Why Is My Face Swelling Again After Wisdom Tooth Extraction? - Dentistry

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Swelling after wisdom tooth extraction can sometimes recur even after it has initially subsided. This may be due to several factors, including infection, irritation, or the body's inflammatory response. If the swelling persists or worsens, it is important


It has been almost a month since I had my wisdom teeth extracted, and recently I've noticed that the area around the extraction site is particularly sensitive when eating, although it doesn't hurt, so I haven't paid much attention to it.
This morning, I woke up to find that my face is swollen again.
Is this normal? Should I wait for the swelling to go down on its own, or is it better to see a doctor? I'm a bit worried about leaving it untreated since I can't conveniently visit the dentist due to the holiday.

Xiao Qi, 10~19 year old female. Ask Date: 2016/11/19

Dr. Lin Jiayong reply Dentistry


Hello: If the swelling persists for more than 48 hours, it is advisable to seek medical attention for diagnosis.
Wishing you peace and health.

Reply Date: 2016/11/19

More Info


After wisdom tooth extraction, it is not uncommon for patients to experience swelling, but if you notice that your face is swelling again after nearly a month, it is important to consider a few factors. Swelling can occur due to several reasons, including inflammation, infection, or even complications related to the extraction site.

Initially, after a wisdom tooth extraction, swelling is a normal part of the healing process. The body responds to the surgical trauma by sending blood and immune cells to the area, which can lead to inflammation and swelling. Typically, this swelling peaks within the first 48 to 72 hours post-surgery and gradually subsides over the following days. However, if you are experiencing renewed swelling after a significant period, it may indicate an underlying issue.

One possible cause of renewed swelling could be an infection. If bacteria enter the extraction site, it can lead to a condition known as dry socket or even a localized infection, which may present as swelling, tenderness, and sometimes a bad taste in the mouth. Symptoms of infection can include fever, increased pain, and pus discharge from the extraction site. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

Another possibility is that the swelling could be related to the healing process itself. Sometimes, the body may react to food particles or debris that become trapped in the extraction site, leading to localized inflammation. Additionally, if you have been using the affected side of your mouth more than the other side, it could lead to increased irritation and swelling.

In terms of management, if the swelling is mild and you are not experiencing significant pain or other concerning symptoms, you may choose to monitor the situation for a day or two. Applying a cold compress to the area can help reduce swelling and provide some relief. However, if the swelling persists, worsens, or is accompanied by other symptoms such as pain, fever, or discharge, it is advisable to consult with your dentist or oral surgeon as soon as possible.

Given that you mentioned the inconvenience of the holiday, it might be worth considering whether you can find an urgent dental care facility or an emergency dentist who can evaluate your condition. Ignoring potential complications could lead to more significant issues down the line, including prolonged healing or the need for further treatment.

In summary, while some swelling after wisdom tooth extraction is normal, renewed swelling after a month warrants attention. Monitor your symptoms closely, and do not hesitate to seek professional advice if you have concerns about infection or complications. Your oral health is important, and timely intervention can prevent further issues.

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