Tooth Pulled But Pain Came Back 3 Weeks Later

I got my tooth pulled out last month and I had no pain what so ever. Then three weeks after I start getting pain where the tooth was pulled! The last time I had my tooth pulled it hurt for a few days after then it was fine so why isn’t it this time? I think I have an infection but on the Internet something about a dry socket came up. I also smoked after the tooth being pulled could that of caused something?


Dear Suzanne,

One of the instructions given following a tooth extraction is not to smoke or suck through a straw for 48 to 72 hours because it can cause a dry socket but not in all cases. Usually a dry socket happens within a week following an extraction. Since it has been three weeks it could be that part of the root tip broke off during the extraction and is lodged within the tissue. This can cause severe pain and discomfort. At times it can work its way out or may need to be extracted. Sometimes while extracting a tooth the bone can loosen and small bone spurs or splinters of bone work their way to the surface. These can be removed with ease however can also cause discomfort. If the tooth that was extracted was on the upper arch there could be the possibility that the extraction caused a sinus opening because the back upper teeth are positioned closely to the maxillary sinus. If this is the case you can be stitched in that area and given an antibiotic.

We advise you to make a follow-up appointment and have the area examined and an x-ray to see if there are any fragments left in the socket that may need to be removed.

This post is sponsored by Cleveland implant dentist Hylan Dental Care.

Dental implants vs. removable partial dentures


I currently have removable dentures and I am sick of them! I have been missing several upper teeth for over 20 years. I am considering dental implants and was wondering if that would be a good way to go even though it has been many years?

Currently I have nine teeth missing on top and three missing on the bottom.

– Dolores in Minnesota


Dental implants are the best way to replace missing teeth. They are a permanent solution that looks, feels, and functions just like your natural teeth used to.

There are three main problems when it comes to removable partial dentures and they are outlined below.

  • First off, they can place additional stress on the the teeth that are used to fasten them in place. Over time, patients can actually end up loosing those teeth that they are attached to. This is especially frequent in individuals that are missing many upper teeth as you have mentioned.
  • Removable partials also trap food particles in the clasps that are used to attach them to the teeth. This means that tooth decay can become a serious problem in those areas.
  • Patients also complain of the discomfort caused by removable partial dentures. The upper partial sometimes covers up your palate. In these cases patients have complained of having issues with gagging.

Dental implants will not present any of these problems that you are facing with partial dentures. There is some healing time during the two main parts of the dental implant procedure. And although they tend to cost more, the quality of life you will experience will be well worth it.

When searching for an implant dentist, it is imperative that you proceed with caution. Many dentists make the claim to be implant dentists and in actuality may not have any additional implant training to speak of. And since the designation is not a regulated field within dentistry you need to research the dentist and really look into their credentials and experience with dental implant cases.

It is also quite possible that you may require bone grafting. This step will need to happen before you get the implants placed and is largely due to a condition called facial collapse. What happens over 10 to 20 years of not having teeth is that your body resorbs the jawbone to be used elsewhere in the body. Bone grafting will build the bone back up so the implants can be surgically implanted.

This post is sponsored by Cleveland implant dentist Hylan Dental Care.

Related link: dental implant failure

Diabetes and Nitrous Oxide

I have a fear of dentist because I have long roots and had to have a tooth extracted that had a major infection. The infection was so severe the dentist could not get me numb with the local anesthetic. Now I am having a problem with another tooth and went in for a consultation. I asked if I could have nitrous oxide during my treatment and the dentist said that the gas would compromise my diabetes and that he would not administer it to me. Does nitrous oxide cause problems with diabetics?

Thanks, Janice

Dear Janice,

Nitrous Oxide is one of the oldest and safest forms of sedation at the dental office even if you suffer from diabetes. What’s important is that you maintain a normal blood sugar level during your dental treatment so make sure there is something in your tummy, keep your appointments short, and in the mid-morning hours. In case of an emergency have some source of sugar on hand for either a hyper or hypoglycemic episode. Make sure you take your medication at your normal time. If you are having dental surgery and are a non-insulin dependent diabetic undergoing treatment then it’s recommended you stop your medication the morning of your surgery and resume it at your regular dose and time after surgery. If you take insulin then take half the daily NPH dose the morning of your surgery and don’t take your regular insulin. Then after surgery you can resume food intake, normal NPH, and insulin regimens.

We recommend you seek a dentist that understands the management of a diabetic patient. In the future if you seek IV sedation you may want to get clearance from your endocrinologist.

This post is sponsored by Cleveland implant dentist Hylan Dental Care.

Will a tooth infection poision my body?

I am wondering what kind of symptoms are to be expected if I have a tooth infection that has not been treated for awhile? I have been experiencing on and off aches, most often in my legs, and my temperature has been up to 102.4 (F) at times. At first I just thought I had a bug of some sort but now I’m starting to think it is because of my teeth. I have had abscesses in the past and several of my teeth are exposed to food and drink because the cavities have fallen out. Do you know if my body can be poisoned from an infection in my tooth?

– Ron in Washington


The symptoms you have described can all be caused from a tooth infection. So the answer is, yes, a tooth infection can poison your system. You need to see a dentist immediately to find out what kind of treatment is needed. The teeth may require root canal treatments to heal them.

It is also possible that when you see the dentist they may recommend having multiple tooth extractions if the teeth are in that bad of shape. Unfortunately, this may cause you issues later because you will have trouble eating. Then, it may be possible to have all your teeth extracted which leads to a condition known as facial collapse. What happens when you are missing several teeth is that the bone is resorbed to be used elsewhere in the body. Some facial collapse patients can’t even wear a denture after their jawbone has shrunk significantly.

Dental implants will prevent facial collapse. So if your teeth are at all salvageable, then you may want to consider replacing them with implants.

I hope you feel better soon.

This post is sponsored by Cleveland implant dentist Hylan Dental Care.