Expert: Steven C. Scherr, D.D.S. - 8/24/2007

Question
Hi, I recently had my 2 lower wisdom teeth removed.  The dentist said it was probably the most difficult case he had.  He was drilling and pulling for at least 1 and a half hours until both were out.  He then looked in and decided to prescribe an antibiotic, inserted cotton balls and taped my mouth shut.

I went back the next day for a check up and he removed something that he referred to as a 'drain', then decided that he had to put another one in.  Then again he filled my mouth with cotton balls and taped it shut.

My problem is, I live in germany and I didn't quite understand what the dentist was telling me about what he was doing.  I don't really have any pain and I also have no problem closing my mouth all the way.  So I would just like to know what exactly is wrong and why he has to keep putting these things in my mouth.

If from this description do you know what it might be that is wrong?

Thanks
David Johnston

Answer
David,

I can provide only partial information I am afraid.  A drain is placed when there is deep seated infection or high risk of deep seated infection developing.  The drain is an elastic material that keeps the wound open enough for developing pus to escape rather than becoming trapped beneath the surface.

I have no idea why your mouth would be taped closed.  I have never heard of that being done here in the US.  The packing is to help control bleading.  It is great that you have been free of pain.  Look out for the possibility of a sudden increase in pain beginning about day 3 or up to day 7.  This would suggest the development of a dry socket, which is a delayed healing response that can become painful.  If this does occur, your treating dentist can dress the socket with medication to help keep you comfortable during healing.  Dry sockets heal fine with no long term complications, though healing does take a couple weeks longer than usual.  The main thing is to manage the pain if this does occur.  Surgical wisdom tooth sites are more susceptible to the development of dry socket than are other areas.  I only mention this so you will know what to look for and because of the language barrier you have described.

Best wishes,

Steve