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Type 1 Wisdom tooth extraction post operative pain T1 help!

C

Claire.hw93

Newbie
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4
Hi all,

Last Wednesday I had my right lower wisdom tooth surgically extracted under local anaesthesia at my usually private dentist. They gave me metronidazole, and I got ibuprofen 200mg-codeine 12.5mg mix tablets over the counter (strongest they’d give me without a prescription). I take two of them with one or two paracetamol 500mg 3-4 times every day. Saturday I managed two hours at work but the pain still hadn’t subsided.

Went back to the dentist and they gave me more Amoxycillin to use on top of the metronidazole (both are taken 3 x daily). Even after taking the pain meds and antibiotics, cleaning my mouth with salt water and Corsodyl, only having a soup diet.... nothing is stopping the pain!! I’ve been managing my sugar levels well over the past week. Highest being 14mmol and lowest being 6mmol. I’ve slept a lot. But I can’t shake it. Any advice from anyone please. TIA
 
Hi,

Welcome to the forum.

Pain may cause stress. Stress can sometimes raise BGs... Do you know what your correction dose is to lower BGs with bolus??
IT met just help recovery with carful monitoring..
 
Claire.hw93 said:
Hi all,

Last Wednesday I had my right lower wisdom tooth surgically extracted under local anaesthesia at my usually private dentist. They gave me metronidazole, and I got ibuprofen 200mg-codeine 12.5mg mix tablets over the counter (strongest they’d give me without a prescription). I take two of them with one or two paracetamol 500mg 3-4 times every day. Saturday I managed two hours at work but the pain still hadn’t subsided.

Went back to the dentist and they gave me more Amoxycillin to use on top of the metronidazole (both are taken 3 x daily). Even after taking the pain meds and antibiotics, cleaning my mouth with salt water and Corsodyl, only having a soup diet.... nothing is stopping the pain!! I’ve been managing my sugar levels well over the past week. Highest being 14mmol and lowest being 6mmol. I’ve slept a lot. But I can’t shake it. Any advice from anyone please. TIA
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Hi there Claire - Wisdom tooth removal can be very painful indeed for lots of reasons I'll spare you.

If your paid isn't easing, it could be time for a chat with your dentist, just in case you have developed an infection or dry socket. Dry sockets can be excruciating, and may need a little intervention to get things on-track with your healing.

Obviously, I'm not diagnosing you with a dry socket or anything else, just making the sensible suggestion of at least a conversation with your dentist, in the first instance.

It also looks like you are taking your Ibuprofen and Paracetamol at the same times? I hate taking medications, but when I have had acute pain, treated with that same combo, the advice I received from both my Doc and Pharmacist was to interleave them meds. In other words, take the Ibuprofen, the mid way through to the next due does, take the Paracetamol, and continue.

Of course, it felt like I was continually pill-popping, but allegedly, it just keeps the pain relief nicely topped up. If you are taking a combined tablet, please do not take additional paracetamol (or Ibuprofen, for that matter). That can get tricky.

Personally, I don't like Paracetamol, but it is an effective painkiller. I try hard not to take it more than a day or two, where at all possible.

Finally, if your over the counter meds are not cutting it for pain relief, your dentist (or doctor) is able to prescribe something stronger, if necessary.

I do hope you find things more comfortable soon. I can't imagine you're managing too much sleep.
 
I had two wisdom teeth extracted years ago, one at a time, but while I really needed the painkillers for about 4 days on each occasion, after that it was fine. If they've given you more Amoxycillin, which is an antibiotic, they must have seen evidence of infection when you went back. It is probably this which is causing the pain you have been experiencing and of course infection can raise your BS levels, so you are doing well to keep things under some sort of control. If things aren't vastly improved in a couple of days, I'd be ringing back the dentist again. I hope you feel at least a little better tomorrow.
 
DCUKMod said:
Dry sockets can be excruciating, and may need a little intervention to get things on-track with your healing.
Click to expand...
I can attest to this. 2 wisdom and one back teeth out under anaesthetic many years ago resulted in 3 dry sockets. Horrific pain. Please go back to the dentist again and explain the pain you are in. The other 2 wisdom teeth several years later were sore but not at all in the same league.
 
I’ve been to the dentist twice now and they say I just ‘have to ride it out’. When I asked if I had an infection when they prescribed me the additional amoxycillin, they said ‘it’s just in case’. Now I’m thinking I’m taking it unnecessarily but could in turn be helping with the infection. My last visit (Saturday) they said there was no evidence of dry socket, and the sutures were all still in place. Phew! So I can eliminate those options.
Thank you everyone for all your words of wisdom (excuse the pun). I’ll be sure to take the advice of not taking the paracetamol with the ibuprofen-codeine and will contact my doctor again tomorrow for different pain relief. Glad I joined this forum :D
 
DCUKMod said:
It also looks like you are taking your Ibuprofen and Paracetamol at the same times? I hate taking medications, but when I have had acute pain, treated with that same combo, the advice I received from both my Doc and Pharmacist was to interleave them meds. In other words, take the Ibuprofen, the mid way through to the next due does, take the Paracetamol, and continue.
Click to expand...
That is strange my dentist and doctor both say the opposite the point about taking them both is the synergistic effect where both combined have a greater effect than either individually added at different times.
 
JohnEGreen said:
That is strange my dentist and doctor both say the opposite the point about taking them both is the synergistic effect where both combined have a greater effect than either individually added at different times.
Click to expand...

The rationale I was given was the spread dosing helped top up the emptying bucket more regularly, than a bigger hit less often, when clock-watching comes into play.

Of course, they can be taken together, or the likes of Ibuprofen Max, which contains both, could not be marketed.

For me, personally, with my near paranoia about Paracetamol, it's important to ditch the paracetamol at the first opportunity. Paracetamol is a great drug, but not in my world.
 
I can understand your misgivings over Paracetamol it is a very toxic substance when not taken properly a good friend of mine who is a pharmacist his older brother was taking it for a persistent headache lost track of how much he had taken and died of an overdose. Another friend of mine called me on the phone one day and asked me if some one who had taken a lot of paracetamol could be walking around with no appartent symptoms a day or so later as her daughter had taken approximately 50 tablets and seemed OK, I asked her where her daughter was she had sent her to school, I then phoned 999 police and ambulance arrived at the school and took her straight to A and E thankfully she survived it but it has left me with a healthy respect for the dangers of the drug and use it very sparingly.
 
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