Re: Inside of cheek hurts after extraction

goldbanjo wrote:
On Jan 2, 11:28 am, New...@xxxxxxx wrote:
Aye.

But isn't discomfort/pain and indication of pathology ? :-/

On Sat, 03 Jan 2009 06:08:35 -0600, Steven Fawks

<tuthjoc...@xxxxxxxxxxxxxx> wrote:

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

Well, so far there is no pain coming from the wisdom tooth...pain
comes and goes on both sides but doc says TMJ. I see what you mean,
Steve B...even if no pathology, if there is pain, something has to be
done. I will tell you that 5 years ago, one of the most well known
oral surgeons in NYC (Steve B. knows of him)


Tease.
But he (she) has seen the x-ray and I haven't. You've got to weigh the risks of acting vs. not acting.

Steve

told me he wouldn't touch
that tooth for a million dollars and that's before it had resorption,
so you can understand my fear now that something has started. I will
Ping Dr. King but how do I do that? Just put it in the subject line?
Thanks everyone for the tips...I had my stitches out this morning and
healing well, except for pain around my nose...he said there wasn't
any sinus communication so I am wondering but I'll just see how it
goes, maybe just sore, my whole jaw is still sore. I managed to take a
picture of the wisdom tooth (17) and can get it online, if you could
tell me how to alert Dr. King. Much thanks as always, both Steves, Bix
and anyone else who replied, happy new year to all of you from your
resident lurker scaredy cat. I don't know what I'd do without your
kind assurances and advice.
.

Relevant Pages

  • Re: Inside of cheek hurts after extraction
    ... I extract hundreds of teeth every year out here in wallyworld. ... I doubt that I average one dry socket a month. ... right wisdom tooth. ... impaction, age, and other factors). ...
    (sci.med.dentistry)
  • Re: Inside of cheek hurts after extraction
    ... I doubt that I average one dry socket a month. ... right wisdom tooth. ... impaction, age, and other factors). ... wisdom tooth extractions, esp. ...
    (sci.med.dentistry)
  • Re: Is this Dry Socket?
    ... tooth was taken out hurts. ... I cant just get rid of it cause it might make the pain go ... Above that is the small-black spot. ... Dry socket isn't dangerous, just a big PIA. ...
    (sci.med.dentistry)
  • Re: Is this Dry Socket?
    ... worst pain in my mouth I'd ever had. ... It wasnt exactly hurting when I went, until he cleaned the hole out, he ... Most extractions do NOT lead to dry socket, ... tooth was taken out hurts. ...
    (sci.med.dentistry)
  • Re: Wisdom tooth extraction at 50, longer recovery?
    ... of the gum near this same tooth; ... infection from a partially erupted wisdom tooth. ... an excellent job and plan to go back for routine dental care soon. ...
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