Common Complications After Tooth Extractions

Tooth extractions are a common dental procedure performed to relieve pain, prevent infection, or prepare for orthodontic or restorative treatment. While most extractions heal without issues, it’s important for patients to understand that complications can sometimes occur during the healing process. Knowing what’s normal - and what’s not - can help you recover more comfortably and seek care promptly if needed.

Below are some of the most common complications that may arise after a tooth extraction and what you should know about each one.

Dry Socket

Dry socket is one of the most well-known complications following a tooth extraction, especially after wisdom tooth removal. It occurs when the blood clot that normally forms in the extraction site becomes dislodged or dissolves too early. Without this clot, the underlying bone and nerves are exposed, leading to significant pain that can radiate to the ear or jaw.

Symptoms typically appear a few days after the extraction and may include severe pain, bad breath, or an unpleasant taste. Dry socket requires professional treatment to relieve discomfort and support proper healing.

Infection

Although dentists take precautions to minimize risk, infections can still develop after an extraction. Bacteria may enter the site, especially if oral hygiene instructions aren’t followed or if there was an existing infection before the tooth was removed.

Signs of infection include persistent swelling, increasing pain, fever, pus, or a foul taste in the mouth. Infections should be addressed quickly to prevent them from spreading to surrounding tissue or bone.

Excessive Bleeding

Some bleeding is normal immediately after a tooth extraction, but it should gradually slow and stop within several hours. Excessive or prolonged bleeding may occur if the blood clot doesn’t form properly or is disturbed by actions such as smoking, spitting, or vigorous rinsing.

If bleeding continues despite applying pressure with gauze, it’s important to contact your dentist for guidance.

Swelling and Bruising

Swelling and mild bruising around the jaw or cheeks are common after an extraction, particularly for more complex procedures. This is part of the body’s natural inflammatory response and usually peaks within the first two to three days before improving.

However, swelling that worsens over time or is accompanied by severe pain or fever may indicate infection or another complication.

Nerve Injury

In rare cases, tooth extractions - especially lower wisdom teeth - can irritate or injure nearby nerves. This may cause temporary numbness, tingling, or altered sensation in the lips, tongue, chin, or gums.

Most nerve-related symptoms resolve on their own over time, but persistent numbness should be evaluated by your dentist.

Delayed Healing

Some patients may experience slower-than-normal healing due to factors such as smoking, certain medical conditions, medications, or poor oral hygiene. Delayed healing can increase the risk of infection or discomfort and may require additional follow-up care.

When to Seek Care

While mild discomfort, swelling, and soreness are normal after a tooth extraction, certain symptoms should not be ignored. Prompt care can prevent minor issues from becoming more serious complications.

You should contact your dentist or healthcare provider if you experience any of the following:

· Severe or worsening pain several days after the extraction

· Persistent bleeding that does not improve after applying pressure

· Swelling that increases instead of subsiding after a few days

· Signs of infection such as fever, pus, redness, or a foul taste or odor

· Difficulty opening your mouth, swallowing, or breathing

· Numbness or tingling that does not improve over time

· Pain that radiates to the ear, jaw, or neck

These symptoms may indicate conditions such as dry socket, infection, nerve irritation, or delayed healing, all of which require professional evaluation and treatment.

Don’t Ignore the Signs - Get Relief Today at Valley Dental

While tooth extractions are generally safe and routine, complications can occur during recovery. Understanding the warning signs of common post-extraction issues - such as dry socket, infection, or excessive bleeding - can help you take action early and protect your oral health. Following post-operative instructions closely and attending follow-up appointments play a key role in a smooth recovery.

If you’re experiencing unusual pain, swelling, bleeding, or other concerns after a tooth extraction, contact Valley Dental to schedule an evaluation.  Visit our office in Alberni, BC, or call (250) 724-6789 to book an appointment today.