What to do if the gum hurts after the tooth removal surgery?

Surgery on removing a tooth, even if it was a simple case, often leads to some complications. For the most part, gum suffers from it, as this area is directly prone to intervention.

Painful sensations as a symptom of these complications appear most frequently.

Inevitable gingival tissue injury results in pain anyway, but all unpleasant feelings disappear in two, sometimes three days. This is considered to be a normal healing process.

However, if after that period pain and accompanying symptoms stay, you need to take measures. This is needed in order to prevent serious illnesses and problems that may arise due to various reasons after the removal of a tooth.

Causes of painful sensations

There are three main reasons why the pain can be severe and not leave for quite a long time. All of them belong to complications and require medical intervention.

• Alveolitis. So-called inflammation of the hole left after the removal of the tooth. The most common after non-compliance with recommendations of the dentist for oral care. The infection gets into the open traumatized tissue, causing inflammation, sometimes – purulent infection and severe swelling.
• Neuritis of the trigeminal nerve. Sometimes the roots of the teeth of the lower jaw can get to the trigeminal nerve, and the removal may hurt it. In this case, there is no indication of any changes in the gums, and pain is not localized.
• The remains of roots or cysts. Sometimes the physician may not notice parts of broken root or cysts, which then causes inflammation in soft tissues, and as a result swelling and pain.

All this can cause not only local manifestations but also a general malaise. Treatment may include additional surgery or medical therapy.

Recommendations and general therapy

First of all, you should consult a specialist in any of the cases that go beyond the normal healing process. Appropriate treatment is prescribed only after examination and diagnosis making:

• the presence of purulent inflammation of the gums involves incision to remove it and the appointment of antibacterial drugs;
• for neuritis – treatment systems aimed at fully restore the nerve.

Also, be sure to follow the recommendations on restoration after the treatment – taking the trace elements and vitamins, substantial nutrition, and other actions, which imply general support for the body.

Medications that are suitable for the most of the cases

First of all, it should be mentioned about the required mouthwash with different antiseptic solutions. They prevent the development of inflammation, improve the outflow of pus if festering focus is on the surface. You may use these ready-made products:

• Furatsilin;
• Chlorhexidine;
• Miramistin;
• Geksoral;
• Chlorophillipt;
• Tantum Verde;
• Trachisan;
• Iodinol.

Among them, there are Septolete, Geksaliz, Faringosept, Grammidin, and others. Using them several times, each day eliminates the need for rinsing.

Taking painkillers

To remove the pain symptoms within 4-7 days doctors recommend various means, depending on the strength and nature of painful sensations.

• Nonsteroidal anti-inflammatory. This is a large group, which consists of a fairly strong Ibuprofen, Diclofenac, Ketanov, Ketorol, Meloxicam. You can choose the drug that works best for a particular person. Desirably, not to use aspirin, from this entire group of drugs, since diluting the blood, it may increase bleeding.
• Finlepsin. It relates to anticonvulsant drugs. According to reviews it successfully eliminates the attacks of pain in the trigeminal nerve damage. It should be taken with caution.
• Use of local anesthetics. Among them, there are drugs that contain benzamine hydrochloride (Tenfleks, Oralsept, Tantum Verde).

You should take painkillers not more than for a week, sticking to clearly described in the dosage instructions.

Antibiotics

Only cases where the inflammatory process develops require taking such drugs. Standard period – from 7 to 10 days.

Thus, it is necessary to give preference to the antibiotics of a wide action that are most commonly used in dental practice, for example, Oletetrin, Neomycin, Lincomycin, Gramicidin.

If symptoms indicative a nerve damage, with no, clearly localized pain in the gums, but only when pressing, you should not start using antibiotics.

Possible medical manipulations

Sometimes medical intervention is absolutely impossible to do without re-surgery. This does not negate the use of antibiotics in these cases, as well as anesthetics and antiseptics.

So what actions can be performed:

• drainage of the remaining holes, that is, setting a tube or a piece of gauze in it, which will leave ichor and pus;
• sanitation – complete cleaning of the hole from the pus, the remaining roots, various secretions and so on;
• suturing – sutures are made, thereby closing the hole and preventing the reappearance of inflammation or pus.

Methods of treatment at home

Traditional methods

The most widely used are three ways that can effectively eliminate the pain. Drugs are not used here, they are very simple and safe.

Cold compresses

The highest efficiency of this method is observed in the first two days after the removal, and then it gradually decreases.

This is done very easy – you need to soak a towel in very cold water, slightly wring out and attach to the outside (on the cheek) in an area where there is a pain in the gums. Cold significantly dulls the senses and prevents the development of pathogenic bacteria.

Instead moistened towels you can use ice, frozen piece of meat, or a bottle of cold water.

Rinsing

A solution of baking soda or normal salt is perfect for such a rinse. One teaspoon in a glass of water is enough. Held procedure up to four times a day.

However, it is not desirable to do so in the first or second day to inadvertently remove a blood clot that seals the wound.

Healing baths

Baths are perfect for even the first days after the operation. There are no sharp fluctuations of fluid in the mouth, so there is no danger of re-injuring the wound. Previously, you should prepare a decoction of medicinal herbs that have an antiseptic effect.

A little liquid is necessary to take in your mouth, just hold it, in any case without making the slop motions, and then spit it out. As the rinsing procedure, this one is carried out for about 4 times daily.

It should be noted that all the solutions or broths, which are used for rinsing and the trays should be barely warm. It is impossible to rinse using neither cold nor hot liquid.

Sometimes, besides these methods, plugging can be applied. For this, a gauze is abundantly wetted with decoction and pressed close to the location of the gums, which hurts.

Homemade recipes for herbal rinses, baths, and other procedures

Below we present some of these recipes.

Calendula

You need to take 2 tablespoons of the flowers of this plant. They should be finely ground. For this, it is good to use a deep china.

Then, the decoction you have made, pour with boiling water and leave for an hour. Rinsing can be conducted after straining and cooling to room temperature.

St. John’s Wort and Chamomile

You will need 2 tablespoons of St. John’s Wort and chamomile – 1. After mixing and pouring it into boiling water, the mixture should stand for about an hour and a half.

Sage and calendula

Equal portions of herbs (one tablespoon) pour with boiling water (1.5-2 cups). Mix well and keep for 10-15 minutes in a water bath. Leave to cool under the tap.

St. John’s Wort and pine needles

St. John’s Wort – 4 spoons and needles – 1. The mixture is poured into boiling water (1 cup) and held for 5 minutes on low fire.

After the mixture has stood for about an hour, it should be re-put on a very small fire and you need to wait until the liquid evaporates in a half. It is used to wet swabs.

What to do during pregnancy?

Taking analgesics during pregnancy can harm the baby. However, all doctors agree that severe pain experienced by a woman can do far more harm. That is why in some cases it is better to take the medicine than to endure.

Now a bit about the timing. The second trimester is- the most secure period. Exactly then receiving nonsteroidal anti-pregnant group is not prohibited. Of course, you need to limit the dosage, but these drugs do not harm, but help.

The rest of the time you can take paracetamol, which also has an analgesic effect. It is normal and not harmful to take up to 4 tablets of 500 mg per day. Maximum one-time dose – 1000 mg, i.e. 2 tablets.

Rinsing and baths, using salt, baking soda and a variety of herbal teas, is not harmful to pregnant women. You should stick to given dosage amounts of dried herbs and procedures per day.