Root inflammation
I have inflammation in my tooth root, which has caused swelling in my gums and my face.
Therefore, I had two roots of my molar extracted.
My face has reduced in swelling a bit, but the inside is still swollen.
I would like to know how many days it will take for the swelling to go down.
When can I resume normal brushing and eating? Should I use a dental splint? Thank you.
Yanwei, 20~29 year old female. Ask Date: 2016/04/15
Dr. Zeng Guanghui reply Dentistry
It may be due to the wound not being fully healed.
It is recommended to keep the wound clean and take anti-inflammatory pain medications as prescribed.
Once the wound is completely healed, please have a dentist examine it and consider whether to proceed with dentures.
Reply Date: 2016/04/15
More Info
Tooth root inflammation, often resulting from infections or untreated dental issues, can lead to significant discomfort, swelling of the gums, and even facial swelling, as you've experienced. The extraction of the affected tooth roots is a common treatment to alleviate these symptoms and prevent further complications. Here’s a comprehensive guide on recovery and care following such dental procedures.
Recovery Timeline
1. Swelling and Pain Management: After tooth extraction, it is normal to experience some swelling and discomfort. Typically, swelling peaks around 48 hours post-surgery and should gradually subside over the next few days. However, complete resolution of swelling can take up to a week or more, depending on individual healing rates and the extent of the procedure.
2. When to Expect Improvement: If your facial swelling has started to decrease, that is a positive sign. Internal swelling may take longer to resolve. Generally, you should see significant improvement within 3 to 7 days. If swelling persists beyond this period or worsens, it is crucial to consult your dentist, as this may indicate an infection or other complications.
Oral Hygiene Practices
1. Brushing and Flossing: It is essential to maintain oral hygiene to prevent infection. However, you should avoid brushing the extraction site directly for the first few days. Instead, you can gently brush the surrounding teeth. After 3 to 4 days, you can start to brush the area carefully, avoiding any vigorous action that could disturb the healing tissue.
2. Rinsing: After 24 hours, you can begin rinsing your mouth with warm salt water (1 teaspoon of salt in a cup of warm water) to help keep the area clean and promote healing. Avoid using mouthwash containing alcohol, as it can irritate the extraction site.
Diet Considerations
1. Eating Soft Foods: Initially, stick to a diet of soft foods that require minimal chewing, such as yogurt, applesauce, mashed potatoes, and smoothies. Avoid hot, spicy, or crunchy foods that could irritate the extraction site or cause discomfort.
2. Hydration: Stay hydrated, but avoid using straws for the first few days, as the suction can dislodge the blood clot that forms in the extraction site, leading to a painful condition known as dry socket.
Use of Dental Appliances
1. Dental Splints or Retainers: Whether you need a dental appliance like a retainer or splint depends on your specific dental situation. If your dentist recommends it for alignment or to protect the area during healing, it may be beneficial. However, this is typically more relevant for orthodontic treatment rather than post-extraction care.
2. Follow-Up Care: Schedule a follow-up appointment with your dentist to monitor the healing process. They can assess whether further treatment, such as a dental implant or bridge, is necessary to replace the extracted teeth.
Conclusion
In summary, recovery from tooth root inflammation and subsequent extraction involves careful management of swelling and pain, maintaining oral hygiene, and adhering to dietary restrictions. While it may take several days for the swelling to subside completely, following these guidelines can help facilitate a smoother recovery. Always communicate with your dentist regarding any concerns or unusual symptoms during your healing process. They are best equipped to provide personalized advice and treatment options tailored to your specific needs.
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