Why toothache after extraction: As explained by a Dentist

A little backstory

I had this toothache for a while. One of my tooth had a very deep hole which I nursed for several years, but was too scared to remove. People say removing a tooth means you have to remove several others. They also said, the real pain starts after exraction.

So I endured; used toothpaste and herbal solutions, but it didn’t get any better. I even learnt and mastered the art of eating with only one side of the tooth. It was cool, except on days when a stray grain of rice found its way into the hole. The pain gets terrible. it goes straight into my brain.

the last straw that broke the camel’s back was the tiny piece of biscuit that found its way¬† into the hole. the pain went staright to te brain. ANd persisted for a long while. More persistent than others have been.

So I went to the dentist, and sat on the famous dentist chair for the first time ever. I must admit, it was quite comfy. I really don’t understand why it has so much bad PR.

Anyway. I announced my fear to the dentist immeadately I walked in, and he engaged me in small conversation for a while to calm me down.

And I got the chance to ask the question. I asked why toothache happens after extraction.

Causes of toothache after extraction

The dentist explained to me the possible causes of toothache even after removing a tooth. From the explanation, most people still have terrible toothache after extracting a tooth, because they do not replace the tooth. As soon as the extraction is done, and the initial pain subsides most people forget the dentist’s instruction to come back for replacement.

I will explain what I learnt in very clear terms. No technical jargons…….

  • Elongated growth of the partner tooth making the chewing process uncomfortable

So every tooth has a partner. One on top,and one under. If one is removed, the partner teeth senses this, as there is no more obstacle or obstruction during chewing. So it tries to make up for this. It tries to adapt and elongates. It grows slightly longer than the others because there is no obstacle/partner to restrict it’s growth. Now, this slightly longer teeth, could start disturbing the gum beneath it.

  • Movement of surrounding teeth to fill the vacuum

Also, the teeth close to the extracted one might try to move to fill that vaccum. Filling that vaccum is impossible, but the body doesn’t know this, so it will try. That movement can cause pain.

  • Infections/Bacteria

Now that spot from which the tooth was extracted, is deeper that the other areas. Tooth brush does not get there often, so it can become a breeding house for bacteria, which can cause toothache. Food particles get stuck there, decay and can cause severe pains in the gum.

  • Maintaining those poor dental habits that caused a hole in the first tooth

Even after remoing a tooth, some people do not improve on their dental health. They keep on with the bad habits that caused a hole in the extracted tooth. Some of these bad habits include: Not brushing regularly, not cleaning the teeth after eating sugary food, etc.

How to prevent toothache after extracting a tooth

First things first, cover that spot up!!!! Get a replacement. It is advised that people visit the dentist two months after the tooth was extracted to get a denture replacement.

One category, the new tooth is made up of rubber/plastic. It can chew, but does not chew hard stuff. It ranges between 10,000 naira to 40,000 naira depending on the quality.

The other category is the 3 unit dental bridge. I am fascinated by this process. Maybe its because, I was shown a YouTube Video illustrating how it works.


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