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For me, sharp throb, like a toothache but worse. Wasn't 24/7, but mostly (except when I took pain meds). And I don't think all four of mine were impacting. I avoided chewing on that half of my mouth for six months and had to relearn that I could chew normally afterward. In the end, it was all an insurance "misunderstanding" and I would have been covered from day 1... and I'm still bitter that they wouldn't renew my prescription without me paying for a $70 dental exam at the end of which they were just like hey your wisdom teeth are still impacting -- every time.