what are the causes of pain during extraction of tooth?
343073
It you are NOT numb then the pain you will occur will come from the pressure of the tug on your tooth, the stretching of the PDL (periodontal ligaments) which are little fibers that hold your tooth in place attaching to the tooth and the bone and the nerves that are in the bone sense all of this and send it to the brain emitting pain.  Make sure you are numb, you will feel an extreme amount of pressure and not knowing how to describe it, little cracks but not b/c anything is cracking.
286291
When a tooth is pulled, a blood clot forms in the socket.  If that blood clot is disrupted then a dry socket occurs.  Some examples of how the clot can be disrupted are smoking, sucking through a straw, sucking on hard candies, fiddling with the area with tongue, and spitting forcefully.  Dry sockets are very painful and are often more painful than the actual toothache was....  It is not uncommon for swelling to be associated with a dry socket.  If a dry socket occurs, it is necessary to return to the dentist that performed the extraction so a special type of medicated gauze can be placed in the socket for healing.
921955
Your doctor will know the best because he has seen the tooth.\n\nSometimes putting people on antibiotics if the tooth is causing an infection is done so that it will be easier to get numb.    \n\nHowever some of the answers that were posted were not correct.  \n\nFrom one of the main oral surgery books by Peterson: "The perils of tooth extraction in the presence of swelling is a myth that has been passed from one generation of dentists to another."  He goes on to list the studies and results that show that taking a tooth out at the time it is infected actually had less problems than waiting.  "The patients who had recieved the early treatment recovered more rapidly and required subsequent incision and drainage (of an infection) less frequently than in those patients in whom the treatment was delayed.  In addition, those with later extractions had a greatly increased incidence of extraoral drainage."\n\nHowever, I would trust your doctor and as I said there are times when it is ok to wait, especially if the problem is not that serious and to make it easier to numb you up.
160695
It's normal to be sore for a while after having a tooth removed.  Try taking 800 mg of Ibuprofen which is prescription strength.  It has an anti-inflammatory in it which works better than Tylenol or aspirin.  If it is still bothering you after a couple of weeks see your dentist again.
814816
If your tooth needs a root canal, it means that either there was decay (caries) in the tooth which spread to the dental pulp leading to bacterial infection, or that there was a traumatic incident following which your tooth became non-vital (meaning the dental pulp died.\n    In either case, leaving such a tooth on its own is not a wise thing to do. In a carious tooth, the pulp becomes exposed to the oral cavity and gives entrance to food debris and bacteria. Both of these can cause the pulp to become necrotic(or decayed) and results in dental and dentoalveolar (meaning of tooth and bone too) infection, which can cause a swelling, an abscess or a draining sinus in your jaw. And since the blood supply to the tooth is lost, it causes the tooth to become brittle and it chips off very easily, and then it becomes difficult even to extract.\n      Not to mention, the accumulating debris, bacteria and necrotising pulp causes a characteristic bad smell to emanate from the tooth.\n      Hence for all practical purposes, it is always best to either have the tooth treated or have it extracted. Antibiotics and analgesics will only provide temporary relief.\n      Good luck and God bless!
567594
it is normal for you to have sensitivity/tenderness in areas near the extraction sites for several reasons.  when teeth are removed, new surfaces of adjacent teeth are exposed.  these surfaces are not used to being exposed to fluids/foods/etc.  it takes many weeks for the areas to return to normal.  of course "normal" is relative to the individual.  another reason for tenderness in these areas is that the surgeon uses adjacent teeth to leverage against during the extraction procedure.  this activity expands surrounding bone and temporarily aggravates tissues and ligaments of associated teeth.  \n\nso, if you are only a week post-op, don't be surprised to experience tenderness/pain/sensitivity for another 3-6 weeks.  make sure you follow your surgeon's instructions in order to promote optimal healing.  \n\ngood luck...  hit the ibuprofen and pain meds as needed.
478364
Wait until your dental problem becomes so extremely painful that 2 weeks worth of taking strong painkillers makes them  ineffective. Then book yourself in to get it fixed. You will be so extremely grateful for what they've done for you that you will no longer be filled with dread. I am speaking from experience !\nJust read the next answer - if it's a female dentist, make sure she's got muscles - if you need an extraction you gotta be sure she's got the power to do it right ! !
365874
As a dentist, I have filled many teeth.  I have not had too many people complain about the pain.  Many dentist will use a numbing gel on the tissue prior to giving the injection.  This will help with some sensitivity with the injection.  However, most of the pain from the injection comes from injecting the liquid too quickly.  If the dentist takes his time with the injection there should be very little discomfort.  Once the tooth is numb, you will only be able to feel pressure NOT pain.
173917
Call the dentist who extracted the tooth and explain the pain you are still in and ask for a prescription for some pain medication.  Until then, you can take 800 mg of Ibuprofen which is prescription strength.  You didn't mention how long it's been since you had the tooth extracted, so if it's been more than about 5-7 days, get back in to see the dentist as you may have a dry socket which will need to be packed with a special type of medicated gauze in order for it to heal.  It's not uncommon for a dry socket to often hurt moreso than the toothache did.
166142
Sounds like your tooth is infected.  If you don't have insurance and can't afford the dentist, I would suggest going to the emergency room... at least there they can prescribe you an antibiotic and some pain medication.  Even without insurance, an emergency room at a hospital has to see you and treat you.  The antibiotic will take care of the infection now and the pain should go away.. however, beware.. until you see a dentist and have the tooth either fixed or taken out, it's going to eventually become infected again and you'll once again be in pain.  \n\nUntil you can either get to a dentist or get to an emergency room, you can take 800 mg of Ibuprofen which is prescription strength for the pain.  It has an anti-inflammatory in it so it's going to work better than Tylenol or aspirin.\n\nGood luck to you.
1069954
Unfortunately, you need to have an exam by a dentist. Sensitivity and pain to hot and cold with a (stinging) pain, is a dead give away that something is very wrong with your tooth. Sometimes  teeth have hidden or extra canals that need treated. Sometimes the RCT fails, or needs to be retreated. Sometimes the margins of a crown are not closed properly, and you will have sensitivity and pain. There are many reasons. The fact is, you won't find the answer without a dental radiograph, and exam.
253339
The best pain for tooth pain is to take 800 mg of Ibuprofen which is prescription strength.  Take this every 6-8 hours as needed for pain.  It has an anti-inflamatory in it which will help calm the nerve of the tooth so it's going to work better than Tylenol or aspirin.  However, be careful while taking Ibuprofen and don't rely on it for too long... Ibuprofen eats away the lining of the stomach.  Get in to see your dentist as soon as you can as you don't want the infection from your tooth spreading to other areas of the body and causing more complications.
732005
tooth pain can travel around the mouth region and give false likely places of pain due to the fact the nerve ends are so close to the brain for reception.\n\nif you have a tooth that is decaying, that is your source for all issues and or could be a secondary tooth beside it starting to decay as well.\n\ndentist is your best option...to let it go things will only get worse.\n\nits why teeth pain is one of the most painful as well....again the nerve endings being so close to the brain.
279827
who ever said of course it will hurt needs to find a new dentist!! It will NOT hurt. But it will feel really weird because you will have a lot of pressure in your mouth. If the dentist gives you plenty of anesthetic and you are completely numb it will not hurt at all, but it will be a little annoying, yes. You can also call your dentist and tell them you are scared and they can call in a prescription for you to take one hour prior to your appointment to relax you like valuum. Also you may want to use nitrox oxide ( laughing gas) to also help relax you. It wont get you numb like some people think...but it does help take your mind off of it! Also bring a book or music so you will not hear noises because they will be working next to your ear so it can be noisy but this is also normal.Also aftercare...don't smoke or suck through a straw, this can cause dry socket and they will explain this to you as well. But most important make sure to take something for pain while your still numb that way it kicks in by the time your un numb, they may prescribe you something so fill it right away, just dont take on an empty stomach cause you will not want to puke after having an extraction done.....not to worry i have been doing this for a long time and have had my teeth pulled and most people tell me that it wasn so bad. Most of the people listing advice just had a bad experience or bad dentist.
1008347
a dry socket comes from after the tooth is pulled blood 'pools' in the area where the roots and tooth was removed and actually acts as a natural bandage for lack of a better word. if the person who has the tooth removed swishes their mouth out too vigorously it can dislodge the blood clot thus causing a dry socket which is extremely painful. when you have a tooth removed us the gauze to bite down on to apply constant but gentle pressure to the area, then when you go to rinse your mouth do not swish, hold the salt/water mixture in your mouth and turn your head back and forth letting the water run gently around the inside of your mouth, then don't spit it out....open your mouth and let it run out on its on. do not do vigorous exersize as this increase blood flow nor do you want to get out in the extreme heat and get over heated. don't take aspirin it thins the blood making it harder for it to coagulate. don't chew or eat food that is hard or crisp it can lodge in the area. and more than anything listen to your dentist, take it easy for a few days and then you can return to normal once the skin above where the tooth was removed grows over.
1036726
Do NOT hold aspirin in your mouth!  This can burn the tissue and cause more pain than you are already in.  If it is an intense, throbbing type pain, you need to get to a dentist.  If money is an issue, you may want to look into dental schools in your area.  The school I went to had an emergency clinic just for things like this.  It may take longer, but the cost is usually much less.  Warm salt water rinses may help, depending on the cause, but don't be over-agressive in brushing or flossing the area because that can irritate things and make it worse.  I hope you feel better soon!
440625
what defines a "simple " tooth extraction is defined, to the best of my knowlkedge, as a tooth that can be extracted with minimum force, elevated from the socket easily in one piece, with no complications. \n\n        A surgical extraction is defined as a tooth that has forseeable complication attached. Complications such as extensive decay. Extensive decay could cause the tooth to break off at the gumline, requiring extra care to remove root tips.  Complications such as a curved root, making it difficult to elevate out of the socket. Complications such as bony involvment, requiring the dentist to section the tooth and remove it in pieces. Complications such as infection, making it hard to get the area numb and making bleeding much worse. All these things qualify a tooth extraction to be surgical. \n\n Basically, it is up to a doctor to determine whether an extraction is surgical or simple. It is upon his/her judgement what will qualify it as such, and the list of variables is endless. \n\n Basically, any degree of difficulty will qualify an extraction as surgical, and it's the dentist call.\n\nNOTE: *Both type of extractions can be done under local     ( numbing, needle) anesthetic. Surigical does not necessarily mean you will be asleep for the procedure.* \n\n  good luck