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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain After Removing The Wisdom Tooth. Taking Ibuprofen. Need Cure?

I got my wisdom teeth out 4 days ago. I followed all the instructions and I haven t ate soild foods either. Yesturday I started to feel a intense throbbing but I took pain medicine and it stopped. Today it hurt again so I took ibuprofen and pain medicine but the throbbing continues! If I ice it or rinse with salt water it stops but it is painful. I have no idea what is wrong? The throbbing comes and goes. Help?
Fri, 21 Dec 2012
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Dentist 's  Response
hi there
A WISDOM tooth extraction wound does pains if there is abscess below. which takes a little time to go off completely. increase the frequency of warm saline rinses . put cold fermentation from outside to subside the swelling.
a complete extraction wound healing takes 3 months but pain should go off completely in 3 - 5 days.
there could also be chance of some broken root piece left inside the socket or a DRY SOCKET , or it might have caused CAVITY IN THE NEIGHBORING TOOTH ,to rule out that you need to visit your dentist again.
for sever pain you can take
RX
TAB. KETOROL DT. ........... (SOS)
Its a dispersable tablet to be take after meals and only when it pains.( not more then 2 in a day)
If pain still remains same after 2 days please visit your dentist.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I would like to tell you that wisdom teeth extraction is not a simple extraction.Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like:-
-prolonged numbness due to local anaesthesia effect
-pain
-swelling
-difficulty in opening mouth
-fever
-malaise
You don't need to worry for any of these symptoms.
Take some rest & start with amoxiclav-625 twice a day along with zerodol-SP twice a day.Also take some multivitamin & antacid like rabeprazole 20 mg if acidity persists.Take all this for 5 days because ibuprofen is very mild analgesic.
Along with that start warm saline rinses 24 hrs after extraction.This will help in healing.
Consult your dentist if problem persist.

Take Care
Regards
Dr.Neha
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Dentist Dr. Gunjan Gupta's  Response
Hello,
Thanks for writing in.
I read your problem,i would like to tell you that pain up to an extent is normal after wisdom tooth removal.
But as you said that you have intense throbbing pain after 4 days of wisdom tooth extraction could be because of dry socket.
So i will suggest you please visit back to your dentist and get the thorough examination done and after complete clinical examination take a proper care.
If it is because of dry socket your dentist will put iodoform dressing on the affected area.
Nothing to get worried.
Take Care
Dr.Gunjan Gupta
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Severe Pain After Removing The Wisdom Tooth. Taking Ibuprofen. Need Cure?

hi there A WISDOM tooth extraction wound does pains if there is abscess below. which takes a little time to go off completely. increase the frequency of warm saline rinses . put cold fermentation from outside to subside the swelling. a complete extraction wound healing takes 3 months but pain should go off completely in 3 - 5 days. there could also be chance of some broken root piece left inside the socket or a DRY SOCKET , or it might have caused CAVITY IN THE NEIGHBORING TOOTH ,to rule out that you need to visit your dentist again. for sever pain you can take RX TAB. KETOROL DT. ........... (SOS) Its a dispersable tablet to be take after meals and only when it pains.( not more then 2 in a day) If pain still remains same after 2 days please visit your dentist.