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Medical Forum / General / Dentistry / September 2006Wisdom teeth recovery
37 year old woman. Impacted wisdom teeth with infection. Surgically extracted with local anesthesia. Had antibiotics. Very little pain for 3 days. Pain started on the 4th day & continued. Went to the doc on the 7th day. He looked & said it seems to be healing fine. Gave different antibiotics saying there may some internal infection which isn't visible. 9 days after surgery - still have intermittent pain. What do people think? > 37 year old woman. Impacted wisdom teeth with infection. > [quoted text clipped - 9 lines] > > What do people think? Lower wisdom tooth? Almost textbook description of dry socket. Should be on the way out now. Unless there is increased pain/swelling/drainage at this point, she's amost certainly over the hump. Unfortunately common. Surgeon should have informed about so common a sequellum. Steve >> 37 year old woman. Impacted wisdom teeth with infection. >> [quoted text clipped - 11 lines] > > Lower wisdom tooth? Yes. > Almost textbook description of dry socket. But the surgeon looked at it on Day 7 & said that it seems to be healing fine - doesn't that show that there was probably no dry socket. > Should be on the way out now. Unless there is increased > pain/swelling/drainage at this point, she's amost certainly over the > hump. Unfortunately common. Surgeon should have informed about so common > a > sequellum. >>>37 year old woman. Impacted wisdom teeth with infection. >>> [quoted text clipped - 19 lines] > to be healing fine - doesn't that show that there was probably > no dry socket. I wouldn't presume to second-guess a surgeon who has actually seen the extraction site. Of course, dry socket is often diagnosed by symptoms--this isn't something you biopsy. Still, whether it constitutes a full-blown dry socket or just a mild osteitis, if the pain is diminishing (even if very gradually) it doesn't sound like anything to worry about, and I wouldn't worry too much about whether the situation is a dry socket or not at this case. It certainly doesn't indicate that anything is wrong, and dry sockets DO heal. Steve >>Should be on the way out now. Unless there is increased >>pain/swelling/drainage at this point, she's amost certainly over the >>hump. Unfortunately common. Surgeon should have informed about so common >>a >>sequellum. >>>> 37 year old woman. Impacted wisdom teeth with infection. >>>> [quoted text clipped - 23 lines] > extraction site. Of course, dry socket is often diagnosed by > symptoms--this isn't something you biopsy. Is it possible that the dry socket isn't visible by inspection by Day 7? > Still, whether it constitutes a full-blown dry socket or just a mild > osteitis, if the pain is diminishing (even if very gradually) it > doesn't sound like anything to worry about, and I wouldn't worry too > much about whether the situation is a dry socket or not at this case. > It certainly doesn't indicate that anything is wrong, and dry sockets > DO heal. > Is it possible that the dry socket isn't visible by inspection by > Day 7? If it's mild, it could be missed--or already resolving. Sometimes something else will happen--like a small sequestrum (piece of dead bone) breaks off and eventually works its way to the surface. If the pain continues, or if she feels anything sharp with her tongue, she should have it looked at. In any case, not a big deal. Steve >>Still, whether it constitutes a full-blown dry socket or just a mild >>osteitis, if the pain is diminishing (even if very gradually) it >>doesn't sound like anything to worry about, and I wouldn't worry too >>much about whether the situation is a dry socket or not at this case. >>It certainly doesn't indicate that anything is wrong, and dry sockets >>DO heal. >> Is it possible that the dry socket isn't visible by inspection by >> Day 7? [quoted text clipped - 4 lines] > pain continues, or if she feels anything sharp with her tongue, she > should have it looked at. In any case, not a big deal. Thank you, Steve. Another question in this Newsgroup was asked on behalf of me. I have non-dissolvable sutures put after my surgery? What's the maximum number of days one can wait before remove this? > Steve > [quoted text clipped - 4 lines] >>> case. It certainly doesn't indicate that anything is wrong, and dry >>> sockets DO heal. >>>Is it possible that the dry socket isn't visible by inspection by >>>Day 7? [quoted text clipped - 10 lines] > I have non-dissolvable sutures put after my surgery? What's the maximum > number of days one can wait before remove this? I've seen them in a few weeks, but pushing it supposedly increases the chances of infection. I honestly can't say I've ever seen an infection that I can actually pin on sutures though. Try to have them removed within two weeks at most. At this point there's a significant chance they've fallen out anyway. Steve >>Steve >> [quoted text clipped - 4 lines] >>>>case. It certainly doesn't indicate that anything is wrong, and dry >>>>sockets DO heal. >>>> Is it possible that the dry socket isn't visible by inspection by >>>> Day 7? [quoted text clipped - 16 lines] > Try to have them removed within two weeks at most. At this point > there's a significant chance they've fallen out anyway. Is suture removal painful. It's the 10 day now & I still have some pain (taking 200 mg ibuprofen twice per day now) > Is suture removal painful. It's the 10 day now & I still have some > pain (taking 200 mg ibuprofen twice per day now) Not painful at all (in the mouth--on skin may require some teasing away from the scab, but not in the mouth)--even for a sissy like me. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Is suture removal painful. It's the 10 day now & I still have some >> pain (taking 200 mg ibuprofen twice per day now) > > Not painful at all (in the mouth--on skin may require some teasing > away from the scab, but not in the mouth)--even for a sissy like me. Sutures removed. No pain during removal. However still some pain in the teeth. The dentist said the wound has mostly healed. Thanx for your answers to my questions. |
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