Re: Inside of cheek hurts after extraction
- From: Steven Fawks <tuthjockey@xxxxxxxxxxxxxx>
- Date: Sat, 03 Jan 2009 06:08:35 -0600
I extract hundreds of teeth every year out here in wallyworld.
I doubt that I average one dry socket a month. They are almost
exclusively in smokers, and when they are not, it is usually
associated with a more difficult case. Probably 90% are on
mandibular teeth.
As a related comment, I had a lady over 60 complain of some discomfort
(not really a raging tooth ache) around the area of her lower
right wisdom tooth.
After an X-ray, I didn't see anything that looked alarming, but
it was also easy to see that *I* didn't want to extract this tooth.
She still wondered about having the tooth removed, so I referred
her to an oral surgeon. His response after seeing the patient
was that he wasn't going after that tooth unless there was a
definite indication of pathology (under the circumstances of the
impaction, age, and other factors).
This has no direct impact upon your situation, but be careful
what you ask for, you might get it.
JME,
Steve
.
My second question is unrelated to this extraction....when you say
usually younger females get dry socket, I have read that the older you
are, the more chance of dry socket with lower wisdom teeth (my next
possibility, but in the midst of 2nd and 3rd opinions)...can you
clarify this? I have also seen a study that says complications are
less when the tooth is horizontally impacted but when the dentists see
my x-ray, they get so alarmed at the position. Is horizontal impaction
worse than other angles...I know it depends on the position of the
nerve but their opinions were based on an x-ray in which they couldn't
see it. 60 yrs old....but I think you remember me :-( Thanks a lot.
Anyone can get a dry socket. They're much more likely after lower wisdom tooth extractions, esp. in smokers.
Newbie is much more of an expert on extractions than I am, so he can comment--but generally the difficulty of the impaction relates not only to the inclination of the tooth, but the depth of the impaction. Presence of the second molar also affects things. Deep distoangular impactions are also tough.
You have to distinguish between the difficulty of the extraction pe se and the chances of complications (trauma to the inferior alveolar nerve, pathologic fracture etc). IOW, your dentists should be able to tell you why your wisdom tooth is so alarming.
Steve
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