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Wisdom Tooth Complications

The extraction of wisdom teeth is, in most cases, routine surgery that involves little to no pain, as patients are generally sedated or injected with novocaine. However, recovery is often quite painful and there are several complications that can occur, some of which can be prevented by taking some precautions.

  1. Dry Socket

    • A dry socket is an extremely painful condition that occurs when a blood clot does not form in the empty socket that is left where a wisdom tooth was extracted. It is usually caused by smoking, spitting, or drinking with a straw.

    Sinus Problems

    • Sinus problems can occur with the extraction of the upper wisdom teeth, which have roots that are very close to, or in, the maxillary sinus. If a hole is left in the sinus after extraction of the tooth and roots, it increases the likelihood that bacteria will enter the sinus.

    Infection

    • During the recovery process, it is important to keep the mouth clean, as it is a breeding ground for bacteria. A fever over 100 degrees, continued bleeding after 48 hours, extreme swelling, intense pain, and a constant bad taste in the mouth are signs of infection.

    Nerve Damage

    • Some patients become numb or experience a tingling sensation in their lower lip, chin or tongue. Nerve damage generally occurs when a nerve is traumatized by being crushed or completely cut.

    Sequestration

    • The extraction of wisdom teeth often requires that the bone lining that surrounds the tooth be expanded and sometimes broken to release the tooth. These fractures generally heal quickly on their own, but if the fractures get attacked by bacteria, they may lose blood supply and become dead tissue.

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