Post-Extraction Care for Upper Wisdom Teeth Without Stitches - Dentistry

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Post-operative care for upper wisdom teeth extraction (no surgery or stitches)


Hello, I just had my first wisdom tooth extracted, which was the upper left tooth.
The extraction process went very smoothly; after the anesthesia, the doctor used a small tool, similar to what is used for molars, and it felt like pulling out a carrot.
Then, I was instructed to bite on gauze for an hour and was given (what I believe is) anti-inflammatory medication.
I would like to ask how to care for this upper wisdom tooth extraction site that does not require stitches post-operatively.
Thank you!

He Tongxue, 20~29 year old female. Ask Date: 2016/03/18

Dr. Zeng Guanghui reply Dentistry


In the above situation, as long as you maintain regular oral hygiene and keep the wound clean post-surgery, the wound will naturally heal gradually.

Reply Date: 2016/03/18

More Info


After having your upper wisdom tooth extracted, it’s essential to follow proper post-extraction care to ensure a smooth recovery and to minimize the risk of complications. Here’s a comprehensive guide on how to take care of your mouth after the extraction, especially since you mentioned that no stitches were used.


Immediate Post-Extraction Care
1. Control Bleeding: After the extraction, your dentist would have placed a piece of gauze over the extraction site. Bite down gently on the gauze for about 30 to 60 minutes to help control bleeding. If bleeding continues, replace the gauze with a fresh piece and maintain pressure.

2. Avoid Disturbing the Site: For the first 24 hours, avoid touching the extraction site with your fingers or tongue. This helps prevent infection and allows the blood clot to form properly.

3. Pain Management: You may experience some discomfort after the anesthesia wears off. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage this pain. Follow the dosage instructions on the package or those provided by your dentist.


Oral Hygiene
4. Gentle Rinsing: After the first 24 hours, you can start rinsing your mouth gently with warm salt water (1 teaspoon of salt in 8 ounces of water) to help keep the area clean. Avoid vigorous swishing, as this can dislodge the blood clot.

5. Brushing Teeth: You can brush your teeth, but be cautious around the extraction site. Avoid brushing directly on the extraction area for the first few days to prevent irritation.

6. Avoid Mouthwash with Alcohol: Alcohol-based mouthwashes can irritate the extraction site. Stick to saltwater rinses or a non-alcoholic mouthwash recommended by your dentist.


Diet
7. Soft Foods: Stick to a diet of soft foods for the first few days. Foods like yogurt, applesauce, mashed potatoes, and smoothies are good options. Avoid hard, crunchy, or spicy foods that could irritate the extraction site.

8. Stay Hydrated: Drink plenty of fluids, but avoid using straws for the first few days. The suction can dislodge the blood clot and lead to a painful condition known as dry socket.


Activity Restrictions
9. Rest: Take it easy for the first 24 hours after your extraction. Avoid strenuous activities or heavy lifting, as these can increase blood pressure and lead to bleeding.

10. Smoking and Alcohol: Avoid smoking and consuming alcohol for at least 48 hours after the extraction. Both can interfere with healing and increase the risk of complications.


Monitoring for Complications
11. Watch for Signs of Infection: Keep an eye out for signs of infection, such as increased swelling, redness, or pus at the extraction site, or a fever. If you notice any of these symptoms, contact your dentist immediately.

12. Follow-Up Appointment: Although you mentioned that no stitches were used, it’s still a good idea to have a follow-up appointment with your dentist to ensure that the extraction site is healing properly.


Conclusion
In summary, after having your upper wisdom tooth extracted, focus on controlling bleeding, maintaining oral hygiene, eating soft foods, and monitoring for any signs of complications. By following these guidelines, you can help ensure a smooth recovery. If you have any concerns or experience unusual symptoms, don’t hesitate to reach out to your dentist for advice. Remember, proper care after an extraction is crucial for your overall oral health and recovery.

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