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Pain at wisdom tooth extraction site
I had severe pain in my left upper remaining wisdom tooth roots and as a result I got it extracted last month. Since then I am having severe to mild pain in that area. The dentist who extracted it told me that initially it was dry socket but it should not be the case now. The extraction site is also swollen. He did the xray but could not find anything unusual.
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please share the x ray .
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Neuropathic pain is possible in this type of case due to traumatic extraction go for OPG with TMJ then meet a Dental Surgeon.
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Hello
You need to get evaluated for dry socket
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If there is dry sockets do zoe dressing and second possibility is nerve damage
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Thank you for sharing this. I completely understand how frustrating and painful it can be to still have discomfort weeks after extraction.
Persistent pain and swelling one month after wisdom tooth extraction can occur for several reasons, even if the dry socket has mostly resolved. Some possibilities include:
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Delayed healing â Common in dry socket cases, where the bone takes longer to repair
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Residual infection or inflammation â Especially if swelling is still present
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Tiny bone fragments (bone spicules) â These can cause ongoing pain and need removal
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Sinus involvement â Particularly for upper molars, even a slight sinus irritation can mimic dental pain
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Nerve sensitivity â Nearby nerves may take time to settle after trauma from extraction
Next Steps
ð¹ Warm saline rinses 2â3 times daily ð¹ Continue mild pain relievers if advised by your dentist ð¹ Ask your dentist if a dressing (e.g., Alvogyl or similar soothing pack) is needed again ð¹ Consider a full-mouth OPG if only IOPA was taken ð¹ If swelling continues, a second opinion with an oral surgeon is absolutely reasonable
Health Tips
Avoid using a straw or spitting forcefully Eat soft, non-spicy food Keep the area clean but donât aggressively brush over the socket You're not alone in thisâhealing can be unpredictable, but with careful follow-up, it can be resolved. Please donât hesitate to revisit your dentist if pain or swelling persists
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Thank you for sharing your concern.
Persistent pain and swelling one month after wisdom tooth extraction, even if dry socket was initially suspected, warrants a thorough re-evaluation. Sometimes, residual infection, bone spicule, or inflammation of adjacent tissue can cause ongoing discomfort even when the X-ray appears normal.
I recommend the following:
1. OPG (Full mouth X-ray) – sometimes issues are missed on a regular IOPA.
2. Irrigation and curettage of the socket, if residual debris or bone fragment is suspected.
3. A short course of anti-inflammatory medication and warm saline rinses.
4. Rule out any sinus involvement, especially for upper wisdom teeth.
5. If needed, a second opinion from an oral surgeon may help clarify the cause.
Please don’t ignore persistent pain – early management can prevent chronic issues.
You’re welcome to visit The Tooth Place for a thorough evaluation.
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You’re welcome to visit The Tooth Place for a thorough evaluation.
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Sometimes the dry socket takes long time to heal. So do clod compress take pain killer nd get some soothing dressing done from dentist
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Dr. Vatsal Gupta
Dentist
3 yrs exp
Roorkee
Hello ! Possible Causes of Persistent Pain After Wisdom Tooth Root Extraction can be
Delayed Healing of Dry Socket, which could be due to :
The socket wasnât fully packed regularly
Thereâs poor blood supply or local trauma
Smoking or poor oral hygiene delayed healing
Pain can persist for several weeks and may feel deep, dull, and radiating.
Or Sinus Involvement can also be there
Since this is your upper wisdom tooth, proximity to the maxillary sinus raises concern:
There might be sinus communication or inflammation, not always visible on a 2D X-ray.
Consider CBCT for a more detailed view.
Nerve Involvement or Neuropathy can also lead to pain.
If pain is sharp, burning, or electric, it might be nerve-related, especially if there was trauma to the surrounding bone during extraction.
Next Steps
Visit Dentist for Socket Debridement. Sometimes, gentle curettage and cleaning of the socket under LA helps remove any granulation tissue or debris and restarts healing.
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Dr. Madiha
Dentist
2 yrs exp
Noida
Hello! If you're still experiencing pain and swelling one month after your wisdom tooth extraction, it could be due to a few possible reasons:
Chronic localized infection or residual infection in the socket
Bone spicule or root fragment left behind
Soft tissue irritation or fibrosis
Sinus communication or maxillary sinus involvement (especially for upper wisdom teeth)
Neuropathic pain if the nerve is affected
Improper healing or food impaction in the socket area
I recommend getting a fresh intraoral X-ray (IOPA) or OPG done and visiting a dentist or oral surgeon for clinical examination. Until then, continue maintaining good oral hygiene and warm saline rinses.
A course of antibiotics and pain management may be needed depending on the cause.
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Dr. Pia Patel
Dentist
14 yrs exp
Chennai
Hi,
Share the x-ray taken. Suggest you visit your dentist again for a review.
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