Link Between Wisdom Teeth Ear Pain

Have you been experiencing a dull ache or throbbing pain in your ear and discomfort in the back of your mouth? Your wisdom teeth could be the culprit. Wisdom teeth, also known as third molars, are the last set of permanent teeth to erupt, typically between the ages of 17 and 25 [1]. While some experience a smooth wisdom teeth arrival, it can be painful and troublesome for others. One surprising symptom associated with wisdom teeth issues is ear pain. Let's delve deeper into the connection between wisdom teeth and earaches.

Wisdom Teeth

The lack of sufficient space in the jaw is a primary reason wisdom teeth erupt, causing problems [2]. This can lead to impaction, where the wisdom tooth gets wholly or partially under the gum tissue. The British Dental Association states that nearly three-quarters of wisdom teeth are impacted [3]. This impaction can cause various issues, including:

• Pain and inflammation: The pressure from the erupting wisdom tooth can irritate the surrounding gum tissue, leading to pain and swelling.

• Infection: Difficulty cleaning wisdom teeth trapped under the gum can lead to a bacterial infection called pericoronitis [4].

• Damage to nearby teeth: Impacted wisdom teeth can push against other teeth, causing misalignment and potential damage.

• Jaw pain and difficulty chewing: Pressure from the wisdom tooth can cause discomfort in the jaw and difficulty chewing.

The Wisdom Teeth-Ear Pain Connection: It's All About Nerves

While wisdom teeth are located at the back of your mouth, you might be surprised to learn they can cause pain in your ear. Here's how it happens:

• Shared Nerve Pathways: The jaw and the ear share a network of nerves. Inflammation and irritation around the wisdom teeth can trigger these nerves, causing pain to radiate to the ear [5]. This referred pain is convincing, making it feel like the ear is the source of the discomfort.

• Temporomandibular Joint (TMJ): The TMJ is the joint that connects your jawbone to your skull. Wisdom teeth problems can put pressure on this joint, leading to pain that can manifest in the jaw, face, and even the ear [6].

Beyond Ear Pain: Other Signs of Wisdom Teeth Trouble

While ear pain can be a surprising symptom, other signs can indicate wisdom teeth issues:

• Swollen gums: The gums around the wisdom teeth may become red, swollen, and tender.

• Jaw pain: Difficulty or pain when opening and closing your mouth.

• Bad breath or unpleasant taste: Food particles that are difficult to clean can get trapped around wisdom teeth, leading to bad breath or a metallic taste.

• Difficulty chewing: Pain or discomfort when chewing food.

Seeking Help: What to Do About Wisdom Teeth and Ear Pain

Suppose you suspect your wisdom teeth are causing ear pain or other bothersome symptoms. In that case, it's crucial to consult a dentist. They can properly diagnose the cause of your pain and recommend the best course of action.

Here's what to expect:

Examination

The dentist will examine your mouth and may take X-rays to assess the position and condition of your wisdom teeth.

Diagnosis

The dentist will determine the best course of action based on the examination and X-rays.

Treatment options

Depending on the severity of the situation, treatment options may include:

• Monitoring: If your wisdom teeth are not causing significant problems, the dentist might recommend monitoring them for any changes.

• Pain management: The dentist can prescribe pain medication or suggest over-the-counter options to manage discomfort.

• Wisdom teeth removal: The dentist may recommend removal in many cases, significantly if the wisdom teeth are impacted or causing problems.

Wisdom Teeth Removal on the NHS: What You Need to Know

The National Health Service (NHS) typically covers the removal of wisdom teeth in the UK if they are causing problems [7]. However, some factors can influence whether the NHS will cover the procedure:

• The severity of the problem: The NHS is more likely to cover removal if the wisdom teeth are causing significant pain, infection, or damage to other teeth.

• The complexity of the case: If the wisdom teeth are deeply impacted or require a more complex surgical procedure, the NHS might refer you to a specialist for removal, which may not be covered under your standard NHS plan.

Private Dentistry Options and Costs

If the NHS doesn't cover your wisdom teeth removal, or if you prefer a quicker route, private dentistry is an option. Here's what to expect:

• Cost: The cost of private wisdom teeth removal in the UK can vary depending on the case's complexity, the dentist's location, and the surgeon's experience. Generally, a simple extraction can range from £150 to £350 per tooth. In contrast, a more complex surgical extraction can cost anywhere between £450 and £1,550 per tooth [9, 10].

• Consultation: Most private dentists offer a consultation to discuss your situation and provide a personalised quote for the procedure.

• Payment options: Private dentists typically require upfront payment or a deposit before the procedure. Some may offer payment plans to help manage the cost.

Post-Wisdom Teeth Removal: Recovery and Aftercare Tips

Following wisdom teeth removal and your dentist's aftercare instructions is crucial to ensure proper healing and minimise discomfort. Here are some general tips for recovery in the UK:

• Pain management: Your dentist will likely prescribe pain medication. Stick to the prescribed dosage and consider over-the-counter pain relief options like paracetamol or ibuprofen for additional relief [11].

• Swelling reduction: Apply a cold compress to the outside of your cheek near the extraction site to reduce swelling. Apply the compress for 15-20 minutes, with breaks in between.

• Diet: Start with soft foods like mashed potatoes, soup, and yoghurt for the first few days. Gradually introduce more solid foods as you feel comfortable.

• Oral Hygiene: Gently brush your teeth and rinse your mouth with warm salt water (dissolve half a teaspoon of table salt in a glass of warm water) several times daily. Avoid vigorous rinsing or spitting for the first few days.

• Rest: Get plenty of rest to allow your body to heal.

Conclusion

Wisdom teeth can be a source of discomfort and pain, sometimes even causing referred pain to the ear. Suppose you're experiencing ear pain alongside other symptoms like swollen gums, jaw pain, or difficulty chewing. In that case, seeing a dentist for a diagnosis is essential. Early intervention can help prevent further complications and ensure a smooth recovery.

For UK residents, the NHS may cover wisdom teeth removal if they are causing problems. However, it's essential to understand the eligibility criteria and potential costs. Private dentistry is another option, offering quicker access to the procedure but at a higher price. Following proper aftercare is crucial for optimal healing regardless of your route.

By understanding the connection between wisdom teeth and ear pain, seeking timely dental care, and following proper aftercare, you can manage wisdom teeth issues effectively and maintain good oral health.

FAQs

Q. I have ear pain, but my wisdom teeth haven't erupted yet. Could they still be causing the pain?

A: Yes, it's possible. Even wisdom teeth that haven't fully erupted can cause pain and inflammation in the surrounding tissues, which can radiate to the ear through shared nerve pathways.

Q. What are some signs that my wisdom teeth need to be removed?

A: Several signs can indicate the need for wisdom teeth removal, including:

• Persistent ear pain alongside other symptoms like swollen gums, jaw pain, or difficulty chewing.

• Frequent or recurring infections around the wisdom teeth.

• Damage to nearby teeth caused by wisdom teeth pushing against them.

• Cysts or tumours developing around impacted wisdom teeth (rare).

Q. Does the NHS always cover wisdom teeth removal?

A: The NHS typically covers wisdom teeth removal if they are causing problems like pain, infection, or damage to other teeth. However, some factors can influence coverage, such as the issue's severity and the removal procedure's complexity. Discussing your situation with your dentist to understand your options is always best.

Q. How much does private wisdom teeth removal cost in the UK?

A: The cost of private wisdom teeth removal can vary depending on the case's complexity, the dentist's location, and the surgeon's experience. Generally, a simple extraction can range from £150 to £350 per tooth. In contrast, a more complex surgical extraction can cost anywhere between £450 and £1,550 per tooth.

Q. What can I expect after wisdom teeth removal?

A: Following wisdom teeth removal, following your dentist's aftercare instructions is crucial to ensure proper healing and minimise discomfort. This typically involves pain management with medication, applying cold compresses to reduce swelling, maintaining gentle oral hygiene, and starting with a soft diet before gradually transitioning back to regular foods.

Q. How long does it take to recover from wisdom teeth removal?

A: Recovery time from wisdom teeth removal can vary depending on the complexity of the procedure and your healing process. Generally, expect some discomfort and swelling for the first few days, gradually improving over the following week or two. Most people feel back to normal within 7-10 days.

Q. What should I do if I experience excessive pain or complications after wisdom teeth removal?

A: If you experience significant pain, persistent bleeding, fever, or any other concerning symptoms following wisdom teeth removal, contact your dentist immediately or seek urgent dental care.

References

• [1] British Dental Association. Wisdom Teeth. https://www.bda.org/advice/

• [2] NHS Choices. Wisdom tooth removal. https://www.mkuh.nhs.uk/patient-information-leaflet/removal-of-impacted-wisdom-teeth

• [3] British Dental Association. Wisdom Teeth. https://www.bda.org/advice/

• [4] NHS Choices. Pericoronitis. https://www.lasepharmacy.hee.nhs.uk/dyn/_assets/_folder4/community-pharmacy/dental-fact-sheets/dentalfactsheets_pericoronitis-guminflammationsurroundinganeruptingwisdomtooth.pdf

• [5] Mayo Foundation for Medical Education and Research. Wisdom teeth. https://www.tompkinsdental.com/blog/how-impacted-wisdom-teeth-can-cause-recurring-ear-pain-and-sore-throats

• [6] NHS Choices. Temporomandibular joint (TMJ) disorders. https://www.nhs.uk/conditions/temporomandibular-disorder-tmd/

• [7] NHS Choices. Wisdom tooth removal. https://www.mkuh.nhs.uk/patient-information-leaflet/removal-of-impacted-wisdom-teeth

• [8] NHS Choices. Dental services. https://www.nhs.uk/nhs-services/dentists/

• [9] The Perfect Smile Studios. Tooth Extraction Cost | Tooth Removal From £150. https://www.theperfectsmile.co.uk/about-us/our-treatment-fees

• [10] Dental Perfection. Wisdom Teeth Removal Cost in London, UK • 5* Specialist Surgeon. https://www.dentalperfections.co.uk/hampstead-dentist-treatment-fees.html

[11] NHS Choices. Pain relief. https://www.uhs.nhs.uk/Media/UHS-website-2019/Patientinformation/Surgery/Pain-relief-at-home-2940-PIL.pdf