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Pain from the wisdom tooth extraction site

User Level:
Posted by: Jazzme  (9 years ago)
Hello Doctor!

When I was 16 years old, I went to the dentist because I got pus from my upper left wisdom tooth. The dentist drained it but she did not mention anything about the need to have it pulled. I continued to had an on and off pain on this tooth until I reached 20. I decided to have my wisdom teeth pulled, so I went to another dentist. I thought when I got my wisdom teeth pulled, the pain will go away, but it didn’t. I still have pain on the upper left side of my mouth where the wisdom tooth used to be . The pain goes so bad sometimes that I can't sleep at night. I went to
another dentist (3rd dentist) to have this checked. He took x-ray, checked on my gums and teeth but he could not see anything wrong. He said my teeth and gums are healthy. Does anyone have any ideas? I have a filled tooth and a partial but they are on the right side of my mouth. Can any of them be causing this pain?

I would be grateful for any answers!
User Level:
Posted by: ghnane  (9 years ago)
It may be that since you did not have it removed and experienced the pain for 4 years the area became sensitized and you developed a neuroma (an unorganized bundle of neural tissue) which is heypersensitized and continues to allow pain impulses even after the tooth was extracted. This is also referred to as phantom pain.

If you can find a oro-facial specialist or a dentist with certification in the area they can run a bunch of tests such as applying a local anesthetic block to the area to see if the pain stops. If it does not respond to anesthesia it will imply it is centralized pain. There are sodium channel blockers that are prescribed for you to take for the phantom pain once they decided whether it is centralized or localized pain.