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5 Common Problems After Tooth Extraction

Tooth extraction is a common procedure. You may need a tooth extracted for shifting teeth, joint problems in the jaw, damaged teeth, or for future placement of dental implants. Before tooth removal, your oral surgeon numbs the area around the affected tooth or teeth with a local anesthetic. The targeted tooth is then removed from the socket. If your tooth doesn’t break through the gum line, your surgeon will have to make a minor incision into your gum to access the targeted tooth.

Here are the five common complications that you can experience after tooth extraction:

Swelling and pain

It is common to notice swelling around the operated area, particularly after tooth removal and periodontal surgery. Using an ice pack around the area can help prevent a significant amount of swelling. Use an ice pack for the initial 18 hours of the surgery. Sleeping with your head elevated can also help reduce swelling. However, if you notice an increase in swelling after three days or worsening pain, it is best to consult your dentist to mitigate the risk of infections.


Bleeding in the affected area is a common problem after tooth extraction. It can be controlled by keeping constant pressure on the surgical site by biting down on a piece of gauze for the initial hours after the surgery. However, if the bleeding continues after the first few hours, it is best to notify your dentist.

Dry socket (alveolitis)

Dry socket occurs when bone exposure in the socket causes a delay in the healing process. It is extremely painful.  It can occur when the normal blood clot is lost in the socket after extraction. Dry socket occurs 2 to 3 days after the extraction with worsening pain when there normally should be an improvement.  Dry sockets occur commonly in smokers. Drinking from a straw can also cause a dry socket.  Smokers should avoid smoking for several days before and after the surgery.


Osteomyelitis is a fungal or bacterial bone infection. Osteomyelitis of the jaw is an infection of the bone that occurs in the lower jawbone. If you notice a fever, worsening pain,  or swelling, consult your dentist. Your dentist may do imaging (x-ray or cone-beam CT scan) or take a culture to confirm the infection and recommend antibiotics.

Osteonecrosis of the jaw

Osteonecrosis is a disorder that involves damage to the jawbone due to exposure of the jawbone through the gum tissue. The condition can occur after a tooth extraction or an injury. There may be loosening of teeth, pain, and discharge of pus.  Some medications put you at risk of developing osteonecrosis. Your dentist will scrape away some of the damaged bone and prescribe you antibiotics and antibacterial mouth rinses for treatment. You may need advanced therapy to promote wound healing such as treatment with hyperbaric oxygen.

About Premier Oral Surgery

If you are looking for a facial trauma surgeon, Premier Oral Surgery is the perfect one-stop solution for you. We offer comprehensive oral and maxillofacial surgery services. We hold extensive specialization in various oral surgeries, including implant placement, bone grafts, and wisdom teeth removal. To book an appointment, you can call us at 203-939-9390 or write to us at

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