Cause of pain after a tooth extraction

Sometimes there are problems with the teeth that cannot be treated, and the tooth must be extracted. Tooth extraction also occurs for wisdom teeth, which causes damage and pressure to the surrounding teeth. But after tooth extraction, we face challenges, one of which is pain. A feeling of pain occurs in the treated area, which various reasons can cause.

StrAIberry informs you about the causes of discomfort after tooth extraction and proper treatment for each of them.


Causes of discomfort after tooth extraction

  1. Normal pain during recovery

When your tooth is pulled, the bone and gum around it are inflamed, and you should expect pain in the area. In addition, some bleeding in the treated area is likely and should stop within a few hours after the treatment. If you use anticoagulants, blood thinners, and aspirin for specific reasons, the possibility of bleeding increases, and you should inform your dentist or surgeon in advance.

The healing process is also usually short, and often at least 48 to 72 hours later, the pain with initial intensity decreases in the treated area. Of course, depending on the condition of the teeth and your circumstances, the recovery period may be longer; But the pain gradually decreases. The follow-up care should continue for at least one week to 10 days.


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You can use antibiotics under medical care to relieve pain after taking painkillers or in case of infection. Rinse your mouth and teeth regularly with salt water and mouthwash.


  1. Remaining parts of the root or tooth in the gum

During a tooth extraction, a small part of the tooth may be broken, or the tooth may not be removed entirely, and some of it may remain in the gum. The remaining bone in the gum heals itself after tooth extraction; if a specific part is unnecessary, the gum pushes it out. A person may feel that a small piece of bone has come out of the gum. This is a separated part of the bone that repairs itself. If this piece of bone or tooth remains in the gum, it may irritate the tongue and cause an infection in the gum.



Suppose the piece of bone left in the gum becomes a problem and causes an infection in the treated area. In that case, you should immediately visit a dentist. The dentist checks tooth roots and the treated area with a dental x-ray and pieces of bone or tooth left in the gum. He should remove the remaining parts; otherwise, they may lead to inflammation and spread along with the gum.


  1. The root remaining in the tooth

If the root remaining in the gum is less than two millimeters, it does not need to be removed because the gum will push it out by itself. But if its size is between two and four millimeters, it will cause pain and infection. First, it is better to check the state and condition of remained part; If the remaining root becomes infected for any reason and the person feels pain in that area, you should see a dentist and take the necessary treatment.



To determine if it is necessary to remove the root or not, the doctor checks its size and position. You should start treatment under medical care if the remaining root is infected.


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  1. Extracted tooth infection

One of the most painful dental problems is the infection of an extracted tooth, which causes a lot of pain. The leading cause of bacterial infection is pus, contamination, and destructive effects.

The initial symptoms of tooth infection are:

  1. Toothache
  2. Problems in swallowing food
  3. Bad taste in the mouth
  4. Bad Breath
  5. Allergy to hot and cold drinks and foods
  6. Pain in the jaw, ear, or neck
  7. Cheek swelling
  8. Creating ulcers in the gum tissue


If treatment is not done despite the initial symptoms, other symptoms may be observed, which include:

  1. Severe headaches and excessive fatigue
  2. Swelling in the jaw
  3. Ague
  4. Breathing more than 25 times per minute
  5. Diarrhea and nausea
  6. Increased heart rate leads to severe headaches



Tooth infections and abscesses do not heal by themselves. If the cysts are ruptured, it may reduce the pain, but it does not mean that the condition will improve, and you should follow treatment. If the tooth infection is not treated, there is a possibility of spreading to other parts of the body, such as the neck and head, which will lead to severe risks. Having a weak immune system can also aggravate the situation.



It would be best to immediately visit a dentist to use antibiotics to treat tooth infections. Thyme tea is also very effective due to its antibacterial properties in reducing the pain caused by tooth infection.


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  1. Dry socket

The feeling of severe pain from 2 to 3 days after a tooth extraction is most likely due to the dry socket, one of tooth extraction’s most common side effects.

After the tooth is extracted, the cavity from which the tooth was extracted is full of blood. This blood then clots and heals the empty tooth. This clot forms naturally in the first 24 hours and should not be removed. Because this causes the wound to reopen and the “dry socket.” This blood clot acts as a protective layer on the underlying bone and nerve terminals in the empty cavity of the tooth. The lump provides a foundation for new bone growth and soft tissue development over the clot.

Patients whose mandibular teeth have been pulled, smokers, and those who have not followed the care after dental surgery are exposed to dry sockets.



  1. Severe pain a few days after tooth extraction
  2. Partial or complete loss of the blood clot at the extraction site, which you may notice as an empty (dry) cavity.
  3. Visible bone in the socket
  4. Pain that radiates from the sinus to your ear, eye, temple, or neck on the same side of your face
  5. Bad Breath
  6. Unpleasant taste in the mouth



Dry socket treatment focuses on reducing symptoms; which includes the following:

  • Socket washing

Rinsing the socket can remove any food debris or contamination causing pain or possible infection.


  • Dressing

A dentist or oral surgeon may close the socket with gel, paste, and dressings. This can provide relatively quick pain relief. The severity of your pain and other symptoms will determine whether you need to change the dressing and how often or if you need additional treatment.


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  1. Damage to the tooth nerve

Extraction may harm the nerve if the tooth is located near the nerve and jaw. Of course, this damage is temporary, and there is no need to worry.



Although this condition is temporary, seeing a dentist as soon as you recognize the symptoms of nerve damage is better. You can go for a laser as a treatment. This method radiates low-power rays to the infected area without pain or side effects. If you follow the treatment in upcoming sessions, nerves can repair, and cell inflammation stops. Note that the golden time for regional nerve reconstruction and repair is up to 3 days after wisdom tooth surgery.


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