By Dr Yao Xu DDS (Minnesota) General Dental Surgeon
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Top 10 Questions After Wisdom Tooth Surgery
Pain or discomfort following surgery is usually at its worst 24-48 hours after surgery, after that it should subside more and more every day. Along with the pain, you will also experience swelling around the gingiva, which is usually proportional to the surgery involved, and not reach its maximum until 2-3 days post-operatively.
Take the painkillers prescribed as instructed, especially at night before bed to prevent yourself from waking up from pain. Most painkillers take 30 min to kick in. Ibuprofen (e.g. Perofen, Nurofen) and Acetaminophen (e.g. Paracetamol, Panadol) help with reducing pain and swelling. Taking the medication on an empty stomach may result in nausea.
If your dentist prescribed antibiotics, you need to finish the course as prescribed, if you stop the antibiotics mid-course, you may develop antibiotic resistance. Discontinue antibiotic use in the event of a rash, diarrhea, or other unfavorable reaction. Please contact your dentist if you have any questions.
Protect the blood clot, no vigorous rinsing should be performed until the day following surgery in case the clot is dislodged. You can brush your other teeth the night of surgery, but rinse gently. The day after surgery you should begin rinsing at least 4-5 times a day, especially after eating, with either your prescribed antiseptic rinse, or a cup of warm water mixed with a teaspoon of salt. Sometimes food gets trapped in the open sockets, be sure to rinse frequently to prevent infection and discomfort from the debris.
After having your tooth extracted, you should get ample rest and avoid strenuous sports & activities. Be a couch potato! The high blood pressure and high body temperature from exercising can cause excessive bleeding. So the trick is to stay cool. We recommend for patients to take off for the day of the surgery. In Singapore, you are entitled up to 5 days of M.C. post wisdom tooth extraction, most patients are back to their normal routine after a week.
You are strongly advised to refrain from smoking for 3 days after the extraction. Smoking constricts blood vessels, reduced blood supply to the healing gums will delay the healing process. You are also strongly advised to stay away from alcoholic drinks if taking painkillers.
Some herbal supplements, which may seem harmless, can also interfere with clotting. Herbal supplements such as garlic, ginseng, ginkgo biloba, turmeric, can increase your risk of bleeding after a surgery. Please consult your doctor and stop the herbal medications seven days prior to surgery, so there&#;s sufficient time for it to be cleared out of your system.
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After you&#;ve had your wisdom teeth removed, it&#;s very important to ensure you&#;re getting the right nutrition. A nutritious diet minimizes the risk of complications, helps reduce swelling, provides nourishment and aids the wound-healing process.
The foods you eat after surgery should be soft and easy to chew. They should also be abundant in vitamins, minerals, energy and protein to assist wound healing. Some suggestions are as follows:
The rule of thumb for food post extraction is less hot, more cold.
Food too high in temperature can cause pain to your wound, food that is too spicy may irritate your oral mucosa. Fried food is often crispy and may irritate your wound upon contact. On the other hand, cold items such as ice cream and smoothies are akin to icing your wound, therefore soothing it.
Here are some foods to avoid after wisdom tooth removal.
It&#;s also important to avoid using a straw while you recover from wisdom tooth removal. Straws create suction in the mouth that increases the risk of developing a dry socket.
A dry socket is a painful condition in which the clot that was protecting the area where the tooth was removed becomes dislodged. As a result, the underlying bones and nerves are exposed to air, which causes pain and delays healing
While pain and swelling is expected for 3-4 days after extraction, during normal recovery, your pain should steadily decrease over time. However, if you feel that the pain is incrementally worsening, and/or accompanied by foul smell/taste, you might have developed a &#;dry socket&#;.
After tooth extraction, a blood clot usually forms at the site to heal and protect it. With dry socket, that clot either dislodged, dissolved too early, or it never formed in the first place. So, dry socket leaves the bone, tissue, and nerve endings exposed.
Dry socket isn&#;t very common, up to 5% of people get dry socket after a tooth extraction (Columbia University). Dry socket pain usually starts a day or a few days after surgery. If you&#;ve made it about a week after surgery and your mouth is mostly healed, then chances are you won&#;t get dry socket.
Dry socket must be treated by a dentist. This means you&#;ll need to make a return trip to your dentist&#;s office after your surgery. Your dentist will clean and medicate the site to help it heal. They&#;ll also likely recommend over-the-counter or prescription painkillers.
Treatment includes:
By the end of the 3rd to 4th weeks after your tooth extraction, most of the soft tissue (gum) healing will have taken place. You&#;ll probably still be able to see at least a slight indentation in your jawbone that corresponds with the tooth&#;s original socket (hole). Where large teeth have been removed (or a lot of bone was removed during the extraction process like with impacted wisdom teeth), a relatively significant indentation may still remain. It may persist, even for some months.
When you have a tooth extracted, it&#;s the healing of your jaw&#;s bone tissue (as opposed to your gums) that takes the greatest amount of time. After about 8 weeks your tooth&#;s extraction socket will have substantially filled in with bone. It takes on the order of 6 to 8 months of further healing for the extraction site to fully recontour and smooth out.
Consult your dentist or oral surgeon if you have any questions before or after your wisdom tooth surgery!
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After tooth extraction, it&#;s important for a blood clot to form to stop the bleeding and begin the healing process. That&#;s why we ask you to bite on a gauze pad for 45 minutes after the appointment. If the bleeding or oozing persists, insert another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.
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