Q. Is it normal to have severe pain after complicated molar extraction?

Answered by
Dr. Akmal Abdelmalek
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 14, 2020

Hello doctor,

I had my tooth removed befor three days (bottom left first molar) and it was a tricky one to get out, around an hour or fighting with it until it gave in. Before this I have had an ongoing infection in the tooth and had previously around three courses of antibiotics. I finished my last course two weeks before the extraction.

The pain on the day once the anesthetic wore off was very bad. I had to take Paracetamol and Dihydrocodeine. Since then the pain has reduced a little maybe 10-20% less painful but it is still causing pain. Today it looks a bit manky, is this normal and expected?

Here is the tooth as of today (third-day healing). I have done my best to keep the clot in place. I only had soft foods, not had any kind of sucking motion in my mouth, no smoking, etc. The teeth on the bottom front left are also very painful but the right side of my mouth is fine. Applying any pressure in that area hurts.

Dr. Akmal Abdelmalek

Dentistry Orthodontist


Welcome to icliniq.com.

I have seen the picture. (attachment removed to protect patient identity).

The extraction wound looks normal. The pain you are feeling is also normal given that it was a difficult extraction and your dentist had to struggle pulling it out. You can use salty lukewarm water mouthwash and add Ibuprofen to the painkiller you are taking and take them regularly three or four times a day not as required and you should be fine in a couple of days. Do not forget your diet and eat nutritious foods rich in proteins and vitamins as this is important for the healing of your wound and can get ignored in the middle of your pain.

I hope this helps.

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