Post-Wisdom Tooth Extraction: Is My Swelling Normal? - Dentistry

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After the extraction of impacted wisdom teeth, internal swelling may occur?


Hello, I would like to ask about my experience after having my horizontal wisdom tooth extracted on April 8th.
The day after the extraction, my face was extremely swollen, resembling that of a pig! Afterward, the swelling gradually subsided, but now when I touch my face, I can still feel a small lump and there is a slight internal swelling, although it is not visible from the outside.
I can only feel it when I touch it.
Is this considered normal? Should I see a dentist or a dermatologist?

Dora, 20~29 year old female. Ask Date: 2016/04/25

Dr. Zeng Guanghui reply Dentistry


After having my impacted wisdom teeth removed, my face was very swollen the next day, and I can still feel a small lump now.
This may be due to the large extraction site, and during the procedure, the surgeon had to smooth out the bone that was impinging on the wisdom tooth.
It might take some time for everything to heal and settle.
I recommend regular follow-up appointments to check the healing of the extraction site.

Reply Date: 2016/04/25

More Info


After wisdom tooth extraction, it is quite common to experience swelling, especially in the first few days following the procedure. The degree of swelling can vary from person to person, depending on several factors, including the complexity of the extraction, individual healing responses, and whether any complications arose during the procedure.

In your case, since you had your wisdom tooth extracted on April 8th and experienced significant swelling the following day, this is generally considered a normal reaction. Swelling typically peaks around 48 to 72 hours post-surgery and then begins to subside. The fact that your swelling has gradually decreased is a positive sign, indicating that your body is healing.

However, the presence of a small lump that you can feel but is not visible could be due to several reasons. It might be a residual area of swelling, a hematoma (a localized collection of blood outside of blood vessels), or even a small cyst that can form after dental procedures. In some cases, the swelling can also be related to the healing of the soft tissues and the underlying bone.

Here are a few points to consider regarding your situation:
1. Normal Healing Process: It is normal for some swelling to persist for a few weeks after the extraction. As long as the swelling is not increasing and you are not experiencing severe pain, fever, or other signs of infection, it is likely part of the normal healing process.

2. Signs of Infection: Keep an eye out for signs of infection, which may include increased swelling, redness, warmth in the area, pus or discharge, and fever. If you notice any of these symptoms, it would be advisable to consult your dentist or oral surgeon.

3. Follow-Up Care: If the lump does not resolve over the next few weeks, or if you have any concerns about it, it would be wise to schedule a follow-up appointment with your dentist. They can assess the area and determine if any further treatment is necessary.

4. When to See a Specialist: In most cases, your dentist should be your first point of contact. They are equipped to handle post-extraction complications. If they determine that the issue is outside their scope, they may refer you to a specialist, such as an oral surgeon or a dermatologist, if necessary.

5. Home Care: Continue to follow any post-operative care instructions provided by your dentist. This may include using ice packs to reduce swelling, taking prescribed medications, and maintaining good oral hygiene to prevent infection.

In summary, while some swelling and a small lump can be normal after wisdom tooth extraction, it is essential to monitor your symptoms. If you have any concerns or if the swelling persists, do not hesitate to reach out to your dentist for further evaluation. They can provide you with the best guidance based on your specific situation.

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