What should I do with the pain of wisdom tooth decay?

What Should I Do With The Pain Of Wisdom Tooth decay?

Table of Contents

Wisdom tooth decay is one of the most common causes in the treatment and surgeries related to this tooth. In other words, wisdom tooth decay and ways to treat or fix it are some of the most controversial topics in the world of dentistry. 

Many people want to know if the only treatment is to extract the wisdom tooth or if it can be repaired. Some people also want to know what problems may happen to them if they do not treat their decayed wisdom teeth.

In this article from drhealthandbeauty, we have examined the causes of wisdom tooth decay and have provided practical solutions for the article with its pain in order to give you the best relief to get rid of the unbearable pain of this painful tooth.

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Types of wisdom teeth

The wisdom tooth can be fully developed, semi-hidden, or completely hidden, and it may not even exist at all, or there may be more than one wisdom tooth on each side. 

The growth of wisdom teeth requires sufficient space in the jaw bone, and if there is not enough space in the human jaw, the tooth will show itself in a hidden or semi-hidden form which is called Impacted wisdom teeth.

Related: “Temporomandibular Joint Disorder ( TMD ) Causes And Remedies in 2023

Sometimes, due to hereditary reasons, childhood diseases (anemia, rickets), lack of coordination of jaw bone growth with the size of teeth, etc., these teeth remain hidden inside the jaw. 

It is also possible that a part of their crown appears incompletely in the mouth, which is called a semi-hidden wisdom tooth. The absence of wisdom teeth is one or more examples of hypodontia.

Related: “How Can I Raise Iron Levels Fast?

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What is the cause of the decay of fully developed wisdom teeth?

You should know that wisdom teeth are not necessarily weaker than normal teeth, but they are more susceptible to decay because of their location in the mouth.

Adults have 32 teeth. “Wisdom tooth” or “third molar” is one of the last teeth and erupts at the back of the mouth. This tooth usually appears between the ages of 17 and 25, although in some cases, it has been seen at older ages. 

Today, most people have jaws that do not have room for 32 teeth, and the jaw can finally accommodate 28 teeth.

Therefore, if all the teeth have erupted and are healthy, there will not be enough space for the proper growth of wisdom teeth. 

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On the other hand, the fully developed wisdom tooth is often partially or fully covered by gum tissue and in the deepest part of the mouth and is not easy to access. Because of this, it is challenging to keep it clean, and wisdom tooth decay is prevalent.

Related: “Preventing Pregnancy Tooth Decay

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What are the advantages and disadvantages of wisdom teeth?

Wisdom teeth also called third molars. These teeth grow in adolescence and youth between 17 and 25. Most people have four wisdom teeth at the bottom of their mouth.

  • Advantage:
What are the benefits of keeping your wisdom teeth?

One of the benefits of wisdom teeth is that while these teeth have not yet grown, one of your teeth may be damaged, and you have to pull it. 

In this situation, the fully developed wisdom tooth can replace the lost tooth after growing. Having a full hand of teeth is a privilege for every person.

  • Disadvantage:

Can I keep my wisdom teeth?

However, wisdom teeth do not always grow properly and do not have normal conditions. 

Sometimes, these teeth are crooked or deviated due to how the jaw grows or lack of enough space, or they cannot come out of the gum tissue. 

In this situation, these teeth cause pressure and damage to other teeth and cause many problems. In some cases, wisdom teeth may not cause any problems.

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However, their location makes them challenging to clean, making them more vulnerable to decay and gum diseases than other teeth.

Related: “How To Cure Swollen Gums / Home Remedies

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Treatment options for decayed fully developed wisdom teeth

The treatment options for decaying fully developed wisdom teeth include root canal treatment, extraction, or dental implant restoration.

  • The decay in a fully developed one may be due to a cavity in the tooth; however, the dentist will remove the infected tissue of the fully developed wisdom tooth and perform root canal treatment.

.Related: “Decay Under Filling

  • If the decay in fully developed wisdom teeth causes the loss of many parts of the tooth, the dentist will extract your wisdom teeth.


  • If there is a gap in the bite after tooth extraction, the implant is the best treatment that restores the function and beauty of the tooth.
What should I do with the pain of wisdom tooth decay?

pain reliever medicines

Prescribing the right medication to relieve the pain caused by fully developed wisdom tooth decay depends on the medical history and the severity of the pain.

However, in general, over-the-counter medications such as acetaminophen (Tylenol) or ibuprofen (Advil) will be prescribed for mild to moderate pain in fully developed wisdom teeth, and narcotics such as codeine or Vicodin or non-steroidal anti-inflammatory drugs (NSAIDs) such as naproxen or ibuprofen will be prescribed for severe pain.

It is essential to emphasize that before choosing any medicine to relieve the pain caused by decay of fully developed wisdom tooth, be sure to consult your doctor to check the drug interaction based on your medical history and prescribe the appropriate dose.

Related: “Tooth And Ear Pain On The Same Side

What should I do with the pain of wisdom tooth decay?

When should you see a dentist for wisdom tooth decay?

When decay of fully-developed wisdom teeth is partial, you can cure or reduce tooth pain by using mouthwash. 

Toothache pills such as paracetamol or aspirin may also be helpful in the short term. 

Related: “How Do I Know What Kind Of Toothache I Have?

However, when the decay of fully-developed wisdom teeth is deep and involves a large area of the tooth, or the pain continues for a long time, you must visit the dentist. The dentist can find out the cause of the problem and give you recommendations based on it.

Cleaning the teeth meticulously with accuracy will be helpful in this field and prevent the decay of the wisdom teeth; often, antibiotics are also recommended in such cases. Treating and removing decay of fully-developed wisdom teeth or any other tooth is essential because it can be transferred from one tooth to another.

  • Should Imaging be used to treat wisdom tooth decay?

Yes, dentists usually use X-rays to take pictures of the teeth, observe the position of the tooth roots, and evaluate the sufficient space for proper tooth growth.

Related: “How Do I Know What Kind Of Toothache I Have?

Golden tips for care after extracting a decayed, fully developed wisdom tooth

It is necessary to take the necessary precautions after tooth extraction to go through the treatment period:

Put a sterile gauze on the wound and gently bite it.

If you are still bleeding after 24 hours, call your doctor.

Do not eat anything while your mouth is numb, as you may injure your lips, tongue, or cheek.

Keep your head higher than your body when lying down.

You can put an ice pack on your cheek to reduce swelling and pain. In the first twenty-four hours after tooth extraction, use a cold compress several times and leave it for 15-20 minutes each time. After a day, you can use a warm compress.

Avoid physical activity after surgery because it increases bleeding.

Eat soft foods such as jelly, thin soup, yogurt, and similar foods for up to 24 hours. As you gradually get better, you can eat solid foods.

Do not use a straw because it may dislodge the blood clot and delay wound healing.

After 24 hours, rinse your mouth with warm salt water several times daily to reduce swelling and pain. Be careful to wash your mouth gently.

Related: “Tooth Pain, No Cavities, Treatment, And Remedies

Do not smoke for at least 24 hours after surgery. The sucking motion loosens the blood clot and delays recovery. Also, smoking weakens the blood supply and introduces microbes into the body that can infect the wound site.

Avoid rubbing the tooth extraction site with your tongue or fingers.

Brush your teeth and tongue carefully.

If necessary, the dentist will ask you to return a few days later to remove the stitches.

Related: “ When Should I Start Brushing My Baby’s Teeth?


Based on the valuable information given in this article, you have well understood that the full growth of wisdom teeth can be a suitable opportunity and compensation for the space of teeth that have already been extracted. Still, according to the place of their growth, decay is more likely and requires careful observance of oral hygiene.

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Author and specialist

Dr. Majid Zahrabi,


  • Board Certified Neurosurgeon
  • DHA certificate holder
  • Plantation certificate holder, France
  • Certified holder of Discogol, France
  • A pioneer in the non-surgical treatment of disc herniation in the Middle East and CIS countries.
  • Under the training and coaching of Professor Jacques Theron (founder of Discogel Therapy) since 2008
  • More than 400 successful cervical and 1300 lumbar discogel injections
  • Trained and certified several neurosurgeons and spine surgeons in the Middle East and CIS countries for the treatment of Discogel
  • Strong belief in patient-centered care planning and participation
  • Neurosurgeon and spine surgeon at Imam Khomeini and Amir Mazandarani Hospital, Sari, Iran, with more than 430 surgeries annually, 2000-2011
  • Neurosurgeon and spine surgeon at Farmaniyeh, Nikan and Yas Sepid Hospital, Tehran, Iran, with more than 400 surgeries annually, 2011-2012
  • Neurosurgeon at Iranian Hospital, Dubai, 2022-2023
  • Since 2015, he has been working as a reference doctor for the treatment of intervertebral disc herniation with Discogel and has trained many doctors of spine-related specialties in various countries of the Middle East and CIS in person/practically and online.



  • Individual training sessions under the direct supervision of Professor Jacques Theron in Discogel treatment, 2008-2020
  • Training sessions under the supervision of Professor Thierry Boye on spinal implants, 2007
  • Participation and presentation in several national and international medical and neuro-spinal conferences
  • Board certificate by Iran Neurosurgery Board, 2001
  • Neurosurgery assistant training course, Isfahan University of Medical Sciences, Isfahan, Iran, 1996-2001 (In 2001, he graduated from Isfahan University of Medical Sciences with the first rank in the country.
  • His thesis the titled:The Application of human amniotic membrane in repair of dura matter in dogs.” ( It was happening for the first time in the world. )
  • General medical education, Tabriz University of Medical Sciences, Tabriz, Iran, 1984-1993


Published books:

  • CT scan of the brain for doctors
  • Etiology and treatment of painful spine disorders
  • Atlas of diagnosis, prevention, and treatment of spine disorders
  • The most common mistakes in the treatment of spinal disorders
  • Reading brain CT scan in simple language (3rd place in the book of the year)
  • Treatment of head and spine injuries

Publications and articles:

  • Bacteriostatic and bactericidal effects of DISCOGEL® (https://www.researchgate.net/)
  • Muscle recovery, reduction of pain, and improvement of movement strategies in patients with lumbar discopathy after injection of Discogel.
  • The article on the initial results of the treatment of intervertebral disc herniation with discogel injection, which won the second-best poster rank at the Pan Arab International Congress of Interventional Radiology (March 14-16, 2015) and was accepted for presentation at the Chicago Pain Congress.
  • The use of human amniotic membrane in dura mater repair in dogs, a study for the first time in the world.



  • Annual Congress of Physiotherapists of Iran, 2019
  • Chicago International Pain Congress, 2019
  • Iran International Pain Management Congress, 2018
  • Annual Congress of Physiotherapists of Iran, 2018
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Armenia for orthopedic specialists and neurosurgeons, 2017
  • First Live Workshop and Seminar on Minimally Invasive Disc Therapy (DISCON), 2017
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Azerbaijan for orthopedic specialists and neurosurgeons, 2016
  • Seminar of Iranian official managers, 2016
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Tajikistan for orthopedic specialists and neurosurgeons, 2016
  • International Neurological Intervention Congress in Iran, 2014
  • Educational seminar for nurses on treatment approaches for head and spine trauma, 2014
  • Educational seminar for general practitioners on treatment approaches for head and spine trauma, 2014
  • Speech at the Retraining Seminar for General Practitioners and Specialists in Dubai (Discon) in 2017
  • Speech in the internal retraining courses of Irani Hospital, Dubai
  • Holding lecture sessions and practical workshops on the treatment of intervertebral disc herniation with discogel injection in Azerbaijan, Tajikistan, Ukraine, Oman, and Armenia during the years 2015 to 2021.
  • Giving a lecture and holding a practical workshop for neurosurgeons in Vietnam at Ho Chi Minh City University in 2023

Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.