HomeAnswersDentistrypost extraction complicationI underwent a tooth extraction five weeks ago and I am still experiencing severe pain on the affected side. Kindly help.

What are the potential causes of persistent pain after a tooth extraction?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Purva Jingar

Medically reviewed by

iCliniq medical review team

Published At August 22, 2023
Reviewed AtApril 26, 2024

Patient's Query

Hello doctor,

I underwent a tooth extraction five weeks ago, and it quickly became infected. I received treatment to clean and pack the area, and I took two courses of Amoxicillin and one course of Metronidazole. However, I am still experiencing severe pain in the entire affected side of my face, including my ear. I am currently in a foreign country without reliable dental services, and I am uncertain whether I should fly to see another dentist as I am unsure if this level of pain is normal. I will attach a photo of the affected area. I am currently taking Iron, Folic Acid, and vitamin B12 supplements for my anemia, and my recent lab results indicate that my levels are good. I am also taking contraceptive pills.

Kindly help.

Answered by Dr. Purva Jingar

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. I have reviewed the photos you attached (attachments removed to protect the patient’s identity) and I can only observe blood clots. It seems that the socket is not adequately compressed. This pain may be attributed to either a dry socket or the pulling force exerted by the dentist. I suggest you increase your water intake and consult a dentist, talk with them, and take the medications with their consent. The treatment choices may vary across different countries. Meanwhile, I suggest you follow the below-mentioned instructions:

  1. Rinse your mouth twice a day with a solution of salt and lukewarm water to alleviate pain.
  2. Take the prescribed antibiotics and painkillers as instructed.
  3. If the pain persists, you can take the tablet Ketorol-DT (ketorolac tromethamine) twice a day, in addition to your current painkiller.
  4. Consume soft, cold, or mildly warm foods.
  5. Gently massage your forehead and jaw joints to promote relaxation.
  6. Avoid forcefully spitting.
  7. Refrain from opening your mouth widely.
  8. Maintain good oral hygiene.
  9. I hope this has helped you. Kindly follow up if you have more doubts.

    Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purva Jingar
Dr. Purva Jingar

Dentistry

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