Having Prolonged Pain after Tooth Extraction? Here is Why

In most cases, tooth extraction takes care of the pain immediately. In other cases, dental pain will decrease steadily over a few days. But the main reason behind prolonged pain after tooth extraction is a dry socket.

Types of Tooth extraction

There are many types of tooth extraction, and the right type for you depends upon the size, shape, location, and position of the tooth in the mouth. There are mainly three types

Simple extraction

It involves a tooth that is visible above the gums, and the dentist removes a single piece.

Surgical extraction

This type of extraction involves the removal of gum tissue, bone, or else both. It is a bit complicated compared to a simple extraction.

Wisdom teeth extraction

Wisdom teeth are the type of extraction that is generally first to be performed as in many people they are impacted. It is the most common procedure in oral surgery.Prolonged Pain after Tooth Extraction

Tooth extraction is an oral surgery done by removing the tooth and is performed by dentists for many reasons. Some reasons are listed below:

  • Gum disease
  • Dental cavities
  • Trauma or injury to a tooth
  • Dental infections
  • Wisdom teeth complications
  • Prepare for dental braces
  • Baby teeth not falling on their own

When is a Tooth Extraction Necessary?

Tooth extraction is necessary when a person’s tooth becomes diseased or is damaged in an accident. It is also necessary when there is excessive crowding in the patient’s mouth. However, some extractions are safe, and in a few cases, complications arise like bone infection after tooth extraction, which causes prolonged pain after tooth extraction. Some common reasons why tooth extraction is necessary:

Tooth decay

The primary reason is when there is decay in the tooth or a cavity is formed in the tooth. When a person’s teeth are not properly cleaned, and food remains in the gap, bacteria develop. Because of this, teeth get weakened and lose their structure. Dentists suggest tooth extraction in cases where there is a chance to spread this decay to neighboring teeth.

Wisdom Teeth Removal

This type of tooth extraction is done when there is an infection in wisdom teeth. It is the most common condition, and the doctor will suggest tooth extraction when there is a condition termed as impact wisdom teeth coming in. In this case, the dentist will remove the impacted teeth by proper surgical procedure.

Gum Disease

Gum disease affects the bone and gums, and patients as experience inflammation and reddening. If not treated for this condition, whole gum and bone can get affected.


If people have overcrowding teeth problems, then the dentist will suggest a tooth extraction. Due to overcrowding, there is not enough space for teeth, and then tooth extraction is the best option.

Accident or trauma

When accident-related injuries occur to the oral region, teeth become dislodged because the force dentist suggests tooth extraction. After surgery, dentists will guide you on the food to be consumed and other measures that should be followed to fasten the healing process.

dry socket pain relief

Prolonged Pain after Tooth Extraction, how long does the pain last?

If you are worried about how long pain lasts after tooth extraction, you should know that everybody is different. So the pain after tooth extraction varies from person to person. In some cases, pains go on their own after a few days, but some pain lasts a bit longer. Usually, the tooth extraction healing time is about two weeks. This is because new tissue will take time to grow. During this period patients should apply ice to reduce swelling and also wash their mouths with salt water.

Also Read: Pineapple Juice For Wisdom Teeth Removal? Myth Solved

If in some cases, the patient experiences prolonged pain after tooth extraction, especially following the healing of bone and tissue, then it is a matter of worry. There are several reasons for the prolonged pain after tooth extraction:

Sinus Perforation

A gap after tooth extraction leads to direct communication between your mouth and your sinus through the socket from which your tooth was removed. A blood clot should form after tooth extraction to close that opening. There are some precautions you must take to prevent sinus perforation after tooth extraction.

  • The clot is responsible for the closure of perforation.
  • Avoid blowing the nose as it will create pressure and will force the clot out of the socket.
  • Do not smoke, and if you do, never blow smoke from the nose.
  • Do not miss the medications prescribed by the dentist.


After any dental procedure or tooth extraction, there are chances that bacteria enter the body. Some infection in the mouth includes

In a few cases, patients develop a bone infection, so prolonged pain after tooth extraction. The medical term for it is Osteomyelitis, though it is a rare condition. This condition occurs when the opening after a tooth extraction is contaminated, and the infection spreads to the underlying bone. The main symptoms include:

  • Swelling or tenderness
  • Warmth or redness
  • Fever

throbbing pain after wisdom tooth extraction

Dry socket

There is a chance of a dry socket after tooth extraction, and the pain will develop after three days following the extraction. Usually, a blood clot forms in the area so that it heals. However, dry socket is not common after tooth extraction, but some factors increase their risk. Dry socket pain usually begins a day or two following extraction.

Aftercare for Pain after Tooth Extraction

The pain after tooth removal can last three to four days. During those days, you should ignore any activity that may disturb the clot area and it can be dislodged. Such activities include but are not limited to:

  • Physical activities that may cause strain to the body or increase the blood flow like weightlifting, running, etc.
  • Spitting
  • Smoking
  • Drinking aggressively through a straw

Following are some things you may try to speed up healing pain:

  • Do not smoke for at least one week.
  • Avoid hot drinks like coffee, soda, or other acidic beverages.
  • Avoid injury after extraction.
  • Avoid consuming food that can be stuck, like seeds, nuts, etc.
  • Avoid birth control pills.
  • In case of swelling, use an ice bag on the affected area immediately only for 10 minutes at a time.
  • Taking Tylenol or Advil can reduce the pain until your gums recover down into the extraction area as prescribed.
  • Rinse your mouth with warm saltwater.
  • More importantly, take at least three days off to allow the wound to heal.

Tooth extraction is an oral surgery performed to remove a tooth from the mouth. There are many reasons that people require tooth extraction that ranges from crowded teeth to infection. After tooth extraction, the dentist places gauze over the area to help control bleeding, promoting clotting and curing throbbing pain after wisdom tooth extraction. Aftercare following tooth extraction varies and entirely depends upon whether the tooth that is extracted has deeper roots or not.

Generally, patients find that pain decreases after three to four days. The main thing that should be taken care of after tooth extraction is the blood clot in the tooth’s area before the extraction. It is necessary to take care of this clot as the healing process will depend on that.