In the article, we will consider what to do if after removing the wisdom tooth the mouth does not open.
First you need to figure out what a wisdom tooth is. Why does it deliver so much pain?
It is different from other human teeth. The tooth of wisdom in a row in a row is the eighth, officially it is called the third molar or eight. The wisdom tooth got its common name precisely because it appears in people in adulthood.
Carrying out the extraction of eights is in itself a lengthy and complex procedure. This is due to the restriction of access to the methodology. When the tooth is located at an angle or in general in the absence of eruption, the situation with its removal is complicated many times.
Most patients cannot remove their jaw after tooth extraction. The factors that can worsen a person’s condition after the operation, doctors call such diseases as caries, periodontal disease, high blood pressure, smoking and drinking alcohol too often.
It is necessary to consider the reasons why after removing the wisdom tooth the mouth does not open, as well as all the treatment methods in such a situation.
The specifics of wisdom tooth extraction
The removal of the figure eight is carried out in several stages and is determined by the type of placement in the bone. If the tooth is normally located in the bone, the specialist first produces anesthesia: conductive and, if necessary, infiltration. After this, detach the dental circular ligament. This structure, presented in the form of connective tissue, combines the tooth with the gum located in the bone. Then apply forceps, make swinging movements of small amplitude. Having unbalanced, slowly withdraw (traction). After this, the hole is checked with a curettage spoon, forming a clot for restoration, and the bone tissue of the maxillary alveolar process is compressed in the vestibulo-oral direction in order to prevent the occurrence of bone protrusions (exostoses). If the wisdom tooth is located in the position of retention and halfureth, then the tactics of medical intervention is carried out differently.
The semi-reinforced eight is determined visually in the oral cavity by the following indicators:
- placement at an angle to the adjacent tooth;
- partial manifestation of tubercles 1_3;
- the uncut part and the tubercles (partially) can be covered with a hood of the mucosa;
- if prolonged pressure was exerted on a tooth adjacent, a change in the latter takes place in the form of the appearance of complicated forms of caries on its surface;
- The x-ray shows the angular placement in the bone, partially appears on the surface.
A refined wisdom tooth in most cases is determined by a panoramic study, during which the direction of the location in the bone, the alleged defects of the dental tissue are studied.
Extraction of the eight at the stage of semi-prosthesis and retention is performed in the following order:
- Anesthesia area.
- An incision from the vestibular side of the wisdom tooth with a scalpel with the creation of a trapezoidal zone, facing downward, detachment of the mucous flap.
- Through boron, a hole is drilled in the cortical plate of the bone that corresponds to the position of the figure eight: during the procedure, they are guided by both the visual information of the oral cavity and the result of the X-ray examination. The drilled section is deleted.
- A cut is made of the roots of the eight with a cutter, if necessary supplementing the crowns and preparation. A layer-by-layer removal of parts of the wisdom tooth is performed.
- Curettage, antiseptic treatment, application of material to prevent the inflammatory process.
- The mucous patch is laid back, sutures are fixed on the wound.
When any of the ongoing types of procedures is completed, the specialist gives a number of recommendations regarding home care.
Many have poor mouths after removing a wisdom tooth.
The consequences of removing the figure eight
Removing a wisdom tooth is thus a difficult procedure in dentistry. And in the period after the operation, a variety of side effects may appear, for example, bleeding, swelling, and an increase in temperature. In addition, after removing the wisdom tooth, the mouth does not open and the jaw hurts.
Such complications can occur, despite the fact that the procedure was performed as professionally and accurately as possible, and the patient followed all the recommendations of the dentist.
Jaw problems
Situations when the patient has difficulty opening his mouth after removing the figure eight are quite common. Such an unpleasant effect appears due to minimal structural damage to the soft tissues. The blood circulating in these tissues is released, filling the cavity, due to which edema develops. Just such swelling does not allow the jaw to open. In addition, jaw closure may be associated with a reaction of the human body to conduction anesthesia.
Why does it hurt to open my mouth after tooth extraction?
Signs of this pathology and the causes of their appearance
In addition to difficulties opening the mouth, a patient who has recently had a wisdom tooth removed may feel pain. Experts call this phenomenon Trism, when there is an uncontrolled spasm of pain in the masticatory muscles after stretching them. Unpleasant sensations can occur due to the influence of the following reasons:
- dysfunction of the temporomandibular joint;
- injuries of the temporomandibular joint due to the long stay of the patient with an open mouth.
Many people wonder whether it is always painful to open your mouth after removing a wisdom tooth, and is it normal.
When is Trismus a common occurrence, and when is it worth worrying?
A condition in which it is not possible to open the jaw after tooth extraction is a normal reaction of the body in the period after surgery. Puffiness in most cases passes after three to four days, pain decreases on the second day after the procedure. In case of acute pain against a background of high body temperature, persistent edema and putrefactive odor coming from the mouth, you need to seek qualified medical help.
What should I do if it hurts to open my mouth after tooth extraction?
The specifics of the treatment of this unpleasant pathology
The treatment procedure in the period after the operation is determined by the individual characteristics of the person and lasts from three to twelve days. At this time, in addition to strictly following the recommendations of the dentist, the patient needs to do gymnastic exercises for the jaw, trying to develop it.
Overcoming pain, you need to open your mouth, imitating chewing movements. If the patient has severe swelling, compresses from herbs should be applied. In addition, it should be noted that in the practice of dentists there are often cases when the negative consequences of removing a wisdom tooth do not occur, and a person with pain opens his mouth only because of pain relief.
Secondary Well Cleaning
If pain occurs when opening the mouth after tooth extraction, re-cleaning of the hole may be required.
At times, there are times when the roots of a wisdom tooth are bent, or a cyst has formed due to caries in a neglected state. In such a situation, the whole root cannot be removed at once, and for the patient to recover completely, the dentist needs to do another procedure. Quite often in this case, conduction anesthesia is prescribed. Only with repeated cleaning of the hole does a person manage to avoid discomfort and pain.
The use of antibacterial drugs for this pathology
To achieve the greatest effect in the fight against the fact that it is difficult to open your mouth after tooth extraction, a medication is prescribed, depending on the individual characteristics of the patient's body and the nature of the disease:
- if the neurotic factor became the cause of the appearance of muscle spasm, sedatives are prescribed to the patient;
- in the case of trismus due to the development of inflammatory operations in the oral cavity, antibiotics are prescribed to eliminate the infectious focus.
In most cases, the dentist prescribes such anti-inflammatory drugs: Linkomycin, Dalacin, Ciprolet, Amoxicillin, Ciprofloxacin. Antimicrobials - “Sulfacil”, “Streptocide” are used as analogues.
Physiotherapy - how effective are they?
To achieve a comprehensive therapeutic effect, physiotherapeutic procedures are used that help reduce the intensity of the inflammation process and the feeling of pain, and also have an antibacterial effect. The main physiotherapy procedures are as follows:
- ultraviolet radiation;
- fluctuation;
- UHF therapy;
- darsonvalization;
- magnetotherapy;
- phototherapy;
- laser therapy;
- drug electrophoresis;
- centimeter microwave therapy.
Physiotherapy cannot become the main treatment, because they do not have high efficiency. Such therapy is used only in a complex, along with other therapeutic manipulations.
Other medical procedures
In order to achieve a recovery sooner, they can take advantage of not quite conventional therapeutic methods, for example, heat therapy or massage. Massage movements with a soft toothbrush can improve blood circulation, which was disturbed during the intervention when removing the figure eight. Heat therapy accelerates healing, characterized by the use of mud, ozokerite and paraffin baths.
What do dentists recommend to people who cannot open their mouth after tooth extraction?
Recommendations for the prevention of this pathology: dental advice
In the first few days after the operation, you need to refrain from taking solid foods and various loads on the jaw. It is also possible that you will need a sparing diet consisting of jelly, liquid cereals and grated soups.
Depending on the characteristics of the recovery, a gradual transition to the usual diet is carried out. Most often, on the 7-10th day, the patient can open his mouth normally and eat ordinary dishes.
In some cases, dentists recommend rinsing the oral cavity with warm solutions of Chlorhexidine, Furacilin, potassium permanganate. Do not forget that your mouth is rinsed no earlier than a day after the operation to remove the wisdom tooth, otherwise the healing of the hole may be delayed, and the pain will intensify.
We examined what to do when after removing the wisdom tooth the mouth does not open.