The amount of pain after tooth extraction depends on how difficult the procedure was, the size of the wound and individual sensitivity. What matters most is that it gradually eases after the first few days.
What course of recovery can you expect?
Sensitivity or aching may begin as the anaesthetic wears off. After surgical extraction, the second or third day is often the most uncomfortable. Mild symptoms can persist for one or two weeks, but steadily increasing pain should not be treated as a normal part of healing.
How can you relieve the pain?
Follow the medicine and dosage agreed with your clinician. Ibuprofen or paracetamol are often options after extraction; in suitable cases, they may be combined. The same medicine is not safe for everyone: anticoagulants, stomach ulcers, kidney or liver disease, pregnancy and medicine allergies require individual advice.
Do not exceed the prescribed dose. Two differently named products may contain the same active ingredient. Do not combine several anti-inflammatory medicines on your own. Do not apply medicines, alcohol or essential oils directly to the wound.
What is dry socket?
If the blood clot does not form properly or breaks down too early, a painful condition called dry socket can develop. Pain often increases a few days later, commonly around days three to five, and may radiate towards the ear. An unpleasant taste or smell can also occur.
This requires dental treatment. Gentle cleaning of the socket and, where appropriate, a local dressing can help. Antibiotics alone do not usually resolve dry socket; antibiotics are not needed after every extraction.
When should you contact your dentist?
Arrange a review if the pain remains intolerable despite the recommended medication, becomes worse after initially improving, or is accompanied by fever, pus or increasing swelling. Report persistent numbness of your lip, chin or tongue promptly if it continues beyond the expected duration of the anaesthetic.
Call 112 for difficulty breathing, inability to swallow or rapidly spreading neck swelling.
If the extraction involves a wisdom tooth, read more about wisdom tooth surgery .
For related advice on recovery and symptoms, see essential tooth extraction aftercare and swelling and healing after tooth extraction .
Clinical sources: ADA – pain relief after tooth extraction ; Guy’s and St Thomas’ NHS – pain and dry socket .