<s>[INST] I am 39 years old and had a lower mostly erupted Wisdom tooth removed 11 days ago..The extraction site is mostly pain free and has not caused me any problems.. My issue is the 4 lower front teeth and gums. I have a constant dull ache and pressure that is driving me crazy. Oddly the pain seems to decrease when I am sleeping but is constant throughout the day. I am concerned this could be some form of nerve damage although I have no numbness. Also I am experiencing some tightness and clenching in my jaw that I did not have before the extraction. [/INST] Hellothanks for query no friend your symptoms do not suggest a nerve damage...maybe you are having some periodontal problem in lower front teeth... you should visit a dentist and get an x-ray done for the affected area to make clear diagnosis. Scaling and root planing is advisable...a periapical infection is also possible... you can go for warm saline rinses 3-4 times a day and also take vitamin B and vitamin C supplements once daily... maintain proper oral hygiene... take plenty of fluids and avoid freezing Chat Doctor. .  Tightness and clenching of jaw can be due to extraction of third molar, so you can take some painkiller in combination with a muscle relaxant bout only after consulting your dentist...thank you </s>