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Such a common operation like tooth extraction often leads to various complications. It is very difficult for a patient without medical education to understand whether the pain is a normal condition after surgery, or it is a symptom of a complication. What to do if there is jaw pain after tooth pulled and in what cases it is necessary to address to the dentist repeatedly?
Mechanisms of Pain
In Periodontal Diseases
Often the cause of tooth extraction is an inflammatory process in the periodontium-the tissue that connects the tooth to the bone and contains blood vessels and nerves. In case of advanced disease, the formation of inflammatory fluid in the surrounding tissues occurs. It consists of the products of microorganisms that are toxic to the nerve endings. After tooth extraction, the gum swells and painful sensations begin to disturb the patient due to the inflammatory fluid. Usually these symptoms disappear 2-3 days after the surgery. If the pain does not decrease, but increases after 3 days, there is malaise, headache, redness of the gums, increased body temperature, this suggests that the infected tissues have not been completely removed from the hole. This situation requires a second visit to a specialist, repeated scraping of bone granulation and the appointment of antibiotics and painkillers. Another unpleasant property of the inflammatory fluid is its destructive effect on the anesthetic, so it is not always possible for the dentist to fully anesthetize the teeth.
In Joint Diseases
The patient needs to open his mouth wide during the tooth removal, so that the doctor can work with the problem tooth. People with diseases of the temporomandibular joint (arthritis, osteoarthritis, habitual dislocation) may experience jaw aching after tooth extraction. The mechanism is associated with increased stretching of the ligaments of the joint shell and usually passes without a trace after several days. If the pain persists after a week or more from the day of surgery, an x-ray is made to exclude traumatic bone damage during the removal. If the picture confirms the absence of pathology, the jaw is fixed with a sling, a gentle diet is prescribed for a week.
Note!If there are problems with the joint, the patient should warn the doctor about this, so that the latter tries to perform the operation as carefully as possible, without loading the excessively sore joint.
In Purulent Inflammations
Normally, after tooth extraction, a blood clot, which fuses with the bone and protects it from the action of microorganisms in the saliva, is formed in the hole. In some cases (high blood pressure, non-compliance with the doctor’s recommendations, poor hygiene of the gums and teeth), the blood clot is removed from the hole, and the bone is exposed to infection (food, saliva, plaque on the teeth). In response to this comes inflammation of the hole – alveolitis, manifested by jaw pain after tooth pulled, purulent discharge, bad breath, fever and malaise.
In this case, the instigator of pain is an inflammatory fluid that presses on the nerve endings and causes twitching and shooting pain. In the event of these symptoms, it is necessary to consult a dentist. This condition will not pass itself and can cause more severe complications – the transition of inflammation to nearby organs.
How Long Does the Jaw Hurt after Tooth Extraction?
Tooth extraction is an operation, and having moderate pulling pain lasting about 2-3 days is quite normal after it. During the extraction of the tooth from the hole, the ligament connecting it to the bone is broken, sometimes thin sections of the bone supporting the teeth break. Also gums and surrounding soft tissue are partially injured. All these actions are accompanied by damage to the nerve endings. You can take 1-2 tablets of a pain medication (according to the prescription of a dentist), but not more than 3 days in a row. There should be no malaise, temperature rise higher than 38 degrees. When there is jaw pain after tooth extraction, dentists recommend therapeutic rinses to relieve pain and swelling of the gums.
In case of sharp, tugging and shooting pain which does not calms down, but is even stronger over time, you should immediately visit a doctor.