Complications may occur after tooth extraction procedure. Some
complications after tooth extraction are common and some are not that
common.
Extraction is painless removal of tooth or tooth roots with minimum
trauma to the surrounding tissues so that the extraction socket wound
heals uneventfully without any post-operative complications.
|
Tooth extraction complication symptoms are prolonged pain; swelling,
bleeding, bruising, limited mouth opening and many others. Various
Tooth extraction complications are discussed in detail in this
article.
Pain as Complication after Tooth Extraction
It is the most common complication which occurs after the tooth extraction
procedure. After the tooth removal, there is bound to be some kind of
discomfort and pain. The pain and soreness may last for few days after
tooth extraction.
Painkillers are given by the dentist to control the pain. Pain meds such as
Ibuprofen, Tylenol, Paracetamol, Solpadeine or Nurofen Plus can be used to
control the pain. The painkillers which are prescribed by the dentist
are dependent on the medical history of the patient and the effortlessness
with which the tooth was extracted.
Swelling as Complication after Tooth Extraction
Swelling is other common complication after tooth extraction. Swelling
after tooth extraction procedure is a normal body reaction and is indicator
of normal progress of healing of tooth extraction socket.
If swelling persists beyond 1week, then the patient needs to visit the
dentist. After extensive surgical interference, simple inflammatory edema
appears in adjacent tissues in most of the cases.
This is unavoidable and is generally commensurate with the degree of
surgical trauma. Swelling usually occurs after the tooth removal. The
swelling can be there for as long as few weeks. The swelling can be
treated by using an ice-pack or by pressing a bag of frozen peas against the
cheek near the tooth which is removed.
This will help to lessen the swelling. Alcohol, hot foods and drinks
and work out immediately after the tooth extraction can aggravate the
swelling. Warm saline rinses and hot moist compresses 1-2 days after tooth
extraction will further help in reducing the swelling.
Bleeding as Complication after Tooth Extraction
Bleeding is other common tooth extraction complication. Slight oozing of
blood may occur for up to 24 hours after the tooth extraction. It is
considered as normal. If the bleeding is continuing after tooth extraction,
then the patient can put a piece of gauze pad on the bleeding socket area
with equal pressure without irritating the socket.
Biting on tea bags may also stop the bleeding. If there is prolonged oozing
of blood even after 24 hours or incases of heavy bleeding after 1-2 hours
after the tooth extraction, dentist should be consulted.
Bruising Complication after Tooth Extraction
There are some people who are more likely to bruise than others after tooth
extraction. These are usually older people, people on aspirin or steroids as
they tend to bruise much more easily.
Intermittent ice packs should be given for the first 24 hours after the
tooth extraction procedure followed with intermittent hot moist packs. It is
not a gangrenous process and discoloration is due to bleeding into the
tissues.
Accumulation of red blood cells and subsequent break down of hemoglobin
causes discoloration. The bruising can look quite prominent and might take
weeks to disappear in some cases.
Limited Mouth Opening which is called as Trismus after Tooth
Extraction
Many a time’s the chewing muscles and the jaw joints are so sore after the
tooth extraction that it becomes really difficult to open the mouth. This
can happen for a few days after the extraction.
In case the patient gets an infection after the tooth extraction in the
tooth socket then he will not be able to open his mouth for a much longer
period say as much as a week. Although Pain is the most common tooth
extraction complication, trismus can become one of the more chronic and
complicated problems to manage.
Post-operative infection Complication after Tooth Extraction
A person might also develop an infection in the socket after the surgical
extraction of the tooth. This usually happens about 2 – 4 days afterwards
and one knows of it from the deep-seated throbbing pain, the bad breath that
the person emits and the perpetual unpleasant taste left behind in the
mouth. Dry socket is a painful tooth extraction complication. This
kind of an infection is more bound to happen if a person smokes, use
Contraceptive Pills or are on drugs such as steroids or if the bone cutting
is done during the tooth extraction.
Secondary infection that is infection several days after tooth extraction
may occur. It mostly occurs after surgical removal of wisdom tooth. The
patient will have fever, abnormal swelling, pain or a salty or prolonged bad
taste with or without discharge from the surgical site as post tooth
extraction complication symptoms in case of secondary infection . To avoid
this, patient has to maintain good oral hygiene and should avoid smoking and
drinking alcohol. To treat infections, antibiotics are given by the
patient.
Reaction to medications given after Tooth Extraction Procedure
The pain meds and antibiotics which are given after tooth extraction may
have side effects. A patient may experience nausea, vomiting, drowsiness
from the medicines which are provided. Patient can consult his dentist in
such cases and can tell him to change his medicines.
Numbness / Tingling /Burning sensation after Tooth Extraction
Numbness and tingling sensation occurs when the nerve is damaged or is
injured during the tooth extraction. Nerves are responsible for sensation in
the tongue and lips and may get affected while giving the anesthesia.
The nerves may get squashed, bruised or stretched which could result
in numbness.
This kind of nerve bruising is usually not permanent but in the rarest of
rare cases it might be permanent as well. The temporary phase might go on
for a long time and may last from several days to several months. No one can
actually say how long the nerve will take to get rid of the nerve bruising
and come back to its normal mode of functioning.
Bony Flakes Complication after Tooth Extraction
Sometimes, bony flakes also known as sequestra result from the sockets of
the extracted teeth and the patient can feel the roughness with the tongue
in the socket area. They may cause soreness and will interfere with the
healing after tooth extraction. They need to be smoothened by the dentist.
At times, the gums heal on their own whereas some times it becomes
imperative to smoothen the underlying bone for healing to take
place.
Bleeding into Cheeks after Tooth Extraction
Bleeding into the cheeks can result in swelling after tooth extraction
which may be hard to feel. This could also go on to result in a
difficulty in being able to open the mouth and also result in bruising at
that particular spot. The swelling, bruising and mouth opening will
all get better with time and come back to normal.
Periodontal damage Complication after Tooth Extraction
Periodontal damage may occur after tooth extraction. Periodontal pocket may
occur after wisdom tooth extraction if the tooth is deeply impacted and
there is no bone between second and third molars. To treat periodontal
pocket, scaling and root planning is done. Gum surgery may be required to
treat it. Gum tissue may be deteriorated after tooth extraction.
Ludwig’s Angina Complication after Tooth Extraction
It is a rapidly spreading infection of floor of mouth and is life
threatening. Fascial spaces are affected in this. Difficulty in breathing,
difficulty in mouth opening, swelling and severe pain is Ludwig’s angina
complication symptoms. Though it is extremely rare but one still needs
to take extreme care if one gets infected by Ludwig’s angina.
Osteonecrosis Complication after Tooth Extraction
It is a rare dental condition which may occur after tooth extraction or
other invasive procedure. In this condition, there is no sign of
healing even after 8weeks of dental extraction. The gums are worn away in
this condition and underlying bone is visible. This condition is mostly seen
in cancer patients.
Osteomyelitis Complication after Tooth Extraction
It is a rare Tooth extraction complication. Osteomyelitis may occur after
tooth extraction. There is inflammation of bone and bone marrow in this
condition. In case of acute osteomyelitis, there is severe throbbing
deep seated pain present along with swelling. The teeth may be loose and pus
may extrude from the socket. Fever and enlargement of lymph nodes may
be present. In case of chronic osteomyelitis, there may be fistula and sinus
tract formation on skin and mucosa.
Post extraction Granuloma Complication after Tooth Extraction
This complication happens four to five days after tooth extraction. The
main reason for it to occur is a foreign body in the tooth socket that
starts the infection and allows it to set in. This could be the result of
e.g. amalgam remnants which is from the tooth filling, bone chips, small
tooth pieces, calculus etc. The way this works is that the foreign bodies
aggravate the area and this goes on to stop the post-extraction healing and
suppuration of the wound happens.
It is treated with debridement of the socket and removal of any and every
causative agent of the infection. This is the best and only way to go about
it.
Temporomandibular joint (TMJ) dysfunction after Tooth Extraction
It may occur after wisdom tooth extraction. This tooth extraction
complication is unusual and is temporary. To treat this condition,
anti-inflammatory medicaments, heat therapy, rest and in some cases bite
splint therapy is given.
No hay comentarios:
Publicar un comentario