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Health

Pain in the gum in the wisdom tooth

, medical expert
Last reviewed: 07.06.2019
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Dentists are increasingly complaining of severe pain, the localization of which is not always clearly defined. We have to carry out complex diagnostics, find the source of pain. As practice shows, now the most common complaints, in addition to caries, is pain in the gums and wisdom tooth. Moreover, these phenomena are closely interrelated and are mutually conditioned.

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Causes of the hurts right in the teeth of wisdom

In the dentist's office you often hear the question: why does the gum hurt at the wisdom tooth? It turns out that the wisdom tooth is a tooth, the eruption of which begins in a rather late period - after 18-20 years. During this period, the gum is compacted, and cutting it is quite difficult. It is much more difficult than it would be in that period when the eruption of all major teeth occurs. In addition, at this time the gum already contains a large number of receptors, irritation of which is caused by a strong pain syndrome. Teething, even in childhood, is known to be an extremely painful event.

Sore gum after removing wisdom tooth

It is a molar, the roots of which go quite deep into the gum. To the soft tissue of the tooth adjacent blood vessels, nerves. Any removal entails injury to the soft tissue, their mechanical damage. In essence, deletion is a mini-operation that naturally takes time to recover further. In the first days after the removal of a wisdom tooth, the gum will hurt, and this is quite predictable and expected. The pain will last until the wound surface is fully healed.

When injuring blood vessels, nerves, the development of edema and inflammation, the pain increases. As in any postoperative period, postoperative care and further restorative treatment is required. It is necessary to strictly follow the recommendations of the dentist. With severe pain, you can use painkillers, or special anti-inflammatory ointments (consult your dentist before use). Usually the gum does not hurt for long, with simple, uncomplicated tooth extraction.

How much does the gum hurt after removing a wisdom tooth?

It depends on the scale of the damage, which tissues were affected, how deep the damage penetrated. The doctor also assesses how damaged the tissue, the circulatory system. Therefore, only the doctor who performed the removal can answer the question how much the gum will hurt after the wisdom tooth is removed.

The duration of the recovery period is not the same and is determined strictly individually. Therefore, in general terms, it is impossible to answer this question. But if we talk about the approximate time frame, you can select the average values - from 2 to 14 days. But there were also such cases in which the pain passed after only a few hours after tooth extraction. There were also cases when the gum continued to hurt for a month or more. If you follow the recommendations of the doctor, the recovery period can be minimized.

Risk factors

The risk group includes people aged 18 to 15 years, since this is the period when wisdom teeth erupt is most likely. This is due to the peculiarities of the neuroregulatory mechanisms, with the peculiarity of the hormonal background. Risk factors also include a lack of immunity, various inflammatory, infectious, viral, autoimmune, allergic diseases, especially if they affect the mouth, nasopharynx. The risk of developing pain during the eruption of the wisdom tooth increases with increased sensitivity of the teeth, gums, and with concomitant diseases of the oral cavity - gingivitis, stomatitis, caries. The situation is aggravated by dysbacteriosis, a disturbance of the normal microbiocenosis of the oral cavity, respiratory tract, and digestive tract. Malnutrition, vitamin deficiencies, recent antibiotic therapy, comorbidities, and chronic diseases also significantly aggravate the situation.

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Pathogenesis

The basis of the pathogenesis is a violation of the integrity of the gums, tissue damage, as well as increased sensitivity of the gums. This is due to the fact that teething is accompanied by the synthesis of immunoglobulins, local antibodies, inflammatory mediators. Concomitant soft tissue edema and inflammation can develop, which significantly increases pain. Involvement of the neuroregulatory mechanisms into the pathological process aggravates the situation.

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Epidemiology

Statistics show that in about 80% of cases, the eruption of a wisdom tooth is accompanied by pain in the gums, the severity of which can vary widely - from mild, moderate to fairly intense, severe. In about 35% of cases, there is a need to remove the itch of wisdom or cut the gums. In this case, in almost all 100% of cases, the process is accompanied by pain (due to the fact that the intervention is accompanied by tissue damage). Approximately 5% of people experience pain for 1-2 days and do not require the use of painkillers. In 15-20% of cases, the pain lasts for about 3-5 days and requires the use of painkillers. In 60% of people, pain persists for up to a week and is quite easily relieved by analgesics and analgesics. The remaining 11% develop complications, or prolonged pain, and therefore require additional treatment, analgesics.[7]

Symptoms

The main symptom is cutting, acute pain in the corners of the mouth, where the last tooth is located (beyond). The pain can also be dull, aching. Periodically, it increases. As a rule, amplification occurs in the late afternoon, at night. If this pain lasts for several days, inflammation may develop, which is expressed by redness of the gums. Also, the process may be accompanied by puffiness, the formation of exudate (serous, less often - purulent).

The first sign indicating the development of pain is discomfort, burning in the gum area, its redness or thickening. When biting on this side, or when touched, the pain increases. There is also an increased sensitivity of the gums, teeth. There is a reaction to cold food, sweets.[8]

The wisdom tooth hurts and the gums swell

This is due to the fact that in an adult human gum tissue is more dense than that of a child, and it will be much more difficult to cut through the gum. Often the cutting wisdom tooth hurts and the gums swell. This is due to the fact that the tooth damages not only the surrounding tissues, but also damages blood vessels and nerves. In order to reduce pain, it is recommended to use local ointments, painkillers. Anesthetics have also proven good. To reduce swelling and inflammation will help herbal decoctions, which are used primarily for rinsing the mouth. For example: the following components are poured with cold water: the fruits of the zhoster (buckthorn), the roots of the burnet dace, the leaves of the nettle, the rhizomes of the silverweed upright, the roots of burdock large. Put on a weak fire or water bath. Take off, not bringing to a boil. Insist 1-2 hours, used for rinsing. You can drink 50 ml per day.

Gum ache, where wisdom tooth

When the gum hurts where the wisdom tooth cuts, it is better not to endure the pain, and even more so, not to self-medicate. It is better to consult a dentist. He will look, appreciate. Whether the teething is proceeding correctly. If everything is in order, the doctor may advise how to properly care for the oral cavity at this time. You may need ointments, special creams that will soften the gums, help reduce pain, eliminate the inflammatory process and prevent the development of infection. Sometimes a tooth is not cut correctly, and surgery may be necessary (for example, the gums are cut). If the tooth is sick, it is almost never treated, because it is difficult and ineffective. It is recommended to remove such a tooth.

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Who to contact?

Diagnostics of the hurts right in the teeth of wisdom

To make a diagnosis, you need to contact your dentist. He will examine the oral cavity, assess the condition of the tooth and gums. If necessary, additional research methods may be assigned. Analyzes are not prescribed. Instrumental research methods can be informative. Most often used x-rays of the tooth / gums, tomogram. Differential diagnosis may be required, as pain and swelling of the gums can be a symptom of many dental diseases.

With the help of special dental instruments, the oral cavity is examined, the condition of the teeth and gums is assessed. Methods such as X-ray, MRI and CT can also be used to visualize the pathology.[10]

Differential diagnosis

The main methods of differential diagnosis are x-rays, CT and MRI. X-ray allows to assess the state of dentine, bone and cartilage tissue, as well as visualize pathologies affecting all hard tissues. CT and MRI allows you to assess the condition of soft tissue, gums.

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Treatment of the hurts right in the teeth of wisdom

Treatment is reduced to the relief of the inflammatory process, the removal of pain, swelling. To do this, use anti-inflammatory, painkillers. That is, drug therapy prevails. Surgical methods are resorted to only if the complication develops.

  • What to do if the gum hurts when the wisdom tooth grows?

It is better not to engage in self-treatment, because you can miss a serious pathology that requires, for example, surgical intervention. At first glance it may seem that in order to relieve pain, it is enough to drink a painkiller, rinse the mouth. But this does not solve the problem, but only temporarily alleviate the condition. Moreover. A pill can mask the symptoms and you end up with numerous complications. Therefore, do not engage in amateur activities, but at the earliest opportunity contact a doctor.[14]

Medicines

When using any medication you need to strictly follow all precautions and follow the recommendations of the doctor. This is especially important in dentistry. This is due to the fact that with the wrong treatment, a number of complications can develop. During the dissemination of the inflammatory process, the entire oral cavity is involved in the pathological process, the pathology of the gum is quickly transmitted to all other teeth, moreover, to the adjacent structures - the nasal cavity, lymph nodes. The greatest danger is that the infection develops very quickly, pus, which due to the proximity of the location very quickly migrates to the vestibular apparatus, the inner ear, the brain. So, let us clarify the basic precautionary measure - before using any medication, even the most innocent, consult a doctor. This will avoid all of the above complications. Below, we consider drugs that can be prescribed by a doctor, or that can be drunk by yourself if emergency assistance is required, but there is no possibility to consult a doctor.[15]

One of the main ways to relieve pain is to take painkillers. [16]

The simplest drug is analgin. Recommended pill 2-3 times a day. The course of treatment is 7-10 days, depending on the severity of the pain. A precautionary measure is not to be taken by persons with a tendency to bleed, with hemophilia (thins the blood). For the same reason, individuals should not be taken in the post-operative period, when the gums are bleeding, and in women during menstruation.

Spazmolgon appoint a tablet 1 time per day, 10 days. It is not recommended to take longer because of addiction. Less is also not recommended.

With severe, unbearable pain, you can take Ketolorak. This is one of the most powerful painkillers that are guaranteed to relieve the pain of any origin. Assign in the postoperative periods, in severe conditions. It is recommended not more than 1-2 tablets per day. In many pharmacies, they are only available on prescription.

If there is swelling, gum is swollen, you need to drink an antihistamine - suprastin. Recommended pill 1-2 times a day. A course of treatment for 7 days is recommended.

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Vitamins

Vitamins are taken only if the risk of developing a bacterial infection is excluded, as well as if there is no pus. In the presence of infection and pus, the vitamins will only bring harm, since they will act as growth factors for bacteria, and the infection process will intensify. If this risk is excluded, it is recommended to take the following vitamins:

  • Vitamin PP - 60 mg
  • Vitamin b 1 (thiamine) - 2-3 mg
  • Vitamin B 2 - riboflavin - 2-3 mg
  • Vitamin B 9 (folic acid) - 0.5-1 mg
  • Vitamin A (retinol) - 240 mg
  • Vitamin E (tocopherol) - 45 mg
  • Vitamin C (ascorbic acid) - 1000 mg (double dosage).

Physiotherapy

If necessary, the doctor may prescribe some physiotherapy methods. But often the need for them does not arise. However, the following physiotherapy methods are used in dentistry:

  • ultrasound treatment
  • microcurrency treatment
  • wave therapy of various lengths
  • electrophoresis,
  • thermal procedures,
  • electrical procedures.

Alternative treatment

Various methods of alternative treatment are used to relieve pain and facilitate teething. [18]

  • Recipe number 1.

In ordinary alcohol (500 ml) add a little seed of parsley, insist. Add parsley hydrolyzate (not more than 2-3 ml). Drink to alleviate the condition, relieve inflammation, soften the gums.

  • Recipe number 2.

To prepare take a pinch of ground leaves and inflorescences of chamomile fragrant. All this insist at least 3-4 days, drink 4 times a day. Accelerates the process of teething, relieves pain.

  • Recipe number 3.

Take in equal flowers and blue cyanochus roots, pour 500 ml of alcohol. Drink a third of a glass per day. Prevents the risk of infection, inflammation, relieves pain.

  • Recipe number 4.

As a basis take vodka or pure alcohol. Then add the following components: aloe juice, burdock oil. Stir, then set aside and provide an opportunity to insist. Drink 4 times a day to relieve pain. Apply as a compress in the formation of seals, boil.

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Herbal medicine

It is quite effective and safe to treat pain in the gums with herbs.

  • Recipe number 1.

The flowers and leaves of chamomile are mixed in equal proportions, poured boiling water (200-250 ml), infused for at least an hour, used to rinse the throat and mouth during the day. You can add honey or sugar to taste and drink. Relieves inflammation, pain. Prevents the development of infection, eases the condition as a whole.

  • Recipe number 2.

Brewed as tea roots and flowers of chicory, pre-milled in a coffee grinder. Used as a conditioner during the day in unlimited quantities. You can drink in moderate quantities, adding to taste sugar, honey.

  • Recipe number 3.

Take a tablespoon of leaves, fruits and bark of blueberry, pour 500 ml of boiling water, infuse for about 30 minutes. Gargle, mouth, wash the nasopharynx.

Homeopathy

Acceptance of homeopathy requires strict adherence to precautions - strict adherence to the treatment regimen and dosage. Non-compliance leads to side effects - poisoning, impaired activity of the heart, kidneys.

  • Recipe number 1.

Take a little valerian drug. After the broth boils, boil for about 3-4 minutes. Remove from heat, cool to a warm state. Rinse the throat, mouth cavity during the day. Relieves pain, inflammation, prevents the development of infection.

  • Recipe number 2.

To prepare take berries raspberries and viburnum. All this is insisted on sugar syrup for at least 3-4 days, they drink 4 times a day.

  • Recipe number 3.

Take in equal parts of the rhizome and comfrey stems, pour 500 ml of alcohol. Drink with the appearance of pain.

  • Recipe number 4.

As a basis take vodka or pure alcohol. Then add the following components: conal sticks, dried apricots, prunes. Stir, then set aside and provide an opportunity to insist. Drink 4 times a day to relieve pain.

  • Recipe number 5.

In a common alcohol (500 ml) is added a tablespoon of anise, coriander, cow parsnip, zhabritse. Drink a tablespoon twice a day.

Surgery

Methods of surgical treatment are used if complications have arisen, or if the pathological process affects the nerves, blood vessels, soft tissues, if there is a risk of inflammatory, infectious, septic processes, with the development of necrosis. If the tooth cannot cut through the gum, it is cut. Sometimes there is a need for tooth extraction.[20], [21]

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Complications and consequences

One of the most dangerous effects is the development of edema, enhanced inflammatory process, the addition of infection. The danger is that the infection and inflammation quickly spreads, progresses, all new and new tissues are involved. The development of an infectious process may be accompanied by the formation of pus, which accumulates in the form of fluse. It can break through, causing the infection to migrate to other tissues and can cause inflammation, including in the mouth, nasopharynx. It becomes one of the common causes of caries, gingivitis, pericoronitis.[23]

When the infection gets into the lymph nodes, respiratory tract, lymphadenitis, tonsillitis, inflammatory infections of the upper and lower respiratory tract develop. Teeth and gums are one of the most powerful sources of infection, which is very difficult to get rid of. When an infection gets into the ear through the Eustachian tube, inflammatory processes in the ear develop: otitis, tubo-otitis. The most dangerous condition is infection in the brain, which can cause meningitis and other inflammatory processes in the brain.[24]

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Prevention

The basis of prevention is the elimination of all possible risk factors. In addition, the intake of vitamin, mineral components, proper nutrition. It is important to regularly undergo preventive examinations at the dentist, if necessary, to be treated promptly. Perhaps the prophylactic removal of asymptomatic, uninfected wisdom teeth.[26]

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Forecast

The course and prognosis depend on the timeliness of diagnosis and treatment. Pain in the gums and wisdom tooth always develop together. If you follow all the recommendations of the doctor, you can significantly reduce pain and prevent complications.

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It is important to know!

Bleeding gums are often found when brushing teeth. This symptom indicates the presence of a disease or damage to the gingival mucosa. Read more..

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