The gum hurts after a tooth is pulled out, what should I do?

Pain in the gums after tooth extraction is normal, but only if it passes within a few hours or days. If the gum continues to hurt after 5-7 days, this may indicate the development of the inflammatory process.

Pulling out a tooth, the doctor causes a serious injury to the patient’s body. Naturally, the body reacts to this and the gum starts to ache. This is the same as if the patient cut his finger. He would have felt the same way. And the harder the injury, the longer the pain remains in the gums and the brighter it is.

After pulling out the wisdom teeth, which, as a rule, have crooked roots, pain in the gum persists much longer than when removing other teeth. And this is considered the norm.

Also, the pain in the gum will torment the patient for quite a long time if the extraction of the tooth was complicated:

• The doctor cut the gum and peel it off the bone.
• The dentist sawed out bone tissue with a drill.
• Tooth wisdom had to be removed piece by piece.

Turns out that severe pain after a difficult operation to remove a molar or any other tooth is an objective reality. Avoid them will not work. Moreover, other symptoms may be added to the pain. For example, often after the extraction of a wisdom tooth in the lower jaw, the patient cannot open his mouth for some time.

How much gum will hurt? After a difficult operation, the patient may experience pain. within 4-7 days. Then, the painful sensations should disappear. However, if the pain does not go away and will be accompanied by edema, then you need to consult a doctor. There is a possibility of complications.

Complications after tooth extraction

Dentists are not always able to pull out a tooth without consequences. It happens that after removal come various complications that most often affect the gums.

All complications associated with such an operation can be divided into 3 main groups.

Bleeding

Dentists in their practice there are 3 types of bleedingwhich may occur after exodontia:

1. Primary bleeding. Occurs immediately after tooth extraction. This bleed capillary network of destroyed tissue. If the bleeding is parenchymal and is moderate, then this is the norm. To cope with it is very simple: it is enough to attach a wick with an antiseptic to the wound. Primary bleeding is recognized as problematic if it is caused by extensive tissue damage, as often occurs after the removal of a wisdom tooth. Very often, abundant primary bleeding occurs due to damage to the artery or vein during an alveoli fracture. With the problem of coping with the suturing of blood vessels and wound edges. Naturally, such an intervention will provoke pain in the gums.
2. Early secondary bleeding. It usually occurs as a result of a rise in blood pressure or excessive activity of the patient. For example, the patient independently removes a blood clot or tampon from the well without adhering to temporary standards. In such cases, the dentist can resort to any method of stopping the bleeding of his choice, but this can only be done after a thorough examination of the wound and its cleaning.
3. Late secondary bleeding. It may appear a couple of days after the extraction of the tooth, which is why it is called late.The most common cause of this pathology is purulent tissue destruction. Less often, blood begins to flow because of a fragment of a tooth remaining in the wound and damaging the vessel. Treatment of this complication should be complex with the use of homeostatic drugs, antibiotics, immunostimulants.

Pus-related complications

Pain in the gums often occur due to suppurative complications. Unfortunately, the development of such a problem is connected not only with the patient’s violation of the recommendations, but also with the helplessness of the doctor. He violated the rules of asepsis and antisepsis, conducted poor-quality cleaning of the site of infection, conducted poor-quality removal. In any case, an infection provoking pain in the gums develops.

Most often, after the extraction of a wisdom tooth, the following develops. suppurative complications:

1. Dry hole The cause of the complication is that the well has not closed with a blood clot. This is only possible if the wound has been too often wiped or rinsed. Dry hole provokes the development of gingival swelling, severe pain, hyperthermia. Pain appears on the second day after surgery. The hole is covered with white bloom. A putrid odor begins to emanate from the patient’s mouth, indicating the development of alveolitis. Treat the dry well with washes with antiseptic solutions and applying antiseptic ointments.
2. Osteomyelitis. This is another source of pain in the gums after removing a wisdom tooth. The first sign of this complication is swelling of the gums. Tissues swell in response to inflammation of the periosteum. Signs of regional lymphadenitis follow. Headaches are added to the soreness of the gums. In some cases, there is suppuration of the wound. Treat osteomyelitis with a wide periostotomy. This is the only way to reliably ensure discharge of discharge from the wound. After surgery, the patient is prescribed antibiotic therapy and fortifying agents.
3. Abscess. It is a purulent inflammation after tooth extraction. If it is run, it can go into an intramaxillary abscess and cause the formation of cellulitis. The clinical picture of an abscess is very similar to what can be seen with osteomyelitis: pain in the gums, temperature, swelling and redness of the tissues. This complication is treated by opening and draining the abscess. Treatment is always difficult and painful.

Neurological complications

The cause of such complications always becomes poor treatment of the wound surface and damage to nerve endings during surgery. Also, such a pathology can develop due to a fragment of a tooth left in the hole.

Treat neurological complications in different ways. Some patients are simply smoothed out the spikes remaining after removal and sutured the wound, others are additionally prescribed physiotherapeutic procedures. The latter occurs in case of damage to the alveolar nerve.

What to do if the gum hurts after tooth extraction?

If the pain appeared after you had wisdom tooth extraction, then you need to deal with it by the same methods as when removing a normal tooth. It may be such drugs as: Naiz, Nimesil, Tempalgin, Ketanol. The last 2 drugs are effective for intense tooth pain. It should be borne in mind that each person's reaction to these drugs is different, so you need to coordinate medication with a doctor. He decides how many drugs to take and what procedures to do.

For local anesthesia suitable ointment with lidocaine and novocaine, with antiseptic effect.

For the prevention of possible inflammatory process need to take antibiotics. These drugs effectively kill pathogens and indirectly eliminate pain by blocking the enzymes that trigger pain.

Since any medication can provoke an allergic reaction at some point, antihistamines will be useful.These drugs help reduce puffiness, thereby reducing pressure on the nerve endings.

Folk remedies against pain in the gums

Traditional medicine should be resorted to when the permitted dosage of the painkiller does not allow you to take another dose of the medicine, and the pain still does not subside. Effective folk remedies include:

• Clove oil. It is completely harmless, so it can be used at any age. Oil should be applied to the swab, which is then applied to the sore gum.
• Broths from the bark of oak, oregano, sage, St. John's wort. They relieve inflammation and cool sore gums. It should be remembered that they can be used only on the second day after the extraction of the tooth.
• Applications from aloe. The leaf is cut lengthwise and applied with the fleshy part to the diseased gum. How much to keep the appliqué? 10 minutes is enough.
• Cold compresses.

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