### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
After a lifetime of issues with my teeth and constant micro infections and painful cavities, I finally was able to get on dental insurance through the state.  The dentist, who I picked for his high reviews for successfully treating scared patients, and I discussed my options and the best seemed to be complete removal of all my remaining teeth (7 on top and 10 on bottom as all back teeth had been previously pulled over the years). Id then get a full set of dentures, also through the state. Four weeks ago,  I had the top teeth extracted which went in a line from my left canine, my front teeth, and then ended with the tooth just behind my right canine.  Im still getting painful twinges in the areas formerly occupied by my front teeth and canines if I do any sort of activity, plus my face is still really store from the left canine removal up into my sinus area when I press gently on my face.  My dentist has checked and said it appears Im healing with no sign of infection, but Im concerned.  The state insurance wont pay for me to see another dentist. Is this sort of painful twinging normal?

### output:

Hi, Thank you for your query on Chat Doctor I understood your concern. Since you already discussed the options with your dentist and had chosen the removal of all the teeth, you will wear new dentures and that may be the better option since your teeth as said is agitated much. High sugary diet, sticky sugar foods, uncontrolled diabetes, poor oral hygiene etc. causes cavities on teeth. Controlling these factors can prevent cavities. Once agitated, if mild, the teeth can be treated by normal restoration. If it reaches pulp, ACT. If severe or grossly decayed, then extraction is the choice followed by prosthodontist (implants or normal complete dentures)Also clinical check up by your dentist showed no infection, so need to worry, pain subsides gradually. It may take time since many teeth are extracted and the soft tissues got irritated. Take an X-ray of the extracted site where you feel pain and get confirmed if there is any real cause for pain. Even if there is any very small harm to sinus wall, it will heal up. Don't worry. But if pain continues for more than a month, do a thorough check-up. Hope this information help. Thank you