Post-Wisdom Tooth Extraction: Common Concerns and Care Tips - Dentistry

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Post-operative issues after wisdom tooth extraction?


Hello, Doctor.
I would like to ask you a few questions.
On June 16, I had my upper and lower left wisdom teeth extracted at a large hospital (the lower left wisdom tooth was decayed and frequently inflamed, so I waited for the inflammation to subside before extraction; the upper left wisdom tooth was impacted, requiring surgery to cut the gum and remove it in pieces, with five stitches).
The doctor recommended extraction and prescribed antibiotics—Amoxicillin 250mg/cap and anti-inflammatory pain relief—Naposin 250mg/tab (for a total of 5 days, which I completed).
On June 23, I had my stitches removed in the afternoon and asked the doctor about the soreness and tenderness in my gums and teeth, as well as a slight feeling of pressure and discomfort in my left ear, similar to the discomfort experienced during a cold.
However, the doctor noted that my extraction site showed no swelling or inflammation and advised me to monitor the situation.
Today, I am not sure if it’s due to the hot weather, but no amount of water seems to quench my thirst.
I feel a slight pain at the surgical site of the upper left wisdom tooth, and the area around the lower left extraction site feels somewhat swollen and uncomfortable, especially compared to the right side.
I just rinsed with salt water and applied ice, which seems to have helped a bit.

1.
If I continue to feel discomfort, can I apply Betadine to the wound on the upper left and around the lower left gum, or should I see a doctor for more anti-inflammatory medication?
2.
Approximately how long will it take before I can chew on the left side? Currently, I feel that the wound has not yet healed, and I am only able to eat liquid or soft foods on the right side.

Thank you for your assistance.

Kaori, 30~39 year old female. Ask Date: 2016/06/24

Dr. Huang Tingfang reply Dentistry


Dear Kaori,
Generally, the pain after tooth extraction improves within a week.
If you have any issues, please return for a follow-up appointment promptly, and do not misuse medications.
Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/06/24

More Info


After a wisdom tooth extraction, particularly when it involves surgical intervention like cutting into the gum, it is common to experience discomfort, swelling, and a variety of sensations in the surrounding areas. Your situation, where you had both upper and lower left wisdom teeth removed, is not unusual, especially given the complexities involved with the extraction of the upper tooth, which was impacted.

1. Pain Management and Topical Treatments: It is understandable to want to alleviate discomfort at the extraction site. However, applying topical antiseptics like Betadine (Povidone-Iodine) directly to the surgical site is generally not recommended without consulting your dentist or oral surgeon first. While it is important to keep the area clean, applying such substances can sometimes irritate the healing tissue or interfere with the natural healing process. If you continue to experience discomfort, it would be wise to consult your dentist before self-treating. They may recommend a follow-up visit to assess the healing process and determine if additional anti-inflammatory medication is necessary.

2. Eating and Recovery Timeline: Regarding your question about when you can start chewing on the left side, it is crucial to allow adequate time for the surgical sites to heal. Typically, it is advisable to wait at least a week or two before introducing solid foods on the side of the extraction, depending on how well the area is healing. Since you mentioned that you still feel discomfort and swelling, it is best to continue eating soft foods and avoid putting pressure on the extraction sites until you feel confident that the pain has subsided and the area feels more stable.
In the meantime, continue to practice good oral hygiene, but be gentle around the extraction sites. Rinsing with warm salt water can help reduce inflammation and promote healing, but avoid vigorous rinsing that could disturb the healing tissue.

3. Monitoring Symptoms: The sensation of pressure or discomfort in your ear can sometimes occur after dental procedures, particularly if there was manipulation of the jaw or surrounding tissues. This sensation often resolves on its own as the inflammation decreases. However, if you notice any signs of infection, such as increased swelling, pus, or a fever, it is essential to contact your dentist immediately.

4. Hydration and General Care: Feeling excessively thirsty can be a result of various factors, including medication side effects or simply the body's response to healing. Ensure you stay hydrated, but also monitor your overall health. If the thirst persists or if you experience other unusual symptoms, consider discussing this with your healthcare provider.

In summary, while it is normal to experience discomfort and swelling after wisdom tooth extraction, it is essential to monitor your symptoms closely. Avoid self-treating with topical medications without professional guidance, and be patient with your recovery process. If discomfort persists or worsens, or if you have any concerns about your healing, do not hesitate to reach out to your dentist for further evaluation and care. Your oral health is paramount, and timely intervention can prevent complications and promote a smoother recovery.

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