Pain after tooth extraction: how much does it hurt and how to relieve it?

Causes and duration of pain Mechanism of pain Localization Stages of healing Possible complications When to see a doctor What to do after removal What not to do How to reduce pain
Tooth extraction (removal) is a surgical intervention accompanied by damage to the periodontal tissues (gums, bone socket, mucous membrane). Pain after tooth extraction is a normal reaction of the body to surgery. Depending on the complexity of the clinical situation, the volume of the operation, after the procedure, when the effect of the anesthetic wears off (after 3-4 hours), the patient begins to feel aching pain in the injured area.

Why and how much does it hurt?

Pain occurs due to traumatic swelling of tissues and compression of nerve endings. The more complex and extensive the operation, the more intense the gum pain after tooth extraction. Normally, symptoms after extraction of an incisor or molar are as follows:

• Aching pain persists for 1-3 days
  , but subsides day by day;
• slight swelling, hematoma, redness around the removed unit (may increase for 2-3 days
  and then subside);
• formation of a blood clot in the wound;
• the appearance of a whitish coating (fibrin, which accelerates tissue healing).

This is a normal reaction to surgery. How much a tooth hurts after extraction depends on the complexity of the operation, the characteristics of the body, the patient’s pain threshold, the location of the dental unit in the row (after extraction of molars, the injury is more extensive and worries longer). Normally, discomfort lasts
3-5 days
, gradually subsides and disappears on its own.

Tissues are restored

about
10-14 days
. By this time, the mucous membrane has completely healed, new bone begins to form inside the hole, which will completely fill the defect in about six months.

The most difficult to treat and remove is the 3rd molar (figure eight, wisdom tooth). They have very curved, intertwined roots. A wisdom tooth is often completely unerupted (impacted), covered with mucous or bone, and incorrectly erupted (dystopic). The operation is hampered by difficult access to the figure eight. Therefore, healing after a complex 3rd molar extraction may take longer (about a month). But if pain and swelling have not begun to subside a week after the intervention, you need to consult a dentist.

NON-STEROID ANTI-INFLAMMATORY DRUGS IN DENTISTRY

Sologova Diana Igorevna Puntovaya Kristina Dmitrievna Federal State Autonomous Educational Institution of Higher Education “First Moscow State Medical University named after. THEM. Sechenov Ministry of Health of Russia" (Sechenov University)

EFFECTIVENESS OF NSAID USE

In terms of the strength of the analgesic effect, Ketorolac is significantly superior to other NSAIDs. The drug does not depress respiration, does not affect opioid receptors, does not cause drug dependence, and does not have a sedative or anxiolytic effect. It is also important that the drug begins to have an analgesic effect within 15–30 minutes. after reception. The drug is recommended for use as a means of pathogenetic and symptomatic therapy in the conservative and surgical treatment of generalized periodontitis. With its use, earlier relief of pain and signs of local inflammatory reaction (swelling and bleeding of the gums) are recorded. The drug is also capable of reducing the rate of bone tissue resorption, incl. and in the presence of microorganisms, which is a significant factor in favor of including the drug in the pharmacotherapy regimen for periodontitis.

In addition, because Ketorolac has high analgesic activity; it is used as an alternative to narcotic analgesics for moderate or severe pain after surgery in the maxillofacial area.

• Ketoprofen is a powerful non-steroidal anti-inflammatory drug.

It relieves pain well and helps with most of these symptoms, and also relieves inflammation in soft tissues. In addition, ketoprofen helps lower the temperature if it is elevated due to some serious pathology. It is used in the form of a rinse solution - symptomatic treatment of inflammatory diseases of the oral cavity, such as stomatitis, glossitis, gingivitis, periodontitis, periodontal disease, for analgesia during the treatment and extraction of teeth (as an auxiliary drug). Ketoprofen relieves pain quite quickly, but this is not enough. It does not affect the cause of the disease (caries, pulpitis or periodontitis). The main danger of the drug is that a person can suppress the pain for a very long time and not go to the doctor, and this will lead to complications both for dental diseases and for the whole body (possible development of dizziness, lethargy, vomiting, nausea, abdominal pain) .

Ketoprofen in the form of a 1% cream, when applied 1.8 ml once a day for 6 months to the gum area of ​​rhesus monkeys with periodontitis, promoted the restoration of alveolar bone and significantly reduced the levels of PGE2 and LT B4 in the periodontal fluid (after 2 and 3 months of treatment ). The drug in the form of a 2% gel, when applied to the gums of patients with chronic periodontitis in addition to instrumental therapy, contributed to a significant reduction in probing depth.

• Nimesulide . Toothache is not a direct indication for taking this drug.

The drug is used primarily for rheumatic diseases that affect the joints and surrounding tissues. The action of the medicine is aimed at eliminating the symptoms of inflammation, which include pain, incl. and dental. But it must be remembered that the effectiveness of Nimesulide depends on the reason for the toothache. In severe dental pathologies, even potent analgesics cannot eliminate the symptom.

It is effective to use the drug for gingivitis, because it eliminates swelling and helps normalize local temperature. The effect after administration is observed quite quickly; on average, it begins to act within 25–30 minutes. The analgesic effect lasts for a fairly long period of time - up to 10 hours.

Important! The medicine is also characterized by a number of disadvantages: it cannot be used during pregnancy and children; it is not intended for long-term use; there is a possibility of addiction; toxic effects on the liver; potential - overdose and poisoning.

• Ibuprofen inhibits the synthesis of prostaglandins, which, in turn, increase the sensitivity of nociceptive receptors.

Due to this, pain is reduced, but the effect is temporary (lasts up to 12 hours). You can take the drug for toothache, but no more than 5 days in a row.

The administration of Ibuprofen to patients with chronic periodontitis after 14 days was accompanied by a significantly more pronounced reduction in bleeding and hyperemia of the gums, as well as the depth of periodontal pockets compared to the group without pharmacotherapy.

Use of NSAIDs:

• for acute pain resulting from advanced caries or pulpitis;
• before hygienic procedures (removal of hard deposits, bleaching), with an increased pain threshold in the patient;
• to relieve pain that occurs after treatment;
• to eliminate pain during the period of getting used to braces, prosthesis and other structures;
• in inflammatory processes in the soft tissues of the oral cavity (periodontitis, periodontitis, stomatitis).

You should not take NSAIDs if:

• intestinal diseases;
• pregnancy more than 24 weeks;
• liver and kidney failure;
• Do not lie;
• blood clotting disorders;
• recently undergone SS operations.

In order to avoid intoxication and negative effects on the gastric mucosa, it is necessary to take the drug after meals.

NSAIDs. GENERAL CHARACTERISTICS

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a group of medications that are widely used in clinical practice, many of which can be purchased without a prescription. More than thirty million people worldwide take NSAIDs daily, with 40% of these patients over 60 years of age. The great popularity of NSAIDs is explained by the fact that they have anti-inflammatory, analgesic and antipyretic effects and bring relief to patients with corresponding symptoms (inflammation, pain, fever), which are observed in many diseases. The use of the term “non-steroidal” emphasizes their difference from glucocorticoids, which have not only an anti-inflammatory effect, but also other, sometimes undesirable properties of steroids.

Over the past 30 years, the number of NSAIDs has increased significantly, and currently this group includes a large number of drugs that differ in their characteristics of action and use.

More than 60 million packages of Ibuprofen and Ketorolac, more than 25 million packages of Diclofenac, and almost 20 million packages of Nimesulide are sold annually in Russia.

The main mechanism of action of NSAIDs is the suppression of the activity of cyclooxygenase (COX), an enzyme that regulates the conversion of arachidonic acid into prostaglandins (PG), prostacyclin (PG12) and thromboxane (TxAg). The nature of the effect of NSAIDs on the COX isoforms—COX-1 and COX-2—is especially important. COX-1 is constantly present in most tissues (albeit in varying quantities) and belongs to the category of “constitutive” (“structural”) enzymes that regulate the physiological effects of PG. COX-2 plays the role of a “structural” enzyme only in some organs (brain, kidneys, bones, reproductive system in women), and is not normally found in other organs. However, the expression of COX-2 increases significantly under the influence of immune mediators (cytokines) involved in the development of the immune response, inflammation, cell proliferation, etc.

Inhibition of COX-2 is one of the important mechanisms of anti-inflammatory and analgesic activity, and COX-1 of the toxicity of NSAIDs. Non-selective NSAIDs inhibit the activity of both COX isoforms to the same extent and therefore have approximately similar effectiveness. This discovery served as the basis for the creation of a new group of NSAIDs that predominantly inhibit COX-2 (selective COX-2 inhibitors). They have all the positive properties of non-selective NSAIDs, but are less toxic, at least in relation to the gastrointestinal tract. Based on their selectivity of action against COX isoforms, NSAIDs are divided into 4 groups (Table 1).

Table 1 Classification of NSAIDs by selectivity of action on COX isoforms

In addition, NSAIDs are classified depending on the severity of their anti-inflammatory activity and chemical structure. The first group includes drugs with a pronounced anti-inflammatory effect. NSAIDs of the second group, which have a weak anti-inflammatory effect, are often designated by the terms “non-narcotic analgesics” or “analgesics-antipyretics” (Table 2).

Table 2 Classification of NSAIDs depending on the severity of anti-inflammatory activity and chemical structure

NSAIDS IN DENTISTRY

According to Orenburg State University, the list of the most commonly used non-steroidal anti-inflammatory drugs in dental practice in tablet form as of 2015 was as follows (Fig.):

• Ketoprofen - prescription frequency 56%, duration of action 6 hours.
• Ketorolac - prescription frequency 20%, duration of action 4-5 hours.
• Nimesulide - prescription frequency 14%, duration of action 5 hours.
• Ibuprofen - prescription frequency 8%, duration of action 4 hours.
• Metamizole sodium - prescription frequency 2%, duration of action 4 hours.

Rice.

In dental practice, NSAIDs are widely used for inflammatory diseases of the maxillofacial region and oral mucosa, inflammatory swelling after injuries, operations, pain syndrome, arthrosis and arthritis of the temporomandibular joint, myofascial pain syndrome of the maxillofacial region, neuritis, neuralgia, postoperative pain, feverish conditions.

Mechanism of pain

• Trauma to soft, hard periodontal tissues;
• damage (rupture) of the connective tissue holding the tooth;
• destruction of blood vessels and nerve endings;
• swelling of the injured gum, pressure on nearby areas, poor circulation;
• irradiation of pain along the nerve trunks to other parts of the maxillofacial areas.

Pain after extraction of any dental unit is a natural reaction of the body to the intervention. No matter how carefully the surgeon acts, the integrity of the vessels, nerves, and fibers is inevitably compromised. It is normal for the extracted tooth to hurt for no more than 2-3 days.

, after removing the figure eight, the gums may bother you
for about a week
. If after 7-10 days the discomfort does not disappear, but continues or increases, you need the help of a doctor.

What medications should I take?

The rehabilitation period after bone grafting and sinus lifting includes the mandatory use of certain groups of medications. The doctor prescribes individual representatives individually, but the general scheme during rehabilitation is as follows:

• Antibacterial agents. Every patient takes such medications after bone grafting and sinus lifting, as they represent the main prevention of the development of an infectious process. The standard course involves a five-day intake of broad-spectrum agents.
• Antihistamines. These medications help reduce the activity of the inflammatory process and, accordingly, reduce the edema syndrome. They are taken for 3 days in a standard dosage.

• NSAIDs. Nonsteroidal anti-inflammatory drugs help reduce swelling and inhibit the production of inflammatory mediators. On average, such medications are taken for 3-4 days.

• Analgesics. Painkillers are not included in the course of pathogenetic and etiological therapy during the recovery period, since they relieve only the symptom of pain. They are taken during the first week after surgery (during this period the discomfort should completely disappear) or even less. The doctor himself selects the appropriate drug for the patient and prescribes its dosage. It is forbidden to exceed the maximum daily dose and drink large amounts of medicine at a time. If the doctor forgot to tell you about the rules for taking analgesics, then the patient follows the instructions.

• Healing ointments. Special means to accelerate regeneration are used topically - smeared on the postoperative wound. Their use increases the regenerative abilities of tissues, and epithelization occurs faster. The doctor prescribes one, and sometimes even two drugs, which should be used according to a certain scheme.

• Antiseptic. A solution of Chlorhexidine or any other antiseptic is used for oral care. It is forbidden to rinse your mouth, but it is recommended to treat it and the wound surface in particular with this product after each meal.

• Calcium preparations. Bone grafting involves damage to bone structures. In addition, the condition of the teeth also requires some kind of replenishment. Not only calcium supplements, but also foods rich in calcium do an excellent job of this. This includes: cottage cheese, sour cream, milk and other dairy products.

• Vitamin C. Ascorbic acid helps not only improve immunity, as many believe, but also accelerate regeneration and improve overall metabolism. It is an indispensable component of any course that involves exhaustion of the body.

Each of the listed drugs helps to shorten the rehabilitation period and its successful course. You cannot ignore any of the dentist’s prescriptions, as this can lead to the development of various complications and unfavorable outcomes.

Localization of pain

As a rule, painful sensations are localized in the area of ​​innervation of nerve endings injured during the intervention. Depending on where the hole is located, the pain can radiate to the throat, temple, or ear. Often, after tooth extraction, the neighboring tooth hurts. The most common reason is damage to soft tissues from instruments, which causes the gums around the wound to swell, begin to hurt, and the pain spreads further to neighboring units.

Incisors and canines usually have 1 root, which makes their removal the least traumatic. Chewing units have 2-3 or more roots, which complicates the operation and makes it more voluminous. The back teeth of the upper jaw border the bottom of the maxillary sinuses; after removal, the pain can radiate to the nasopharynx, cheek, orbit, and ear.

If after the removal of the lower tooth the jaw hurts, especially when it comes to multi-rooted chewing units (7, 8 teeth), this is normal. Usually such sensations go away within a few days. You need to go to the dentist if the pain does not subside after 5-7 days and is accompanied by other alarming symptoms.

What should the patient do after the procedure?

After the procedure has been completed, the specialist must carefully explain to the patient his next steps, as well as the rules for caring for the wound during the healing period.

1. The turunda or cotton wool that was left by the surgeon in the hole does not need to be removed by yourself. If the tampon placed by the doctor falls out ahead of schedule, the patient must return to the specialist to install a new turunda. If this is not done, an infection may enter the wound cavity.

   You shouldn’t remove turunda with medicine yourself

2. If after the procedure the cheek is very swollen, you can apply ice or a cold compress to it. After this procedure, it is forbidden to heat the affected area and apply hot compresses.
3. You can eat food after tooth extraction only two hours after the procedure. It is recommended to eat only liquid and light foods that do not contain solid pieces.
4. A blood clot forms in the hole where the tooth was pulled out. It is prohibited to remove it or touch it. The first time after the procedure, you must brush your teeth with caution and do not use any rinses.
5. For 7 days after tooth extraction, it is prohibited to carry out other interventions in the oral cavity.
6. During the healing period, it is not recommended to overheat, for example, take a steam bath, and also exercise with caution. It is also strongly recommended to stop drinking alcoholic beverages and smoking cigarettes for two days after the procedure.
7. After tooth extraction, pain often occurs at the extraction site. In this case, quite often not only the hole, but the whole head as a whole can hurt. Also, the patient may experience pain while eating, regardless of which side of the teeth he chews on. Experts recommend coping with these problems with the help of painkillers, such as Pentalgin or Tempalgin. In this case, it is advisable to take the drug in combination with Suprastin.

To relieve pain, you can take painkillers

Despite the fact that there is medicine in the hole, a person may still feel pain and some burning. Such unpleasant sensations will have to be ignored.

Important ! If the sensations intensify, it is recommended to consult a doctor again so that he can examine the wound and, if necessary, take action.

Video - Briefly about iodoform turundas

Stages of socket healing

1. 2-3 hours
   after
   a blood clot (thrombus) forms
   in the socket . It serves as a barrier to pathogenic microorganisms, preventing them from entering the wound.
2. The next 2-3 days
   - the blood clot thickens, shrinks, the wound
   becomes covered with a whitish coating
   (fibrin film), the formation of granulation tissue begins inside the hole, the basis for the restoration of mucous membranes.
3. After 3-7 days
   , the thrombus lightens, becomes whitish, the connective tissue has practically filled the hole, swelling and pain are minimal or completely absent.
4. After 7-10 days
   , the hole has shrunk significantly,
   new bone begins to form
   , which will completely fill the defect after 4-6 months.
5. After 2 weeks
   ,
   the gums have completely healed
   .

Prevention

There are a number of actions that the patient must take immediately after this procedure and which will allow him to prevent possible complications.

• How to deal with unpleasant odors in the home of a seriously ill person

1. After the extraction, the patient needs to tightly compress the dentition. This is necessary in order to press firmly on the tampon placed in the wound.
2. The medicine should not be removed by yourself.
3. The hole should not be touched with your tongue or fingers. This is necessary so as not to accidentally damage the blood clot that has formed in the wound.
4. If the patient experiences unbearable pain, it can be relieved with the help of analgesics that were recommended by a specialist. The dosage should also be prescribed by the doctor, since each patient reacts individually to the tooth extraction procedure.
5. During the period until the wound is completely healed, the patient should stop smoking. This process greatly interferes with the normal healing of the hole.
6. If the patient detects symptoms of complications, then, without delay, he should consult a dentist.

You should contact your dentist if complications occur.

The patient needs to be aware of symptoms that may indicate the occurrence of suppuration or any other complications. Having noticed any of the signs, the patient should immediately contact a specialist for advice and subsequent treatment. We must not forget that only proper maintenance of oral hygiene and compliance with all the necessary rules will help the wound heal much faster. You will find out the proportions of soda solution for rinsing teeth in the article.

What are the possible complications?

The intensity of pain must be carefully monitored. Unpleasant sensations must subside, otherwise it indicates the development of pathology. The gums hurt especially painfully after difficult removal if inflammatory complications develop:

• Alveolitis is an inflammation of the bone socket and surrounding tissues. accompanied by acute, throbbing pain, redness, swelling, the formation of yellow, greenish, dark gray plaque, cloudy pus with a putrid odor. The cause of the complication is poor hygiene in the postoperative period, ignoring the drug therapy prescribed by the doctor.
• Dry socket - there is no blood clot in the socket, it is dry, empty, there is a yellowish-gray coating, a putrid odor. The reason is that the clot was not formed due to a blood clotting disorder; the clot was removed from the socket by the patient during hygiene, intensive rinsing, etc.
• Socket bleeding - may be associated with a blood clotting disorder, excessive damage to tissues, blood vessels, or a fracture of part of the alveoli.
• Facial neuralgia is a rare complication that occurs due to damage to the facial nerve during tooth extraction. Accompanied by numbness in the cheeks, tongue, lips.
• Periostitis is a purulent inflammation of the periosteum that develops for the same reasons as alveolitis. Accompanied by acute, diffuse pain that cannot be relieved with an analgesic. Swelling is pronounced, can spread to the neck, temperature is above 38℃, general intoxication of the body is observed (headache, weakness, etc.).
• Osteomyelitis is a purulent-necrotic lesion of the jaw bone, accompanied by throbbing pain radiating to the ear, temple, fever, swelling of the gums and oral mucosa, spasms of the masticatory muscles, deterioration in general well-being, and enlargement of the submandibular lymph nodes.

Cheek pain after tooth extraction is a very common symptom, the duration of which depends on the complexity of the intervention. Normally, aching pain completely subsides after 2-3 days

. The picture is completely different when complications develop. With inflammatory complications, purulent foci form in the tissues, and the risk of spread of purulent contents through the general bloodstream increases many times over. There is a high probability of phlegmon, abscess, and destruction of bone tissue. Serious surgery and long-term rehabilitation are inevitable.

What painkillers can be taken in the postoperative period?

Most often, when local anesthesia wears off after a tooth extraction procedure, the patient feels pain in the area of ​​intervention. The best way to eliminate pain is to take NSAIDs. This group of drugs is the most effective in eliminating toothache.

1. The drugs "Nurofen" or "Ibuprofen" cope well with pain after surgery. It is necessary to take the drug 500-800 mg three to four times a day, depending on the intensity of the pain.
2. "Ketorol" is one of the most effective and powerful drugs from the NSAID group, which can eliminate pain after the procedure in a fairly short time. It is also used two tablets three to four times throughout the day.

You can take Nurofen, Ketorol

When do you need to see a dentist urgently?

• Severe, acute, throbbing pain that is not relieved by an analgesic, spreads across the face, radiates to the ear, neck;
• bleeding from the socket that does not stop, but rather intensifies;
• absence of a blood clot in the socket;
• bad breath;
• discharge of pus from the wound;
• the formation of yellow, dirty gray, green plaque on the wound;
• temperature rise above 38℃;
• numbness of a part of the face (gums, cheeks) for more than a day;
• pronounced swelling of the gums and cheeks, which does not decrease 2-3 days after extraction.

The best painkillers

Non-narcotic analgesics are used to relieve toothache. Most of them also have anti-inflammatory effects. Units should be pulled out with the obligatory subsequent administration of analgesics with anti-inflammatory effects.

Important! Painkillers after tooth extraction cause irritation of the gastric mucosa and the likelihood of increased bleeding. Therefore, they are stopped as soon as the intensity of symptoms decreases.

Most often, one of the following medications is prescribed.

"Ketanov"

Its effectiveness is tens and hundreds of times higher than that of other analgesics.
The most powerful medicine. Its effectiveness is tens and hundreds of times higher than that of other analgesics. It is especially useful if you need to numb a wound after a complex operation or a wisdom tooth. It has 2 release forms - tablets and injections. Non-steroidal anti-inflammatory and antipyretic drug based on ketorolac. Its analogue is “Ketorol”.

Capsules are taken symptomatically or 3 to 4 times a day at regular intervals with at least 100 ml of water. If necessary, increase the dose by 2 times. The maximum duration of the course is 1 week.

Injections are given intramuscularly, preferably in the thigh or shoulder. The daily dose is 3 mg for young people and 2 mg for older people.

Important! "Ketanov" should not be taken together with glucocorticosteroids, other anti-inflammatory drugs and drugs containing calcium. This combination will instantly lead to side effects from the digestive system.

"Nimesil"

The active ingredient is nimesulide. Relieves inflammation, swelling, reduces temperature and pain after wisdom tooth removal. Available in the form of powder, tablets, gel, suspensions and syrup for children. The optimal dose is 100 mg, which can be slightly increased when wisdom teeth are bothering you.

The optimal dose is 100 mg.

Analogues - “Nurofen”, “Ibuprofen”, “Diclofenac”, “Nise”, “Affida Fort”.

Important! "Nimesil" is contraindicated during pregnancy, lactation, people with pathologies of the liver, kidneys, heart, blood vessels, and children under 12 years of age. Often causes side effects from the gastrointestinal tract and nervous system.

"Analgin"

They produce capsules, suppositories, and pain-relieving injections for intramuscular and intravenous injections. Relieves fever and pain. The active ingredient is metamizole. Take 500 mg twice or thrice a day, including when wisdom teeth are cutting. If a fang, incisor or molar hurts in children, the dosage is calculated in the proportion of 5 – 10 mg per 1 kg of weight.

Relieves fever and pain.

Important! "Analgin" is not recommended for people with pathologies of the cardiovascular and hematopoietic systems, bronchial asthma, allergies to preservatives, and pregnant women.

Medicines with a similar effect are “Baralgin”, “Spazmalgon”, “Tempalgin”, “Antipirin”.

"Osksadol"

Non-narcotic analgesic based on nefopam. Does not affect blood clotting and does not have an antipyretic or anti-inflammatory effect. Available in tablets, sold by prescription. Can be used after tooth extraction during pregnancy under medical supervision.

Contraindications include: migraine, nausea, dry mouth, drowsiness, tachycardia, sweating. Take 60 mg 3 times a day.

"Movalis"

Powerful anti-inflammatory and analgesic agent.
Release form: injection, capsules, rectal suppositories. Powerful anti-inflammatory and analgesic agent. Not used during pregnancy and when planning it, as it reduces fertility, as well as during breastfeeding.

Important! Movalis causes adverse reactions from the nervous, digestive, respiratory, cardiovascular systems, and allergic reactions.

The medicine can be replaced with Meloxam, Xefocam, Amelotex, Diclofenac.

"Rofika"

Non-steroidal anti-inflammatory drug, available by prescription. The active ingredient is rofekoxide. Available in tablet form. The main indications are rheumatic diseases, but you can drink it after tooth extraction.

Important! "Rofika" should not be used by patients with bronchial asthma, cancer and severe cardiovascular diseases, children under 12 years of age, pregnant and lactating women.

Aspirin, No-Shpa and Paracetamol are ineffective after tooth extraction.
Analogs - “Artoxib”, “Denebol”, “Ranselex”, “Roff”, “Celcox”.

What can and should be done after tooth extraction

• 20-30 minutes after the intervention, carefully remove the cotton swab
  ;
• use cold compresses
  for 2-3 hours after the intervention (take a break every 10-15 minutes to avoid tissue hypothermia);
• for 3-5 days, make oral baths
  with antiseptic solutions (take the solution, hold it in your mouth for a minute, spit);
• When carrying out daily hygiene, avoid the injured area
  , you can start using the toothbrush on the 2-3rd day, it should be new, with soft bristles;
• chew on the opposite side
  ;
• Eating is allowed after the anesthesia wears off (not earlier than 3-4 hours later
  ).

3.Applying ice.

After tooth extraction in our Center, a specialist will give you ice specially prepared for such procedures to apply in the first hours after extraction. Ice is applied for a certain time, at certain intervals, which the doctor will instruct you about. At home, this procedure will need to be continued for some time (the first few hours after removal). This is done in order to minimize or completely eliminate tissue swelling.

Under no circumstances should you heat the area in the area of ​​the extracted tooth; in this case, suppuration will develop.

What is prohibited?

• To prevent accidental washing of a blood clot from the socket, it is forbidden to rinse your mouth. To treat the cavity, oral baths are quite sufficient;
• Hot compresses are prohibited, this stimulates severe swelling, the development of inflammation, and bleeding;
• You cannot puff out your cheeks, blow your nose too much, or sneeze;
• It is forbidden to touch the wound with your fingers, tongue, or objects;
• You can’t eat hot, cold, irritating foods; preference is for soft, warm, neutral foods;
• you cannot smoke or drink alcohol for at least a week - tobacco and alcohol slow down tissue regeneration;
• Hypothermia and overheating must be avoided - going to the sauna, swimming pool, solarium is prohibited for 5-7 days;
• Do not take aspirin or other blood thinners;
• do not engage in active sports, do not subject the body to excessive physical or sports stress.

What medications should you not take?

Some drugs are ineffective or cause complications. Taking them after tooth extraction is not advisable. Such medications include:

1. Aspirin. It has a weak analgesic effect and is more aimed at reducing temperature. In addition, it thins the blood, which can cause secondary bleeding and loss of the clot from the socket. Therefore, it is not used if the wound hurts after surgery.
2. "No-Shpa." A popular drug, mistakenly believed to be a good analgesic. However, it only relieves spasm, which is completely ineffective in relieving symptoms if a canine, incisor, molar or wisdom tooth is removed.
3. Paracetamol. Like aspirin, it reduces fever and has no analgesic effect. Can be used if it is necessary to relieve swelling when a wisdom tooth grows. However, it has a strong effect on the liver. The same applies to paracetamol-based drugs.

After extraction, the wound may hurt, so analgesics must be prescribed. They are taken for several days until the acute symptoms subside. The best remedies are “Ketanov”, “Nimesil”, “Ibuprofen”, “Analgin”.

How to reduce pain?

Analgesics will help relieve pain after removal of a molar (or any other tooth) - it is better if it is one of the non-steroidal anti-inflammatory drugs (NSAIDs). Antihistamines will help remove swelling, and antibiotics will help prevent inflammation. The doctor will prescribe effective medications according to the clinical picture. Medicines should be taken strictly as prescribed. Treatment for pain after tooth extraction depends on the cause of its occurrence. The most important thing after the intervention is to scrupulously follow the dentist’s instructions and recommendations. This will help reduce recovery time and avoid complications.

Author of the article Voznyuk Vladimir Aleksandrovich Maxillofacial surgeon-implantologist of the highest category

Work experience: 28 years.

Auxiliary medications for tooth extraction

If, after the tooth is removed, any complications begin at the intervention site, then modern pharmaceuticals can cope with them. With the help of various medications, the patient can not only eliminate the resulting secondary complications, but also strengthen his immunity as a whole. Quite often, specialists, to ensure against possible complications, in particular, various inflammations and suppurations, prescribe antibacterial drugs in the postoperative period. At the same time, the patient also needs to strengthen the immune system, which will help the wound heal faster. To do this, doctors prescribe vitamin complexes to the patient. Thus, in addition to the medicine placed in the hole and affecting its healing, the patient is recommended to take other drugs to speed up the process.

Your doctor may recommend taking medications to strengthen your immune system.

If during the procedure the patient was identified with any peculiarities or complications and tooth extraction was not without additional trauma, then a number of medications are prescribed in the postoperative period, since in this case there are additional risks of complications. The main thing is that the patient treats the postoperative period responsibly and does not neglect the doctor’s advice and the medications prescribed to him.

Important ! According to statistics, every third patient who has had a tooth removed needs to take antibiotics.