly press a cotton swab between the teeth in the area of tooth extraction;
- For disinfection, rinses based on natural herbs should be used;
- It is better to eat only warm and soft foods without solid particles.
Medications can also be used to reduce discomfort. However, you can only use those medications prescribed by your doctor. He should also tell you how long to rinse so as not to damage the wound.
If at any stage of healing the patient feels an increase in pain symptoms or discomfort that is not normal, he should immediately inform the doctor.
