Sore Gums After an Extraction
Dental extractions, although uncomfortable, are sometimes necessary. If your tooth is broken, cracked or decayed to the extent that it can't be repaired, or if periodontal disease has damaged supporting bone to the extent that the tooth is loosened, you and your dentist may decide extraction is the best option. Animated-teeth.com notes that wisdom teeth, especially those that are impacted--or have not erupted from the gum--are also candidates for extraction 3. Proper aftercare can help reduce pain and swelling and promote healing after an extraction 2.
Simple Extraction
A simple extraction is performed on a tooth that is visible in the mouth; this can be done by a general dentist. Usually this procedure is performed under local anesthetic, with the area being numbed by an injection of lidocaine. Colgate World of Care notes that the discomfort of simple extractions can usually be alleviated with non-steroidal anti-inflammatory drugs such as ibuprofen 1.
Surgical Extraction
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A surgical extraction is performed by an oral surgeon, who often has to cut an incision in the gum to reach the tooth. Local anesthesia or conscious sedation may be used; Colgate World of Care notes that with the latter, your dentist may use nitrous oxide or IV sedation 1. Surgical extractions can cause more pain than simple extractions; the amount depends on the difficulty of the procedure. You may receive prescription pain medication for a few days after the procedure, and then switch to NSAID drugs for any lingering discomfort.
- A surgical extraction is performed by an oral surgeon, who often has to cut an incision in the gum to reach the tooth.
- You may receive prescription pain medication for a few days after the procedure, and then switch to NSAID drugs for any lingering discomfort.
Aftercare
To reduce pain after the procedure, Dental Fear Center advises taking a painkilling drug as the numbness from the procedure begins to wear off; don't wait for pain to set in. The website says not to take aspirin, however; this can increase bleeding. You can place ice packs on your face to reduce swelling and jaw pain, using the pack for 15 minutes on and 15 minutes off until bedtime. If your jaw is still sore after 36 hours, you can switch to moist heat. After 24 hours, you should carefully rinse four times a day with warm salt water to keep the area clean.
- To reduce pain after the procedure, Dental Fear Center advises taking a painkilling drug as the numbness from the procedure begins to wear off; don't wait for pain to set in.
- You can place ice packs on your face to reduce swelling and jaw pain, using the pack for 15 minutes on and 15 minutes off until bedtime.
Things to Avoid
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Don't disturb the blood clot by poking it with your tongue or touching it with your fingers; you also must avoid spitting, smoking or sucking on a straw on the day of the extraction. You should also avoid bending, heavy lifting and exercise; WorlDental Dental Health Magazine says this can increase bleeding 4. To protect the extraction site, don't use a toothbrush near the area for three to four days; instead wipe the area with a clean, wet gauze pad. Dental Fear Center states that you shouldn't eat spicy foods, or drink hot drinks or sodas. Milkshakes, yogurt and puddings can soothe sore gums, and are a better option.
- Don't disturb the blood clot by poking it with your tongue or touching it with your fingers; you also must avoid spitting, smoking or sucking on a straw on the day of the extraction.
- You should also avoid bending, heavy lifting and exercise; WorlDental Dental Health Magazine says this can increase bleeding 4.
Complications
Dry socket is a painful complication that can occur if the blood clot breaks down prematurely, exposing the underlying bone to air and food; smokers and women taking birth control pills are more susceptible. Call your dentist if you experience increasing pain. Colgate World of Care says you should also call your dentist if you continue to bleed heavily 24 hours after the surgery, if gum swelling worsens, if you have fever or chills or if reddening occurs 1.
- Dry socket is a painful complication that can occur if the blood clot breaks down prematurely, exposing the underlying bone to air and food; smokers and women taking birth control pills are more susceptible.
- Colgate World of Care says you should also call your dentist if you continue to bleed heavily 24 hours after the surgery, if gum swelling worsens, if you have fever or chills or if reddening occurs 1.
Related Articles
References
- Colgate World of Care: Tooth Extraction
- Dental Fear Central: Healing After Extractions and Oral Surgery
- Animated-Teeth.com: Why Are Extractions Needed?
- WorlDental Dental Health Magazine: Tooth Extraction Care
- Johns Hopkins Medicine. Wisdom Teeth Extraction.
- Cleveland Clinic. Wisdom Teeth Management. July 2018.
- American Association of Oral and Maxillofacial Surgeons. Wisdom Teeth Management.
- U.S. National Library of Medicine. Impacted tooth. MedlinePlus.
- American Dental Association. Nitrous Oxide.
- American Association of Oral and Maxillofacial Surgeons. Types of Anesthesia.
- Johns Hopkins Medicine. Wisdom Teeth Extraction.
- American Dental Association. Tooth Extraction. 2013.
- Institute for Quality and Efficiency in Health Care. Should You Have Your Wisdom Teeth Removed?
- Soltani R, Haghighat A, Fanaei M, Asghari G. Evaluation of the Effect of Green Tea Extract on the Prevention of Gingival Bleeding after Posterior Mandibular Teeth Extraction: A Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine. 2014;2014:1-4. doi:10.1155/2014/857651
- National Institute of Dental and Craniofacial Research. Opioids & Dental Pain.
- Akinbami BO, Godspower T. Dry Socket: Incidence, Clinical Features, and Predisposing Factors. International Journal of Dentistry. 2014; 2014: 796102. doi:10.1155/2014/796102
- American Dental Association. Extractions—Having a Tooth Removed.
Resources
Writer Bio
Carol Sarao is an entertainment and lifestyle writer whose articles have appeared in Atlantic City Weekly, The Women's Newspaper of Princeton, and New Millennium Writings. She has interviewed and reviewed many national recording acts, among them Everclear, Live, and Alice Cooper, and received her Master of Fine Arts degree in writing from Warren Wilson College.