headache after tooth extraction، Pain is considered the most common symptom among humans . It includes not only the sensations aroused by harmful stimuli but also the reactions and responses to these stimuli. The sensation of pain depends on many factors, including the ability of the subject to distinguish where, how and how much it hurts, as well as the attention, emotional state, knowledge and motivation of the sufferer. Pain is therefore a subjective and complex experience.
headache after tooth extraction
The headache and among them the pains originated in the mouth, represent 20% of the medical consultations and 40% of the dental consultations. This type of pain can be a mild process such as musculoskeletal pain in the anxious subject caused by tension especially in the muscles of chewing when tightening the teeth (bruxism), or serious diseases such as the pain of a malignant tumor, a hematoma or intracerebral subarachnoid hemorrhage.
The emotional significance of the mouth and face, as well as the high prevalence of diseases and oral dental and surgical treatments, can explain the frequency of pain originating in the orofacial region. The basis of an adequate treatment will be a correct diagnosis.
Dry socket (osteitis alveolar) is a painful dental disease that sometimes appears after a permanent tooth has been permanently removed. Dry socket occurs when the blood clot at the site of tooth extraction does not develop, move, or dissolve before the wound has healed.
Normally, a blood clot forms at the site of the tooth extraction. This blood clot works as a protective layer on the bone below and on the nerve endings of the empty dental cavity. The clot also provides the basis for the growth of a new bone and for the development of soft tissue over the clot.
The exposure of the bone and the hidden nerves cause intense pain, not only in the cavity but also along the nerves that extend to the side of the face. The cavity becomes inflamed and can be filled with food debris, which can contribute to the pain. If you start to have dry socket, the pain usually starts one to three days after the extraction of the tooth.
Dry socket is the most frequent complication that arises from dental extractions, such as the extraction of third molars (wisdom teeth). OTC medications alone are not enough to treat the pain of dry socket. The dentist or dental surgeon can offer treatments to relieve pain.
Signs and symptoms of dry socket may include:
Severe pain a few days after a tooth extraction
Partial or total loss of the blood clot at the site of the tooth extraction, which you may notice as an empty-looking cavity (dry)
Visible bone in the cavity
Pain that extends from the cavity to the ears, eyes, temple or neck, on the same side of the face where the extraction occurred
Bad breath or unpleasant odor coming from the mouth
Unpleasant taste in the mouth
When to see the doctor
It is normal to feel some degree of pain and discomfort after a tooth extraction. However, you have to be able to control the normal pain with the analgesic prescribed by the dentist or by the dental surgeon, and this should decrease over time.
If you have another pain or it gets worse in the days after the tooth extraction, contact the dentist or the dental surgeon immediately.
The exact cause of dry socket is still under study. Researchers suspect that certain tissues may be involved, including:
Bacterial contamination of the alveolus
Traumatism at the surgery site after a complicated extraction, as with a retained wisdom tooth
The factors that increase the risk of suffering from dry socket include the following:
Smoking The chemicals in cigarettes or other forms of tobacco can prevent or delay healing and contaminate the wound site. The action of sucking smoke from a cigarette can displace the blood clot prematurely.
Oral contraceptives The high estrogen levels of oral contraceptives can alter normal healing processes and increase the risk of developing dry socket.
Inadequate care in the home. Failing to comply with home care guidelines and having poor oral hygiene may increase the risk of dry socket.
Having had a dry socket. If you have had dry socket, you are more likely to contract it after another extraction.
Infection of the teeth or gums. Current or previous infections around the extracted tooth increase the risk of dry socket.
Painful dry socket rarely causes infection or serious complications. However, possible complications may include delays in healing, infection in the cavity, or progression to a chronic bone infection (osteomyelitis).